The effects of 3'-azido-3'-deoxythymidine (AZT) and three of its intracellular metabolites, azido-thymidine mono-, di-, and triphosphates, on the human immunodeficiency virus type 1 Integrase have been determined. AZT mono-, di-, and triphosphate have an IC50 for integration between 110 and 150 FM, whereas AZT does not inhibit the integrase. The inhibition by AZT monophosphate can be partially reversed by coincubation with either thymidine monophosphate or 2',3'-ddeoxythymldine monophosphate, suggesting that either of these monophosphates can bind to the integrase but that the azido group at the 3' position could be responsible for the inhibition. Integrase inhibition is associated with reduced enzyme-DNA binding but does not appear to be competitive with respect to the DNA substrate. Inhibition of an integrase deletion mutant containing only amino acids 50-212 suggests that these nucleotides bind in the catalytic core. Concentrations up to 1 mM AZT monophosphate can accumulate in vivo, indicating that integrase inhibition may contribute to the antiviral effects of AZT. The increasing incidence of AZT-resistant virus strains may, therefore, be associated with mutations not only in the reverse transcriptase but also in the human immundeficiency virus integrase. Finally, these observations suggest that additional strategies for antiviral drug development could be based upon nucleotide analogs as inhibitors of human immunodeficiency virus integrase.The first clinically approved drug in the treatment ofAIDS was 3'-azido-3'-deoxythymidine (AZT). This thymidine analog is converted to AZT monophosphate (AZTMP), diphosphate (AZTDP), and triphosphate (AZTTP) by thymidine, thymidylate, and nucleoside diphosphate kinases, respectively (1). The antiretroviral effect of AZT is attributed to AZTTP, which interferes with viral DNA replication by two mechanisms (2). (i) It can competitively inhibit the human immunodeficiency virus (HIV) reverse transcriptase against normal dTTP for DNA polymerization; and (ii) it can act as a chain terminator of the nascent viral DNA chain. The major limitation to AZT therapy is bone marrow suppression, leading to anemia or neutropenia (3). The most likely mechanism for AZT-induced toxicity could be incorporation ofAZT into newly synthesized host (i.e., nonviral) DNA and inhibition of strand elongation due to chain termination (4).Studies on the cellular metabolism ofAZT have shown that AZTMP accumulates in vivo because it is a competitive substrate inhibitor of thymidylate kinase that converts AZ-