TABLE 3.
Development of resistance to APV in WT and M184V clade B isolatesa
| APV concn (μM) | Wk | 4246-WT | 4246-M184V | 3350-WT | 3350-M184V |
|---|---|---|---|---|---|
| 0 | 1 | WT | WT (M184V) | WT (L63P, V77I, I93L) | WT (L63P, V77I, I93L; M184V) |
| 0.1 | 23 | V32I, I54I/Mb | WT | WT | WT |
| 0.4 | 30 | V32I, I54M | WT | V32I, M46I, I54Lb | WT |
| 0.4 | 34-35 | V32I, I54M | V32I/V, N37S | V32I, M46I, I54L | M46I/L |
| 10 | 46-47 | V32I, M46I, I54M | V32I, M46I/M | V32I, M46I, I54L | M46L |
| 10 | 52 | V32I, M46I, I54M | V32I/V, M46I, I54I/Vb | ND | M46I, I54I/Lb |
| 10 | 55 | NDc | ND | ND | M46I, I54Lb |
| 10 | 58 | V32I, M46I, I54M | V32I/V, M46I, I54V | ND | ND |
Genotypic analysis was performed at designated weeks based on RT activity to determine the time to appearance of resistance mutations. The baseline genotype included mutations shown in parentheses that were sustained at subsequent time points.
Time to first appearance of the major resistance mutations, I54M/V/L, that confer high-level phenotypic resistance to protease inhibitors.
ND, not done.