Target intelligence / Profile preview

Human immunodeficiency virus reverse transcriptase and Hepatitis B virus polymerase (HIV-RT / HBV-Pol)

Target
HIV-RT / HBV-Pol
Molecular classification
Enzyme, Polymerase, Reverse transcriptase
01

Overview

Human immunodeficiency virus (HIV) reverse transcriptase and Hepatitis B virus (HBV) polymerase are essential enzymes for the replication cycles of their respective viruses. HIV reverse transcriptase is an RNA-dependent DNA polymerase that converts the viral single-stranded RNA genome into double-stranded DNA for host genome integration [1]. HBV polymerase is a multi-functional enzyme with reverse transcriptase activity that converts pregenomic RNA into viral DNA within the nucleocapsid [2]. Due to the conserved nature of their catalytic domains, several nucleoside and nucleotide analogues (NRTIs/NtRTIs) are capable of targeting both enzymes simultaneously [3]. These therapeutic agents act as competitive inhibitors and DNA chain terminators, effectively suppressing viral replication and reducing the risk of disease progression to AIDS or chronic liver complications like cirrhosis and hepatocellular carcinoma [4]. Monitoring for drug resistance and potential toxicities, such as renal dysfunction or bone density loss, is critical in long-term management [5].

Other names
HIV-1 reverse transcriptaseHBV DNA polymeraseP proteinRNA-directed DNA polymeraseReverse transcriptase
02

Mechanism of action

Competitive inhibition of viral polymerase and reverse transcriptase activity, acting as nucleoside/nucleotide analogues that cause DNA chain termination during viral genome replication.

03

Biological functions

Viral replicationReverse transcriptionDNA synthesisRNA-dependent DNA polymerase activity
04

Disease associations

InfectionHIV/AIDSHepatitis BChronic hepatitisHepatocellular carcinoma
05

Safety considerations

Renal toxicityBone mineral density lossLactic acidosisSevere hepatomegaly with steatosisDevelopment of drug resistance mutations (e.g., M184V/I)Acute exacerbation of hepatitis B upon treatment discontinuation
06

Interacting drugs

Tenofovir disoproxil fumarate

6 more in the full profile.

07

Biomarkers

HIV-1 RNA viral loadHBV DNA viral loadCD4+ T-cell countHepatitis B surface antigen (HBsAg)Alanine aminotransferase (ALT)

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