Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2007-6-11
pubmed:abstractText
HIV-1 isolates harbouring an insertion in the beta3-beta4 loop of reverse transcriptase (RT) confer high-level resistance to nucleoside analogues. We have identified a novel 5-amino-acid insertion (KGSNR amino acids 66-70) in a patient on prolonged nucleoside combination therapy (didanosine and stavudine) and investigated which factors were responsible for its outgrowth. Remarkably, only small fold increases in drug resistance to nucleoside analogues were observed compared to wild type. The insertion variant displayed a reduced replicative capacity in the absence of inhibitor, but had a slight replicative advantage in the presence of zidovudine, didanosine or stavudine, resulting in the selection and persistence of this insertion in vivo. Mathematical analyses of longitudinal samples indicated a 2% in vivo fitness advantage for the insertion variant compared to the initial viral population. The novel RT insertion variant conferring low levels of resistance was able to evolve towards a high-level resistant replication-competent variant.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
0042-6822
pubmed:author
pubmed:issnType
Print
pubmed:day
1
pubmed:volume
364
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
395-406
pubmed:dateRevised
2008-11-21
pubmed:meshHeading
pubmed-meshheading:17451772-Amino Acid Sequence, pubmed-meshheading:17451772-Base Sequence, pubmed-meshheading:17451772-Cell Line, pubmed-meshheading:17451772-DNA, Viral, pubmed-meshheading:17451772-Directed Molecular Evolution, pubmed-meshheading:17451772-Drug Resistance, Viral, pubmed-meshheading:17451772-Evolution, Molecular, pubmed-meshheading:17451772-Genetic Variation, pubmed-meshheading:17451772-Genotype, pubmed-meshheading:17451772-HIV Infections, pubmed-meshheading:17451772-HIV Reverse Transcriptase, pubmed-meshheading:17451772-HIV-1, pubmed-meshheading:17451772-Humans, pubmed-meshheading:17451772-Models, Molecular, pubmed-meshheading:17451772-Molecular Sequence Data, pubmed-meshheading:17451772-Mutagenesis, Site-Directed, pubmed-meshheading:17451772-Protein Conformation, pubmed-meshheading:17451772-Virus Replication
pubmed:year
2007
pubmed:articleTitle
Evolution of a novel 5-amino-acid insertion in the beta3-beta4 loop of HIV-1 reverse transcriptase.
pubmed:affiliation
Department of Medical Microbiology, University Medical Center Utrecht, Heidelberglaan 100, Utrecht, The Netherlands.
pubmed:publicationType
Journal Article, In Vitro, Research Support, Non-U.S. Gov't