Retroviral Integrase
From Proteopedia
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Three-dimensional structures for certain host-cell proteins critical to understanding the mechanism of HIV infection and virulence have emerged from X-ray crystallographic analyses. HIV protease and integrase structures are among the highest ranked structures that have contributed to saving many lives and added to the quality of life of many HIV-afflicted individuals. It is implemented in [[Structure-based drug design|structure-based drug design]] to develop [http://en.wikipedia.org/wiki/Protease_inhibitors protease inhibitors] and [http://en.wikipedia.org/wiki/Integrase_inhibitors integrase inhibitors], and is used as a significant component of ''highly active anti-retroviral therapy'' ([http://en.wikipedia.org/wiki/Haart HAART]). | Three-dimensional structures for certain host-cell proteins critical to understanding the mechanism of HIV infection and virulence have emerged from X-ray crystallographic analyses. HIV protease and integrase structures are among the highest ranked structures that have contributed to saving many lives and added to the quality of life of many HIV-afflicted individuals. It is implemented in [[Structure-based drug design|structure-based drug design]] to develop [http://en.wikipedia.org/wiki/Protease_inhibitors protease inhibitors] and [http://en.wikipedia.org/wiki/Integrase_inhibitors integrase inhibitors], and is used as a significant component of ''highly active anti-retroviral therapy'' ([http://en.wikipedia.org/wiki/Haart HAART]). | ||
- | While existing antiretroviral agents improve the quality of life as well as extending the life of many patients, it fails to eradicate the disease. Studies in integrase inhibitors show that combination with other antiretroviral drugs diminish viral adaptations, and may have the potential to be used for ''salvage therapy'' for patients who have acquired resistance to other drugs. For more, please see [[User:Eric_Martz/Molecular_Playground/HIVDrug|AIDS Before Protease Inhibitors & HIV Protease Inhibitors: A Breakthrough]]. | + | While existing antiretroviral agents improve the quality of life as well as extending the life of many patients, it fails to eradicate the disease. Studies in integrase inhibitors show that combination with other antiretroviral drugs diminish viral adaptations, and may have the potential to be used for ''salvage therapy'' for patients who have acquired resistance to other drugs. For more, please see<br /> |
+ | *[[User:Eric_Martz/Molecular_Playground/HIVDrug|AIDS Before Protease Inhibitors & HIV Protease Inhibitors: A Breakthrough]]<br /> | ||
+ | *[[Treatments:Retroviral Integrase Inhibitor Pharmacokinetics References]]. | ||
==PFV Intasome Crystallization== | ==PFV Intasome Crystallization== |
Revision as of 10:30, 13 February 2019
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Integrase Inhibitors
Name | Brand | Company | Patent | Notes |
Raltegravir | Isentress | Merck & Co. | - | also known as MK-0518. The isopropyl and methyl-oxadiazole of MK-0518 are involved in hydrophobic and stacking interactions with side chains of Pro 214 and Tyr 212 to stabilize this drug within the PFV intasome active site. This manner of drug-binding interaction causes displacement of the reactive 3' viral DNA end from the active site of PFV intasome. After binding of MK-0518 to active site, the reactive 3' hydroxyl group moves away from the active site of the PFV intasome by more than 6 Angstroms. Raltegravir was approved by the FDA on October 12, 2007, for use with other anti-HIV agents in the treatment of HIV infection in adults. It is the first integrase inhibitor approved by the FDA. |
Elvitegravir | - | Gilead Science | - | GS-9137 interacts with Pro 214 of PFV intasome through its quinolone base and isopropyl group. In experimental stages; shares the core structure of quinolone antibiotics. Phase II studies of elvitegravir in people who are treatment experienced have been completed. Phase III studies in treatment experienced patients are ongoing. A phase II study of elvitegravir in people who have never taken antiretroviral therapy is underway. This study will also be evaluated a boosting agent in place of Norvir, currently called GS9350. Elvitegravir holds promise for HIV-positive patients who have taken other anti-HIV drugs in the past. |
MK-2048 | - | Merck & Co. | - | A second generation integrase inhibitor, intended to be used against HIV infection. It is superior to the first available integrase inhibitor, raltegravir, in that it inhibits the HIV enzyme integrase 4 times longer. It is being investigated for use as part of pre-exposure prophylaxis (PrEP). |
See also Retroviral Integrase Inhibitor Pharmacokinetics[6].
Additional Resources
For additional information, see: Human Immunodeficiency Virus
3D Structures of Retroviral Integrase
Updated on 13-February-2019
References
- ↑ Pandey KK, Grandgenett DP. HIV-1 Integrase Strand Transfer Inhibitors: Novel Insights into their Mechanism of Action. Retrovirology (Auckl). 2008 Nov 5;2:11-16. PMID:19915684
- ↑ 2.0 2.1 2.2 2.3 Hare S, Gupta SS, Valkov E, Engelman A, Cherepanov P. Retroviral intasome assembly and inhibition of DNA strand transfer. Nature. 2010 Mar 11;464(7286):232-6. Epub 2010 Jan 31. PMID:20118915 doi:10.1038/nature08784
- ↑ deJesus, Edwin HIV Antiretroviral Agents in Development. The Body: The Complete HIV/AIDS Resource. March 30, 2006
- ↑ Braun, J.F., Cronje, R.J and Henderson, M.G. HIV-1 Integrase Inhibitors Inhibitors (2008). www.prn.org Volume 13, Pages 1–9
- ↑ AIDS-Info
- ↑ Iwamoto M, Wenning LA, Petry AS, Laethem M, De Smet M, Kost JT, Breidinger SA, Mangin EC, Azrolan N, Greenberg HE, Haazen W, Stone JA, Gottesdiener KM, Wagner JA. Minimal effects of ritonavir and efavirenz on the pharmacokinetics of raltegravir. Antimicrob Agents Chemother. 2008 Dec;52(12):4338-43. Epub 2008 Oct 6. PMID:18838589 doi:10.1128/AAC.01543-07
Further Reading
- GEN News Highlights "Scientists Solve 3-D Crystal Structure of Retroviral Integrase Bound to Viral DNA", Genetic Engineering & Biotechnology News February 1, 2010.
Proteopedia Page Contributors and Editors (what is this?)
Michal Harel, Rhysly Martinez, Joel L. Sussman, Alexander Berchansky, David Canner, Jordan Heard, Eugene Babcock, Garrett Asanuma