2013
DOI: 10.1016/j.coviro.2013.03.014
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HIV-1 reverse transcriptase and antiviral drug resistance. Part 2

Abstract: Structures of RT and its complexes combined with biochemical and clinical data help in illuminating the molecular mechanisms of different drug-resistance mutations. The NRTI drugs that are used in combinations have different primary mutation sites. RT mutations that confer resistance to one drug can be hypersensitive to another RT drug. Structure of an RT-DNA-nevirapine complex revealed how NNRTI binding forbids RT from forming a polymerase competent complex. Collective knowledge about various mechanisms of dr… Show more

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Cited by 87 publications
(96 citation statements)
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“…These inhibitors all block the DNA polymerase activity, not that of RNase H. However, RNase H activity is also required for HIV-1 replication. Considering that the emergence of RT inhibitor-resistant HIV-1 variants is a major issue [2], the development of novel HIV-1 RT inhibitors, such as those that block RNase H activity, is an important subject.…”
Section: Introductionmentioning
confidence: 99%
“…These inhibitors all block the DNA polymerase activity, not that of RNase H. However, RNase H activity is also required for HIV-1 replication. Considering that the emergence of RT inhibitor-resistant HIV-1 variants is a major issue [2], the development of novel HIV-1 RT inhibitors, such as those that block RNase H activity, is an important subject.…”
Section: Introductionmentioning
confidence: 99%
“…When the polymerase adds a dinucleotide monophosphate (dNMP) to the 3= end of the primer strand, inorganic pyrophosphate (PP i ) is released. Immediately after incorporation of a nucleotide, the 3= end of the primer ϩ1 strand temporarily resides in the N site; translocation moves the end of the primer from the N site to the P site, which allows the cycle to be repeated (1)(2)(3)(4)(5)(6).…”
mentioning
confidence: 99%
“…This type of mutation (collectively referred to as "exclusion mutations") can be either active, if, for example, there is a direct steric clash between the amino acid substitution and the incoming inhibitor, e.g., when the M184V/I mutations cause a steric clash with the oxathiolane ring of 3TC triphosphate (3TCTP), or passive, in which differences in the interactions of the normal dNTPs and the NRTITPs with the mutant RT favor the incorporation of the normal dNTPs over the analog (e.g., Q151M and K65R) (3)(4)(5).…”
mentioning
confidence: 99%
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