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Antimicrobial Agents and Chemotherapy, May 2000, p. 1186-1194, Vol. 44, No. 5
0066-4804/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Selective Interaction of the Human Immunodeficiency Virus Type 1 Reverse Transcriptase Nonnucleoside Inhibitor Efavirenz and Its
Thio-Substituted Analog with Different Enzyme-Substrate
Complexes
Giovanni
Maga,1
Daniela
Ubiali,2
Raul
Salvetti,2
Massimo
Pregnolato,2,* and
Silvio
Spadari1
Istituto di Genetica Biochimica ed
Evoluzionistica IGBE-C.N.R.1 and
Dipartimento di Chimica Farmaceutica, Università degli
Studi,2 I-27100 Pavia, Italy
Received 16 August 1999/Returned for modification 24 November
1999/Accepted 27 December 1999
Accumulating data have brought the nonnucleoside reverse
transcriptase (RT) inhibitors (NNRTIs) into the forefront of
antiretroviral therapy. Among the emerging compounds in this class, a
particularly attractive one is efavirenz (Sustiva), recently approved
for clinical use by the U.S. Food and Drug Administration. In the
present study, the equilibrium dissociation constants for efavirenz
binding to the different catalytic forms of human immunodeficiency
virus type 1 RT as well as the association and dissociation rates have been determined using a steady-state kinetic approach. In addition, the
same enzymological analysis has been extended to the thio-substituted analog, sefavirenz, which showed comparable activity in vitro against
RT. Both compounds have been found to act as purely uncompetitive inhibitors at low drug concentrations (5 to 50 nM) and as mixed noncompetitive inhibitors at higher doses (50 to 500 nM). This behavior
can be interpreted in terms of the relative affinities for the
different catalytic forms of the enzyme. Both efavirenz and sefavirenz
showed increasing affinities for the different forms of RT in the
following order: free enzyme < (i.e., bound with lower affinity)
binary RT-template-primer (TP) complex < ternary
RT-TP-deoxynucleoside triphosphate (dNTP) complex. The rate of binding
of the two inhibitors to the different enzyme-substrate complexes was
well below the diffusion limit (on the order of 104
M
1 s
1); however, both inhibitors, when
bound to the ternary RT-TP-dNTP complex, showed very low dissociation
rates, on the order of 10
4 s
1 for both
compounds, typical of tightly binding inhibitors. Thus, efavirenz and
its thio-substituted derivative sefavirenz appear to be peculiar in
their mechanism of action, being selective tightly binding inhibitors
of the ternary RT-TP-dNTP complex. Efavirenz is the first clinically
approved NNRTI to show this property.
*
Corresponding author. Mailing address: Dipartimento di
Chimica Farmaceutica, via Taramelli 12, I-27100 Pavia, Italy. Phone: 39-0382-507583. Fax: 39-0382-422975. E-mail:
maxp{at}pbl.unipv.it.
Antimicrobial Agents and Chemotherapy, May 2000, p. 1186-1194, Vol. 44, No. 5
0066-4804/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
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