Drug General Information
Drug ID D00YZD
Drug Name Dolutegravir Drug Info
Synonyms S/GSK1349572; DTG
Drug Type Small molecular drug
Company GlaxoSmithKline
Structure D00YZD
Drug Resistance Mutations
Target Name HIV Integrase Target Info
Uniprot ID POL_HV1B1(1160-1447)
Species Human immunodeficiency virus type 1 (HIV-1)
Reference Sequence FLDGIDKAQDEHEKYHSNWRAMASDFNLPPVVAKEIVASCDKCQLKGEAMHGQVDCSPGI
WQLDCTHLEGKVILVAVHVASGYIEAEVIPAETGQETAYFLLKLAGRWPVKTIHTDNGSN
FTSATVKAACWWAGIKQEFGIPYNPQSQGVVESMNKELKKIIGQVRDQAEHLKTAVQMAV
FIHNFKRKGGIGGYSAGERIVDIIATDIQTKELQKQITKIQNFRVYYRDSRNPLWKGPAK
LLWKGEGAVVIQDNSDIKVVPRRKAKIIRDYGKQMAGDDCVASRQDED [Human immu
nodeficiency virus type 1 (HIV-1)]
Targeted Disease HIV infection
Drug Resistance Mutations
Mutation info Missense: R263K [555922], [556030]
Level of Resistance Reduce DTG susceptibility 6 fold
Mutation info Missense: E138A [556227], [556228]
Mutation info Missense: E138K [556227], [556228]
Mutation info Missense: E138T [556227], [556228]
Mutation info Missense: E92Q [556227], [556228]
Mutation info Missense: G118R [556227], [556228]
Level of Resistance Low-level resistance
Mutation info Missense: G140A [556227], [556228]
Mutation info Missense: G140C [556227], [556228]
Mutation info Missense: G140S [556227], [556228]
Mutation info Missense: N155H [556227], [556228]
Mutation info Missense: Q148H [556227], [556228]
Level of Resistance Low-level resistance
Mutation info Missense: Q148K [556227], [556228]
Level of Resistance Intermediate resistance
Mutation info Missense: Q148R [556227], [556228]
Level of Resistance Low-level resistance
Mutation info Missense: S153F [556227], [556228]
Level of Resistance Low-level resistance
Mutation info Missense: T66K [556227], [556228]
Level of Resistance Low-level resistance
Mutation info Missense: V151L [556227], [556228]
Level of Resistance Low-level resistance
Mutation info Missense: S153Y [555782]
Level of Resistance Reduce DTG susceptibility about 2 fold
References
Ref 5326512013 FDA drug approvals. Nat Rev Drug Discov. 2014 Feb;13(2):85-9.
Ref 542387(http://www.guidetopharmacology.org/) Nucleic Acids Res. 2015 Oct 12. pii: gkv1037. The IUPHAR/BPS Guide to PHARMACOLOGY in 2016: towards curated quantitative interactions between 1300 protein targets and 6000 ligands. (Ligand id: 7365).
Ref 556227HIV drug development: the next 25 years. Nat Rev Drug Discov. 2007 Dec;6(12):959-66.
Ref 555782In Vitro antiretroviral properties of S/GSK1349572, a next-generation HIV integrase inhibitor. Antimicrob Agents Chemother. 2011 Feb;55(2):813-21. doi: 10.1128/AAC.01209-10. Epub 2010 Nov 29.
Ref 556228The HIVdb system for HIV-1 genotypic resistance interpretation. Intervirology. 2012;55(2):98-101. doi: 10.1159/000331998. Epub 2012 Jan 24.
Ref 555922Viral fitness cost prevents HIV-1 from evading dolutegravir drug pressure. Retrovirology. 2013 Feb 22;10:22. doi: 10.1186/1742-4690-10-22.
Ref 556030Evolution of a novel pathway leading to dolutegravir resistance in a patient harbouring N155H and multiclass drug resistance. J Antimicrob Chemother. 2015 Feb;70(2):405-11. doi: 10.1093/jac/dku387. Epub 2014 Oct 3.

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