Evidence map›Paper›PMID 26124101›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2015

Probing the structural and molecular basis of nucleotide selectivity by human mitochondrial DNA polymerase γ.

Christal D Sohl, Michal R Szymanski, Andrea C Mislak, Christie K Shumate, Sheida Amiralaei, Raymond F Schinazi, Karen S Anderson, Y Whitney Yin

Erratum issuedAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed.

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  19. A case series of emtricitabine-induced pure red cell aplasia.Southern African journal of HIV medicine · 2021
    Article
  20. Structure and function relationships in mammalian DNA polymerases.Cellular and molecular life sciences : CMLS · 2020
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Christal D SohlDepartment of Pharmacology, Yale University School of Medicine, New Haven, CT 06520;
Michal R SzymanskiDepartment of Pharmacology and Toxicology, University of Texas Medical Branch, Galveston, TX 77555; Sealy Center for Structural Biology, University of Texas Medical Branch, Galveston, TX 77555;
Andrea C MislakDepartment of Pharmacology, Yale University School of Medicine, New Haven, CT 06520;
Christie K ShumateDepartment of Pharmacology and Toxicology, University of Texas Medical Branch, Galveston, TX 77555; Sealy Center for Structural Biology, University of Texas Medical Branch, Galveston, TX 77555;
Sheida AmiralaeiCenter for AIDS Research, Department of Pediatrics, Emory University School of Medicine, Atlanta, GA 30322;
Raymond F SchinaziCenter for AIDS Research, Department of Pediatrics, Emory University School of Medicine, Atlanta, GA 30322; Veterans Affairs Medical Center, Decatur, GA 30033.
Karen S AndersonDepartment of Pharmacology, Yale University School of Medicine, New Haven, CT 06520; ywyin@utmb.edu karen.anderson@yale.edu.
Y Whitney YinDepartment of Pharmacology and Toxicology, University of Texas Medical Branch, Galveston, TX 77555; Sealy Center for Structural Biology, University of Texas Medical Branch, Galveston, TX 77555; ywyin@utmb.edu karen.anderson@yale.edu.

Funding

Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Carlos del Rio · 2002 to 2026
$74.0M
MECHANISM AND INHIBITION OF HIV REVERSE TRANSCRIPTASER01GM049551 · NIGMS · YALE UNIVERSITY · PI ANDERSON, KAREN S. · 1993 to 2019
$9.0M
INSTITUTIONAL NATIONAL RESEARCH SERVICE AWARDT32GM007324 · NIGMS · YALE UNIVERSITY · PI BENNETT, ANTON M · 1987 to 2022
$6.2M
Dissecting Dual Function of Pol gamma in mtDNA Replication and Oxidative Damage RepairR01GM110591 · NIGMS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI YIN, YUHUI · 2014 to 2018
$1.3M
Studies of toxicities of HIV RT inhibitors to human mitochondrial DNA polymeraseR01GM083703 · NIGMS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI YIN, YUHUI · 2008 to 2012
$1.3M
Kinetics of DNA polymerase gamma upon mutation and nucleoside analog exposureF32GM099289 · NIGMS · YALE UNIVERSITY · PI SOHL, CHRISTAL DYANE · 2011 to 2013
$148k
NIAID NIH HHS AI050409NIAID NIH HHS P30 AI050409NIGMS NIH HHS F32 GM099289NIGMS NIH HHS GM083703NIGMS NIH HHS GM099289NIGMS NIH HHS GM110591NIGMS NIH HHS GM49551NIGMS NIH HHS R01 GM049551NIGMS NIH HHS R01 GM083703NIGMS NIH HHS R01 GM110591NIGMS NIH HHS T32 GM007324
6 · The paper itself

Abstract

Nucleoside analog reverse transcriptase inhibitors (NRTIs) are the essential components of highly active antiretroviral (HAART) therapy targeting HIV reverse transcriptase (RT). NRTI triphosphates (NRTI-TP), the biologically active forms, act as chain terminators of viral DNA synthesis. Unfortunately, NRTIs also inhibit human mitochondrial DNA polymerase (Pol γ), causing unwanted mitochondrial toxicity. Understanding the structural and mechanistic differences between Pol γ and RT in response to NRTIs will provide invaluable insight to aid in designing more effective drugs with lower toxicity. The NRTIs emtricitabine [(-)-2,3'-dideoxy-5-fluoro-3'-thiacytidine, (-)-FTC] and lamivudine, [(-)-2,3'-dideoxy-3'-thiacytidine, (-)-3TC] are both potent RT inhibitors, but Pol γ discriminates against (-)-FTC-TP by two orders of magnitude better than (-)-3TC-TP. Furthermore, although (-)-FTC-TP is only slightly more potent against HIV RT than its enantiomer (+)-FTC-TP, it is discriminated by human Pol γ four orders of magnitude more efficiently than (+)-FTC-TP. As a result, (-)-FTC is a much less toxic NRTI. Here, we present the structural and kinetic basis for this striking difference by identifying the discriminator residues of drug selectivity in both viral and human enzymes responsible for substrate selection and inhibitor specificity. For the first time, to our knowledge, this work illuminates the mechanism of (-)-FTC-TP differential selectivity and provides a structural scaffold for development of novel NRTIs with lower toxicity.

Indexed as

Crystallography, X-RayDNA-Directed DNA PolymeraseDNA Polymerase gammaHumansKineticsMitochondriaMolecular ProbesNucleic Acid Synthesis InhibitorsProtein ConformationReverse Transcriptase InhibitorsSubstrate SpecificityDNA-Directed DNA PolymeraseDNA Polymerase gammaMolecular ProbesNucleic Acid Synthesis InhibitorsReverse Transcriptase Inhibitorsdrug efficacy and toxicityHIV reverse transcriptasehuman mitochondrial DNA polymerasemitochondrial toxicitynucleoside reverse transcriptase inhibitors

Identifiers

PMID26124101
PMCPMC4507203

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.