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    Antimicrob Agents Chemother. 2004 Dec;48(12):4864-8.

    Association of a novel human immunodeficiency virus type 1 protease substrate cleft mutation, L23I, with protease inhibitor therapy and in vitro drug resistance.

    Source

    Division of Infectious Diseases, Department of Medicine, Stanford University, Stanford, California 94305, USA.

    Abstract

    We observed a previously uncharacterized mutation in the protease substrate cleft, L23I, in 31 of 4,303 persons undergoing human immunodeficiency virus type 1 genotypic resistance testing. In combination with V82I, L23I was associated with a sevenfold reduction in nelfinavir susceptibility and a decrease in replication capacity. In combination with other drug resistance mutations, L23I was associated with multidrug resistance and a compensatory increase in replication capacity.

    PMID:
    15561868
    [PubMed - indexed for MEDLINE]
    PMCID:
    PMC529213
    Free PMC Article

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