Document 0810 DOCN M94B0810 TI Susceptibilities of human immunodeficiency virus type 1 enzyme and viral variants expressing multiple resistance-engendering amino acid substitutions to reserve transcriptase inhibitors. DT 9412 AU Byrnes VW; Emini EA; Schleif WA; Condra JH; Schneider CL; Long WJ; Wolfgang JA; Graham DJ; Gotlib L; Schlabach AJ; et al; Merck Research Laboratories, West Point, Pennsylvania 19486. SO Antimicrob Agents Chemother. 1994 Jun;38(6):1404-7. Unique Identifier : AIDSLINE MED/94379800 AB To evaluate the potential that multiply resistant human immunodeficiency virus type 1 variants may arise during combination nucleoside and nonnucleoside reverse transcriptase inhibitor therapy, we constructed a series of mutant reverse transcriptase enzymes and viruses that coexpressed various combinations of resistance-associated amino acid substitutions. Substitutions at residues 100 (Leu-->Ile) and 181 (Tyr-->Cys), which mediate resistance to the nonnucleosides, suppressed resistance to 3'-azido-3'-deoxythymidine (AZT) when coexpressed with AZT-specific substitutions. However, a number of viral variants that exhibited significantly reduced susceptibilities to both classes of inhibitors were constructed. DE Drug Resistance, Microbial HIV-1/*DRUG EFFECTS Mutation Reverse Transcriptase/*ANTAGONISTS & INHIB Structure-Activity Relationship Zidovudine/PHARMACOLOGY JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).