2011
DOI: 10.1021/jm101536x
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Crystal Structure oftert-Butyldimethylsilyl-spiroaminooxathioledioxide-thymine (TSAO-T) in Complex with HIV-1 Reverse Transcriptase (RT) Redefines the Elastic Limits of the Non-nucleoside Inhibitor-Binding Pocket

Abstract: Tert-butyldimethylsilyl-spiroaminooxathioledioxide (TSAO) compounds have an embedded thymidine-analog backbone; however, TSAO compounds invoke non-nucleoside RT inhibitor (NNRTI) resistance mutations. Our crystal structure of RT:7 (TSAO-T) complex shows that 7 binds inside the NNRTI-binding pocket assuming a “dragon” shape, and interacts extensively with almost all the pocket residues. The structure also explains the structure-activity relationships and resistance data for TSAO compounds. The binding of 7 caus… Show more

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Cited by 67 publications
(41 citation statements)
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“…It has been proposed this could be a mechanism for the (-)-3TC resistance of M184I/V mutant enzymes (34). Additionally, even bound nonnucleoside reverse transcriptase inhibitors (NNRTIs) can alter the conformations of the active site or nucleic acid binding channel (35)(36)(37). On the contrary, the substrate-binding site of Pol γ undergoes more precise structural changes, evidenced by an unchanged O-helix configuration in normal substrate and inhibitor structures.…”
Section: Different Mechanisms For Pol γ and Rt Substrate Specificity Andmentioning
confidence: 99%
“…It has been proposed this could be a mechanism for the (-)-3TC resistance of M184I/V mutant enzymes (34). Additionally, even bound nonnucleoside reverse transcriptase inhibitors (NNRTIs) can alter the conformations of the active site or nucleic acid binding channel (35)(36)(37). On the contrary, the substrate-binding site of Pol γ undergoes more precise structural changes, evidenced by an unchanged O-helix configuration in normal substrate and inhibitor structures.…”
Section: Different Mechanisms For Pol γ and Rt Substrate Specificity Andmentioning
confidence: 99%
“…Both are potent inhibitors of HIV-1 RTs that are resistant to first generation NNRTIs (nevirapine, delavirdine, and efavirenz). RPV and ETV demonstrate "strategic flexibility" that allows efficient binding to a high plasticity NNIBP (20,21,26,72,73). These two drugs were discovered by a multidisciplinary approach that involved x-ray crystallography, structure-based drug design, and in vivo testing (21, 74 -80).…”
Section: Discussionmentioning
confidence: 99%
“…This hydrophobic pocket was originally identified as the binding site for non-nucleoside reverse transcriptase inhibitors (NNRTIs) including Nevirapine and Efavirenz. [21] NNRTIs do not resemble nucleoside analogues and thus function as uncompetitive inhibitors by binding to the RT-DNA-dNTP complex as opposed to free RT or RT-DNA complex. [22] Furthermore, NNRTIs bind to a pocket that lies~10 from the polymerase's active site and that is lined with large and hydrophobic amino acids including Y181, Y188, F227, and L234.…”
Section: Discussionmentioning
confidence: 99%