h 5-Azacytidine (5-aza-C) is a ribonucleoside analog that induces the lethal mutagenesis of human immunodeficiency virus type 1 (HIV-1) by causing predominantly G-to-C transversions during reverse transcription. 5-Aza-C could potentially act primarily as a ribonucleotide (5-aza-CTP) or as a deoxyribonucleotide (5-aza-2=-deoxycytidine triphosphate [5-aza-dCTP]) during reverse transcription. In order to determine the primary form of 5-aza-C that is active against HIV-1, Illumina sequencing was performed using proviral DNA from cells treated with 5-aza-C or 5-aza-dC. 5-Aza-C and 5-aza-dC were found to induce highly similar patterns of mutation in HIV-1 in terms of the types of mutations observed, the magnitudes of effects, and the distributions of mutations at individual sequence positions. Further, 5-aza-dCTP was detected by liquid chromatography-tandem mass spectrometry in cells treated with 5-aza-C, demonstrating that 5-aza-C was a substrate for ribonucleotide reductase. Notably, levels of 5-aza-dCTP were similar in cells treated with equivalent effective concentrations of 5-aza-C or 5-aza-dC. Lastly, HIV-1 reverse transcriptase was found to incorporate 5-aza-CTP in vitro at least 10,000-fold less efficiently than 5-aza-dCTP. Taken together, these data support the model that 5-aza-C enhances the mutagenesis of HIV-1 primarily after reduction to 5-aza-dC, which can then be incorporated during reverse transcription and lead to G-to-C hypermutation. These findings may have important implications for the design of new ribonucleoside analogs directed against retroviruses.
RNA viruses exhibit high mutation rates and have been postulated to replicate near the error threshold-the maximal mutation rate compatible with the maintenance of genetic information (1, 2). Thus, these viruses may be particularly sensitive to small molecules that promote viral mutations, an antiviral strategy called lethal mutagenesis (3). Lethal mutagenesis has been pursued as a potential antiviral approach for many different RNA viruses (4). Most small-molecule candidates for lethal mutagenesis identified thus far have been nucleoside analogs with altered base-pairing properties. These nucleoside analogs base pair promiscuously due to ionization, structural rearrangement, tautomerization, or conformational flexibility (5). Alternatively, small molecules can be used to promote viral mutagenesis by leveraging host nucleic acid-editing enzymes that are part of the innate immune response. For example, molecules have been identified that block the degradation of APOBEC3 enzymes by the human immunodeficiency virus type 1 (HIV-1) accessory protein Vif (6-9). These molecules ultimately promote the incorporation of APOBEC3 proteins into virions, resulting in lethal G-to-A hypermutation during the next cycle of replication.The ribonucleoside analog 5-azacytidine (5-aza-C) reduces the infectivity of HIV-1 by inducing lethal mutagenesis (10). 5-Aza-C is active during both the early and late phases of viral replication, reflecting incorporation during both r...