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. 2006 Nov 13;51(2):732–735. doi: 10.1128/AAC.00690-06

TABLE 1.

Genotypes, phenotypes, and RCs of resistant isolates

Isolatea Mutation(s) in proteaseb
Mutation in the following cleavage sites:
FC in IC50 compared to that for WTc
RC (% of that for WT)
Amino acid at position 84 Other mutations p7/p1 p1/p6 NFV SQV IDV RTV APV LPV ATV
A1 I84A L10I, M46I, L63H, A71V, V77I A431V WT 600 1,000 73 60 32 10 38 41
A2 I84A L33F, M46I, L63P NA NA 600 141 27 85 31 NA NA NA
A3 I84A L10I, M46L, L63T, A71V NA NA 600 365 78 76 43 11 NA 22
A4 I84A L10F, M46I, L63P, A71V WT L449F 600 241 58 42 32 14 NA 2.5
A5 I84A L10V, M46I, L63A/P, A71V A431V L449Q 600 256 53 54 28 9.0 NA 18
A6 I84A L10I, M46I, L63P, A71V, L76V A431V WT 64 24 38 34 21 14 NA 1.0
A7 I84A L10F, L19I, M46I, I47V, I54V, L63P, A71V A431V S451I 600 1,000 92 141 74 124 NA NA
A8 I84A L10V, K20I, M36I, M46I, A71V, G73S, L76V A431V WT 600 265.5 400 86 252 94 NA 6.4
A9 I84A L10I, M46I, L63P, A71V, V77I WT L449F 600 1,000 138 167 33 16 52 64
A10 I84A L10F, K20I, M46I, I54M, L63P, A71V, G73T, V77I A431V L449L/V, R452R/K 600 1,000 400 400 400 59 700 27
A11 I84A L10F, M46I, L63P, A71A/V, V77V/I A431A/V L449F 600 1,000 73 73 47 14 63 31
A12 I84A L10I, L33F, M46I, I54V, L63P, A71V, L76V A431V L449L/Q, S451T 600 1,000 400 400 400 210 25 16
A13 I84A L10F, K20I, M36M/I, M46I, I54V, L63P, A71V, G73S WT R452S 196 1,000 178 400 43 50 700 5.7
A14 I84A L10I, M46I, I47V, L63P, A71V, L76V A431V WT 210 69 152 105 141 104 21 0.7
A15 I84A L10I, K20R, M36I, M46I, I54V, Q58E, L63A/T, A71V, V82V/I A431V WT 600 1,000 118 400 30 75 253 22
    Median 600 1,000 92 86 43 33 57 18
C1 I84C WT WT 15 6.1 1.2 1.6 1.7 0.4 NA 12.0
C2 I84C K20I, M36I, V82I WT S451N 59 14 1.3 8.6 5.4 NA NA 11.0
C3 I84C L10I, L19L/I, L24I, L63H WT L449L/F 74 56 4.1 10 8.6 1.6 NA 8.9
C4 I84C L10F, L19L/V, L24I, M46L, L63P A431V L449F 395 92 11 9.1 10 3.1 NA 0.6
C5 I84C L10L/I, K20R, M36I, M46L, L63P, V82IV/I WT WT 51 41 3.8 15 20 3.1 NA 15.0
C6 I84C L10I, G16A, M46I, L63P, L76V A431V WT 144 24 63 22 64 47 NA 13.0
C7 I84C L10I, L24I, M46L, L63P, A71T, G73S, V771 A431A/V L449F 600 1,000 42 60 23 7.2 NA 1.2
C8 I84C L10I, L19I, K20K/R, L24L/I, M46I, K55K/R, L63P WT WT 86 68 6.4 14 12 2.9 NA 38
C9 I84C L10V, L24L/I, M46L, I54L, L63P WT WT 70 115 5.5 20 30 2.3 9.1 NA
C10 I84C L10I, K20T, Q58E, V82I WT WT 286 242 5.5 29 53 5.1 19 64
C11 I84C L10I, L24I, L63H WT WT 91 121 5.7 15 18 2.8 5.0 25
    Median 86 68 5.5 15 18 3.0 9.1 13
a

Except for the patient from whom isolate A1 was obtained, the treatment histories of the patients from which the isolates were obtained are unknown.

b

Reference sequences were compared with baseline sequences. Polymorphisms at the following positions are not listed: 12, 13, 14, 15, 18, 33 (other than L33F), 35, 37, 39, 41, 43, 45, 57, 60, 61, 62, 64, 65, 66, 67, 69, 70, 72, 74, 83, 89, 91, 93, and 95. Samples with a mixture of sequences at a particular codon were excluded from the analysis.

c

The current reduced susceptibility cutoffs are 2.5 for RTV, 3.6 for NFV, 2.3 for SQV, 10 for IDV, 4.0 for APV, and 9 for LPV-RTV. For calculation purposes FC values representing 50% inhibitory concentrations (IC50s) higher than the maximum measurable level were assigned an arbitrary value, based on the ratio between the highest drug concentration tested and the reference virus 50% inhibitory concentration: 600 for NFV, 1,000 for SQV, 400 for IDV and APV, 700 for ATV. NA, not available.