Impact of amino acid substitutions on TPV's dimerization inhibition. (A) COS7 cells were exposed to each of the drugs (TPV, DRV, and APV) at various concentrations and subsequently cotransfected with plasmids encoding each full-length molecular infectious HIV-1 (HIVNL4-3) clone producing CFP- or YFP-tagged wild-type protease. After 72 h, cultured cells were examined in the FRET-HIV-1 assay system and the CFPA/B ratios were determined. The mean values of the ratios obtained are shown as bars. A CFPA/B ratio that is greater than 1 signifies that protease dimerization occurred, whereas a ratio that is less than 1 signifies the disruption of protease dimerization. All the experiments were conducted in a blind fashion. *, not significant; **, P < 0.05. (B) COS7 cells were cotransfected with a pair of clones, pHIVNL4-3CFP and pHIVNL4-3YFP, carrying I54V (cHIVNL4-3I54V), V82T (cHIVNL4-3V82T), or I54V/V82T (cHIVNL4-3I54V/V82T) or a pair of clones, pHIVBCFP and pHIVBYFP, carrying no additional substitution (cHIVB), I54V (cHIVBI54V), or I54V/V82T (cHIVBI54V/V82T) in the absence or presence of 1 or 10 μM TPV or 0.01 or 0.1 μM DRV, and CFPA/B ratios were determined. *, not significant; **, P < 0.05. The statistical differences (P values) between the CFPA/B ratios in the absence of drug (CFPA/Bno drug) and the CFPA/B ratios in the presence of 1 μM TPV (CFPA/B1 TPV) and those between the CFPA/B ratios in the absence of drug (CFPA/Bno drug) and the CFPA/B ratios in the presence of 10 μM TPV (CFPA/B10 TPV) were, respectively, <0.0001 and <0.0001 for cHIVNL4-3I54V, 0.0067 and 0.0005 for cHIVNL4-3V82T, 0.0009 and 0.0005 for cHIVNL4-3I54V/V82T, 0.359 and 0.2865 for cHIVB, 0.132 and 0.0234 for cHIVBI54V, and 0.3689 and 0.1653 for cHIVBI54V/V82T. The statistical differences (P values) between the CFPA/B ratios in the absence of drug (CFPA/Bno drug) and the CFPA/B ratios in the presence of 0.01 μM DRV (CFPA/B0.01 DRV) and those between the CFPA/B ratios in the absence of drug (CFPA/Bno drug) and the CFPA/B ratios in the presence of 0.1 μM DRV (CFPA/B0.1 DRV) were 0.5956 and 0.0021, respectively, for cHIVBI54V/V82T. (C) COS7 cells were cotransfected with a pair of clones, pHIVNL4-3CFP and pHIVNL4-3YFP, carrying L24I, L24M, L33I, or L33F or a pair of clones, pHIVBCFP and pHIVBYFP, with Leu-33 (wild-type) reverted from Ile-33 (cHIVBI33L) with an additional I54V substitution (cHIVBI33L/I54V) or with an additional I54V/V82T substitution (cHIVBI33L/I54V/V82T) in the absence or presence of 1 or 10 μM TPV, and CFPA/B ratios were determined. *, not significant; **, P < 0.05.