Drug General Information
Drug ID D06FDR
Drug Name Didanosine
Synonyms didanosine; 69655-05-6; DIDEOXYINOSINE; Videx; Videx EC; Inosine, 2',3'-dideoxy-; ddIno; Didanosina; Didanosinum; DDI; BMY-40900; UNII-K3GDH6OH08; K3GDH6OH08; Didanosinum [INN-Latin]; Didanosina [INN-Spanish]; CHEBI:490877; 9-(2,3-Dideoxy-beta-D-ribofuranosyl)-6-oxopurine; NSC 612049; 9-[(2R,5S)-5-(hydroxymethyl)tetrahydrofuran-2-yl]-1,9-dihydro-6H-purin-6-one; 9-[(2R,5R)-5-(HYDROXYMETHYL)TETRAHYDROFURAN-2-YL]-1,9-DIHYDRO-6H-PURIN-6-ONE; NCGC00159514-02; NCGC00090691-03; DRG-0016; BMY 40900; DSSTox_CID_2927
Drug Type Small molecular drug
Therapeutic Class Anti-HIV Agents
Company Bristol-Myers Squibb
Structure D06FDR
Drug Resistance Mutations
Target Name HIV Nucleoside reverse transcriptase Target Info
Uniprot ID POL_HV1B1(600-1159)
Species Human immunodeficiency virus type 1 (HIV-1)
Reference Sequence PISPIETVPVKLKPGMDGPKVKQWPLTEEKIKALVEICTEMEKEGKISKIGPENPYNTPV
FAIKKKDSTKWRKLVDFRELNKRTQDFWEVQLGIPHPAGLKKKKSVTVLDVGDAYFSVPL
DEDFRKYTAFTIPSINNETPGIRYQYNVLPQGWKGSPAIFQSSMTKILEPFKKQNPDIVI
YQYMDDLYVGSDLEIGQHRTKIEELRQHLLRWGLTTPDKKHQKEPPFLWMGYELHPDKWT
VQPIVLPEKDSWTVNDIQKLVGKLNWASQIYPGIKVRQLCKLLRGTKALTEVIPLTEEAE
LELAENREILKEPVHGVYYDPSKDLIAEIQKQGQGQWTYQIYQEPFKNLKTGKYARMRGA
HTNDVKQLTEAVQKITTESIVIWGKTPKFKLPIQKETWETWWTEYWQATWIPEWEFVNTP
PLVKLWYQLEKEPIVGAETFYVDGAANRETKLGKAGYVTN [Human immunodefici
ency virus type 1 (HIV-1)]
Targeted Disease HIV infection
Drug Resistance Mutations
Mutation info Missense: L74V [1], [2], [3]
Level of Resistance High-level resistance
Mutation info Missense: M184I [1], [2]
Mutation info Missense: M184V [1], [2]
Mutation info Missense: M41L [1], [2]
Mutation info Missense: Q151L [1], [2]
Level of Resistance Intermediate resistance
Mutation info Missense: Q151M [1], [2]
Level of Resistance High-level resistance
Mutation info Missense: T210W [1], [2]
Mutation info Missense: T215F [1], [2]
Level of Resistance Low-level resistance
Mutation info Missense: T215Y [1], [2]
Level of Resistance Low-level resistance
Mutation info Missense: T69D [1], [2]
Level of Resistance Intermediate resistance
Mutation info Missense: V75A [1], [2]
Level of Resistance Low-level resistance
Mutation info Missense: V75M [1], [2]
Level of Resistance Low-level resistance
Mutation info Missense: V75S [1], [2]
Level of Resistance Low-level resistance
Mutation info Missense: V75T [1], [2]
Level of Resistance Intermediate resistance
Mutation info Missense: K65N [2], [3]
Level of Resistance Intermediate resistance
Mutation info Missense: K65R [2], [3]
Level of Resistance High-level resistance
Mutation info Missense: K70E [2], [3]
Level of Resistance Low-level resistance
Mutation info Missense: K70G [2], [3]
Level of Resistance Low-level resistance
Mutation info Missense: K70N [2], [3]
Level of Resistance Low-level resistance
Mutation info Missense: K70Q [2], [3]
Level of Resistance Low-level resistance
Mutation info Missense: K70S [2], [3]
Level of Resistance Low-level resistance
Mutation info Missense: K70T [2], [3]
Level of Resistance Low-level resistance
Mutation info Missense: L74I [4]
Mutation Frequency 3-20% of the samples
Target Name HIV Non-Nucleoside reverse transcriptase Target Info
Uniprot ID POL_HV1B1(600-1159)
Species Human immunodeficiency virus type 1 (HIV-1)
Reference Sequence PISPIETVPVKLKPGMDGPKVKQWPLTEEKIKALVEICTEMEKEGKISKIGPENPYNTPV
FAIKKKDSTKWRKLVDFRELNKRTQDFWEVQLGIPHPAGLKKKKSVTVLDVGDAYFSVPL
DEDFRKYTAFTIPSINNETPGIRYQYNVLPQGWKGSPAIFQSSMTKILEPFKKQNPDIVI
YQYMDDLYVGSDLEIGQHRTKIEELRQHLLRWGLTTPDKKHQKEPPFLWMGYELHPDKWT
VQPIVLPEKDSWTVNDIQKLVGKLNWASQIYPGIKVRQLCKLLRGTKALTEVIPLTEEAE
LELAENREILKEPVHGVYYDPSKDLIAEIQKQGQGQWTYQIYQEPFKNLKTGKYARMRGA
HTNDVKQLTEAVQKITTESIVIWGKTPKFKLPIQKETWETWWTEYWQATWIPEWEFVNTP
PLVKLWYQLEKEPIVGAETFYVDGAANRETKLGKAGYVTNKGRQKVVPLTNTTNQKTELQ
AIYLALQDSGLEVNIVTDSQYALGIIQAQPDKSESELVNQIIEQLIKKEKVYLAWVPAHK
GIGGNEQVDKLVSAGIRKIL [Human immunodeficiency virus type 1 (H
IV-1)]
Targeted Disease HIV infection
Drug Resistance Mutations
Mutation info Deletion: D67 [1], [2]
Level of Resistance Intermediate resistance
Mutation info Deletion: K70 [1], [2]
Level of Resistance Intermediate resistance
Mutation info Deletion: S68 [1], [2]
Level of Resistance Intermediate resistance
Mutation info Insertion: T69 [1], [2]
Level of Resistance Intermediate resistance
Mutation info Deletion: T69 [1], [2]
Level of Resistance Intermediate resistance
References
REF 1 Current patterns in the epidemiology of primary HIV drug resistance in North America and Europe. Antivir Ther. 2004 Oct;9(5):695-702.
REF 2 The HIVdb system for HIV-1 genotypic resistance interpretation. Intervirology. 2012;55(2):98-101.
REF 3 Development and significance of nucleoside drug resistance in infection caused by the human immunodeficiency virus type 1. Clin Invest Med. 1994 Jun;17(3):226-43.
REF 4 Mechanisms of anti-retroviral drug resistance: implications for novel drug discovery and development. Infect Disord Drug Targets. 2013 Oct;13(5):330-6.

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