Meyer P R, Matsuura S E, Schinazi R F, So A G, Scott W A
Department of Biochemistry and Molecular Biology, University of Miami, Miami, Florida 33101-6129, USA.
Antimicrob Agents Chemother. 2000 Dec;44(12):3465-72. doi: 10.1128/AAC.44.12.3465-3472.2000.
Removal of 2',3'-didehydro-3'-deoxythymidine-5'-monophosphate (d4TMP) from a blocked DNA chain can occur through transfer of the chain-terminating residue to a nucleotide acceptor by human immunodeficiency virus type 1 (HIV-1) reverse transcriptase (RT). ATP-dependent removal of either d4TMP or 3'-azido-3'-deoxythymidine-5'-monophosphate (AZTMP) is increased in AZT resistant HIV-1 RT (containing D67N/K70R/T215F/K219Q mutations). Removal of d4TMP is strongly inhibited by the next complementary deoxynucleoside triphosphate (50% inhibitory concentration [IC(50)] of approximately 0.5 microM), whereas removal of AZTMP is much less sensitive to this inhibition (IC(50) of >100 microM). This could explain the lack of cross-resistance by AZT-resistant HIV-1 to d4T in phenotypic drug susceptibility assays.
从受阻的DNA链上去除2',3'-二脱氢-3'-脱氧胸苷-5'-单磷酸(d4TMP)可通过1型人类免疫缺陷病毒(HIV-1)逆转录酶(RT)将链终止残基转移至核苷酸受体来实现。在对叠氮胸苷(AZT)耐药的HIV-1 RT(含有D67N/K70R/T215F/K219Q突变)中,ATP依赖的d4TMP或3'-叠氮-3'-脱氧胸苷-5'-单磷酸(AZTMP)的去除有所增加。d4TMP的去除受到下一个互补脱氧核苷三磷酸的强烈抑制(50%抑制浓度[IC(50)]约为0.5微摩尔),而AZTMP的去除对这种抑制的敏感性要低得多(IC(50)>100微摩尔)。这可以解释在表型药物敏感性试验中,对AZT耐药的HIV-1对d4T缺乏交叉耐药性的现象。