Abstract: Clinically relevant combinations of TAMs, such as
M41L/
T215Y or
D67N/
K70R/
T215F/
K219Q, enhance the ATP-mediated excision of AZT monophosphate (AZTMP) from the 3' end of the primer, allowing DNA synthesis to continue.
Abstract: In HIV-1, development of resistance to AZT (3'-azido-3'-deoxythymidine) is mediated by the acquisition of thymidine analogue resistance mutations (TAMs) (i.e.,
M41L,
D67N,
K70R,
L210W,
T215F/Y, and
K219E/Q) in the viral
reverse transcriptase (
RT).