Search for new therapeutics against HIV-1 via dual inhibition of RNase H and integrase: Current status and future challenges

Reverse transcriptase and integrase are key enzymes that play a pivotal role in HIV-1 viral maturation and replication. Reverse transcriptase consists of two active sites: RNA-dependent DNA polymerase and RNase H. The catalytic domains of integrase and RNase H share striking similarity, comprising t...

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Main Authors: Kharkwal, Harsha, Kumar, Banoth K., Murugesan, Sankaranarayanan, Singhvi, Gautam, Avasthi, Preeti, Goyal, Ankush, Jamalis, Joazaizulfazli, Chander, Subhash
Format: Article
Published: Future Medicine Ltd. 2021
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Online Access:http://eprints.utm.my/id/eprint/94876/
http://dx.doi.org/10.4155/fmc-2020-0257
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Summary:Reverse transcriptase and integrase are key enzymes that play a pivotal role in HIV-1 viral maturation and replication. Reverse transcriptase consists of two active sites: RNA-dependent DNA polymerase and RNase H. The catalytic domains of integrase and RNase H share striking similarity, comprising two aspartates and one glutamate residue, also known as the catalytic DDE triad, and a Mg2+ pair. The simultaneous inhibition of reverse transcriptase and integrase can be a rational drug discovery approach for combating the emerging drug resistance problem. In the present review, the dual inhibition of RNase H and integrase is systematically discussed, including rationality of design, journey of development, advancement and future perspective.