Target intelligence / Profile preview

Non-structural protein 5B RNA-dependent RNA polymerase of hepatitis C virus (NS5B)

Target
NS5B
Molecular classification
Enzyme, RNA-dependent RNA polymerase, Viral polymerase
01

Overview

Non-structural protein 5B (NS5B) is a viral RNA-dependent RNA polymerase encoded by hepatitis C virus (HCV). It is essential for replication of the viral RNA genome, catalyzing the synthesis of progeny RNA strands from the viral single-stranded positive-sense RNA template. NS5B exhibits a right-hand-like shape with finger, palm, and thumb subdomains, with a central active site residing in the palm region. The enzyme catalyzes RNA synthesis by a de novo mechanism, first forming a dinucleotide and then processively elongating the nascent RNA chain. Drugs targeting NS5B include both nucleoside/nucleotide analogs and non-nucleoside inhibitors, which disrupt replication and are highly effective in modern direct-acting antiviral therapies for chronic HCV infection. Resistance mutations may limit efficacy of some inhibitors, necessitating combination therapy with agents targeting other viral proteins. NS5B's essential role in HCV replication and its virus-specific nature make it a prime therapeutic target in antiviral drug development.

Other names
NS5BHepatitis C virus nonstructural protein 5BHCV NS5B RNA-dependent RNA polymeraseHCV RdRp
02

Mechanism of action

Nucleoside/nucleotide analog inhibitors: Incorporate into growing viral RNA chain, cause chain termination (e.g., Sofosbuvir). Non-nucleoside inhibitors: Bind allosterically, alter polymerase conformation, inhibit activity (e.g., Dasabuvir). Inhibition of RNA polymerization, preventing viral replication.

03

Biological functions

RNA replicationCatalysis of viral genome synthesisDe novo RNA synthesisInitiates and elongates RNA chains during viral replication
04

Disease associations

Infection (specifically hepatitis C)Hepatocellular carcinoma (indirect, via HCV-induced pathogenesis)Liver cirrhosis (indirect, via HCV-induced pathogenesis)
05

Safety considerations

Emergence of resistance mutations (e.g., S282T for Sofosbuvir)Combination therapy needed to minimize resistanceOff-target effects rare given viral specificity, but drug-drug interactions exist in multi-drug regimens
06

Interacting drugs

Sofosbuvir (Sovaldi/Harvoni)

8 more in the full profile.

07

Biomarkers

NS5B RNA polymerase activity may be used as a biomarker for HCV replication, drug susceptibility, and resistance (e.g., S282T resistance mutation for Sofosbuvir efficacy)

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