Abstract: (-)-(2R,4R)-1-(2-Hydroxymethyl-1,3-dioxolan-4-yl)thymine (DOT) is the first thymidine kinase-activated nucleoside that is significantly active against all of the clinically significant
NRTI-resistant HIV-1 mutants, including AZT (
D67N/
K70R/
T215Y/
K219Q), Tenofovir (
K65R), and Lamivudine (
M184V).