2007
DOI: 10.1128/jvi.01184-07
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Binding Kinetics of Darunavir to Human Immunodeficiency Virus Type 1 Protease Explain the Potent Antiviral Activity and High Genetic Barrier

Abstract: The high incidence of cross-resistance between human immunodeficiency virus type 1 (HIV-1) protease inhibitors (PIs) limits their sequential use. This necessitates the development of PIs with a high genetic barrier and a broad spectrum of activity against PI-resistant HIV, such as tipranavir and darunavir (TMC114). We performed a surface plasmon resonance-based kinetic study to investigate the impact of PI resistanceassociated mutations on the protease binding of five PIs used clinically: amprenavir, atazanavi… Show more

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Cited by 143 publications
(147 citation statements)
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References 26 publications
(23 reference statements)
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“…The latest FDA-approved protease inhibitor, DRV, potently inhibits the replication of multidrug-resistant HIV-1 variants (13)(14)(15) and has a high genetic barrier against HIV's development of drug resistance (16)(17)(18)(19). However, the emergence of DRV-resistant HIV-1 variants has been reported in in vitro and in vivo (21)(22)(23)(24)(25)(26); hence, more potent PIs are needed to intercept the replication of such DRV-resistant HIV-1 variants.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…The latest FDA-approved protease inhibitor, DRV, potently inhibits the replication of multidrug-resistant HIV-1 variants (13)(14)(15) and has a high genetic barrier against HIV's development of drug resistance (16)(17)(18)(19). However, the emergence of DRV-resistant HIV-1 variants has been reported in in vitro and in vivo (21)(22)(23)(24)(25)(26); hence, more potent PIs are needed to intercept the replication of such DRV-resistant HIV-1 variants.…”
Section: Discussionmentioning
confidence: 99%
“…It is also known that DRV has a high genetic barrier against HIV-1 development of resistance (referred to here as a genetic barrier) apparently because of its dual antiviral activity, enzymatic inhibition activity, and dimerization inhibition activity of HIV-1 protease (16)(17)(18)(19)(20). However, the emergence of DRV-resistant HIV-1 variants has been reported both in vitro and in vivo, and patients with such DRV-resistant HIV-1 variants have experienced treatment failure (21)(22)(23)(24)(25)(26).…”
mentioning
confidence: 99%
“…All PI used in antiviral therapy are efficient enzyme inhibitors characterized by low equilibrium dissociation constant (K D ) and K i values, but we reasoned that the potential for washout may be determined primarily by the off-rate of the PI rather than by its K i value. Kinetic binding parameters determined by surface plasmon resonance measurements using purified PR vary significantly between individual compounds, with off-rates differing by up to several orders of magnitude (36)(37)(38). Absolute rate constants and exact differences between off-rates vary between different studies employing different conditions and analysis setups, but the relative order of offrates remains largely constant (summarized in Fig.…”
Section: Induction Of Gag Proteolysis By Inhibitor Washoutmentioning
confidence: 99%
“…These inhibitors, including darunavir (DRV) and tipranavir (TPV) as well as a series of potent experimental antiretroviral agents such as TMC126 (41), blocked PR dimerization at concentrations of as low as 0.01 M and potently blocked HIV replication in vitro (26). DRV contains a structure-based and designed privileged nonpeptidic P2 ligand, 3(R),3a(S),6a(R)-bis-tetrahydrofuranylurethane (bis-THF) (14,15,27), which potently inhibits the enzymatic activity and dimerization of HIV PR (26) and has a high-level genetic barrier against HIV development of resistance to DRV (9,10). Nevertheless, we have witnessed that HIV acquires significant levels of resistance against DRV among HIV-infected individuals who have received long-term combi-nation chemotherapy (33,38).…”
mentioning
confidence: 99%