Evidence map›Paper›PMID 42685215›Full record

ArticleScience advances2026

Lenacapavir allosterically remodels the HIV-1 capsid.

Nayara F B Dos Santos, Jacob A Lewis, Mason Hansen, Miguel J B Pereira, Devin E Christensen, Wesley I Sundquist, Barbie K Ganser-Pornillos, Owen Pornillos

Abstract read
In one paragraph

Article in Science advances, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Mechanistic insights into lenacapavir-induced off-pathway HIV-1 capsid assembly.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Nayara F B Dos SantosDepartment of Biochemistry, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USA.ORCID 0000-0002-1353-4613
Jacob A LewisDepartment of Biochemistry, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USA.ORCID 0000-0001-6430-7034
Mason HansenDepartment of Biochemistry, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USA.ORCID 0009-0006-8318-8660
Miguel J B PereiraDepartment of Biochemistry, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USA.ORCID 0009-0001-0347-9526
Devin E ChristensenDepartment of Biochemistry, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USA.ORCID 0000-0003-0736-2146
Wesley I SundquistDepartment of Biochemistry, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USA.ORCID 0000-0001-9988-6021
Barbie K Ganser-PornillosDepartment of Biochemistry, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USA.ORCID 0000-0001-6453-3891
Owen PornillosDepartment of Biochemistry, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USA.ORCID 0000-0001-9056-5002

Funding

CHEETAH Center for the Structural Biology of HIV Infection, Restriction, and Viral DynamicsU54AI170856 · NIAID · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Pamela J Bjorkman · 2022 to 2026
$34.4M
Structural Virology of Tripartite Motif ProteinsR37AI150479 · NIAID · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Owen Pornillos · 2022 to 2026
$3.0M
Elucidating the role of HIV-1 integrase in viral maturationF32AI195016 · NIAID · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Jacob Lewis · 2025 to 2026
$152k
NIAID NIH HHS F32 AI195016NIAID NIH HHS R37 AI150479NIAID NIH HHS U54 AI170856
6 · The paper itself

Abstract

Lenacapavir (LEN) is a highly potent, long-acting capsid inhibitor that holds exceptional promise for treatment and prevention of HIV-1 infection. LEN causes the mature viral capsid to rupture and lose integrity, but the underlying mechanism has been unclear. Here, we show that LEN is an allosteric modulator of HIV-1 capsid structure that fractures the capsid's fullerene cone architecture in two steps: initially by rupturing at high-curvature declinations, followed by fissuring of the capsid body. At the molecular level, LEN alters the noncovalent bonding interactions between capsid subunits and reduces local lattice curvature. We propose a stress-strain model to rationalize how LEN remodels HIV-1 capsid structure and thereby impairs the replication capacity of the virus.

Indexed as

Anti-HIV AgentsCapsidHIV-1QuinolonesAcetamidesAllosteric RegulationHumansIndazolesModels, MolecularVirus ReplicationAcetamidesAnti-HIV AgentsIndazoleslenacapavirQuinolones

Identifiers

PMID42685215
PMCPMC13537256

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.