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The Cytomegalovirus DNA polymerase catalytic subunit, encoded by the UL54 gene, is an essential enzyme for the replication of the human cytomegalovirus (HCMV) genome. It operates as a DNA-directed DNA polymerase, facilitating the synthesis of viral DNA during the lytic phase of infection (UniProt P08546). The enzyme also exhibits 3'-5' exonuclease activity, which provides a proofreading function to maintain replication fidelity (PubMed: 12857911). This polymerase is a well-established therapeutic target for several antiviral agents, including ganciclovir, foscarnet, and cidofovir (NIH: PMC7127481). These drugs work by inhibiting the enzyme's activity, either through competitive inhibition as nucleoside/nucleotide analogs or by blocking the pyrophosphate binding site (PubMed: 11486059). Despite their efficacy, the clinical utility of these drugs is often limited by significant toxicities, such as myelosuppression and nephrotoxicity. Furthermore, the emergence of resistance-conferring mutations in the UL54 gene remains a major hurdle in the treatment of HCMV in immunocompromised patients and neonates (PubMed: 31434747).
Inhibition of viral DNA synthesis through competitive inhibition of deoxyribonucleoside triphosphate (dNTP) incorporation, leading to DNA chain termination (nucleoside/nucleotide analogs), or through noncompetitive inhibition of the pyrophosphate binding site (pyrophosphate analogs).
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