PMID- 18241936 OWN - NLM STAT- MEDLINE DCOM- 20080422 LR - 20181201 IS - 0166-3542 (Print) IS - 0166-3542 (Linking) VI - 77 IP - 3 DP - 2008 Mar TI - Characterization of a cidofovir-resistant HHV-6 mutant obtained by in vitro selection. PG - 237-40 LID - 10.1016/j.antiviral.2007.12.004 [doi] AB - Cidofovir (CDV) was used for in vitro selection of a human herpesvirus 6 (HHV-6) mutant with decreased susceptibility to this drug. The resulting mutant was highly resistant to CDV as compared to its sensitive counterpart (inhibitory concentration 50% (IC50): 213 microM versus 1.8 microM). Its replication fitness was not impaired. Genotypic characterization of the resistant virus revealed a mutation in the U38 gene encoding the viral DNA polymerase. The resulting R798I amino acid change was located in the conserved domain VII close to the highly conserved motif KKRY interacting with the DNA primer-template duplex, and is likely responsible for the high-level resistance to CDV, even though a definite virological and/or biochemical confirmation is required. The possible emergence of such changes in HHV-6 DNA polymerase in patients receiving CDV therapy should be taken into account in the treatment of HHV-6 infections. FAU - Bonnafous, Pascale AU - Bonnafous P AD - Universite Pierre et Marie Curie-Paris 6, EA2387, Groupe Hospitalier Pitie-Salpetriere, 83 boulevard de l'Hopital, F-75013 Paris, France. pascale.bonnafous@psl.aphp.fr FAU - Boutolleau, David AU - Boutolleau D FAU - Naesens, Lieve AU - Naesens L FAU - Deback, Claire AU - Deback C FAU - Gautheret-Dejean, Agnes AU - Gautheret-Dejean A FAU - Agut, Henri AU - Agut H LA - eng PT - Journal Article DEP - 20080107 PL - Netherlands TA - Antiviral Res JT - Antiviral research JID - 8109699 RN - 0 (Antiviral Agents) RN - 0 (Organophosphonates) RN - 0 (Viral Proteins) RN - 8J337D1HZY (Cytosine) RN - EC 2.7.7.7 (DNA-Directed DNA Polymerase) RN - JIL713Q00N (Cidofovir) SB - IM MH - Amino Acid Sequence MH - Amino Acid Substitution MH - Antiviral Agents/*pharmacology MH - Cidofovir MH - Cytosine/*analogs & derivatives/pharmacology MH - DNA Mutational Analysis MH - DNA-Directed DNA Polymerase/genetics MH - *Drug Resistance, Viral MH - Herpesvirus 6, Human/*drug effects/*genetics/growth & development/physiology MH - Inhibitory Concentration 50 MH - Molecular Sequence Data MH - Mutation, Missense MH - Organophosphonates/*pharmacology MH - Viral Proteins/genetics MH - Virus Replication EDAT- 2008/02/05 09:00 MHDA- 2008/04/23 09:00 CRDT- 2008/02/05 09:00 PHST- 2007/10/01 00:00 [received] PHST- 2007/11/12 00:00 [revised] PHST- 2007/12/10 00:00 [accepted] PHST- 2008/02/05 09:00 [pubmed] PHST- 2008/04/23 09:00 [medline] PHST- 2008/02/05 09:00 [entrez] AID - S0166-3542(07)00500-1 [pii] AID - 10.1016/j.antiviral.2007.12.004 [doi] PST - ppublish SO - Antiviral Res. 2008 Mar;77(3):237-40. doi: 10.1016/j.antiviral.2007.12.004. Epub 2008 Jan 7.