Abstract: An important hydrogen bond between residues 145 and 148 is present in the wild-type
IN but not in the
G140S/
Q148H mutant, accounting for the structural and dynamical differences of the 140s' loop and ultimately impairing RAL binding in the double mutant.
Abstract: However, mutants have emerged, such as
E92Q/
N155H and
G140S/
Q148H, which confer resistance to raltegravir (RAL), the first
IN strand transfer inhibitor (
INSTI) approved by the FDA, and to the recently approved elvitegravir (EVG).