2017
DOI: 10.1128/aac.00492-17
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Nucleotide Substrate Specificity of Anti-Hepatitis C Virus Nucleoside Analogs for Human Mitochondrial RNA Polymerase

Abstract: Nucleoside analog inhibitors (NAIs) are an important class of antiviral agents. Although highly effective, some NAIs with activity against hepatitis C virus (HCV) can cause toxicity, presumably due to off-target inhibition of host mitochondrial RNA polymerase (POLRMT). The nucleotide substrate specificity of POLRMT was studied in order to explore structure-activity relationships that can facilitate the identification of nontoxic NAIs. These findings have important implications for the development of all anti-R… Show more

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Cited by 8 publications
(8 citation statements)
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“…Nucleoside analogs are widely used for the prevention and treatment of several viral infections, including human immunodeficiency virus, hepatitis B virus, and herpes infections ( Albrecht et al, 1970 ; Burchenal et al, 1975 ; Aguirrebengoa et al, 1996 ; Adams et al, 1997 ; Bavoux et al, 2000 ; Quan and Peters, 2004 ; Anderson, 2008 ; Angusti et al, 2008 ; Ambrose et al, 2009 ; Billioud et al, 2011 ; Agarwal et al, 2015 ; Cao et al, 2015 ; Ehteshami et al, 2017 ). Due to their hydrophilic nature, nucleoside analogs depend on a carrier-mediated transport process to permeate through host cell membranes before exhibiting their antiviral activities ( Yao et al, 1996 ; Damaraju et al, 2011 ; Moss et al, 2012 ).…”
Section: Introductionmentioning
confidence: 99%
“…Nucleoside analogs are widely used for the prevention and treatment of several viral infections, including human immunodeficiency virus, hepatitis B virus, and herpes infections ( Albrecht et al, 1970 ; Burchenal et al, 1975 ; Aguirrebengoa et al, 1996 ; Adams et al, 1997 ; Bavoux et al, 2000 ; Quan and Peters, 2004 ; Anderson, 2008 ; Angusti et al, 2008 ; Ambrose et al, 2009 ; Billioud et al, 2011 ; Agarwal et al, 2015 ; Cao et al, 2015 ; Ehteshami et al, 2017 ). Due to their hydrophilic nature, nucleoside analogs depend on a carrier-mediated transport process to permeate through host cell membranes before exhibiting their antiviral activities ( Yao et al, 1996 ; Damaraju et al, 2011 ; Moss et al, 2012 ).…”
Section: Introductionmentioning
confidence: 99%
“…Recent biochemical data examining levels of off-target incorporation of nucleoside analogue triphosphates by the human mitochondrial RNA polymerase may help explain the phenotypic relationship we observed: both 2′- C -methyluridine triphosphate and 2′- C -methyl-2′- C -fluorouridine triphosphate (the active metabolite of sofosbuvir) show much lower levels of incorporation by this host enzyme than 2′- C -modified analogues with other nucleobases. [50]. We propose that this may account for the better safety profile observed for sofosbuvir compared to other 2′- C -modified compounds that were tested in clinical trials.…”
Section: Resultsmentioning
confidence: 96%
“…Our data showed, for example, that CTP mispairing with deoxyadenosine in the template has the highest misincorporation frequency, (7.69 ± 0.97) × 10 −5 [the discrimination value for this wrong CTP was (1.31 ± 0.17) × 10 4 ; Table 3 ]. Based on these data and references from other studies ( 12 , 13 , 16 ), we have proposed the following criteria for evaluating the potential mitochondrial toxicity of ribonucleotide analogs: a safe compound has a D value of >10 5 , a potentially toxic compound has a D value of >10 4 but <10 5 , and a toxic compound has a D value of <10 4 , where the D value is the value of discrimination of a ribonucleotide analog 5′-triphosphate versus a natural rNTP measured in the POLRMT assay. These criteria are applicable to ribonucleotide analog 5′-triphosphates that do not cause chain termination; these threshold values would be expected to be lower for ribonucleotide analog 5′-triphosphates causing chain termination.…”
Section: Discussionmentioning
confidence: 92%
“…There is a growing pool of evidence showing that ribonucleotide analog 5′-triphosphates can serve as substrates for human POLRMT and can be incorporated into newly synthesized RNA by POLRMT. Consequently, inhibition of mitochondrial RNA synthesis can lead to the disruption of mitochondrial DNA replication and/or mitochondrial function, causing mitochondrial toxicity ( 11 16 ). Therefore, characterization of the incorporation of ribonucleotide analog 5′-triphosphates by POLRMT could provide a useful tool for the evaluation of rNIs to determine their potential mitochondrial toxicity.…”
Section: Introductionmentioning
confidence: 99%