Document 0184 DOCN M9440184 TI Characterization of human immunodeficiency virus type 1 variants with increased resistance to a C2-symmetric protease inhibitor. DT 9404 AU Ho DD; Toyoshima T; Mo H; Kempf DJ; Norbeck D; Chen CM; Wideburg NE; Burt SK; Erickson JW; Singh MK; Aaron Diamond AIDS Research Center, New York University School of; Medicine, New York 10016. SO J Virol. 1994 Mar;68(3):2016-20. Unique Identifier : AIDSLINE MED/94149902 AB Inhibitors of the human immunodeficiency virus type 1 protease represent a promising class of antiviral drugs for the treatment of AIDS, and several are now in clinical trials. Here, we report the in vitro selection of viral variants with decreased sensitivity to a C2-symmetric protease inhibitor (A-77003). We show that a single amino acid substitution (Arg to Gln or Lys) at position 8 of the protease results in a substantial decrease in the inhibitory activity of the drug on the enzyme and a comparable increase in viral resistance. These findings, when analyzed by using the three-dimensional structure of the protease-drug complex, provide a strategic guide for the future development of inhibitors of the human immunodeficiency virus type 1 protease. DE Amino Acid Sequence Antiviral Agents/*PHARMACOLOGY Base Sequence Comparative Study Dose-Response Relationship, Drug Drug Design Drug Resistance, Microbial HIV Protease/*DRUG EFFECTS/*GENETICS HIV Protease Inhibitors/*PHARMACOLOGY HIV-1/*ENZYMOLOGY Models, Molecular Molecular Sequence Data Selection (Genetics) Sequence Homology, Amino Acid Structure-Activity Relationship Support, Non-U.S. Gov't Support, U.S. Gov't, P.H.S. Variation (Genetics) JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).