Genome-wide DNA hypermethylation induced by 3'-azido-3'-deoxythymidine (AZT) has been suggested to be involved in the development of AZT resistance. We used a CD4 T-lymphoblastoid CEM line and its AZT-resistant MT500 variant with reduced thymidine kinase activity. Evaluation of total DNA methylation, after AZT treatment, failed to show an increase in the 5-methylcytosine level in both parental and AZTresistant cells. The effect was instead observed at a more specific gene level, on the three HpaII sites present in exon 1 of the human thymidine kinase gene. These results suggest that AZT treatment can induce site-specific hypermethylation, even in the absence of a more general DNA hypermethylating effect.Key words: 3'-Azido-3'-deoxythymidine; Drug resistance; DNA methylation; Thymidine kinase gene; HpaII/PCR assay der conditions severely affecting cell viability. Moreover, only scanty information is available about the methylation status of specific sites of the TK gene after exposure to AZT. This paper reports data concerning the effects of AZT on human CD4 T-lymphoblastoid CEM cell line and on its derived AZT-resistant cell variant, where a reduced TK activity has been previously reported [I0]. In particular, we investigated the effects of AZT on the total DNA methylation as well as on specific methylation sites present in the TK gene. A hypermethylating effect was found, in the absence of both overall DNA hypermethylation and of any great loss of cell viability, at the analyzed TK sites, after AZT treatment of CEM cells and of its derived AZT-resistant cell variant. This phenomenon, which was more marked in the resistant cells, could be the molecular basis for the transcriptional inactivation of the TK gene.