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The Human cytomegalovirus (HCMV) DNA terminase complex is a vital heterotrimeric enzyme assembly responsible for the final stages of viral maturation (Ligat et al., 2018 [PMID: 29437966]). It is composed of three essential subunits: pUL56 (the large subunit), pUL89 (the small subunit), and pUL51 (the portal-binding subunit) (Borst et al., 2016 [PMID: 27139487]). The complex functions by recognizing concatemeric viral DNA, cleaving it into unit-length genomes via the endonuclease activity of pUL89, and translocating the DNA into preformed capsids using the ATPase activity of pUL56 (Ligat et al., 2018 [PMID: 29437966]). This DNA packaging machinery is highly conserved among herpesviruses but lacks a human homolog, making it an ideal target for highly specific antiviral therapy (Goldner et al., 2011 [PMID: 21788470]). The drug letermovir (Prevymis) is a first-in-class inhibitor that specifically targets the pUL56 subunit, thereby blocking the production of infectious virions (Melendez and Razonable, 2015 [PMID: 26449511]). Clinical use of such inhibitors is primarily for the prophylaxis of HCMV infection in hematopoietic stem cell transplant recipients (Marty et al., 2017 [PMID: 29211658]). Resistance to these drugs typically emerges through specific amino acid substitutions in the pUL56 or pUL89 subunits, which can compromise therapeutic efficacy (Chou, 2020 [PMID: 32690531]).
Inhibition of the viral DNA terminase complex, specifically the pUL56 subunit, which prevents the cleavage of concatemeric viral DNA and its subsequent packaging into viral capsids (Goldner et al., 2011 [PMID: 21788470]).
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