Target intelligence / Profile preview

HIV-1 reverse transcriptase (HIV-1 RT) (HIV-1 RT)

Target
HIV-1 RT
Molecular classification
Enzyme, DNA polymerase, RNA-directed DNA polymerase, Transferase
01

Overview

HIV-1 reverse transcriptase (RT) is a multifunctional enzyme essential for the replication of the human immunodeficiency virus, responsible for converting the viral single-stranded RNA genome into double-stranded DNA [1]. The enzyme operates as a p66/p51 heterodimer and possesses two primary catalytic activities: a DNA polymerase activity that can utilize both RNA and DNA templates, and an RNase H activity that degrades the RNA strand of RNA-DNA intermediates [2]. The DNA polymerase active site is the specific region where nucleotide incorporation occurs and is the primary target for two major classes of antiretroviral drugs: Nucleoside/Nucleotide Reverse Transcriptase Inhibitors (NRTIs) and Non-Nucleoside Reverse Transcriptase Inhibitors (NNRTIs) [3]. NRTIs function as chain terminators by mimicking natural nucleotides but lacking the 3'-hydroxyl group necessary for further strand elongation [4]. In contrast, NNRTIs bind to an allosteric site near the polymerase active site, inducing a conformational change that inhibits the enzyme's catalytic efficiency [5]. Due to the lack of proofreading activity, the enzyme is prone to mutations that lead to drug resistance, making it a critical target for combination therapy and resistance monitoring [6].

Other names
RNA-directed DNA polymeraseRetroviral reverse transcriptasep66/p51 heterodimerHIV-1 RTReverse transcriptase
02

Mechanism of action

Nucleoside/Nucleotide Reverse Transcriptase Inhibitors (NRTIs) act as competitive inhibitors and chain terminators by mimicking natural deoxynucleotides; Non-Nucleoside Reverse Transcriptase Inhibitors (NNRTIs) act as allosteric inhibitors by binding to a hydrophobic pocket near the polymerase active site, inducing conformational changes that inhibit catalytic activity.

03

Biological functions

Viral replicationReverse transcriptionDNA synthesisRNA degradation
04

Disease associations

InfectionHIV/AIDS
05

Safety considerations

Mitochondrial toxicity (NRTI class effect) [3]Lactic acidosis and hepatic steatosis [3]Hypersensitivity reactions (e.g., Abacavir HLA-B*5701) [7]Renal toxicity and bone density loss (e.g., Tenofovir disoproxil fumarate) [8]Neuropsychiatric side effects (e.g., Efavirenz) [5]Hepatotoxicity (NNRTI class effect) [5]
06

Interacting drugs

Zidovudine

9 more in the full profile.

07

Biomarkers

HIV-1 RNA viral loadCD4+ T-cell countGenotypic resistance mutations (e.g., K103N, M184V, Y181C)

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