Antimicrob Agents Chemother. 1998 Nov;42(11):3038-43. Unique Identifier
Human immunodeficiency virus type 1 (HIV-1) isolates obtained from a
patient with AIDS were assessed for coresistance to foscarnet and
zidovudine. An HIV-1 strain (AP20) coresistant to foscarnet and
zidovudine was isolated after 20 months of continuous combination
therapy. The reverse transcriptase (RT) gene of AP20 had 41
substitutions which were different from the HXB2-D sequence and 9 that
were different from the sequence of its foscarnet-sensitive,
zidovudine-resistant progenitor virus (AP6). Six of these mutations were
nonpolymorphic (T39A, V108I, K166R, K219R, K223Q, and L228R). Both
strains had the conventional mutations mediating zidovudine resistance.
In vivo selection may result in HIV-1 strains that are coresistant to
foscarnet and zidovudine, but coresistance appears to require a complex
evolutionary path and multiple RT mutations.
JOURNAL ARTICLE Amino Acid Sequence Anti-HIV Agents/*PHARMACOLOGY
Drug Resistance Foscarnet/*PHARMACOLOGY Human HIV-1/*DRUG EFFECTS
HIV-1 Reverse Transcriptase/CHEMISTRY/*GENETICS Molecular Sequence Data
*Mutation Polymerase Chain Reaction Support, Non-U.S. Gov't
Zidovudine/*PHARMACOLOGY