PMID- 8708409 OWN - NLM STAT- MEDLINE DCOM- 19960909 LR - 20190821 IS - 0387-5911 (Print) IS - 0387-5911 (Linking) VI - 69 IP - 11 DP - 1995 Nov TI - Predominance of codon 215 mutation in reverse transcriptase-coding region of 3'-azido-3'-deoxythymidine (AZT)-resistant HIV-1 isolates after long-term AZT therapy. PG - 1278-85 AB - Among human immunodeficiency type 1 viruses (HIV-1) isolated during long-term 3'-azido-3'-deoxythymidine (AZT) therapy, 4 condoms (Asp67, Lys70, Thr215, and Lys219) in the HIV-1-reverse transcriptase (RT)-coding region have been considered to be related to the AZT resistance of HIV-1. Therefore we determined these mutation patterns in HIV-1 isolates from patients undergoing long-term AZT treatment. In 41 clones of HIV-1 from 7 patients, the Thr215 mutation was the most predominant (97.6%), and more frequent than Asp67 (48.8%), Lys70 (31.7%) and Lys219 (9.8%) mutations. All 22 clones from isolates cultured in the presence of 1 microM AZT Thr215 mutation; such a high frequency was not found for the other 3 codon mutations. In a clinical follow-up study, Thr215 mutation appeared in the late stage of AZT treatment parallel with the emergence of AZT insusceptibility. It is worth noting that this Thr215 mutation to Tyr or Phe is a 2-nucleotide mutation in contrast to the 1-nucleotide mutations seen in the other 3 codons. Isolates with the single amino acid change of Thr215 of the RT-coding region obtained after long-term AZT treatment grew in the presence of 1 microM AZT. This single amino acid mutation in the Thr215 codon is the most important factor in AZT resistance. FAU - Kondo, M AU - Kondo M AD - Department of Virology, Kanagawa Prefectural Public Health Laboratory, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Japan TA - Kansenshogaku Zasshi JT - Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases JID - 0236671 RN - 0 (Amino Acids) RN - 0 (Antiviral Agents) RN - 0 (Codon) RN - 4B9XT59T7S (Zidovudine) RN - EC 2.7.7.49 (HIV Reverse Transcriptase) RN - EC 2.7.7.49 (RNA-Directed DNA Polymerase) SB - IM MH - Acquired Immunodeficiency Syndrome/*drug therapy/*virology MH - Amino Acids/genetics MH - Antiviral Agents/*administration & dosage MH - Codon/*genetics MH - Drug Resistance/genetics MH - HIV Reverse Transcriptase MH - HIV-1/*genetics MH - Humans MH - Mutation MH - RNA-Directed DNA Polymerase/*genetics MH - Zidovudine/*administration & dosage EDAT- 1995/11/01 00:00 MHDA- 1995/11/01 00:01 CRDT- 1995/11/01 00:00 PHST- 1995/11/01 00:00 [pubmed] PHST- 1995/11/01 00:01 [medline] PHST- 1995/11/01 00:00 [entrez] AID - 10.11150/kansenshogakuzasshi1970.69.1278 [doi] PST - ppublish SO - Kansenshogaku Zasshi. 1995 Nov;69(11):1278-85. doi: 10.11150/kansenshogakuzasshi1970.69.1278.