CHARMD
Comprehensive Herpesviruses Antiviral drug Resistance Mutation Database
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Last update : Mon 20 Apr 2026
TOP
D981del2
Virus:
Human betaherpesvirus 5
Gene:
UL54
Resistance summary:*
Cidofovir:
Intermediate level resistance
Cidofovir:
Intermediate level resistance
Cidofovir:
Intermediate level resistance
Foscarnet:
Low level resistance
Foscarnet:
Intermediate level resistance
Foscarnet:
Intermediate level resistance
Ganciclovir:
High level resistance
Ganciclovir:
High level resistance
Ganciclovir:
High level resistance
*If there is more than one line per antiviral, please refer to the table below
Antiviral assays:
Antiviral
EC50 ratio
Phenotype
Strain
Source
Marker
Assay
Reference
Cidofovir
3.20
Intermediate level resistance
Clinical Isolate
Details
Emergence of letermovir resistance in a lung transplant recipient with ganciclovir-resistant cytomegalovirus infection. (Dec 2018)
Cidofovir
3.20
Intermediate level resistance
Clinical Isolate
Details
A new locus of foscarnet resistance in the cytomegalovirus UL54 DNA polymerase gene among uncharacterized mutations in recent clinical trials. (Feb 2026)
Cidofovir
3.70
Intermediate level resistance
Clinical Isolate
Details
Drug Resistance Mutations and Associated Phenotypes Detected in Clinical Trials of Maribavir for Treatment of Cytomegalovirus Infection. (Sep 2022)
Foscarnet
2.70
Low level resistance
Clinical Isolate
Details
Emergence of letermovir resistance in a lung transplant recipient with ganciclovir-resistant cytomegalovirus infection. (Dec 2018)
Foscarnet
3.00
Intermediate level resistance
Clinical Isolate
Details
A new locus of foscarnet resistance in the cytomegalovirus UL54 DNA polymerase gene among uncharacterized mutations in recent clinical trials. (Feb 2026)
Foscarnet
3.10
Intermediate level resistance
Clinical Isolate
Details
Drug Resistance Mutations and Associated Phenotypes Detected in Clinical Trials of Maribavir for Treatment of Cytomegalovirus Infection. (Sep 2022)
Ganciclovir
7.00
High level resistance
Clinical Isolate
Details
Emergence of letermovir resistance in a lung transplant recipient with ganciclovir-resistant cytomegalovirus infection. (Dec 2018)
Ganciclovir
7.50
High level resistance
Clinical Isolate
Details
A new locus of foscarnet resistance in the cytomegalovirus UL54 DNA polymerase gene among uncharacterized mutations in recent clinical trials. (Feb 2026)
Ganciclovir
6.20
High level resistance
Clinical Isolate
Details
Drug Resistance Mutations and Associated Phenotypes Detected in Clinical Trials of Maribavir for Treatment of Cytomegalovirus Infection. (Sep 2022)
Tilloy
et al.
, 2024
Interdeposit Digital Number: IDDN.FR.001.420004.000.S.X.2024.000.31230