PI susceptibility of clinical samples with or without L76V. The mean fold changes in EC50 (±standard deviations) for each PI are shown for 6 groups of samples: any 3 PI RAMs without L76V (n = 4,315); any 3 PI RAMs plus L76V (n = 338); M46I or -L, I54V, and V82A as the only PI RAMs (n = 237), M46I or -L, I54V, and V82A plus L76V (n = 86); M46I only (n = 108); or M46I plus L76V (n = 28). LPV, lopinavir; DRV, darunavir; AMP, amprenavir; IDV, indinavir; NFV, nelfinavir; ATV, atazanavir; SQV, saquinavir; TPV, tipranavir.