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Antimicrobial Agents and Chemotherapy, April 2004, p. 1300-1306, Vol. 48, No. 4
0066-4804/04/$08.00+0 DOI: 10.1128/AAC.48.4.1300-1306.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
Kenneth A. Johnson,3 Raymond F. Schinazi,4 Phillip A. Furman,5 and Karen S. Anderson2*
Gilead Sciences, Durham, North Carolina 27707,1 Department of Pharmacology, Yale University School of Medicine, New Haven, Connecticut 06520-8066,2 Institute of Cellular and Molecular Biology, University of Texas, Austin, Texas 78712,3 Laboratory of Biochemical Pharmacology, Department of Pediatrics, Emory University School of Medicine/Veterans Administration Medical Center, Decatur, Georgia 30033,4 Pharmasset, Inc., Tucker, Georgia 300845
Received 6 August 2003/ Returned for modification 6 November 2003/ Accepted 18 December 2003
Emtricitabine [(-)FTC; (-)-ß-L-2'-3'-dideoxy-5-fluoro-3'-thiacytidine] is an oxathiolane nucleoside analog recently approved by the Food and Drug Administration for the treatment of human immunodeficiency virus (HIV). Structurally, (-)FTC closely resembles lamivudine [(-)3TC] except that the former is 5-fluorinated on the cytosine ring. In HIV-1 reverse transcriptase (RT) enzymatic assays, the triphosphate of (-)FTC [(-)FTC-TP] was incorporated into both DNA-DNA and DNA-RNA primer-templates nearly 3- and 10-fold more efficiently than (-)3TC-TP. Animal studies and clinical trial studies have demonstrated a favorable safety profile for (-)FTC. However, a detailed study of the incorporation of (-)FTC-TP by human mitochondrial DNA polymerase
, a host enzyme associated with nucleoside toxicity, is required for complete understanding of the molecular mechanisms of inhibition and toxicity. We studied the incorporation of (-)FTC-TP and its enantiomer (+)FTC-TP into a DNA-DNA primer-template by recombinant human mitochondrial DNA polymerase in a pre-steady-state kinetic analysis. (-)FTC-TP was incorporated 2.9 x 105-, 1.1 x 105-, 1.6 x 103-, 7.9 x 103-, and 100-fold less efficiently than dCTP, ddCTP, (+)3TC-TP, (+)FTC-TP, and (-)3TC-TP, respectively. The rate of removal of (-)FTC-MP from the corresponding chain-terminated 24-mer DNA by polymerase
's 3'
5' exonuclease activity was equal to the removal of (+)FTC-MP, 2-fold slower than the removal of (-)3TC-MP and (+)3TC-MP, and 4.6-fold slower than the excision of dCMP. These results demonstrate that there are clear differences between HIV-1 RT and polymerase
in terms of preferences for substrate structure.
Present address: National Cancer Institute, National Institutes of Health, Bethesda, MD 20850.
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