TABLE 1.
Drug susceptibilities of recombinant HCMVs expressing various mutations in the UL54 gene
| Region | UL54 alteration | Reference(s)b | Selection drug(s)c | Fold change in IC50 relative to that for the wild-type recombinanta
|
||||
|---|---|---|---|---|---|---|---|---|
| GCV | CDV | PFA | ADV | LBV | ||||
| IV | N408D | 44 | GCV, PFA | 4.9 | 5.6 | 1.3 | −4.0 | 1.6 |
| F412C | 13, 44 | GCV, PFA | 4.2 | 18.0 | 1.2 | −4.2 | 1.2 | |
| F412Vd | 36 | GCV | 4.3 | 15.5 | 1.1 | −4.2 | 1.0 | |
| δ C | L501Id | 36 | GCV | 6.0 | 9.1 | 1.4 | −2.0 | 1.4 |
| K513E | 44 | GCV, PFA | 5.0 | 9.1 | 1.4 | −2.0 | 1.2 | |
| P522S | 8 | GCV, PFA, CDV | 3.1 | 3.6 | 1.1 | −2.5 | 1.1 | |
| L545S | 9 | GCV, PFA, CDV | 3.5 | 9.1 | 1.2 | −5.9 | 1.2 | |
| D588E | 44 | GCV, PFA | 1.3 | 1.1 | 2.3 | 2.0 | 1.1 | |
| II | T700A | 2, 4 | GCV, PFA | 1.2 | 1.3 | 5.8 | 5.8 | 3.1 |
| V715M | 2, 4 | GCV, PFA | 1.3 | 1.1 | 9.5 | 6.0 | 3.1 | |
| VI | V781I | 2 | GCV, PFA | 1.0 | 1.2 | 5.2 | 3.0 | 1.8 |
| III | L802M | 13, 44 | GCV, PFA | 1.1 | 0.9 | 3.2 | 2.8 | 1.3 |
| K805Q | 44 | GCV, PFA | 1.0 | 2.2 | −5.6 | −4.8 | −4.1 | |
| T821I | 44 | GCV, PFA | 4.5 | 1.9 | 21 | 6.4 | 3.6 | |
| V | A987Gd | 50 | GCV | 5.3 | 11.3 | 1.2 | 1.1 | 1.1 |
| Other | S676G | 44 | GCV, PFA | 1.1 | 1.2 | 0.9 | 1.4 | 1.0 |
| V759M | 8 | CDV | 1.5 | 1.1 | 1.1 | 1.2 | 1.3 | |
Values are averages from at least three determinations with two independently generated recombinant viruses. In all cases, the standard error was less than 35%. Boldface numbers indicate significant (i.e., at least twofold) changes in HCMV drug susceptibility. Positive and negative values represent fold increases and decreases, respectively, in IC50 relative to that of the UL54 wild-type recombinant virus.
Reference(s) describing the original identification of the UL54 alteration.
Therapy after which the mutation in clinical isolate was identified or drug used for selection in cell culture.
UL54 alteration selected in cell culture.