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Published in

American Society for Microbiology, Antimicrobial Agents and Chemotherapy, 8(57), p. 4035-4038, 2013

DOI: 10.1128/aac.00237-13

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HIV-1 Resistance Mechanism to an Electrostatically Constrained Peptide Fusion Inhibitor That Is Active against T-20-Resistant Strains

This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

ABSTRACT T-20EK is a novel fusion inhibitor designed to have enhanced α-helicity over T-20 (enfuvirtide) through engineered electrostatic interactions between glutamic acid (E) and lysine (K) substitutions. T-20EK efficiently suppresses wild-type and T-20-resistant variants. Here, we selected T-20EK-resistant variants. A combination of L33S and N43K substitutions in gp41 were required for high resistance to T-20EK. While these substitutions also caused resistance to T-20, they did not cause cross-resistance to other known fusion inhibitors.