刘思扬 庄道民 董如华 白 丽 李敬云. 两种HIV非核苷类逆转录酶抑制剂耐药病毒株的体外选择和鉴定J. 药学学报, 2010,45(2): 241-246.
引用本文: 刘思扬 庄道民 董如华 白 丽 李敬云. 两种HIV非核苷类逆转录酶抑制剂耐药病毒株的体外选择和鉴定J. 药学学报, 2010,45(2): 241-246.
LIU Sai-Yang, Peng-Dao-Min, Dong-Ru-Hua, Bai- Li, Li-Jing-Yun. In vitro selection and identification of HIV strain which is resistance to two new HIV-1 nonnucleoside reverse transcriptase inhibitorsJ. 药学学报, 2010,45(2): 241-246.
Citation: LIU Sai-Yang, Peng-Dao-Min, Dong-Ru-Hua, Bai- Li, Li-Jing-Yun. In vitro selection and identification of HIV strain which is resistance to two new HIV-1 nonnucleoside reverse transcriptase inhibitorsJ. 药学学报, 2010,45(2): 241-246.

两种HIV非核苷类逆转录酶抑制剂耐药病毒株的体外选择和鉴定

In vitro selection and identification of HIV strain which is resistance to two new HIV-1 nonnucleoside reverse transcriptase inhibitors

  • 摘要:

    两种HIV非核苷类逆转录酶抑制剂 (nonnucleoside reverse transcriptase inhibitors, NNRTIs) JB25JB26在体外均具有显著的抗HIV活性, 为了在临床试验前阐明病毒是否容易对这两种药物产生耐药性及导致耐药性的病毒基因突变, 在体外诱导并鉴定了对这两种化合物耐药的HIV-1毒株。HIV-1 NL4.3作为亲代野生型病毒感染MT-2细胞, 从两种化合物2倍的IC50开始, 以细胞病变 (cytopathic effect, CPE) 为指标, 将病毒在含有浓度逐渐增加的药物的条件下连续传代, 每代均在超过75%MT-2细胞出现CPE后收集病毒培养上清液, 然后取1 mL接种新的MT-2细胞同时提高药物浓度为原来的2, 共计传12代。JB25在第6代出现L100I (TTA→ ATA) 突变, 在第12代又变成100M (ATA→ATG), L100M是不常见的突变形式, 其对HIV NNRTIs耐药的影响未见报道, 在第10代还同时出现了对NNRTIs高度耐药的Y188C (TAT→TGT) 突变。 JB26在第10代出现了L100I (TTA→ATA) 突变。JB25JB26在体外容易产生耐药性, 而对JB26耐药比JB25要困难, 导致耐药的主要基因突变发生在病毒逆转录酶基因的188100位密码子。

     

    Abstract:

    JB25 and JB26 are new HIV-1 nonnucleoside reverse transcriptase inhibitors, and show potent anti-HIV activities.  Sequential passage experiments with wild-type virus were performed to select and identify mutations induced by these two compounds in vitro.  For the initial passage, compounds were present at     approximately 2-fold IC50 in MT-2 cells.  When cytopathic effect (CPE) was observed in more than 75% of the cells, the culture supernatants were collected.  For the subsequent passages, fresh MT-2 cells were infected with 1 mL supernatants from the previous passage (regardless of the virus titer) and cultured in the presence of the compounds at concentrations that were increased 2-fold compared with that in the previous passage.  This  procedure was repeated with increasing concentrations for 12 passages.  JB25 had amino acid substitution L100I (TTA→ATA) at passage 6, and then changed into 100 M (ATA→ATG) at passage 12, which was rare  mutation form and had not been reported.  At the same time, Y188C (TAT→TGT) mutation appeared at passage 10.  For JB26, there was a L100I (TTA→ATA) mutation at passage 10.  In a word, JB25 and JB26 showed a low genetic barrier to the development of resistance, and the resistance to JB26 developed slower than JB25.  The mutations selected by JB25 and JB26 were mainly associated with codons 188 and 100 of HIV-1 reverse transcriptase.

     

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