Discussion: More precisely, Gag mutation P453L positively correlated with seven major protease resistance mutations (
Discussion: Several studies have shown a positive correlation of Gag P453L mutation with some protease major resistance mutations such as I50V and I84V.
Discussion: The strong correlation of this mutation with PI resistance mutations has been confirmed by the dendrogram; where P453L Gag mutation clustered with two major protease resistance mutations (M46I and I84V).
Gag-Protease Sequence Evolution Following Protease Inhibitor Monotherapy Treatment Failure in HIV-1 Viruses Circulating in East Africa.
PMID: 26258548
2015
AIDS research and human retroviruses
Introduction: At the C terminus, 17/23 patients had amino acid changes versus consensus M including mutations L449P, S451N, and P453L that previously were associated with PI exposure and/or resistance.
Introduction: Mutation P453L was present in 4/11 subtype A patients, but again is not a consensus residue in subtypes A, C, or D.
Introduction: Of particular interest, two CSMs developed in two separate patients at the time of failure:
Introduction: To our knowledge R361K has not been previously linked to PI resistance or exposure, but P453L has been associated with PI exposure in vitro, in vivo, and with PI resistance.
HIV-1 Gag C-terminal amino acid substitutions emerging under selective pressure of protease inhibitors in patient populations infected with different HIV-1 subtypes.
Abstract: Furthermore, database analysis indicated that the P453L(Gag)/D30N(PR)/N88D(PR) association was not specific only to our clinical case, but was common among AIDS patients.
Abstract: Homology modeling analysis suggested that hydrogen bonds between the 30th
Abstract: The results showed that P453L(Gag) has the potential to improve replication capacity and the Gag processing efficiency of viruses with D30N(PR)/N88D(PR) but has little effect on nelfinavir susceptibility.
Gag mutations strongly contribute to HIV-1 resistance to protease inhibitors in highly drug-experienced patients besides compensating for fitness loss.
Discussion: Changes at the p1/p6 cleavage site (L449F or P453L), which on their own do not confer resistance, were associated with reduced sensitivity in the background of the I50V in protease.
Compensatory mutations at the HIV cleavage sites p7/p1 and p1/p6-gag in therapy-naive and therapy-experienced patients.
Abstract: Mutagenetic trees constructed form this cross-sectional data showed an ordered accumulation of the most prominent CS mutations along two pathways L90M-I84V-P453L and I54-V82-A431V followed by either M46L or L24I.
Abstract: RESULTS: Multiple mutations within the CS p7/p1 and p1/p6-gag accumulated in therapy-experienced isolates (p7/p1: A431V-K436R-I437V and p1/p6-gag: L449F/V-P452S-P453L/A).
Changes in human immunodeficiency virus type 1 Gag at positions L449 and P453 are linked to I50V protease mutants in vivo and cause reduction of sensitivity to amprenavir and improved viral fitness in vitro.
Abstract: In both single- and multiple-cycle assay systems and in the context of I50V, the L449F and P453L changes consistently increased the 50% inhibitory concentration of APV, while the CS changes alone had no measurable effect on inhibitor sensitivity.
Abstract: In population-based sequence analyses the I50V mutant was invariably linked to either L449F or P453L.
Abstract: Purified I50V protease catalyzed cleavage of decapeptides incorporating the L449F or P453L change 10-fold and 22-fold more efficiently than cleavage of the wild-type substrate, respectively.
Abstract: Querying a central resistance data repository resu
Polymorphism of HIV type 1 gag p7/p1 and p1/p6 cleavage sites: clinical significance and implications for resistance to protease inhibitors.
PMID: 10957718
2000
AIDS research and human retroviruses
Abstract: Natural polymorphism P453L might direct the PR resistance pathway through I84V instead of V82 mutation.
Abstract: Natural polymorphism P453L was strongly associated with the selection of PR I84V (OR 49.5; 95% CI 12-212) and selected against V82 mutation (OR 0.15; 95% CI 0.02-1.