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HIV-1 reverse transcriptase and hepatitis B virus DNA polymerase (None (the accepted abbreviations are HIV-1 RT for "HIV-1 reverse transcriptase" and HBV polymerase or HBV RT for "hepatitis B virus DNA polymerase," but not for the paired target as named here))

Target
None (the accepted abbreviations are HIV-1 RT for "HIV-1 reverse transcriptase" and HBV polymerase or HBV RT for "hepatitis B virus DNA polymerase," but not for the paired target as named here)
Molecular classification
Enzyme, Polymerase, Nucleotidyltransferase (for polymerase function), Ribonuclease H (RNase H domain/function)
01

Overview

HIV-1 reverse transcriptase is a multifunctional enzyme essential for replication of the human immunodeficiency virus type 1, responsible for converting the viral single-stranded RNA genome into double-stranded DNA, which is then integrated into the host genome[1][2][9]. The enzyme operates as a heterodimer of p66 and p51 subunits, harboring both DNA polymerase and ribonuclease H (RNase H) activities in the p66 subunit[1][5]. Hepatitis B virus DNA polymerase, sometimes referred to as HBV reverse transcriptase, is essential for hepatitis B virus replication and possesses polymerase, RNase H, and unique terminal protein (TP) and spacer domains required for protein priming of viral DNA synthesis[6][8]. Both enzymes are central targets for antiviral therapy, though drug resistance remains a significant clinical challenge. While they share some structural and mechanistic similarities, especially in their polymerase and RNase H functions, they are distinct viral proteins encoded by different viruses and should be enumerated as separate therapeutic targets.

Other names
HIV-1 RT (for HIV-1 reverse transcriptase)HBV RT (for HBV polymerase)HBV polymeraseReverse transcriptase (generic)RT (abbreviation when context is clear)
02

Mechanism of action

Nucleos(t)ide reverse transcriptase inhibitors (NRTIs): compete with natural nucleotides and cause chain termination during DNA synthesis Non-nucleoside reverse transcriptase inhibitors (NNRTIs): bind to allosteric sites on HIV-1 RT, inhibiting enzyme activity Dual or domain-specific inhibition (some experimental compounds target both polymerase and RNase H domains)

03

Biological functions

Viral genome replication (catalyzing RNA-dependent and DNA-dependent DNA synthesis)RNA template degradation (RNase H function)Essential for retroviral integration (via synthesis of proviral DNA)
04

Disease associations

Infection (HIV-1, hepatitis B)Antiviral drug resistance
05

Safety considerations

Drug resistance developmentMitochondrial toxicity (for some NRTIs, e.g., older analogues)Off-target effects and cross-reactivity between HIV and HBV enzymes
06

Interacting drugs

Reverse transcriptase inhibitors (e.g., zidovudine, lamivudine, tenofovir, emtricitabine)

2 more in the full profile.

07

Biomarkers

Genotypic resistance mutations (e.g., M184V, K65R in HIV-1 RT; YMDD motif mutations in HBV polymerase)Viral load (for monitoring efficacy)

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