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Human immunodeficiency virus type 1 reverse transcriptase (for HIV-1)| Hepatitis B virus polymerase (for HBV) (HIV-1 RT (for HIV-1), HBV polymerase or HBV RT (for HBV))

Target
HIV-1 RT (for HIV-1), HBV polymerase or HBV RT (for HBV)
Molecular classification
Enzyme, Viral-encoded DNA polymerase with RNase H activity, Reverse transcriptase
01

Overview

HIV-1 reverse transcriptase (HIV-1 RT) is a viral-encoded, heterodimeric enzyme responsible for copying the single-stranded RNA genome of HIV-1 into double-stranded DNA through its DNA polymerase and RNase H activities; this DNA is subsequently integrated into the host cell genome, making RT essential for viral replication. HBV polymerase, also known as HBV reverse transcriptase or P protein, is a multifunctional viral enzyme crucial for hepatitis B virus replication, catalyzing both priming of DNA synthesis and reverse transcription of viral pregenomic RNA into DNA. Both enzymes are highly validated therapeutic targets for antiviral therapies, especially nucleoside/nucleotide analogues that terminate polymerization or non-nucleoside inhibitors that allosterically block enzyme activity. Resistance mutations in either enzyme are of significant clinical importance and complicate long-term therapy. Note: For database or structured records, HIV-1 reverse transcriptase and HBV polymerase should be cataloged as two separate, specific targets as per current scientific conventions.

Other names
RTHIV RTHBV reverse transcriptaseP protein
02

Mechanism of action

NRTIs: Competitive incorporation into viral DNA, causing chain termination. NNRTIs (for HIV-1): Allosteric inhibition of reverse transcriptase by binding to a hydrophobic pocket near polymerase active site, distorting enzyme and blocking function. RNase H inhibition (under investigation): Specific inhibition of RNase H activity.

03

Biological functions

Viral genome replication (conversion of RNA to DNA in HIV-1)DNA synthesis from RNA and DNA templates in HBVEssential for viral life cycleCreation of double-stranded DNA from viral genome for integration into host DNA (HIV-1)Reverse transcription and covalently closed circular DNA formation in HBV
04

Disease associations

Human immunodeficiency virus infection/AIDSHepatitis BDrug resistance
05

Safety considerations

Rapid development of drug resistance due to high mutation rate and selective drug pressurePossible hepatic and renal toxicity from medicationsDrug-drug interactionsChronic infection requires lifelong therapy
06

Interacting drugs

lamivudine (3TC)

9 more in the full profile.

07

Biomarkers

Mutations in RT gene (for detection of drug resistance, patient selection, and monitoring efficacy)M184V (HIV-1)K65R (HIV-1)Q151M (HIV-1)YMDD motif mutations (HBV)

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