The vast majority of HIV-1 infections in Africa are caused by the A and C v
iral subtypes rather than the B subtype prevalent in the United States and
Western Europe. Genomic differences between subtypes give rise to sequence
variations in the encoded proteins, including the HIV-1 protease, Because s
ome amino acid polymorphisms occur at sites that have been associated with
drug resistance:in the B subtype, it is important to assess the effectivene
ss of protease inhibitors that have been developed against different subtyp
es. Here we report the enzymatic characterization of HIV-1 proteases with s
equences found in drug-naive Ugandan adults. The A protease used in these s
tudies differs in seven positions (I13V/E35D/M361/R41K/R57K/H69K/L89M) in r
elation to the consensus B subtype protease. Another protease containing a
subset of these amino acid polymorphisms (M361/R41K/H69K/L89M), which are f
ound in subtype C and other HIV subtypes, also was studied. Both proteases
were found to have similar catalytic constants, k(cat), as the B subtype. T
he C subtype protease displayed lower K, values against two different subst
rates resulting in a higher (2.4-fold) catalytic efficiency than the B subt
ype protease, Indinavir, ritonavir, saquinavir, and nelfinavir inhibit the
A and C subtype proteases with 2.5-7-fold and 2-4.5-fold weaker K(i)s than
the B subtype. When all factors are taken into consideration it is found th
at the C subtype protease has the highest vitality (4-11 higher than the B
subtype) whereas the A subtype protease exhibits values ranging between 1.5
and 5. These results point to a higher biochemical fitness of the A and C
proteases in the presence of existing inhibitors.