R964C Mutation of DNA Polymerase γ Imparts Increased Stavudine Toxicity by Decreasing Nucleoside Analog Discrimination and Impairing Polymerase Activity

被引:34
作者
Bailey, Christopher M. [1 ]
Kasiviswanathan, Rajesh [2 ]
Copeland, William C. [2 ]
Anderson, Karen S. [1 ]
机构
[1] Yale Univ, Sch Med, Dept Pharmacol, New Haven, CT 06520 USA
[2] Natl Inst Environm Hlth Sci, Mol Genet Lab, Res Triangle Pk, NC 27709 USA
关键词
MITOCHONDRIAL TOXICITY; ANTIRETROVIRAL THERAPY; REVERSE-TRANSCRIPTASE; SUBUNIT; INHIBITORS; DRUGS;
D O I
10.1128/AAC.01659-08
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
The R964C mutation of human DNA polymerase gamma was recently linked to stavudine (d4T)-mediated mitochondrial toxicity. We utilized pre-steady-state kinetics to determine the effect of this mutation on incorporation of natural substrate dTTP and the active metabolite of d4T (d4TTP). The R964C polymerase gamma holoenzyme demonstrated a 33% decrease in dTTP incorporation efficiency and a threefold-lower d4TTP discrimination relative to that of the wild-type polymerase gamma, providing a mechanistic basis for genetic predisposition to nucleoside reverse transcriptase inhibitor toxicity.
引用
收藏
页码:2610 / 2612
页数:3
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