201. Mechanism for nucleoside analog-mediated abrogation of HIV-1 replication: Balance between RNase H activity and nucleotide excision
- Author
-
Vinay K. Pathak, Galina N. Nikolenko, John W. Mellors, Sarah Palmer, John M. Coffin, and Frank Maldarelli
- Subjects
DNA Repair ,Ribonuclease H ,Biology ,Virus Replication ,Antiviral Agents ,Nucleoside Reverse Transcriptase Inhibitor ,Cell Line ,Drug Resistance, Viral ,Humans ,Nucleotide ,RNase H ,chemistry.chemical_classification ,Recombination, Genetic ,Multidisciplinary ,DNA synthesis ,RNA ,virus diseases ,Nucleosides ,Biological Sciences ,Virology ,Molecular biology ,Reverse transcriptase ,chemistry ,Discovery and development of nucleoside and nucleotide reverse-transcriptase inhibitors ,biology.protein ,HIV-1 ,Reverse Transcriptase Inhibitors ,Nucleoside ,Zidovudine - Abstract
Understanding the mechanisms of HIV-1 drug resistance is critical for developing more effective antiretroviral agents and therapies. Based on our previously described dynamic copy-choice mechanism for retroviral recombination and our observations that nucleoside reverse transcriptase inhibitors (NRTIs) increase the frequency of reverse transcriptase template switching, we propose that an equilibrium exists between ( i ) NRTI incorporation, NRTI excision, and resumption of DNA synthesis and ( ii ) degradation of the RNA template by RNase H activity, leading to dissociation of the template-primer and abrogation of HIV-1 replication. As predicted by this model, mutations in the RNase H domain that reduced the rate of RNA degradation conferred high-level resistance to 3′-azido-3′-deoxythymidine and 2,3-didehydro-2,3-dideoxythymidine by as much as 180- and 10-fold, respectively, by increasing the time available for excision of incorporated NRTIs from terminated primers. These results provide insights into the mechanism by which NRTIs inhibit HIV-1 replication and imply that mutations in RNase H could significantly contribute to drug resistance either alone or in combination with NRTI-resistance mutations in reverse transcriptase.
- Published
- 2005