The hepatitis C virus (HCV) polymerase is required for replication of the viral genome and is a key target for therapeutic intervention against HCV. We have determined the crystal structures of the HCV polymerase complexed with two indole-based allosteric inhibitors at 2.3-and 2.4-Å resolution. The structures show that these inhibitors bind to a site on the surface of the thumb domain. A cyclohexyl and phenyl ring substituents, bridged by an indole moiety, fill two closely spaced pockets, whereas a carboxylate substituent forms a salt bridge with an exposed arginine side chain. Interestingly, in the apoenzyme, the inhibitor binding site is occupied by a small ␣-helix at the tip of the N-terminal loop that connects the fingers and thumb domains. Thus, these molecules inhibit the enzyme by preventing formation of intramolecular contacts between these two domains and consequently precluding their coordinated movements during RNA synthesis. Our structures identify a novel mechanism by which a new class of allosteric inhibitors inhibits the HCV polymerase and open the way to the development of novel antiviral agents against this clinically relevant human pathogen.
The hepatitis C virus (HCV)1 is a small positive-strand RNA virus responsible for a considerable proportion of acute and chronic hepatitis in humans (1, 2). It is estimated that more than 170 million people worldwide are infected by this virus (3). There is no vaccine available for HCV, and the current therapy, based on interferon and ribavirin, is poorly tolerated and of limited efficacy. Therefore, there are intense research efforts toward the development of new drugs targeting essential HCV enzymes and in particular the polymerase. The HCV nonstructural protein 5B (NS5B) is the RNA-dependent RNA polymerase (RdRp) responsible for replication of the viral genome. NS5B can initiate RNA synthesis by two different mechanisms: primer-independent initiation from the 3Ј terminus of the viral genome, also known as de novo initiation (4, 5), and primer-dependent initiation using either DNA or RNA as primers (6). The de novo synthesis is likely used during virus replication in infected cells (7).The three-dimensional structures of soluble forms of the HCV polymerase genotype 1b, ⌬C21 and ⌬C55, lacking the last 21 and 55 C-terminal residues, respectively, have been reported (8 -10). These structures revealed a classical "right hand" shape formed by the palm, thumb, and fingers domains as initially defined in the Klenow fragment of Escherichia coli DNA polymerase I (11) and showed the presence of an extension in the fingers, the so-called fingertip subdomain, containing two loops, ⌳1 and ⌳2 (secondary structure nomenclature according to Ref. 9), which anchor the fingers to the thumb. As a result, the polymerase has a relatively closed and spherical appearance, and the active site cavity, to which the RNA template and the NTP substrates have access via two positively charged tunnels, is completely encircled. Structural studies have shown that other viral RdRps, such a...