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Journal of Virology, July 2004, p. 7427-7437, Vol. 78, No. 14
0022-538X/04/$08.00+0     DOI: 10.1128/JVI.78.14.7427-7437.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.

The Phenylmethylthiazolylthiourea Nonnucleoside Reverse Transcriptase (RT) Inhibitor MSK-076 Selects for a Resistance Mutation in the Active Site of Human Immunodeficiency Virus Type 2 RT

Joeri Auwerx,1 Miguel Stevens,1 An R. Van Rompay,2,{dagger} Louise E. Bird,3 Jingshan Ren,3 Erik De Clercq,1 Bo Öberg,4 David K. Stammers,3 Anna Karlsson,2 and Jan Balzarini1*

Rega Institute for Medical Research, K. U. Leuven, B-3000 Leuven, Belgium,1 Karolinska Institute, Huddinge University Hospital, S-141 86 Huddinge/Stockholm,2 Medivir AB, S-141 11 Huddinge, Sweden,4 Division of Structural Biology, The Wellcome Trust Centre for Human Genetics, Oxford OX3 7BN, United Kingdom3

Received 15 December 2003/ Accepted 18 February 2004

The phenylmethylthiazolylthiourea (PETT) derivative MSK-076 shows, besides high potency against human immunodeficiency virus type 1 (HIV-1), marked activity against HIV-2 (50% effective concentration, 0.63 µM) in cell culture. Time-of-addition experiments pointed to HIV-2 reverse transcriptase (RT) as the target of action of MSK-076. Recombinant HIV-2 RT was inhibited by MSK-076 at 23 µM. As was also found for HIV-1 RT, MSK-076 inhibited HIV-2 RT in a noncompetitive manner with respect to dGTP and poly(rC)·oligo(dG) as the substrate and template-primer, respectively. MSK-076 selected for A101P and G112E mutations in HIV-2 RT and for K101E, Y181C, and G190R mutations in HIV-1 RT. The selected mutated strains of HIV-2 were fully resistant to MSK-076, and the mutant HIV-2 RT enzymes into which the A101P and/or G112E mutation was introduced by site-directed mutagenesis showed more than 50-fold resistance to MSK-076. Mapping of the resistance mutations to the HIV-2 RT structure ascertained that A101P is located at a position equivalent to the nonnucleoside RT inhibitor (NNRTI)-binding site of HIV-1 RT. G112E, however, is distal to the putative NNRTI-binding site in HIV-2 RT but close to the active site, implying a novel molecular mode of action and mechanism of resistance. Our findings have important implications for the development of new NNRTIs with pronounced activity against a wider range of lentiviruses.


* Corresponding author. Mailing address: Rega Institute for Medical Research, Minderbroedersstraat 10, B-3000 Leuven, Belgium. Phone: 32-16-337352. Fax: 32-16-337340. E-mail: jan.balzarini{at}rega.kuleuven.ac.be.

{dagger} Present address: Department of Nephrology-Hypertension, University of Antwerp, 2610 Antwerp, Belgium.


Journal of Virology, July 2004, p. 7427-7437, Vol. 78, No. 14
0022-538X/04/$08.00+0     DOI: 10.1128/JVI.78.14.7427-7437.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.




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