Abstract: Analysis of mutational effects in the human immunodeficiency virus type-1 (HIV-1) provirus has revealed that as few as four amino acid side-chain substitutions in the HIV-1
protease (
M46I/
L63P/
V82T/
I84V) suffice to yield viral variants cross-resistant to a panel of
protease inhibitors either in or being considered for clinical trials (Condra, J.
Abstract: In the MK639-bound form, the
V82T substitution introduces an unfavorable hydrophilic moiety for binding in the active site and the
I84V substitution creates a cavity (unoccupied by water) that should lead to a decrease in van der Waals contacts with the inhibitor.