Table 9. In vitro susceptibilities associated with the 13 PI drug resistance mutation patterns.
Overall Pattern* | Specific Pattern* | %Exact† | %Included† | LPV§ | ATV§ | DRV§ |
---|---|---|---|---|---|---|
N46IL | M46I | 1.66% | 32.22% | 2.73 | 2.23 | 0.82 |
M46L | 1.79% | 14.67% | 1.62 | 2.41 | 0.71 | |
L90M | L90M | 7.43% | 50.86% | 1.642 | 3.133 | 0.919 |
M46I, L90M | M46I, L90M | 1.38% | 19.36% | 2.723 | 4.917 | 0.86 |
M46I, I84V, L90M | M46I, I84V, L90M | 0.43% | 7.65% | 1727 | 2219 | 44 |
M46L, I54V, V82A | M46L, I54V, V82A | 0.41% | 5.99% | 3717 | 319 | 1.74 |
L76V¶ | L76V¶ | 0.09% | 4.15% | - | - | - |
I50V | I50V | 0.12% | 2.63% | 6.74 | 1.42 | - |
I54LM | I54L | 0.15% | 4.50% | 4.61 | 1.71 | 3.61 |
I54M | 0.07% | 3.74% | 2.91 | 3.41 | - | |
V32I, I47V | V32I, I47V | 0.08% | 4.17% | 41 | 6.31 | 1.31 |
V32I, M46I, I47V, I84V | V32I, M46I, I47V, I84V | 0.01% | 0.75% | 772 | 402 | 251 |
L33F, M46I, I47V, I54M, 84V, 90M | L33F, M46I, I47V, I54M, 84V, 90M | 0.01% | 0.02% | 1756 | 746 | >2003 |
V32I, L33F, M46I, I47V, I54M | V32I, L33F, M46I, I47V, I54M | 0.01% | 0.61% | - | - | - |
L33F, M46L, I54M, I84V, V89I, L90M | L33F, M46L, I54M, I84V, V89I, L90M | 0.00% | 0.00% | 431 | - | - |
*Mutation patterns are defined as those matching the listed mutations and not containing additional mutations at positions 30, 32, 46, 47, 48, 50, 54, 76, 82, 84, 88, and 90.
†Exact: % of sequences exactly matching the mutation pattern; Included: % of sequences matching or including the mutation pattern.
§Fold reduced susceptibility as determined by the PhenoSense assay (Monogram Biosciences, South San Francisco). Sequences with electrophoretic mixtures were excluded. “-”indicates that no phenotype results were available for a particular mutation pattern / PI combination. Fold reductions in susceptibility ≥3 for ATV, ≥9 for LPV, and ≥10 for DRV are in bold [5, 8, 9]. Fold reductions in susceptibility ≥6 for ATV, ≥40 for LPV, and ≥90 for DRV are also underlined [5, 8, 9].
¶Of 67 LPV susceptibility results in HIVDB on viruses containing L76V, all had one or more additional DRMs.