Target intelligence / Profile preview

Polymerases and reverse transcriptases (RT/Pol)

Target
RT/Pol
Molecular classification
Enzyme, Transferase, Nucleotidyltransferase
01

Overview

Polymerases and reverse transcriptases are a broad class of enzymes responsible for the template-directed synthesis of nucleic acid polymers, playing fundamental roles in genetic replication, transcription, and repair [4, 13]. DNA polymerases synthesize DNA from DNA or RNA templates, while RNA polymerases produce RNA during transcription or viral replication [2, 9]. Reverse transcriptases are specialized RNA-dependent DNA polymerases that convert viral RNA into DNA, a process essential for the replication of retroviruses like HIV and pararetroviruses like Hepatitis B [4, 12]. These enzymes are primary therapeutic targets for a wide range of antiviral, antibacterial, and anticancer drugs [3, 6]. Pharmacological intervention typically involves nucleoside or nucleotide analogs that cause premature chain termination or non-nucleoside inhibitors that bind to allosteric sites to impede enzymatic activity [2, 18]. While highly effective, targeting these enzymes can lead to off-target effects, such as mitochondrial toxicity due to the inhibition of human mitochondrial DNA polymerase gamma [11].

Other names
NucleotidyltransferasesDNA-directed DNA polymeraseRNA-directed DNA polymeraseRNA-directed RNA polymeraseDNA-directed RNA polymeraseReverse transcriptasesRdRp
02

Mechanism of action

Nucleoside and nucleotide analogs act as competitive inhibitors and chain terminators; non-nucleoside inhibitors provide allosteric inhibition; and certain agents act as lethal mutagens.

03

Biological functions

DNA replicationTranscriptionReverse transcriptionViral genome replicationDNA repairTelomere maintenance
04

Disease associations

InfectionCancerAutoimmune disease
05

Safety considerations

Mitochondrial toxicity (off-target inhibition of Pol gamma)Bone marrow suppression (anemia, neutropenia)NephrotoxicityLactic acidosisHepatotoxicity
06

Interacting drugs

Zidovudine

11 more in the full profile.

07

Biomarkers

Viral load (e.g., HIV RNA, HCV RNA, HBV DNA)Genotypic resistance mutations (e.g., M184V, K103N)Telomerase activity (hTERT expression)

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