Stanford University HIV Drug Resistance Database - A curated public database designed to represent, store, and analyze the divergent forms of data underlying HIV drug resistance.

PI Mutation Pattern & Susceptibility

1398 patterns of major drug resistance mutations (defined here) from 136931 clinical isolates obtained from 129149 persons infected with HIV-1 Group M virus are arranged in decreasing prevalence in the table (updated on 2017-4-17). Sequences containing a mixture at one of the major drug resistance positions were excluded from the table. For each pattern, drug susceptibility data on isolates matching the specific mutation pattern is shown on the left side. The analysis was originally published in Rhee et al. 2004. The data was described in Rhee et al. 2010.

The number of sequences with each pattern is indicated, as well as the median fold resistance, as assayed by the ViroLogic PhenoSense assay, to each of several individual members of the selected drug class. Subscripts indicate the number of sequences assayed for resistance to the designated drug. Interquartile ranges are available by clicking here. Data on the 30 most common mutation patterns is also available in a PDF format.

Mutation PatternsNumber of
Sequences
NFV
foldn
SQV
foldn
IDV
foldn
FPV
foldn
ATV
foldn
LPV
foldn
TPV
foldn
DRV
foldn
None655351.17520.77310.87440.77080.94640.75930.93830.7365
90M21777.3503.2513.1511.3473.1331.6421.2240.919
30N156340461.3441.3450.8392.5301.0271.2121.08
46I,90M67222364.2369.1343.2294.9172.7230.9130.86
54V,82A,90M6175726272624263.62436739242.441.61
54V,82A5339.4211.4218.0201.5192.31011171.660.83
46I5001150.954.452.142.232.731.120.82
46L,54V,82A47239206.22019194.61731937171.1101.74
46L4468.221.522.621.122.411.62  
46I,54V,82A43817251.82513233.0216.6930191.260.83
46I,84V,90M4224833433128327.732221917272.0114.04
46L,54V,82A,90M4124017111722168.21717750154.444.13
46I,54V,84V,90M399862116118532120211711296204.712119
84V,90M3961924252411254.52415126.4232.092.16
46I,54V,82A,90M3564922222229226.422241658222.6141.88
82A3312.590.992.181.081.972.280.43 
88S2028.3161.2162.5160.1157.241.140.610.31
54V,84V,90M186144677365061361552433172132
46I,54V,76V,82A1811181.683736.581.488280.51 
54V,90M1703436035.031.337212822312.11
30N,90M15074156.0152.8151.3154.851.850.510.41
50L1280.3150.380.3150.3156.0190.35  
46L,82A1216.131.337.435.832.527.03  
46I,88S1181881.385.880.276.110.82  
46L,90M1141573.477.571.775.432.850.620.72
84V1122.5102.8101.993.992.342.693.232.62
46I,84V1117.526.223.326.327.828.626.022.01
30N,46I1102550.651.250.851.530.840.420.51
82A,90M1096.121.627.121.625.512.72  
54V1071828.126.223.028.625.422.710.61
54L,84V,90M8950619762053063251661.52192
46I,54V,82F,90M8711086.589282586748784.34113
48V,54V,82A8729615262362.562763361.030.82
32I,46I,47V,54M,82A,90M7913822721442300271235029.823462
46I,47V,54V,84V,90M792372 1481542184217028.72131
46L,54V,84V,90M77897257769632757710375.557.52
32I,46I,82A,90M762564.562151262061561.53462
46L,54V,82A,84V731797991281391683591252.11
46I,82A726712214117.81431451  
46I,54V,82A,84V712525921221623629927.71 
48V,54T,82A6992575048757.257855451.031.21
46I,50V,54V,82A,90M68154225160237145125211.42151
46I,54V,84V685876474271976339071.31151
48V,54V,82A,90M6735102541028101.81027532100.550.43
46I,54V,82A,84V,90M66942611532552961187210.01 
54V,82A,84V,90M65474974234104591524 3.71
46L,54V,82A,84V,90M63429419339159725888184122
46I,54V,76V,82A,90M632924.026.811422.811492  
32I,46I,47V,54L,84V,90M626558752854005283540055.155003
54L,90M599.233.931.934021322.232.123.41
54V,82F,90M593438.845121341135448.126.32
46I,76V593.010.611314.41    
46I,50V,54V,82A57        
32I,46I,47V,54M,90M57        
54L542.511.611.811411.714.611.713.61
32I,46I,47V,54V,82A,90M534461263552361559462.555.63
32I,46I,82A531130.8310.034.833.525.02  
32I,46I,54V,82A,90M52        
46I,54V,82S516013315114.215219110.91 
54V,82T,90M502747.441642.141821344.611.31
46I,47V,54V,82A,90M49        
46I,54V,82T,90M4812344246849.9377212649.621.11
30N,46L48        
54V,82T472784.882481.061513.43  
46I,47V,54V,82A451614.8110.018.716.816112.91 
32I,46I,47V,82A451321.322221324815521.125.11
46L,82A,90M459.634.231134.031821531821.21
46L,84V,90M4419519510.048.051047.043.442.84
46I,54V,82T,84V44894604416341432113874242 
54V,82A,84V431353058.151351234358.525.81
46L,54V,76V,82A431732.533531532.0212030.61 
32I,46I,47V,82A,90M4372133189183170015001151441
50L,82A420.710.310.810.711210.710.410.21
46I,54L,84V,90M42433100032533834733731.73143
30N,54V,90M4120054658.452.351311414.511.41
46I,54V,82T,84V,90M418651384823155114411451182 
82L400.950.750.651.051.250.651.451.15
46I,54V,90M40200329031142313294220631325.61
46I,54M,84V,90M39594564244474821702  
46L,48V,54V,82A39991100019019.01161112610.511.41
48V,54V,82A,84V3918458341246.047028022.022.51
54V,84V386212671341761120110915.11 
32I377.712.213.312.014.011.812.311.41
50L,90M36        
47V36        
82F364.130.332.523.41    
32I,46L,82A354.530.734.331.63 5.21  
54V,82F355723.423521621027126.61 
32I,46I,47V,90M356.211.114.413.51    
46I,54V,82T357.911.911814.011716410.811.11
46I,54V,76V,84V,90M34        
46L,50L,82A34        
50V343.041.641.241441.426.74  
46I,82T341341.841342.846.531631.831.81
54L,82A,90M332531739.731532731734.52 
46I,50V333.331.431.422130.91153  
46I,76V,84V325.822.82212192 332  
46I,50L,82A321.110.410.511.511911.510.610.41
46L,54V,76V,82A,90M316.813.812215.610.713310.912.51
32I,46I,47V,54M,84V,90M314561762562005736176610443734
48V,54S,82A301193100031543153128211731.533.93
46I,54V,76V,84V29        
76V28        
46L,54L,82A,90M271313.917.916.0110.011110.71 
46I,82T,84V273.982.587.273.181938.762.521.62
32I,46I,47V,54L,82A,90M264448.24264134438221842.71 
46I,82A,90M262034.032537.031121432.115.01
48V,90M265.321925.022.02 1.21  
46I,82T,90M262942142443.143921641.410.91
88S,90M269733431730.73671102  
46I,47V,54M,84V,90M2540262143240016828721062312
46I,76V,84V,90M25122542422160219216221.111091
46I,88S,90M256726.721620.721612.321.021.02
46L,54V,84V25426262923472612504211321252251
46I,82A,84V254.413.413.816.313.117.911.311.31
46I,54A,82A24        
48V,54V,82S24        
30N,54L24        
32I,46I,47V,54M,82A242541.84284101412422145.33811
54M,90M24        
46L,48V,54V,82A,84V24643271334324394310733.13 
54V,82S241514.011710.911711911.11 
32I,46I,47V248.011.011616.619.018.711.612.51
82T24        
48V,54T,82A,90M241651  7.61 15111.31 
54V,82T,84V,90M237229116121121871981  
30N,46I,54V,82A23600123146134144150012.217.81
46L,48V,54V,82A,90M23441 4016.91 391  
46I,82F,90M235021.82372132122372  
46L,48V,54T,82A221393467217138.73 663  
54A,82A22184113511061191133113615.11 
54V,82T,84V222137333036.732422632621.71
48V,82A227.536.536.632.93    
46I,54V,82F211910.11 1.71 5.81  
32I,47V213.911.511.712.516.314.011.511.31
30N,46I,90M2112111516.012.516.612.41  
46L,84V215.721325.422.825.612.821.31 
54V,76V,82A2110.052.252946.252.959151.321.61
46I,76V,90M217.252.951747.242.622320.821.51
48V20        
32I,46I,47V,54V,82A20        
54L,84V208.222722.622821429.421.62 
46L,54A,82A20        
32I,46I,47V,54L,90M207417011118918917111.21481
46I,82T,84V,90M202333833333.42 162  
30N,54L,90M1915662264.561163641430.82161
48M,54V,82A,90M1937226752290261214112502  
54M194.711.912.011213.412.91  
50L,82A,90M19        
54A,82A,90M19136366314339.33242110832.71 
48V,82A,90M1925110512212.11 7.81  
48V,54V,90M19        
46I,54V,82F,84V,90M19        
82T,90M19        
32I,47A19        
30N,54V18        
50L,88S18        
46I,54L,82A,90M18250150110911191311129212.81 
32I,46I18        
54M,84V,90M18        
46I,54L,76V,84V,90M18        
82A,84V181313116.81431 291  
46I,54V,76V,82F,90M186622.3233522422.5225521.12 
32I,47V,54M,90M1863252234215227621302102 
32I,46I,90M17        
46I,47V,54V,82F,90M17        
46L,48V,54V,82S17        
46I,50L17        
46I,54V,76V,82F171610.914619.511.011121  
46L,48V,54S,82A179912931117114157110511.41 
54T17        
32I,47V,54L,84V,90M17        
46L,88S171251.252.950.15    
48V,54V,82S,90M17        
46I,54M,76V,84V,90M17        
32I,46L,82A,90M172214.911614.511416.41  
46I,54V,82C,90M16        
48V,54A,82A16        
46I,47V,54V,84V16234604164414392804172 
82A,84V,90M16        
46I,54V,82C,84V,90M16        
46I,50V,54V,90M16931100015.013114719410.51301
46I,48V,54T,82A16106221728026.723416910.41 
30N,54V,82A,90M15600112614916.6110015211.71 
46I,54V,82S,90M15        
30N,54V,82A1533522322622622627323.323.52
46I,50L,82A,90M15        
46I,54V15        
30N,46I,82A15        
46I,50V,90M151912119.115612.51391  
32I,90M1510.032.833.133.135.131.231.131.13
46I,54V,76V,82T153138.2350031737.7350031.433.63
46L,54L,84V,90M15591100110.01881 281  
46L,54V,82T156826224421226327226.31 
48A,54V,82A,90M14        
46L,54V,82F,90M14        
46I,54M,90M14241151131581 171  
46I,54A,82A,90M1489159115015.61651751  
46L,54L,82A,84V,90M14        
32I,47V,54M,84V,90M14        
46I,50V,82A,90M14        
46I,47V,54M,76V,84V,90M14        
46I,76V,82A143.810.411814.311.21231  
46I,54V,76V,90M141.610.618.712.91 4610.81 
46I,54L,90M141421.423.821225.223320.423.82
48M,54V,82A14        
30N,84V,90M14600470041942949842943.117.21
46L,48A,54V,82A13        
50V,54V,82A13191337119143112110610.31 
30N,50L136.01 0.110.11221   
46I,82F137.410.212.312.21 4.51  
32I,47V,54M,82A,90M13        
46L,82A,84V13        
46L,54V,90M13        
46I,54V,76V13        
32I,46I,47V,54L,82A13        
46L,54L,82A131122.427.221221411522.11 
32I,46I,47A134920.822624528.8116523.129.31
48V,54V,82A,84V,90M121131100011021301 1221  
46L,54V,82F12        
84C126763762.767.465.032.24  
46L,54M,84V,90M12553663223148339527031123142
32I,54L,84V,90M12673333183300326035435.531922
46I,48V,54S,82A11231100011151111110113912.612.01
48V,50V,54A,82A11        
46I,50L,90M11        
54L,88S11        
46I,47V,76V,84V11        
46I,47V,54L,84V,90M11        
54L,82A,84V,90M1160115812419011801801171221
48V,54S,82A,90M11        
32I,46I,47A,90M11        
46I,82A,84V,90M1138199120126112214816.01 
54V,82M,90M11        
32I,46I,47V,54L,84V111.711.213.61132117150013.011261
46I,50V,82A11        
48V,50V,54V,82A11        
46I,50L,82A,88S11        
46I,54L,76V,84V113.211.417.113012.318010.51 
32I,82A11        
32I,46I,47V,84V,90M11        
46L,54V,82T,84V1125137152119153159120015.61
82L,90M112.611.211.41  1.21  
46L,82T11        
46I,50V,76V111.350.951.016.051.0510.050.811.01
54V,82C,90M10        
30N,54V,84V,90M10        
46L,54M,82A,90M106123126126527429823.023.51
82F,90M102211.311515.716.111211.71 
46I,84A1060066286656326523145  
46I,76V,82F,90M10        
46I,47V,54V,90M10        
48V,50V,54S,82A102021293122411121112132410.91 
32I,46L,54V,82A,90M10198221121192402191210224.92 
46I,54M,84V101911518.219912112912.21271
32I,46I,47V,84V103126.02172412402772161251
46L,54V,82T,90M1042154147110.01321871121 
46I,47V,54V,76V,82A10        
32I,46I,84V,90M1020032003553200220021083112 
30N,84V1015224028.226.72352111  
32I,46I,54L,84V,90M9432502222142225828623.522042
32I,46I,47V,50V,82A9        
50L,82M9        
46I,54M,82A,90M9        
46I,50L,54V,82A,90M99.723.128.225.0214221321.121.71
48A,54V,82A9        
46L,54V,82S9        
46I,47A,84V,90M99212517311291371500110.01351
46I,48V,50V,54T,82A9531100011601130149150011.71541
32I,47V,54L,90M9321151191431 671  
30N,46I,84V,90M9        
46L,48V,54V,82A,84V,90M9362 172202 822  
30N,50L,82A9        
30N,46L,54V,82A9        
32I,47A,90M9        
30N,54L,84V,90M9217110417.4140015012811.01511
46L,82A,84V,90M9202432152182492312141151
50V,54V,90M9        
46I,50V,54V,82T,90M9        
46I,48V,50V,54S,82A91134100034003904100450031.62391
54M,82A,90M8        
32I,47V,82A82.110.213.312.11 2.710.410.51
46I,48V,90M8        
30N,82A84512.311.811.212.511.21  
46L,48V,54T,82A,90M86001100015001361700126313.6110.01
32I,46I,54V,82A8        
32I,46L8        
46I,54L8        
46L,54V,82C,90M81781 581171 931  
46L,48A,54V,82A,90M8        
54V,88S8        
46L,48V,82A,90M8        
46L,54L,82A,84V8        
48V,82A,84V8        
54A,82F8        
32I,47V,90M878151167140011571500180012001
46L,54V,82C,84V,90M8        
54V,82S,90M83239.431632.831115134.11 
32I,46I,47V,54M,82T,90M7163153573114370328732003753
46L,50L,82A,90M7        
50L,82M,90M7        
46I,50L,88S7        
30N,46I,54V,82A,90M7        
82S71511.611811311313818.91 
46I,54L,84V79.714.912.517.512.112.511.41 
32I,46L,54L,84V,90M7773633213200310939137.432003
46L,54L,90M72211514.412511318.011.31121
30N,46L,54V,82A,90M76001100015718.015119711.111.11
46L,54L73.612.412.915.113.015.010.812.41
30N,46I,54V750011416.114.21    
54V,82C,84V,90M7        
32I,46I,47V,54V,84V,90M797162159114013471500120011141
46I,76V,82F76.510.512112710.61541  
46L,82T,90M7        
32I,46I,47A,82A72820.6250255219250026.32132
32I,54V,82A,90M712412619.317.714212115.813.11
54V,82M7        
48V,54V7        
32I,46I,54M,82A,90M74713.512115716913314.41 
32I,46L,54V,82A7        
50V,54V,82A,90M6        
46I,47V,54M,84V6        
54M,82A,84V,90M6        
54V,76V,82A,90M6        
46I,54V,76V,82C,90M6        
46I,82F,84V62041791541 17212561  
32I,46I,47V,54M,84V6261141191126156113014.31 
46L,48V,54S,82A,90M6        
46I,47V,54M,90M6        
30N,46I,54V,90M6        
46I,54V,76V,82T,84V6        
46I,54A,82F,90M6        
54L,82A,84V6        
46L,54A,82A,90M6        
32I,46I,47V,54L,82A,84V,90M6        
32I,82A,90M62314.911411519.311611.01 
32I,46I,54V,90M6        
30N,46I,54L,90M655014516.81281    
46I,47A,84V6        
48V,54A,82A,90M6214128012091251336126011.31 
46L,54L,84V6        
30N,46L,54V,90M660018711411.813417.91  
46L,76V61.110.814.419.610.619.810.41 
30N,50V6        
46I,54V,76V,82T,90M6        
32I,54V,84V,90M653252323924002108228329.821302
46I,54V,76V,82A,84V56.512.81 3415.81831  
46I,50L,82L5        
46L,48V,82A5        
32I,46I,47V,82T,90M51141591400144118711391  
46I,47V,76V5        
46L,50V5        
50V,90M51018.412.911312.01121  
32I,46I,82T,84V5        
32I,54L,84V58.012.313.915711711514.61351
32I,47V,54V,82A,90M5        
46I,50V,54V,76V,82A5        
32I,46I,84V5        
32I,46I,47V,50L,82A5        
46L,48S,54V,82A,90M5        
46I,50L,54V,82A58.311.614.212.617613.61  
46L,48M,54S,82A550225626621825429126.11 
46L,54V,82S,90M5        
32I,47A,82A5        
46I,47V,54L,82A,90M5        
48V,82C,90M5        
50V,54V5        
46I,50V,76V,82A5        
46I,54V,84A539821000214823724772632  
46I,84V,88S56611211210.31311   
50L,82A,88S5        
46I,54V,82M,90M5        
46I,82F,84V,90M5        
32I,46I,47V,54L5        
46I,47V,54V,82S5        
30N,46I,50L,90M5        
46L,50L,54V,82A5        
46I,47V,54V,82F5        
48M,50V,54V,82A,90M5        
46I,54V,76V,82S5        
32I,46I,47V,50V,54L5        
54M,82A57.731.935.032234.031131.111.21
46L,48S,54V,82A587220921723.12 1022  
48V,50V,54T,82A511512711121197182128610.91 
46I,54V,82F,84V52514.912315211411361  
46I,47V,84V,90M5        
46I,47V,54V,82C,90M567140019.414015811161291 
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54M,82M,90M41312.018.612111315.913.01 
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32I,46I,54M,90M3452312 302592132  
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46I,54V,82M21211.118.614.5110.01161  
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32I,46I,47V,54L,82C,90M23318.7123187127114511.51801
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32I,46L,47V,54M,82A2        
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46I,54M,76V,82A,84V2        
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48V,54S,82S2        
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32I,46I,47V,50L,82T,90M28.311.311312.2116118.014.510.71
48M,50V,54V,82T2        
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82S,84V,90M2        
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47A2        
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76V,82A2        
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46I,47V,54A2