The presence of the lamivudine-associated M184V RT mutation increases tenof
ovir susceptibility in multiple HIV genotypes. Tenofovir is uniquely active
against multinucleoside-resistant HIV expressing the Q151M mutation, but s
hows reduced susceptibility to the T69S insertion mutations. HIV with commo
n forms of zidovudine and lamivudine resistance are susceptible to tenofovi
r, corroborating phase II clinical results demonstrating the activity of te
nofovir DF in treatment-experienced patients.