HIV-1 protease with 10 lopinavir and darunavir resistance mutations exhibits altered inhibition, structural rearrangements and extreme dynamics

Copyright © 2022 Elsevier Inc. All rights reserved..

Antiretroviral drug resistance is a therapeutic obstacle for people with HIV. HIV protease inhibitors darunavir and lopinavir are recommended for resistant infections. We characterized a protease mutant (PR10x) derived from a highly resistant clinical isolate including 10 mutations associated with resistance to lopinavir and darunavir. Compared to the wild-type protease, PR10x exhibits ∼3-fold decrease in catalytic efficiency and Ki values of 2-3 orders of magnitude worse for darunavir, lopinavir, and potent investigational inhibitor GRL-519. Crystal structures of the mutant were solved in a ligand-free form and in complex with GRL-519. The structures show altered interactions in the active site, flap-core interface, hydrophobic core, hinge region, and 80s loop compared to the corresponding wild-type protease structures. The ligand-free crystal structure exhibits a highly curled flap conformation which may amplify drug resistance. Molecular dynamics simulations performed for 1 μs on ligand-free dimers showed extremely large fluctuations in the flaps for PR10x compared to equivalent simulations on PR with a single L76V mutation or wild-type protease. This analysis offers insight about the synergistic effects of mutations in highly resistant variants.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:117

Enthalten in:

Journal of molecular graphics & modelling - 117(2022) vom: 15. Dez., Seite 108315

Sprache:

Englisch

Beteiligte Personen:

Wong-Sam, Andres [VerfasserIn]
Wang, Yuan-Fang [VerfasserIn]
Kneller, Daniel W [VerfasserIn]
Kovalevsky, Andrey Y [VerfasserIn]
Ghosh, Arun K [VerfasserIn]
Harrison, Robert W [VerfasserIn]
Weber, Irene T [VerfasserIn]

Links:

Volltext

Themen:

2494G1JF75
Darunavir
Drug resistance
EC 3.4.23.-
GRL-519
HIV/AIDS
HIV Protease
HIV Protease Inhibitors
Journal Article
Lopinavir
Molecular dynamics
P16 protease, Human immunodeficiency virus 1
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.
X-ray crystallography
YO603Y8113

Anmerkungen:

Date Completed 22.09.2022

Date Revised 02.12.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jmgm.2022.108315

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM346253268