Summary information and primary citation

PDB-id
6rwo; SNAP-derived features in text and JSON formats; DNAproDB
Class
recombination
Method
cryo-EM (3.05 Å)
Summary
Sivrcm intasome (q148h-g140s) in complex with bictegravir
Reference
Cook NJ, Li W, Berta D, Badaoui M, Ballandras-Colas A, Nans A, Kotecha A, Rosta E, Engelman AN, Cherepanov P (2020): "Structural basis of second-generation HIV integrase inhibitor action and viral resistance." Science, 367, 806-810. doi: 10.1126/science.aay4919.
Abstract
Despite worldwide prescription, the mechanistic basis for superiority of second-generation HIV integrase (IN) strand transfer inhibitors (INSTIs) is poorly understood. We use single-particle cryo-electron microscopy to visualize the mode of action of the advanced INSTIs dolutegravir and bictegravir at near atomic resolution. Q148H/G140S amino acid substitutions in IN that pervade clinical INSTI failure perturb optimal magnesium ion coordination in the enzyme active site. The expanded chemical scaffolds of second-generation compounds mediate interactions with the protein backbone, which are critical for antagonizing Q148H/G140S mutant virus. Our results reveal that binding to magnesium ions underpins a fundamental weakness of the INSTI pharmacophore that is exploited by the virus to engender resistance and provide a structural framework for the development of this important class of anti-HIV/AIDS therapeutics.

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