Discussion: For patients on ZDV, some mutations apparently selected by d4T (
K65R,
K70E) may have diminished to levels below the limit of detection, resulting in an underestimate in the prevalence of these mutations.
Discussion: The use of d4T in subtype C virus does not follow predictable patterns in the emergence of mutations and appears to be promiscuous in its ability to select for
K65R and
K70E (associated with TDF resistance), multiple TAM pathways,
Q151M, and T69 insertions.