Detecting and understanding combinatorial mutation patterns responsible for HIV drug resistance

Proc Natl Acad Sci U S A. 2010 Jan 26;107(4):1321-6. doi: 10.1073/pnas.0907304107. Epub 2010 Jan 11.

Abstract

We propose a systematic approach for a better understanding of how HIV viruses employ various combinations of mutations to resist drug treatments, which is critical to developing new drugs and optimizing the use of existing drugs. By probabilistically modeling mutations in the HIV-1 protease or reverse transcriptase (RT) isolated from drug-treated patients, we present a statistical procedure that first detects mutation combinations associated with drug resistance and then infers detailed interaction structures of these mutations. The molecular basis of our statistical predictions is further studied by using molecular dynamics simulations and free energy calculations. We have demonstrated the usefulness of this systematic procedure on three HIV drugs, (Indinavir, Zidovudine, and Nevirapine), discovered unique interaction features between viral mutations induced by these drugs, and revealed the structural basis of such interactions.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Anti-HIV Agents / chemistry
  • Anti-HIV Agents / therapeutic use
  • Drug Resistance, Viral*
  • HIV Infections / drug therapy*
  • HIV Infections / virology*
  • HIV Protease / chemistry
  • HIV Protease / genetics*
  • HIV Protease / metabolism
  • HIV Reverse Transcriptase / chemistry
  • HIV Reverse Transcriptase / genetics*
  • HIV Reverse Transcriptase / metabolism
  • HIV-1 / drug effects
  • HIV-1 / enzymology
  • HIV-1 / genetics*
  • Humans
  • Indinavir / chemistry
  • Indinavir / therapeutic use
  • Models, Molecular
  • Mutation*
  • Nevirapine / therapeutic use
  • Protein Binding
  • Protein Structure, Tertiary
  • Zidovudine / therapeutic use

Substances

  • Anti-HIV Agents
  • Zidovudine
  • Indinavir
  • Nevirapine
  • reverse transcriptase, Human immunodeficiency virus 1
  • HIV Reverse Transcriptase
  • HIV Protease
  • p16 protease, Human immunodeficiency virus 1