Abstract: Analysis of the crystal structures showed that the substitutions at residue 50 affect how APV, DRV, and ATV bind the
protease with altered van der Waals interactions and that the selection of
I50V versus
I50L is greatly influenced by the chemical moieties at the P1 position for APV/DRV and the P2 position for ATV.
Abstract: Reduced affinity to both
I50V/
A71V and
I50L/
A71V double mutants is largely due to decreased binding entropy, which is compensated for by enhanced enthalpy for ATV binding to
I50V variants and APV binding to
I50L variants, leading to hypersusceptibility in these two cases.