Article
Association of a novel human immunodeficiency virus type 1 protease substrate cleft mutation, L23I, with protease inhibitor therapy and in vitro drug resistance.
Antimicrobial agents and chemotherapy - 1 Dec 2004
Johnston Elizabeth, Winters Mark A, Rhee Soo-Yon, Merigan Thomas C, Schiffer Celia A, Shafer Robert W
Abstract excerpt
We observed a previously uncharacterized mutation in the protease substrate cleft, L23I, in 31 of 4,303 persons undergoing human immunodeficiency virus type 1 genotypic resistance testing. In combination with V82I, L23I was associated with a sevenfold reduction in nelfinavir susceptibility and a decrease in replication capacity. In combination with other drug resistance mutations, L23I was associated with...
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