Assays and kits for the detection of phenotypic resistance of a retrovirus
to reverse transcriptase inhibitor-drugs in a biological sample. The
assays are based on the direct analysis of the susceptibility of
retroviral reverse transcriptase to inhibition by a reverse transcriptase
inhibitor drug. The enzymatic activity of the reverse transcriptase is
determined by measuring the DNA product produced when an RNA template and
a first complementary DNA primer from a suitable region of the
encephalomyocarditis virus genome are incubated with a biological sample
containing reverse transcriptase in the presence of the drug to which
resistance is being determined. The DNA product is amplified and
detection of the amplified DNA indicates resistance to the drug employed
in the assay. Detection of relatively greater amounts of amplified DNA
when certain drugs are used indicates the presence of multiple nucleoside
analog resistant strains or mutations.