高效掺入和模板依赖性聚合酶抑制是瑞德西韦广谱抗病毒活性的主要决定因素。

Efficient incorporation and template-dependent polymerase inhibition are major determinants for the broad-spectrum antiviral activity of remdesivir.

机构信息

Department of Medical Microbiology and Immunology, University of Alberta, Edmonton, Alberta, Canada.

Gilead Sciences, Inc, Foster City, California, USA.

出版信息

J Biol Chem. 2022 Feb;298(2):101529. doi: 10.1016/j.jbc.2021.101529. Epub 2021 Dec 23.

Abstract

Remdesivir (RDV) is a direct-acting antiviral agent that is approved in several countries for the treatment of coronavirus disease 2019 caused by the severe acute respiratory syndrome coronavirus 2. RDV exhibits broad-spectrum antiviral activity against positive-sense RNA viruses, for example, severe acute respiratory syndrome coronavirus and hepatitis C virus, and nonsegmented negative-sense RNA viruses, for example, Nipah virus, whereas segmented negative-sense RNA viruses such as influenza virus or Crimean-Congo hemorrhagic fever virus are not sensitive to the drug. The reasons for this apparent efficacy pattern are unknown. Here, we expressed and purified representative RNA-dependent RNA polymerases and studied three biochemical parameters that have been associated with the inhibitory effects of RDV-triphosphate (TP): (i) selective incorporation of the nucleotide substrate RDV-TP, (ii) the effect of the incorporated RDV-monophosphate (MP) on primer extension, and (iii) the effect of RDV-MP in the template during incorporation of the complementary UTP. We found a strong correlation between antiviral effects and efficient incorporation of RDV-TP. Inhibition in primer extension reactions was heterogeneous and usually inefficient at higher NTP concentrations. In contrast, template-dependent inhibition of UTP incorporation opposite the embedded RDV-MP was seen with all polymerases. Molecular modeling suggests a steric conflict between the 1'-cyano group of the inhibitor and residues of the structurally conserved RNA-dependent RNA polymerase motif F. We conclude that future efforts in the development of nucleotide analogs with a broader spectrum of antiviral activities should focus on improving rates of incorporation while capitalizing on the inhibitory effects of a bulky 1'-modification.

摘要

瑞德西韦(RDV)是一种直接作用的抗病毒药物,已在多个国家获得批准,用于治疗由严重急性呼吸综合征冠状病毒 2 引起的 2019 年冠状病毒病。RDV 对正链 RNA 病毒(例如严重急性呼吸综合征冠状病毒和丙型肝炎病毒)和非节段负链 RNA 病毒(例如尼帕病毒)具有广谱抗病毒活性,而非节段负链 RNA 病毒(例如流感病毒或克里米亚-刚果出血热病毒)对该药物不敏感。造成这种明显疗效模式的原因尚不清楚。在这里,我们表达和纯化了具有代表性的 RNA 依赖性 RNA 聚合酶,并研究了与 RDV-三磷酸(TP)抑制作用相关的三个生化参数:(i)核苷底物 RDV-TP 的选择性掺入,(ii)掺入的 RDV-单磷酸(MP)对引物延伸的影响,以及(iii)在互补 UTP 掺入过程中嵌入的 RDV-MP 在模板中的作用。我们发现抗病毒作用与 RDV-TP 的有效掺入之间存在很强的相关性。在引物延伸反应中,抑制作用是不均匀的,并且在较高的 NTP 浓度下通常效率低下。相比之下,在所有聚合酶中都观察到与嵌入的 RDV-MP 相对的模板依赖性 UTP 掺入抑制。分子建模表明,抑制剂的 1'-氰基基团与结构上保守的 RNA 依赖性 RNA 聚合酶 motif F 的残基之间存在空间冲突。我们得出的结论是,在开发具有更广泛抗病毒活性的核苷酸类似物的未来工作中,应重点提高掺入率,同时利用大体积 1'-修饰的抑制作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5010/8808185/3b7e1a5d1a34/gr1.jpg

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