作者
Vici Varghese, Yumi Mitsuya, W Jeffrey Fessel, Tommy F Liu, George L Melikian, David A Katzenstein, Celia A Schiffer, Susan P Holmes, Robert W Shafer
发表日期
2013/9
期刊
Antimicrobial agents and chemotherapy
卷号
57
期号
9
页码范围
4290-4299
出版商
American Society for Microbiology
简介
The many genetic manifestations of HIV-1 protease inhibitor (PI) resistance present challenges to research into the mechanisms of PI resistance and the assessment of new PIs. To address these challenges, we created a panel of recombinant multi-PI-resistant infectious molecular clones designed to represent the spectrum of clinically relevant multi-PI-resistant viruses. To assess the representativeness of this panel, we examined the sequences of the panel's viruses in the context of a correlation network of PI resistance amino acid substitutions in sequences from more than 10,000 patients. The panel of recombinant infectious molecular clones comprised 29 of 41 study-defined PI resistance amino acid substitutions and 23 of the 27 tightest amino acid substitution clusters. Based on their phenotypic properties, the clones were classified into four groups with increasing cross-resistance to the PIs most commonly used …
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