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J. Biol. Chem., Vol. 279, Issue 44, 45389-45398, October 29, 2004
Effects of Primer-Template Sequence on ATP-dependent Removal of Chain-terminating Nucleotide Analogues by HIV-1 Reverse Transcriptase*![]() From the Department of Biochemistry and Molecular Biology, University of Miami School of Medicine, Miami, Florida 33136-1015
Received for publication, May 6, 2004 , and in revised form, July 21, 2004.
HIV-1 reverse transcriptase can remove chain terminators from blocked DNA ends through a nucleotide-dependent mechanism. We show that the catalytic efficiency of the removal reaction can vary several hundred-fold in different sequence contexts and is most strongly affected by the nature of the base pair at the 3'-primer terminus and the six base pairs upstream of it. Similar effects of the upstream sequence were observed with primer-templates terminated with 2',3'-dideoxy-AMP, 2',3'-dideoxy-CMP, or 2',3'-dideoxy-GMP. However, the removal of 2',3'-dideoxy-TMP or 3'-azido-2',3'-dideoxy-TMP was much less influenced by upstream primer-template sequence, and the rate of excision of these thymidylate analogues was greater than or equal to that of the other chain-terminating residues in each sequence context tested. These results strongly indicate that the primer terminus and adjacent upstream base pairs interact with reverse transcriptase in a sequence-dependent manner that affects the removal reaction. We conclude that primer-template sequence context is a major factor to consider when evaluating the removal of different chain terminators by HIV-1 reverse transcriptase.
Nucleoside analogues are commonly used in treatment of human immunodeficiency virus type 1 (HIV-1)1 infection. After they are phosphorylated to the active triphosphate form, these inhibitors can be incorporated by the viral reverse transcriptase (RT) into nascent viral DNA. Since the drugs lack a 3'-OH group, their incorporation prevents further elongation of the DNA chain, and they must be removed before DNA synthesis can resume. Removal can occur through pyrophosphorolysis catalyzed by RT (1) or through a reaction related to pyrophosphorolysis (2), in which the - and -phosphates of a nucleoside triphosphate serve as a PPi analogue to attack and excise the 3'-terminal nucleotide of the primer, producing an unblocked primer shortened by one base and a dinucleoside polyphosphate containing the removed nucleotide analogue linked to the NTP acceptor substrate.
Several naturally occurring mutations have been described in RT that increase nucleotide-dependent removal, including mutations associated with thymidine analogue resistance (M41L, D67N, K70R, L210W, T215Y or T215F, and K219Q; also called T-analogue resistance mutations) (39) and T69S-XX finger insertion mutations, which are usually accompanied by T-analogue resistance mutations and confer broad resistance to a variety of nucleoside inhibitors (1013). Mutations have also been described in HIV-1 RT that confer decreased removal activity including A114S (14), W88G (15), and K65R (15, 16). Modeling of ATP into the crystal structure of the HIV-1 RT·DNA primer-template·dNTP complex has suggested that the aromatic ring in ATP can form We therefore performed a systematic, quantitative study on the effects of P/T sequence on the catalytic efficiency (kexcis/Kd) of the removal reaction. Removal efficiency varied up to 360-fold depending on sequence context and was most influenced by the nucleotides in the seven base pairs of P/T duplex adjacent to and including the primer terminus. P/Ts terminated with ddAMP, ddCMP, or ddGMP were highly sensitive to sequence context, whereas P/Ts terminated with ddTMP or 3'-azido-2',3'-dideoxy-TMP (AZTMP) were much less affected. In addition, the removal of ddTMP or AZTMP was more efficient than removal of ddAMP, ddCMP, or ddGMP. These results suggest that ddTMP or AZTMP at the primer terminus gives a complex that is more active in the unblocking reaction and less influenced by sequence-specific interactions between RT and P/T.
MaterialsHis-tagged RT containing wild type RT (HIV-1 RTWT), the M41L/T69S-AG/L210W/R211K/L214F/T215Y mutations (HIV-1 RTMDR) or the D67N/K70R/T215Y/K219Q mutations (HIV-1 RTAZT) were expressed and purified as previously described (2, 8, 13). The specific RNA-dependent DNA polymerase activities of HIV-1 RTWT, HIV-1 RTMDR, and HIV-1 RTAZT were 20,000, 27,000, and 7,600 units/mg, respectively, where 1 unit is equal to the amount of enzyme required for incorporation of 1.0 nmol of [3H]dTMP in 10 min when using poly(rA)/oligo(dT) as the substrate (26). These specific activities are consistent with values reported elsewhere in the literature (2635) and correspond to turnover numbers of 59 s1 for RTWT, 712 s1 for RTMDR, and 23 s1 for RTAZT, assuming that 5090% of the enzyme molecules are active for each preparation. Poly(rA) and oligo(dT) were from Amersham Biosciences. Other oligonucleotides were obtained from Sigma; M13 DNA was from New England Biolabs. [3H]dTTP was from PerkinElmer, and [ -32P]ddATP and [ -33P]ddNTPs were from Amersham Biosciences. [ -32P]AZTTP was prepared as previously described (3).
Generation of Products Terminated with [32P]ddAMP at Different PositionsM13 single-stranded template was annealed with complementary primer 1 (5'-AAGTTGGGTAACGCCAGGGTTTTCCCAGTCACGAC-3') or primer 2 (5'-ACTCTAGAGGATCCCCGGGTACCGAGCTCGAATTC-3'), and 5 nM P/T was incubated with 100 nM HIV-1 RTWT,1 µM [ ATP-dependent Removal of ddAMP from Products Terminated at Different PositionsFive nM of 3'-[32P]ddAMP-terminated products were incubated with 200 nM HIV-1 RTMDR and 100 nM unlabeled ddATP (to prevent reincorporation of the removed, labeled chain terminator) in reaction buffer containing either no acceptor substrate for removal, 3.2 mM ATP, or 50 µM PPi at 37 °C for 2.5, 5, 10, 20, or 40 min. Reactions were stopped by boiling for 5 min, and the products were separated by electrophoresis through a 20% denaturing polyacrylamide gel. The radioactivity in the 3'-[32P]ddAMP-terminated products was quantitated by phosphorimaging, and the amount of ATP- or PPi-dependent removal was calculated for each time point. All nucleotides used were pretreated with thermostable pyrophosphatase (25 µmol of nucleotide was treated with 5 units thermostable pyrophosphatase (Roche Applied Science) in 390 µl of reaction buffer at 75 °C for 20 min).
ATP-dependent Removal of Chain Terminators from Synthetic DNA/DNA Oligonucleotide P/TsA15P primer (5'-ATGCCTGCAGGTCGACTCTAGAGGATCCCCGGGT-3') annealed to A15T template (5'-CGAATTCGAGCTCGGTACCCGGGGATCCTCTAGAGTCGACCTGCAGGCAT-3') or A23P (5'-CGGGTACCGAGCTCGAATTCGTAATCATGGTCAT-3') annealed with A23T (5'-CACACAGGAAACAGCTATGACCATGATTACGAATTCGAGCTCGGTACCCG-3') were 3'-32P-labeled and ddAMP-terminated by incorporation of [32P]ddAMP as previously described (2). Five nM 3'-[32P]ddAMP-terminated P/T was incubated with 200 nM HIV-1 RTMDR, 100 nM unlabeled ddATP, and varying concentrations of ATP for an amount of time allowing a maximum of
Removal of ddAMP from Multiple Termination Sites in the M13 SequenceIn order to get an approximate measure of the magnitude of the effect of sequence context on the efficiency of removal by HIV-1 RT, ATP- and PPi-dependent removal of [32P]ddAMP from multiple termination sites in M13 primer-template was determined (Fig. 1). M13 single-stranded DNA was annealed with either primer 1 or primer 2 (for sequence, see the bottom of Fig. 1) and incubated with HIV-1 RTWT, all four dNTPs, and [ -32P]ddATP to extend the primers and create a mixture of products chain-terminated and 3'-end-labeled at each A incorporation site. The mixture of products was purified and incubated with HIV-1 RTMDR in the absence of an acceptor substrate for removal or in the presence of either 3.2 mM ATP or 50 µM PPi (Fig. 1). HIV-1 RTMDR was used in most of these experiments because this enzyme supports ATP-dependent removal of ddAMP at a rate that is >30-fold greater than WT RT (13). In the absence of an acceptor substrate (Fig. 1, left lanes), the amount of radioactivity recovered in the chain-terminated products remained constant with incubation time. On the other hand, incubation with either ATP (Fig. 1, middle lanes) or PPi (Fig. 1, right lanes) led to a time-dependent decrease in radioactivity in most of the chain-terminated products corresponding to removal of the [32P]ddAMP residue through the action of RT.
Removal was very efficient for certain termination products (e.g. A15, A16, A21, and A22), whereas others remained virtually unchanged, even after a 40-min incubation (e.g. A5, A7, and A23). Table I (left columns) contains a summary of ATP- and PPi-dependent removal at each of the first 30 ddA-termination sites (A1A30) by HIV-1 RTMDR. The rate of removal ranged from very slow (less than 15% removed in 40 min) for A1, A9, and A10 to very fast (more than 50% removed in 2.5 min) for A15, A22, and A24. There was good agreement between susceptibility to ATP- and PPi-dependent removal, suggesting that the sequence context affects properties of the removal reaction shared by both substrates. Similar experiments were carried out with HIV-1 RTAZT (Table I, right columns), and, although ATP-dependent removal was slower and PPi-dependent removal was slightly faster than with HIV-1 RTMDR, the relationship between rates of removal and the termination site was similar.
ATP-dependent Removal of ddAMP from Oligonucleotides Corresponding to a Poor Substrate (A23) and a Good Substrate (A15) for the Removal ReactionTwo termination sites, A15 and A23, were chosen for further characterization. DNA 34-mer primers and 50-mer templates corresponding to each of these M13 sequences were synthesized, purified, annealed, and terminated with [32P]ddAMP. These primer-templates (designated A15 P/T and A23 P/T) were incubated with HIV-1 RT and ATP. The Ap4ddA removal product was quantitated by phosphorimaging, and the rates of removal were determined as a function of ATP concentration (Fig. 2, A and B). The data were fitted to hyperbolae to determine the catalytic efficiencies (kexcis/Kd) (Fig. 2C) of removal. Removal of ddAMP from the A15 P/T was >50-fold more efficient than removal from A23 P/T. In order to determine which parts of the sequences were important determinants for removal efficiency, additional oligonucleotides were prepared in which different parts of the A23 P/T sequence were replaced by the corresponding A15 P/T sequence (Fig. 2C). The data show that the first 10 nucleotides upstream from the 3'-primer terminus made the most significant contribution to removal efficiency, with some additional contribution from the bases located 1120 bases upstream. Replacement of a portion further upstream or the single-stranded downstream portion of the template had little influence on removal efficiency. Effects of Base Substitutions in the A23 P/T on ATP-dependent Removal of ddAMPThe contribution to ATP-dependent removal of each of the 10 base pairs upstream of the 3'-primer terminus was assessed by measuring the catalytic efficiencies of ATP-dependent removal of ddAMP from 30 A23-derived primer-templates, each containing a different, single nucleotide change at one of the 10 positions in the primer (and corresponding change in the template) (Fig. 3 and Table II). The nucleotide at each position in the original A23 primer sequence is shaded. Substitution at several positions resulted in large increases in removal; a change from dC to dA or dG at position 4 increased removal by 7- and 5-fold, respectively, whereas a change from dT to dG at position 5 increased removal by 5-fold. Other changes led to more modest increases in removal (dT to dA at position 2, 3-fold increase; dA to dT at position 3, 2-fold increase; dT to dA at position 5, 2-fold increase). Although the A23 P/T sequence was an inefficient substrate for removal, sequence changes at some positions decreased removal activity even further. A change from a dG to dA at position 6 decreased removal by 67-fold, and a change from dG to dC at position 7 decreased it by about 4-fold. Most other substitutions changed the efficiency of removal less than 1.6-fold, including all changes at positions 8 to 11.
Next, we determined the effects of introducing multiple changes into the A23 P/T sequence (Table III). Introducing the three substitutions that had conferred the lowest removal (as determined from Table II), dG at position 3, dA at position 6, and dC at position 7, led to a decrease in removal of about 15-fold, whereas introducing the three changes that increased removal the most (dA at position 2, dA or dG at position 4, and dG at position 5) conferred an increase of about 24-fold in ddAMP removal. Therefore, the effects of upstream sequence substitutions were slightly less than additive.
Comparison of Sequences Preceding Sites in M13 That Are "Poor" Substrates for Removal with Those Preceding Sites That Are "Good" Substrates for ddAMP RemovalTo assess whether the effects of upstream sequence we had observed were unique to the A23 P/T sequence, we compared the primer sequences of the 10 bases upstream of six poor removal sites and of 10 efficient removal sites in the M13 sequence (Table IV). Base frequencies at each position are summarized in Table V. Among the poor removal sites, dA did not appear at primer position 2, dT did not appear at position 3, and dG did not appear at position 4 or 5, which is in very good agreement with the fact that introducing these bases at positions 2, 3, 4, and 5 in the A23 P/T sequence increased removal activity (Table II). On the other hand, of the 10 termination sites that were efficient substrates for removal, dA occurred four times at primer position 2, dT five times at position 3, and dG six times at position 4. Strikingly, none of them had dA at position 6.
These results are in good agreement with the effects seen on removal by changes in the A23 P/T sequence (Table II), with some exceptions. The introduction of dT at position 6 in the A23 P/T sequence was associated with little change in the rate of removal, whereas 7 of 10 sites with efficient removal have a dT at this position. In addition, dC at position 7 in A23 P/T conferred a 4-fold decrease in rate of removal, yet 2 of 10 termination sites in the M13 sequence that supported efficient removal had dC at position 7. These exceptions suggest that our understanding of the role of the sequence elements at positions 6 and 7 is still incomplete. In summary, our data suggest that introduction of specific bases at certain positions in a DNA primer, including dA at position 2, dT at position 3, dG at position 4 or 5, and possibly dT at position 6 (with the corresponding changes in the template strand) confer an increased rate of ATP-dependent removal of ddAMP from the primer terminus, whereas the presence of a dA at position 6 or dC at position 7 produces a primer-template that is less susceptible to this reaction. Effects of Upstream Sequence on ATP-dependent Removal of ddCMP, ddGMP, ddTMP, and AZTMPTo compare the removal of different chain-terminating residues, A23P/T pairs were prepared that differed only at the site of chain termination. This was accomplished by annealing A23P with different templates that were identical to A23T except that the dT at position 35 (from the 3'-end) was changed to dG, dC, or dA. When the 34-mer oligonucleotide A23P was annealed to these templates, they could be terminated with ddCMP, ddGMP, or ddTMP/AZTMP, respectively. Additional P/T pairs were synthesized that contained single base substitution at position 4, 5, or 6, in addition to the altered base pair at the primer terminus. The catalytic efficiency of ATP-dependent removal for each of these P/T pairs is shown in Table VI. Comparison of rates of removal when only the chain terminator was changed (compare shaded entries in Tables II and VI) shows that removal of ddCMP or ddGMP in this sequence context occurred with about equal efficiency (top two parts of Table VI), removal of ddAMP occurred about 2.5 times more efficiently (Table II), and removal of ddTMP occurred about 13 times more efficiently (third part of Table VI). In contrast to the other experiments in this study, these results may be influenced by the structural differences in the group being transferred in the reaction as well as by the change in sequence context.
Substitutions at position 4, 5, or 6 had effects on ddCMP and ddGMP removal similar to those shown in Table II for ddAMP removal. Replacement of the nucleotide at position 4 with dA or dG in the primer strand (and the complementary base in the template strand) resulted in a 47-fold increase in the rate of removal for all three chain terminators; replacement of the nucleotide at position 5 with dG increased the rate of removal by 56-fold; and substitution at position 6 with dA decreased the rate of removal by 711-fold. In contrast, the effect on the rate of removal of ddTMP was much less (at most a 1.6-fold increase for substitutions at position 4 or 5 and a 2.2-fold decrease for substitution at position 6). These comparisons are shown in Fig. 4. It is apparent that removal of ddAMP-, ddCMP-, and ddGMP-terminated primer-templates varies greatly, depending on the base pairs at positions 4, 5, and 6. In contrast, the efficiency of removal of ddTMP was much less affected by these sequence changes. Removal of [32P]AZTMP at the 3'-primer terminus in the context of the T23 P/T sequence is also shown in Table VI and Fig. 4. In general, removal of AZTMP was slightly more efficient than removal of ddTMP, which was usually more efficient than removal of ddAMP, ddCMP, or ddGMP. As with ddTMP-terminated P/Ts, there was little effect of upstream sequence changes on removal efficiency of AZTMP.
Our data have revealed large differences (several hundredfold) in the efficiencies of removal of nucleotide analogues from blocked primer-templates due to sequence context. We show that the main determinants of the sequence effect are located at the 3'-primer terminus and the six base pairs upstream of it. Base pairs associated with increased removal activity include ddTMP or AZTMP at the primer terminus, dAMP at primer position 2, dTMP at 3, dAMP or dGMP at 4, and dGMP at 5. On the other hand, dAMP at primer position 6 and dCMP at 7 were associated with decreased removal. These effects were initially demonstrated by single nucleotide substitutions in a background of sequence unfavorable for removal (A23 P/T). The presence of sequence elements favorable for removal and a nucleotide other than dAMP at position 6 in the primer were observed in all of the P/Ts tested that were efficient substrates for removal. In contrast, P/Ts that were inefficient substrates lacked the favorable sequence elements. This suggests that these effects on the excision reaction are widely applicable in different sequence contexts. Whereas similar sequence dependence was observed for excision of ddAMP, ddCMP, and ddGMP, the efficiency of excision of ddTMP or AZTMP was much less dependent on the upstream sequence. PPi- and ATP-dependent removal reactions showed similar dependence on sequence context. Most experiments in this report were carried out with RTMDR because of the highly efficient nucleotide-dependent excision by this enzyme; however, parallel results were seen with RTAZT. These results show that comparison between quantitative results obtained with different P/Ts must be interpreted with caution; however, we observed less than 4-fold variation in removal of ddTMP or AZTMP in different sequence contexts. In contrast, Marchand and Gotte (23) observed greater than 10-fold difference between the rate of AZTMP removal for two different sequence contexts. Ray et al. (9), in studies with a single P/T sequence, reported a substantially higher catalytic efficiency for AZTMP removal than we observed for any of the P/Ts in the present study. P/T sequences used by each of these research groups differed from those in our study in at least three of the six base pairs upstream from the primer terminus. In addition, each study used P/Ts of differing length, genetically different RTs, and different excision assays, making it difficult to compare the results. How does P/T sequence affect the removal reaction? The effect is most likely mediated through sequence-specific interactions between the duplex DNA and nearby residues in RT through formation or stability of the RT·P/T binary complex or of the ternary complex of RT·P/T with the excision acceptor substrate. The position of the RT active site relative to the primer terminus in the complex is also important. For removal to occur, the primer terminus has to be positioned in the dNTP binding site of the enzyme (termed the N-complex by Boyer et al. (6)). On the other hand, for dNTP incorporation to occur, the RT has to move forward by one base to accommodate dNTP binding (termed the P-complex (6)). Crystal structures for both the N- and P-complexes have been reported (36). When the primer lacks a 3'-OH group due to incorporation of a chain terminator, the presence of the next complementary dNTP leads to formation of a dead end complex (3, 6, 10, 23, 3739) with the primer terminus in the P site and the dNTP in the N site, and the removal reaction is blocked. In the absence of the incoming dNTP, it is thought that the enzyme rapidly equilibrates between the pre-and post-translocation positions, as has been proposed for RNA polymerase (40, 41). The distribution of RT molecules complexed with chain-terminated P/T in either the N or P position may depend on several factors including the structural properties of the enzyme (10, 13), the structure of the chain terminator at the primer terminus (6, 38), and concentrations of an acceptor substrate for removal (nucleotide or PPi) and of dNTP substrates for chain elongation. There is also evidence that different P/T sequences can favor either N- or P-site occupancy by RT (23). A favorable P/T sequence could enhance the removal reaction by increasing the residency time of RT in the N position by impeding the translocation from N to P or enhancing the translocation from P to N. An increase in the length of time that the RT remains in the N-complex would increase the likelihood that removal will take place. From crystallographic data, most DNA-protein contacts consist of weak interactions between residues forming a 60-Å DNA binding groove in HIV-1 RT (39, 4244) and the phosphodiester backbone of the P/T. These interactions are broken and reformed during translocation by the enzyme along the P/T during processive DNA polymerization. However, the effects of sequence on pausing (18), misincorporation (19), and discrimination against nucleotide analogues (20) as well as the removal of chain terminators described in this report suggest that certain interactions between RT and P/T are sequence-specific. For the removal reaction to occur, the primer terminus must lie in the N site, where it interacts with Asp113, Tyr115, Gln151, and Asp185 in the 66-kDa subunit of RT, whereas the corresponding template nucleotide interacts with Gly152. If a "closed" configuration is induced upon binding the excision acceptor substrate (15), additional contacts can occur, including Arg72 (primer) and Leu74, Asp76, and Phe61 (template). Upstream contacts include Tyr183, Met184, and Met230 (primer positions 2 and 3) and Asn81, Glu89, and Pro157 (template positions 2 and 3). The minor groove binding track residues make contacts with template positions 4 and 5 (Ile94) and primer positions 4 to 6 (Trp266, Gly262, and Gln258) (45). Most of these interactions should occur with any P/T sequence, but sequence context may influence the strength of the interactions, e.g. through effects on the dimensions of the minor groove or the flexibility of the duplex DNA. How can we explain the strong negative effect of dAMP at primer position 6 on removal of chain terminators? The crystal structures show changes in DNA conformation along the DNA binding groove (36, 39, 43, 44). From the primer terminus to about position 6, the DNA has an A-like structure, and upstream from there it changes to B-like structure. The transition from A-like to B-like structure is accompanied by a 40° bend in the DNA centered near base pair 9. In the binary N-complex of RT and AZTMP-terminated P/T (36, 42), primer position 6 interacts with RT residue Asn255. Mutations at this position confer greatly decreased processivity on both RNA and DNA template-primers (46), suggesting that Asn255 plays an important role in translocation along the P/T or in binary complex stability. From extensive studies of DNA binding proteins, it has been shown that asparagine and glutamine can form strong hydrogen bonding interactions with adenine (47). Perhaps dAMP at position 6 interacts with Asn255 in a manner that alters the conformation of the P/T, forming a complex that is deficient in the removal reaction. Mutations in HIV-1 RT that induce resistance to phosphonoformic acid (foscarnet), a PPi analogue, confer decreased PPi- and nucleotide-dependent removal activity (1416). The biochemical mechanism for foscarnet resistance is not clear for most of these residues (e.g. the W88G and E89K mutations are highly foscarnet-resistant but are located far from the polymerase active site) (36, 39, 43). It is possible that these mutations affect P/T binding, leading to alterations in the balance in N and P binary complex formation/stability. It will therefore be of interest to study the effects of sequence on nucleotide-dependent removal by HIV-1 RT containing foscarnet resistance mutations in order to determine if the P/T sequence and foscarnet resistance mutations have additive, synergistic, or antagonistic effects on removal activity. Our data were collected using DNA/DNA P/Ts. It is possible that effects of sequence may be different using DNA/RNA P/Ts. If removal of chain terminators from blocked DNA chains is sequence-dependent in vivo, there may be selective pressure to eliminate termination sites that are inefficient substrates for this reaction, especially in infections by mutant virus containing RT with enhanced excision activity. For example, in the presence of dA, dC, or dG nucleotide analogues, the sequence 5'-... A-nonG-nonA/nonG-nonU-nonA-... 3' would be expected to occur on a random basis about 5% of the time upstream from potential incorporation sites for the chain terminator. It will be of interest to test for systematic loss of these sequences in the virus of patients infected with mutants with elevated excision activity. The observation that removal of ddTMP and AZTMP is much less dependent on sequence context and occurs at a higher rate than removal of ddAMP, ddCMP, and ddGMP in vitro suggests that removal of T-analogues might be more efficient in vivo. This could explain why the removal reaction plays a greater role in the mechanism of resistance to T-analogues than for most other chain terminators. Our data show the importance of sequence context for the ability of HIV-1 RT to remove chain terminators from blocked DNA chains. Whereas the mechanism of this effect is still not clear, it is evident that care must be taken to control for P/T sequence differences when comparing the removal of different chain terminators and when evaluating the susceptibility of new drugs to this activity of RT.
* This work was supported by National Institutes of Health Grant R01 AI39973 (to W. A. S.), by American Foundation for AIDS Research Postdoctoral Fellowship 70567-31-RF (to P. R. M.), and by American Heart Association Predoctoral Fellowship 0215087B (to A. J. S.). The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
1 The abbreviations used are: HIV-1, human immunodeficiency virus type I; RT, reverse transcriptase; WT, wild type; HIV-1 RTMDR, mutant HIV-1 RT containing M41L/T69S-AG/L210W/R211K/L214F/T215Y mutations; HIV-1 RTAZT, mutant HIV-1 RT containing D67N/K70R/T215Y/K219Q mutations; AZT, 3'-azido-2',3'-dideoxythymidine; AZTMP, AZT monophosphate; ddNMP, 2',3'-dideoxynucleoside monophosphate; P/T, primer-template.
We thank Brendan Larder and Johan Lennerstrand for providing the expression vector for the HIV-1 RTMDR, John Mellors for the expression vector for the HIV-1RTAZT, Antero G. So for helpful suggestions about the manuscript, and Manju Hingorani for help with analysis of the kinetic data.
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