Drug General Information
Drug ID D0Z8EX
Drug Name Stavudine
Synonyms DdeThd; DdeTyd; Dideoxydidehydrothymidine; Estavudina; STV; Sanilvudine; Stavudinum; Zent; Zerit; Zerit Xr; Zerut XR; BMY 27857; BMY27857; D 1413; D 4T; BMY-27857; Bristol-Myers Brand of Stavudine; Bristol-Myers Squibb Brand of Stavudine; D 4T (nucleoside); Estavudina [INN-Spanish]; Sanilvudine (JAN); Stavudine, Monosodium Salt; Stavudinum [INN-Latin]; Zerit (TN); Zerit(TM); D4T & GM-CSF; D4TMBY-27857-3; Stavudine (USAN/INN); Stavudine [USAN:BAN:INN]; Stavudine [USAN:INN:BAN]; Thymine, 1-(2,3-dideoxy-beta-D-glycero-pent-2-enofuranosyl)-(7CI,8CI); 1-(2,3-Dideoxy-beta-D-glycero-2-pentenofuranosyl)thymine; 1-(2,3-Dideoxy-beta-D-glycero-pent-2-enofuranosyl)thymine; 1-[(2R,5S)-5-(hydroxymethyl)-2,5-dihydrofuran-2-yl]-5-methylpyrimidine-2,4(1H,3H)-dione; 1-[(2R,5S)-5-(hydroxymethyl)-2,5-dihydrofuran-2-yl]-5-methylpyrimidine-2,4-dione; 1-[5-(hydroxymethyl)-2,5-dihydro-2-furanyl]-5-methyl-2,4(1H,3H)-pyrimidinedione & Colony-stimulating factor 2; 2',3' Didehydro 3' deoxythymidine; 2',3'-Anhydrothymidine; 2',3'-DIDEHYDRO-3'-DEOXYTHYMIDINE (DDI); 2',3'-Didehydro-2',3'-dideoxythmidine; 2',3'-Didehydro-3'-deoxythimidine; 2',3'-Didehydro-3'-deoxythymidine; 3'-Azido-3'-deoxythymidine & Granulocyte-macrophage colony-stimulating factor; 3'-Deoxy-2',3'-didehydrothymidine; 3'-Deoxy-2'-thymidinene; D4T
Drug Type Small molecular drug
Therapeutic Class Anti-HIV Agents
Company Aurobindo Pharma
Structure D0Z8EX
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: T215F [1], [2], [3]
Level of Resistance Intermediate resistance
Mutation info Missense: D67N [1], [2]
Level of Resistance Low-level resistance
Mutation info Missense: K219E [1], [2]
Mutation info Missense: K219Q [1], [2]
Mutation info Missense: K65N [1], [2]
Level of Resistance Intermediate resistance
Mutation info Missense: K65R [1], [2]
Level of Resistance High-level resistance
Mutation info Missense: K70E [1], [2]
Level of Resistance Low-level resistance
Mutation info Missense: K70G [1], [2]
Level of Resistance Low-level resistance
Mutation info Missense: K70N [1], [2]
Level of Resistance Low-level resistance
Mutation info Missense: K70Q [1], [2]
Level of Resistance Low-level resistance
Mutation info Missense: K70R [1], [2]
Level of Resistance Low-level resistance
Mutation info Missense: K70S [1], [2]
Level of Resistance Low-level resistance
Mutation info Missense: K70T [1], [2]
Level of Resistance Low-level resistance
Mutation info Missense: L210W [1], [2]
Level of Resistance Low-level resistance
Mutation info Missense: M184* [1], [2]
Mutation info Missense: M41L [1], [2]
Level of Resistance Low-level resistance
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: T215A [1], [2]
Level of Resistance Low-level resistance
Mutation info Missense: T215C [1], [2]
Level of Resistance Low-level resistance
Mutation info Missense: T215D [1], [2]
Level of Resistance Low-level resistance
Mutation info Missense: T215E [1], [2]
Level of Resistance Low-level resistance
Mutation info Missense: T215I [1], [3]
Level of Resistance Low-level resistance
Mutation info Missense: T215L [1], [3]
Level of Resistance Low-level resistance
Mutation info Missense: T215N [1], [3]
Level of Resistance Low-level resistance
Mutation info Missense: T215S [1], [3]
Level of Resistance Low-level resistance
Mutation info Missense: T215V [1], [3]
Level of Resistance Low-level resistance
Mutation info Missense: T215Y [1], [3]
Level of Resistance Intermediate resistance
Mutation info Missense: V75A [1], [3]
Level of Resistance Intermediate resistance
Mutation info Missense: V75M [1], [3]
Level of Resistance Intermediate resistance
Mutation info Missense: V75S [1], [3]
Level of Resistance Intermediate resistance
Mutation info Missense: V75T [1], [3]
Level of Resistance High-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], [3]
Level of Resistance Intermediate resistance
Mutation info Deletion: K70 [1], [3]
Level of Resistance Intermediate resistance
Mutation info Deletion: S68 [1], [3]
Level of Resistance Intermediate resistance
Mutation info Insertion: T69 [1], [3]
Level of Resistance Intermediate resistance
Mutation info Deletion: T69 [1], [3]
Level of Resistance Intermediate resistance
References
REF 1 The HIVdb system for HIV-1 genotypic resistance interpretation. Intervirology. 2012;55(2):98-101.
REF 2 Drug resistance in the HIV-1-infected paediatric population worldwide: a systematic review. J Antimicrob Chemother. 2014 Aug;69(8):2032-42.
REF 3 Personalized HIV therapy to control drug resistance. Drug Discov Today Technol. 2014 Mar;11:57-64.
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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