|
Basic Characteristics of Mutations
|
|
Mutation Site
|
H411Y |
|
Mutation Site Sentence
|
In the other case, a high-grade viremia was initially reduced 50-fold but rebounded 2 months later, coincident with the emergence of viral UL97 mutations T409M and H411Y, which confer maribavir resistance. |
|
Mutation Level
|
Amino acid level |
|
Mutation Type
|
Nonsynonymous substitution |
|
Gene/Protein/Region
|
UL97 |
|
Standardized Encoding Gene
|
UL97
|
|
Genotype/Subtype
|
- |
|
Viral Reference
|
X17403
|
|
Functional Impact and Mechanisms
|
|
Disease
|
Cytomegalovirus infections
|
|
Immune
|
- |
|
Target Gene
|
-
|
|
Clinical and Epidemiological Correlations
|
|
Clinical Information
|
- |
|
Treatment
|
maribavir |
|
Location
|
- |
|
Literature Information
|
|
PMID
|
20504236
|
|
Title
|
Virologic characterization of multidrug-resistant cytomegalovirus infection in 2 transplant recipients treated with maribavir
|
|
Author
|
Strasfeld L,Lee I,Tatarowicz W,Villano S,Chou S
|
|
Journal
|
The Journal of infectious diseases
|
|
Journal Info
|
2010 Jul 1;202(1):104-8
|
|
Abstract
|
The experimental cytomegalovirus UL97 kinase inhibitor maribavir was used to treat 2 cases of infection in which viral mutations that conferred ganciclovir and foscarnet resistance had evolved sequentially. In one case, viral shedding was cleared without evidence of maribavir resistance in an isolate obtained after therapy. In the other case, a high-grade viremia was initially reduced 50-fold but rebounded 2 months later, coincident with the emergence of viral UL97 mutations T409M and H411Y, which confer maribavir resistance. The relatively rapid onset of maribavir resistance probably resulted from incomplete viral suppression in an immunosuppressed host with a high viral load.
|
|
Sequence Data
|
-
|