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HIV/AIDS Therapy

Lamivudine has modest effect against M184V mutants

Published in AIDS Weekly, March 24th, 2003

The reverse transcriptase inhibitor lamivudine has modest activity against M184V HIV mutants.

The M184V mutation in HIV reverse transcriptase "is associated with high-level resistance to both (-)2',3'-dideoxy-3'-thiacytidine (3TC) and (-)2',3'-dideoxy-5-fluoro-3'-thiacytidine as well as low-level resistance to 2',3'-dideoxyinosine, 2',3'-dideoxycytidine, and abacavir," explained researchers in Canada. "This mutation is also associated with diminished HIV replicative fitness as well as several functional changes in enzyme activity, including diminutions in polymerase processivity, pyrophosphorylysis, and nucleotide primer unblocking."

"Despite the...

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