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Journal of Virology, September 2009, p. 9577-9583, Vol. 83, No. 18
0022-538X/09/$08.00+0 doi:10.1128/JVI.00648-09
Copyright © 2009, American Society for Microbiology. All Rights Reserved.

Rega Institute for Medical Research, Katholieke Universiteit Leuven, Leuven, Belgium,1 Institute of Tropical Medicine, Antwerp, Belgium,2 Department of Chemistry, University of Nevada, Reno, Nevada3
Received 30 March 2009/ Accepted 21 June 2009
Continuous specific downmodulation of CD4 receptor expression in T lymphocytes by the small molecule cyclotriazadisulfonamide (CADA) selected for the CADA-resistant human immunodeficiency virus type 1 (HIV-1) NL4.3 virus containing unique mutations in the C4 and V5 regions of gp120, likely stabilizing the CD4-binding conformation. The amino acid changes in Env were associated with decreased susceptibility to anti-CD4 monoclonal antibody treatment of the cells and with higher susceptibility of the virus to soluble CD4. In addition, the acquired ability of a CADA-resistant virus to infect cells with low CD4 expression was associated with an increased susceptibility of the virus to neutralizing antibodies from sera of several HIV-1-infected patients.
Published ahead of print on 1 July 2009.
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