CROSS-RESISTANCE BETWEEN AZT, DDL AND OTHER ANTIRETROVIRAL DRUGS IN PRIMARY ISOLATES OF HIV-1

被引:10
作者
COX, SW
APERIA, K
SANDSTROM, E
HOLMBERG, V
MORFELDTMANSON, L
BROSTROM, C
WAHREN, B
ALBERT, J
机构
[1] HUDDINGE HOSP,DEPT INFECT DIS,S-14186 HUDDINGE,SWEDEN
[2] DANDERYD HOSP,DEPT INFECT DIS,S-18288 DANDERYD,SWEDEN
[3] SODER SJUKHUSET,DEPT DERMATOVENEREOL,S-11883 STOCKHOLM,SWEDEN
[4] KAROLINSKA INST,DEPT CLIN VIROL,S-14186 HUDDINGE,SWEDEN
关键词
D O I
10.1177/095632029400500102
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Primary isolates of human immunodeficiency virus type 1 (HIV-1) were tested for sensitivity to 3'-azido-3'-deoxythymidine (AZT), 3'-fluoro-3'-deoxythymidine (FLT), 2',3'-dideoxyinosine (ddl), 2',3'-dideoxycytidine (ddC), and phosphonoformate (PFA) in peripheral blood mononuclear cells (PBMC). Forty-eight isolates from HIV-1-infected patients treated with AZT for various lengths of time were investigated. More than half of the patients harboured virus resistant to AZT after treatment. There was no correlation between resistance and length of therapy. A significant correlation between resistance to AZT and reduced susceptibility to ddl and ddC was apparent. These results indicate that development of resistance to AZT is common in patients treated with AZT and may be associated with reduced sensitivity to ddl and ddC.
引用
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页码:7 / 12
页数:6
相关论文
共 24 条
[11]   DECREASED INVITRO SUSCEPTIBILITY TO ZIDOVUDINE OF HIV ISOLATES OBTAINED FROM PATIENTS WITH AIDS [J].
LAND, S ;
TRELOAR, G ;
MCPHEE, D ;
BIRCH, C ;
DOHERTY, R ;
COOPER, D ;
GUST, I .
JOURNAL OF INFECTIOUS DISEASES, 1990, 161 (02) :326-329
[12]  
LARDER B, 1990, ANTIMICROB AGENTS CH, V34, P4326
[13]   HIV WITH REDUCED SENSITIVITY TO ZIDOVUDINE (AZT) ISOLATED DURING PROLONGED THERAPY [J].
LARDER, BA ;
DARBY, G ;
RICHMAN, DD .
SCIENCE, 1989, 243 (4899) :1731-1734
[14]   ZIDOVUDINE RESISTANCE PREDICTED BY DIRECT DETECTION OF MUTATIONS IN DNA FROM HIV-INFECTED LYMPHOCYTES [J].
LARDER, BA ;
KELLAM, P ;
KEMP, SD .
AIDS, 1991, 5 (02) :137-144
[15]   MULTIPLE MUTATIONS IN HIV-1 REVERSE-TRANSCRIPTASE CONFER HIGH-LEVEL RESISTANCE TO ZIDOVUDINE (AZT) [J].
LARDER, BA ;
KEMP, SD .
SCIENCE, 1989, 246 (4934) :1155-1158
[16]   SEQUENCE-ANALYSIS OF AN HIV-1 ISOLATE WHICH DISPLAYS UNUSUALLY HIGH-LEVEL AZT RESISTANCE INVITRO [J].
MUCKENTHALER, M ;
GUNKEL, N ;
LEVANTIS, P ;
BROADHURST, K ;
GOH, B ;
COLVIN, B ;
FORSTER, G ;
JACKSON, GG ;
OXFORD, JS .
JOURNAL OF MEDICAL VIROLOGY, 1992, 36 (02) :79-83
[17]  
RICHMAN DD, 1990, J ACQ IMMUN DEF SYND, V3, P743
[18]   THE TOXICITY OF AZIDOTHYMIDINE (AZT) IN THE TREATMENT OF PATIENTS WITH AIDS AND AIDS-RELATED COMPLEX - A DOUBLE-BLIND, PLACEBO-CONTROLLED TRIAL [J].
RICHMAN, DD ;
FISCHL, MA ;
GRIECO, MH ;
GOTTLIEB, MS ;
VOLBERDING, PA ;
LASKIN, OL ;
LEEDOM, JM ;
GROOPMAN, JE ;
MILDVAN, D ;
HIRSCH, MS ;
JACKSON, GG ;
DURACK, DT ;
NUSINOFFLEHRMAN, S .
NEW ENGLAND JOURNAL OF MEDICINE, 1987, 317 (04) :192-197
[19]   ISOLATION OF DRUG-RESISTANT VARIANTS OF HIV-1 FROM PATIENTS ON LONG-TERM ZIDOVUDINE THERAPY [J].
ROOKE, R ;
TREMBLAY, M ;
SOUDEYNS, H ;
DESTEPHANO, L ;
YAO, XJ ;
FANNING, M ;
MONTANER, JSG ;
OSHAUGHNESSY, M ;
GELMON, K ;
TSOUKAS, C ;
GILL, J ;
RUEDY, J ;
WAINBERG, MA .
AIDS, 1989, 3 (07) :411-415
[20]   BIOLOGICAL COMPARISON OF WILD-TYPE AND ZIDOVUDINE-RESISTANT ISOLATES OF HUMAN-IMMUNODEFICIENCY-VIRUS TYPE-1 FROM THE SAME SUBJECTS - SUSCEPTIBILITY AND RESISTANCE TO OTHER DRUGS [J].
ROOKE, R ;
PARNIAK, MA ;
TREMBLAY, M ;
SOUDEYNS, H ;
LI, XG ;
GAO, Q ;
YAO, XJ ;
WAINBERG, MA .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1991, 35 (05) :988-991