Article
Selection of HIV-1 for resistance to fifth-generation protease inhibitors reveals two independent pathways to high-level resistance.
eLife - 15 Mar 2023
Spielvogel Ean, Lee Sook-Kyung, Zhou Shuntai, Lockbaum Gordon J, Henes Mina, Sondgeroth Amy, Kosovrasti Klajdi, Nalivaika Ellen A, Ali Akbar, Yilmaz Nese Kurt, Schiffer Celia A, Swanstrom Ronald
Abstract excerpt
Darunavir (DRV) is exceptional among potent HIV-1 protease inhibitors (PIs) in high drug concentrations that are achieved in vivo. Little is known about the de novo resistance pathway for DRV. We selected for resistance to high drug concentrations against 10 PIs and their structural precursor DRV. Mutations accumulated through two pathways (anchored by protease mutations I50V or I84V). Small changes in the...
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