Target intelligence / Profile preview

Human cytomegalovirus DNA polymerase (UL54)

Target
UL54
Molecular classification
Enzyme [1, 6, 11], DNA-directed DNA polymerase [3, 6, 11], Viral protein [3, 7]
01

Overview

Human cytomegalovirus (HCMV) DNA polymerase is a vital enzyme responsible for the replication of the viral genome during infection [1, 3]. It consists of a catalytic subunit, encoded by the UL54 gene, and an accessory processivity factor, UL44, which together ensure the efficient synthesis of long DNA strands [1, 4, 7]. As a DNA-directed DNA polymerase, it incorporates deoxynucleoside triphosphates into the growing viral DNA chain and possesses 3'-5' exonuclease activity for proofreading [1]. This enzyme is the primary therapeutic target for treating HCMV infections, particularly in immunocompromised individuals and neonates [2, 7, 9]. Current antiviral drugs such as ganciclovir, foscarnet, and cidofovir inhibit this polymerase by acting as nucleoside analogs that cause chain termination or by blocking the pyrophosphate binding site [1, 6, 13]. Despite their efficacy, these treatments are associated with severe side effects like nephrotoxicity and bone marrow suppression, and their long-term use frequently leads to the development of drug-resistant mutations in the UL54 gene [1, 2, 9, 13].

Other names
UL54pUL54DNA polymerase catalytic subunitDNA-directed DNA polymeraseHHV-5 DNA polymerase
02

Mechanism of action

Inhibition of viral DNA synthesis via DNA chain termination (nucleoside/nucleotide analogs) or competitive inhibition of the pyrophosphate binding site (foscarnet) [1, 2, 6, 10, 13].

03

Biological functions

Viral DNA replication [1, 3, 7, 13]Viral genome synthesis [1, 10]3'-5' exonuclease activity [1]Interaction with processivity factor UL44 [1, 4, 7]
04

Disease associations

Infection [2, 7, 9]Congenital defects [1]Morbidity in immunocompromised patients [2, 7, 9]
05

Safety considerations

Nephrotoxicity [1, 9, 13]Myelosuppression [1, 13]Drug resistance [1, 2, 5, 9, 12]Cross-resistance between polymerase inhibitors [9, 13]Potential teratogenicity [12]
06

Interacting drugs

Ganciclovir [1, 2, 7, 9, 13]

4 more in the full profile.

07

Biomarkers

HCMV DNA viral load [2, 5]UL54 resistance mutations [2, 5, 9]UL97 resistance mutations (contextual for GCV) [2, 5, 13]

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