Selection of a T-cell line resistant to stavudine and zidovudine by prolonged treatment with stavudine

Antivir Ther. 2002 Jun;7(2):105-11.

Abstract

It has been demonstrated that prolonged treatment with nucleoside analogues, such as 3'-azido-3'-deoxythymidine (zidovudine), 2',3'-dideoxycytidine (zalcitabine) and 9-(2-phosphonylmethoxyethyl) adenine (PMEA), may cause selection of cells that are resistant to their anti-HIV activity. A human T-lymphoblastoid cell line that is resistant to the antiviral and cytotoxic activity of 2',3'-didehydro-3'-deoxythymidine (stavudine) has developed as a result of prolonged treatment. These cells, called CEMstavudine, are also less sensitive to zidovudine. The cellular/pharmacological resistance acquired by the CEMstavudine cells is relatively low and appears to correlate with a reduction in thymidine kinase (TK) activity, rather than with a decreased expression of TK mRNA.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-HIV Agents / pharmacology*
  • Cell Line
  • Drug Resistance, Viral
  • HIV / drug effects
  • HIV / physiology
  • Humans
  • Phosphorylation
  • RNA, Messenger / analysis
  • Stavudine / pharmacology*
  • T-Lymphocytes / drug effects*
  • T-Lymphocytes / enzymology
  • T-Lymphocytes / virology
  • Thymidine Kinase / antagonists & inhibitors
  • Thymidine Kinase / genetics
  • Time Factors
  • Zidovudine / pharmacology*

Substances

  • Anti-HIV Agents
  • RNA, Messenger
  • Zidovudine
  • Stavudine
  • Thymidine Kinase