Emergence of resistance to acyclovir and penciclovir in varicella-zoster virus and genetic analysis of acyclovir-resistant variants.

Abstract:

:We have characterized the differential actions of acyclovir and penciclovir against varicella-zoster virus (VZV) in cell culture by comparing the frequency of appearance of resistant viruses followed by their characterization. Cells were infected with cell-free virus and the cultures were successively treated with increasing concentrations of acyclovir or penciclovir. Drug-resistant viruses were selected in the presence of 6 microg/ml of acyclovir or penciclovir. The emergence frequency of resistant viruses was significantly higher following acyclovir exposure than following penciclovir exposure (Fisher's exact test, P<0.0001), possibly reflecting virus growth differences under these experimental conditions. Based on antiviral drug susceptibility and thymidine kinase (TK) activity assays, 11 acyclovir-resistant variants from seven experiments using three virus strains (Kawaguchi strain, Oka varicella vaccine strain and a clinical isolate from a zoster patient) were found to be TK-deficient. Sequence analysis of TK-deficient variants of the Kawaguchi strain revealed deletions that caused frameshifts, resulting in premature termination in the TK gene.

journal_name

Antiviral Res

journal_title

Antiviral research

authors

Ida M,Kageyama S,Sato H,Kamiyama T,Yamamura J,Kurokawa M,Morohashi M,Shiraki K

doi

10.1016/s0166-3542(98)00057-6

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

155-66

issue

3

eissn

0166-3542

issn

1872-9096

pii

S0166354298000576

journal_volume

40

pub_type

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