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HIV-1 reverse transcriptase complex with DNA and nevirapine reveals non-nucleoside inhibition mechanism.

Abstract
Combinations of nucleoside and non-nucleoside inhibitors (NNRTIs) of HIV-1 reverse transcriptase (RT) are widely used in anti-AIDS therapies. Five NNRTIs, including nevirapine, are clinical drugs; however, the molecular mechanism of inhibition by NNRTIs is not clear. We determined the crystal structures of RT-DNA-nevirapine, RT-DNA, and RT-DNA-AZT-triphosphate complexes at 2.85-, 2.70- and 2.80-Å resolution, respectively. The RT-DNA complex in the crystal could bind nevirapine or AZT-triphosphate but not both. Binding of nevirapine led to opening of the NNRTI-binding pocket. The pocket formation caused shifting of the 3' end of the DNA primer by ~5.5 Å away from its polymerase active site position. Nucleic acid interactions with fingers and palm subdomains were reduced, the dNTP-binding pocket was distorted and the thumb opened up. The structures elucidate complementary roles of nucleoside and non-nucleoside inhibitors in inhibiting RT.
AuthorsKalyan Das, Sergio E Martinez, Joseph D Bauman, Eddy Arnold
JournalNature structural & molecular biology (Nat Struct Mol Biol) Vol. 19 Issue 2 Pg. 253-9 (Jan 22 2012) ISSN: 1545-9985 [Electronic] United States
PMID22266819 (Publication Type: Journal Article, Research Support, N.I.H., Extramural)
Chemical References
  • Anti-HIV Agents
  • DNA, Viral
  • Nevirapine
  • reverse transcriptase, Human immunodeficiency virus 1
  • HIV Reverse Transcriptase
Topics
  • Anti-HIV Agents (chemistry, metabolism)
  • Crystallography, X-Ray
  • DNA, Viral (chemistry, metabolism)
  • HIV Reverse Transcriptase (antagonists & inhibitors, chemistry, metabolism)
  • Models, Molecular
  • Nevirapine (chemistry, metabolism)
  • Nucleic Acid Conformation
  • Protein Binding
  • Protein Conformation

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