Introduction: Mutations
M41L,
D67N,
K70R,
L210W,
T215F/Y, and
K219Q/E/N, which are primary resistance mutations for AZT and stavudine, are called thymidine analog mutations (TAMs), AZTr, or excision-enhancing mutations.
Figure: Superposition of excision-enhancing mutation or TAM (
M41L,
D67N,
K70R,
T215Y, and
K219Q)
RT dsDNA AZTppppA structure4 on
K65R RT dsDNA dATP structure at their dNTP-binding sites; AZTppppA is the product of AZT monophosphate by ATP-mediated excision.