| Literature DB >> 18495779 |
Athe M N Tsibris1, Manish Sagar, Roy M Gulick, Zhaohui Su, Michael Hughes, Wayne Greaves, Mani Subramanian, Charles Flexner, Françoise Giguel, Kay E Leopold, Eoin Coakley, Daniel R Kuritzkes.
Abstract
Little is known about the in vivo development of resistance to human immunodeficiency virus type 1 (HIV-1) CCR5 antagonists. We studied 29 subjects with virologic failure from a phase IIb study of the CCR5 antagonist vicriviroc (VCV) and identified one individual with HIV-1 subtype C who developed VCV resistance. Studies with chimeric envelopes demonstrated that changes within the V3 loop were sufficient to confer VCV resistance. Resistant virus showed VCV-enhanced replication, cross-resistance to another CCR5 antagonist, TAK779, and increased sensitivity to aminooxypentane-RANTES and the CCR5 monoclonal antibody HGS004. Pretreatment V3 loop sequences reemerged following VCV discontinuation, implying that VCV resistance has associated fitness costs.Entities:
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Year: 2008 PMID: 18495779 PMCID: PMC2519584 DOI: 10.1128/JVI.00444-08
Source DB: PubMed Journal: J Virol ISSN: 0022-538X Impact factor: 5.103