TABLE 1.
Clinical characteristics and amino acid mutations in PR and RT of resistant isolatesa
Isolate | Current treatment | Prior treatment | No. of CD4+ cells/μl | Viremia (log copies/ml) | Protein and mutation(s) | Comments |
---|---|---|---|---|---|---|
B495 | d4T, ritonavir, saquinavir | AZT, ddC, ddI, indinavir | 230 | 5.5 | PR: M46I, V77I, I84V, L90M RT: M41L, L210W, T215Y CL: P453L | Long-term failure to achieve viral suppression and slow immunological deterioration |
B497 | d4T, ritonavir, saquinavir | AZT, 3TC, ddI, indinavir | 411 | 5.2 | PR: L10I, K20M, I54V, A71V, G73S, I84V, L90M RT: K65R, V75I, F77L, Y115F, F116Y, Q151M, K219Q CL: P453L | Clinical and immunological stability despite lack of viral suppression |
B670 | None | None | 773 | 3.4 | PR: L10I, A71T, V77I, V82A, L90M RT: M41L, E44D, D67N, M184V, L210W, T215A CL: WT | Horizontal multidrug-resistant-HIV-1 transmission |