TABLE 6.
Susceptibilities of Env-recombinant NL4-3 molecular clones created from maraviroc-resistant CC1/85 by SDM to entry inhibitors in PBL
Clonej | Mutation in gp120a
|
Entry inhibitor susceptibility in PBLb
|
||||||||
---|---|---|---|---|---|---|---|---|---|---|
Domain V2 | Domain V3
|
Domain C3
|
Domain V4
|
Maraviroc
|
Aplaviroc IC50 (nM) | Enfuvirtide IC50 (nM) | ||||
Amino acid 163 | Amino acid 316 | Amino acid 319 | Amino acid 323 | Amino acid 355 | Amino acid 405 | IC50 (nM) | Plateau (%)c | |||
MVCres | K | T | A | V | Y | A | >333 | NDRi | 0.23 | 5.78 |
MVCres(TAI) | K | T | A | I | Y | A | 0.35 | 67d | 0.13 | 3.28 |
MVCres(AAV) | K | A | A | V | Y | A | 0.41 | 74d | 0.32 | 9.29 |
MVCres(AAI) | K | A | A | I | Y | A | 0.50 | 95 | 0.23 | 10.1e |
MVCsensh | T | A | A | I | N | S | 0.89f | 93f | 0.53f | 12.2g |
The 2.56-kb Env gene was cloned by PCR from maraviroc-resistant variants of CC1/85 and inserted into pNL4-3, to produce MVCres. A similar fragment was cloned from the start virus to produce MVCsens. SDM was performed on the MVCres clone to revert mutations in the V3 loop back to the wild type.
Drug susceptibility was assessed over 7 days in PBL. Viral replication was quantified by p24. Results shown are the geometric means of five experiments unless otherwise stated.
Percent inhibition for the plateau in maximal inhibition.
P < 0.05 versus MVCsens (analysis of variance).
Geometric mean of four experiments.
Geometric mean of three experiments.
Geometric mean of two experiments.
There were an additional eight amino acid differences in gp41 between MVCsens and MVCres.
NDR, no dose response (see Fig. 3A).
Boldface letters in clone designations indicate amino acid substitutions in MVCres.