PMID- 12502817 OWN - NLM STAT- MEDLINE DCOM- 20030122 LR - 20190508 IS - 0022-538X (Print) IS - 1098-5514 (Electronic) IS - 0022-538X (Linking) VI - 77 IP - 2 DP - 2003 Jan TI - Actinomycin D induces high-level resistance to thymidine analogs in replication of human immunodeficiency virus type 1 by interfering with host cell thymidine kinase expression. PG - 1011-20 AB - Actinomycin D (ActD) is a transcription inhibitor and has been used in the treatment of certain forms of cancer. ActD has been reported to be a potential inhibitor of human immunodeficiency virus type 1 (HIV-1) replication due to its ability to inhibit reverse transcription. In contrast to what was expected, low concentrations of ActD (1 to 10 nM) upregulated HIV-1 replication 8- to 10-fold in MT-2 cells and had no effect on HIV-2 replication or on HIV-1 replication in MT-4, Jurkat, or peripheral blood mononuclear cells. The upregulation of HIV-1 replication was associated with an increase in HIV-1 transcription and a decrease in CD4 and CXCR4 expression. To further evaluate the effects of ActD on emergence of drug resistance in HIV-1 replication, a series of drug resistance assays were performed. Of interest, treatment of MT-2 cells with ActD also led to a high level of resistance to thymidine analogs (>1,000-fold increase in resistance to zidovudine and >250-fold to stavudine) but not to other nucleoside reverse transcriptases (RT), nonnucleoside RT, or protease inhibitors. This resistance appeared to be due to a suppression of host cell thymidine kinase-1 (TK-1) expression. These results indicate that ActD leads to a novel form of thymidine analog resistance by suppressing host cell TK-1 expression. These results suggest that administration of combination drugs to HIV-1-infected patients may induce resistance to antiretroviral compounds via a modification of cellular factors. FAU - Imamichi, Tomozumi AU - Imamichi T AD - Laboratory of Molecular Retrovirology, Clinical Services Program, Science Applications International Corporation-Frederick Inc., National Cancer Institute-Frederick, Maryland 21702, USA. timamichi@nih.gov FAU - Murphy, Michael A AU - Murphy MA FAU - Adelsberger, Joseph W AU - Adelsberger JW FAU - Yang, Jun AU - Yang J FAU - Watkins, Catherine M AU - Watkins CM FAU - Berg, Steve C AU - Berg SC FAU - Baseler, Michael W AU - Baseler MW FAU - Lempicki, Richard A AU - Lempicki RA FAU - Guo, Jianhui AU - Guo J FAU - Levin, Judith G AU - Levin JG FAU - Lane, H Clifford AU - Lane HC LA - eng GR - N01CO12400/CA/NCI NIH HHS/United States GR - N01-CO-12400/CO/NCI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Virol JT - Journal of virology JID - 0113724 RN - 0 (Anti-HIV Agents) RN - 0 (DNA Primers) RN - 1CC1JFE158 (Dactinomycin) RN - EC 2.7.1.21 (Thymidine Kinase) RN - VC2W18DGKR (Thymidine) SB - IM MH - Anti-HIV Agents/*pharmacology MH - Base Sequence MH - Cell Line MH - DNA Primers MH - Dactinomycin/*pharmacology MH - *Drug Resistance, Viral MH - HIV-1/*physiology MH - Humans MH - Thymidine/*analogs & derivatives MH - Thymidine Kinase/*antagonists & inhibitors/metabolism MH - Virus Replication/*drug effects PMC - PMC140776 EDAT- 2002/12/28 04:00 MHDA- 2003/01/23 04:00 PMCR- 2003/01/01 CRDT- 2002/12/28 04:00 PHST- 2002/12/28 04:00 [pubmed] PHST- 2003/01/23 04:00 [medline] PHST- 2002/12/28 04:00 [entrez] PHST- 2003/01/01 00:00 [pmc-release] AID - 1027 [pii] AID - 10.1128/jvi.77.2.1011-1020.2003 [doi] PST - ppublish SO - J Virol. 2003 Jan;77(2):1011-20. doi: 10.1128/jvi.77.2.1011-1020.2003.