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Journal of Virology, October 2000, p. 9532-9539, Vol. 74, No. 20
0022-538X/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
3'-Azido-3'-Deoxythymidine (AZT) and AZT-Resistant
Reverse Transcriptase Can Increase the In Vivo Mutation Rate of
Human Immunodeficiency Virus Type 1
Louis M.
Mansky* and
Lisa C.
Bernard
Department of Molecular Virology, Immunology,
and Medical Genetics, Center for Retrovirus Research, and Comprehensive
Cancer Center, Ohio State University Medical Center, Columbus, Ohio
43210
Received 11 May 2000/Accepted 28 July 2000
How antiretroviral drug resistance influences human
immunodeficiency virus type 1 (HIV-1) evolution is not clear. This
study tested the hypothesis that antiretroviral drugs such as
3'-azido-3'-deoxythymidine (AZT) can influence the in vivo mutation
rate of HIV-1. It was observed that AZT can increase the rate of HIV-1
mutation by a factor of 7 in a single round of replication. In
addition, (
)2',3'-dideoxy-3'-thiacytidine (3TC) was also found to
increase the mutation rate of HIV-1 by a factor of 3. It was also found
that HIV-1 drug-resistant reverse transcriptase (RT) variants
can influence the in vivo mutation rate. Replication of HIV-1 with
AZT-resistant RTs increased the mutation rate by as much as a factor of
3, while replication of HIV-1 with a 3TC-resistant RT (M184V)
had no significant effect on the mutation rate. It was observed that
only high-level, AZT-resistant RT variants could influence the in vivo
mutation rate (i.e., M41L/T215Y and M41L/D67N/K70R/T215Y). In
total, these observations indicate that both antiretroviral drugs and
drug resistance mutations can influence the in vivo mutation rate of
HIV-1.
*
Corresponding author. Mailing address: Department of
Molecular Virology, Immunology, and Medical Genetics, 2078 Graves Hall, 333 W. 10th Ave., Columbus, OH 43210. Phone: (614) 292-5525. Fax: (614)
292-9805. E-mail: mansky.3{at}osu.edu.
Journal of Virology, October 2000, p. 9532-9539, Vol. 74, No. 20
0022-538X/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
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