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Reverse transcriptase enzyme of human immunodeficiency virus type 1 (HIV-1 RT)

Target
HIV-1 RT
Molecular classification
Enzyme, Polymerase (viral DNA polymerase), Ribonuclease H (RNase H)
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Overview

The reverse transcriptase enzyme of human immunodeficiency virus type 1 (HIV-1 RT) is a multifunctional viral enzyme that mediates the conversion of the single-stranded viral RNA genome into double-stranded DNA, a crucial step for viral integration into the host genome[1][3][4]. It is a heterodimeric enzyme composed of two subunits, p66 and p51, derived from the Gag-Pol polyprotein via proteolytic cleavage. The larger p66 subunit harbors two distinct enzymatic domains: an RNA/DNA-dependent DNA polymerase and an RNase H, while the p51 subunit provides structural support[1][2][3][4]. HIV-1 RT initiates DNA synthesis at the 3′-end of a host-derived tRNA primer annealed to the viral genome and catalyzes the processive synthesis of viral DNA while simultaneously degrading the RNA strand of an RNA/DNA hybrid via its RNase H activity. HIV-1 RT is the molecular target of several classes of antiretroviral drugs, and structural insights have been fundamental in rational drug development. Its high mutation rate is a major contributor to drug resistance, representing a continual challenge for effective long-term antiretroviral therapy[5][6][4].

Other names
Human immunodeficiency virus type 1 reverse transcriptaseHIV reverse transcriptaseRT (in context of HIV-1)HIV-1 RT
02

Mechanism of action

Chain termination of nascent viral DNA (NRTIs act as nucleotide analogs, halt elongation after incorporation); Allosteric inhibition of polymerase activity (NNRTIs bind a hydrophobic pocket, disrupt enzyme conformation and function); Direct inhibition of RNase H activity (select experimental antivirals)

03

Biological functions

RNA-dependent DNA synthesis (copying viral RNA into DNA)DNA-dependent DNA synthesis (extension of viral DNA)RNA hydrolysis (degradation of viral RNA strand in RNA:DNA hybrids)
04

Disease associations

Infection (specifically HIV-1 infection and AIDS)Other (antiviral drug resistance development due to high mutation rates)
05

Safety considerations

Rapid development of drug resistance due to error-prone nature of the enzymeCross-resistance among drug classes (notably within NRTIs and NNRTIs)Toxicities from NRTIs (mitochondrial dysfunction, mainly due to inhibition of human DNA polymerase gamma)Drug–drug interactions with other antiretrovirals and medications
06

Interacting drugs

Nucleoside reverse transcriptase inhibitors (NRTIs)

16 more in the full profile.

07

Biomarkers

Presence of HIV-1 proviral DNA (evidence of prior RT activity)Detection of drug resistance mutations in the reverse transcriptase gene (for therapy selection)Plasma viral load (surrogacy for reverse transcriptase activity)Not widely used as a *direct* biomarker in current clinical practice

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