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Session 76
Poster Session
HIV Resistance and Fitness Session Time: 4:30-6:30 pm Room 4E-F |
Methods: We have analyzed and compared the emergence of breakthrough viruses in the context of wild-type HIV-1 and the M184V mutant, known to confer high-level resistance to lamivudine. The mutant variant is associated with diminished replication fitness and may thus compromise the emergence of revertants. Cell-free, biochemical studies were also conducted to provide mechanistic explanations. Results: Long-term culture of viruses with the deletion in a wild-type background, yielded a variety of revertants with both or either G->A substitutions upstream of the former A-rich loop, and T-> A or C->A substitutions downstream of this region. In contrast, viruses containing the deletion together with the M184V mutation in the reverse transcriptase (RT) gene did not recover over protracted periods of time. Analyses of tRNA-primed DNA synthesis in cell-free assays showed diminished rates of the initiation of DNA synthesis when the RNA template contained the above A-rich loop deletion. Clearance from pausing at position +3 was identified as a sensitive step and the mutant RT enzyme with the M184V substitution was not able to efficiently bypass this obstacle. RNA templates that contained mutations formed in breakthrough viruses were able to facilitate the efficiency of initiation. Conclusions: The initiation of tRNA-prime DNA synthesis is an important rate-limiting step in the process of reverse transcription. Our results show that RT, which contains the 184V mutation, may recognize the initiation complex for synthesis of viral DNA less well than wild-type enzyme. |
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©2002 9th Conference on Retroviruses and Opportunistic Infections |