Target intelligence / Profile preview

Hepatitis C virus NS5B RNA-dependent RNA polymerase (NS5B) (NS5B)

Target
NS5B
Molecular classification
Enzyme, RNA-directed RNA polymerase, Transferase, Viral protein
01

Overview

Hepatitis C virus (HCV) NS5B RNA-dependent RNA polymerase is the essential catalytic enzyme responsible for replicating the viral RNA genome (UniProt P26664). It functions by synthesizing a negative-strand RNA intermediate from the positive-strand genomic RNA, which then serves as a template for new viral genomes (PubMed: 11581173). As a key component of the viral replication complex, NS5B is a primary target for direct-acting antiviral (DAA) medications used to treat chronic hepatitis C (NIH: NBK548557). These drugs include nucleoside/nucleotide analogs, such as sofosbuvir, which act as chain terminators, and non-nucleoside inhibitors, such as dasabuvir, which bind to allosteric sites to inhibit enzymatic activity (PubChem CID 45375808). Targeting this enzyme is highly effective because there is no human homolog, minimizing off-target effects while successfully clearing the virus in the majority of patients (PubMed: 24552135).

Other names
NS5B polymeraseHCV RdRpRNA-directed RNA polymeraseNon-structural protein 5BHCV RNA-dependent RNA polymeraseHCV RNA synthesis
02

Mechanism of action

Inhibition of viral RNA synthesis through either competitive inhibition and chain termination (nucleoside/nucleotide analogs) or allosteric modulation (non-nucleoside inhibitors) of the NS5B RNA-dependent RNA polymerase, thereby preventing the replication of the HCV genome.

03

Biological functions

Viral RNA replicationRNA synthesisViral genome replicationRNA-dependent RNA replication
04

Disease associations

InfectionHepatitis CLiver CirrhosisHepatocellular CarcinomaChronic Hepatitis
05

Safety considerations

Symptomatic bradycardia when co-administered with amiodarone (specifically for sofosbuvir)Risk of Hepatitis B Virus (HBV) reactivationDrug-drug interactions via P-glycoprotein (P-gp) transportersDevelopment of antiviral resistance mutations (e.g., S282T)Hepatotoxicity in patients with decompensated cirrhosis
06

Interacting drugs

Sofosbuvir

8 more in the full profile.

07

Biomarkers

HCV RNA viral loadNS5B resistance-associated substitutions (RASs)HCV genotypeS282T mutation

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