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Viral proteases as targets for antivirals drugs. 病毒蛋白酶作为抗病毒药物的靶点。
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-01-01 Epub Date: 2025-10-22 DOI: 10.1016/bs.enz.2025.06.002
Luigi Pisano, Claudiu T Supuran

The biochemical machinery of all viruses comprises enzymes able to cleave polyproteins formed after the transcription of the viral genetic material, which belong to the protease class. Viral proteases known so far belong to the aspartic, serine and cysteine protease classes, with no viral metalloprotease described to date. The tridimensional structure, biochemical properties and susceptibility to be inhibited by various classes of compounds for many such enzymes have been investigated in detail in the last decades. Many antiviral drugs target viral proteases which produce diseases in mammals, but such enzymes are also present in viruses which attack plants or bacteria, and potential applications for such enzymes or their inhibition started to be considered in recent years. The aspartic protease encoded in the HIV genome, the serine proteases found in various HCV serotypes and more recently the two cystein proteases from coronaviruses, including SARS CoV 2, are targeted by clinically used drugs belonging to the protease inhibitors, which effectively interrupt the life cycle of the virus, alone or in combination therapies with other antivirals and showed a relevant clinical success. Many other less investigated viruses encode for proteases belonging to the three classes mentioned above and they started to be investigated for obtaining novel antivirals for the management of Dengue, Zika, West Nile and other flaviviruses infections but also Chikungunya, Ebola, Marbug and various other filoviruses, for which few therapeutic options are available to date.

所有病毒的生化机制都包括能够切割病毒遗传物质转录后形成的多蛋白的酶,这些酶属于蛋白酶类。目前已知的病毒蛋白酶属于天冬氨酸蛋白酶、丝氨酸蛋白酶和半胱氨酸蛋白酶,迄今为止还没有病毒金属蛋白酶的描述。近几十年来,人们对这类酶的三维结构、生化性质和对各种化合物的抑制敏感性进行了详细的研究。许多抗病毒药物靶向在哺乳动物中产生疾病的病毒蛋白酶,但这些酶也存在于攻击植物或细菌的病毒中,近年来开始考虑这些酶或其抑制的潜在应用。HIV基因组编码的天冬氨酸蛋白酶、在各种HCV血清型中发现的丝氨酸蛋白酶,以及最近在冠状病毒(包括SARS CoV 2)中发现的两种半胱氨酸蛋白酶,都是临床使用的蛋白酶抑制剂药物的靶标,这些药物可以单独或与其他抗病毒药物联合治疗,有效地中断病毒的生命周期,并显示出相关的临床成功。许多其他研究较少的病毒编码属于上述三类的蛋白酶,它们开始被研究,以获得新的抗病毒药物,用于管理登革热、寨卡病毒、西尼罗河病毒和其他黄病毒感染,以及基孔肯雅病毒、埃博拉病毒、马尔布虫病毒和其他各种丝状病毒,迄今为止,很少有治疗方案可用。
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引用次数: 0
Hepatitis C virus (HCV) proteases: structure, function and inhibition strategies. 丙型肝炎病毒(HCV)蛋白酶:结构、功能和抑制策略
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-01-01 Epub Date: 2025-08-06 DOI: 10.1016/bs.enz.2025.06.003
Pedro Henrique Oliveira Borges, Emmanuel Gras, Sabrina Baptista Ferreira, Floriano Paes Silva

Hepatitis C virus (HCV) is a bloodborne, hepatotropic RNA virus and a serious global health burden, infecting over 50 million people worldwide, with the majority residing in low- and middle-income countries (LMICs), that significantly contributes to chronic liver diseases like cirrhosis and hepatocellular carcinoma. While no vaccines are available for HCV yet, over the years the success of direct-acting antivirals (DAAs) has been contributing with improved cure rates among treatment-naïve and treatment-experienced patients. However, many challenges remain due to undiagnosed infections and limited access to DAAs in LMICs. Thus, understanding of the molecular biology of HCV is pivotal in driving therapeutic advances, particularly the characterization of its two major proteases: the NS2/3 protease, a cysteine protease responsible for the first cleavage event of the polyprotein; and the NS3/4A protease, a serine protease that cleaves the remainder of the HCV genome. These proteases have been extensively studied as drug targets, although there is still much to learn. The NS3/4A protease has been a validated target for the development of DAAs, with several FDA-approved drugs in recent years. Yet, many challenges remain, as the genetic diversity of HCV has been leading to the emergence of drug-resistant strains that require the administration of the costly pan-genotypic DAAs. In this chapter we explore the structure and functions of NS2/3 and NS3/4A in the viral life cycle, how DAAs engage such targets and which mutations drive resistance. We conclude by discussing future and even less explored approaches in hopes of contributing to the current HCV drug development scenario.

丙型肝炎病毒(HCV)是一种血源性嗜肝RNA病毒,是一种严重的全球健康负担,在全世界感染了5000多万人,其中大多数居住在低收入和中等收入国家(LMICs),严重导致肝硬化和肝细胞癌等慢性肝病。虽然目前还没有针对丙型肝炎病毒的疫苗,但多年来,直接作用抗病毒药物(DAAs)的成功已经提高了treatment-naïve和有治疗经验的患者的治愈率。然而,由于中低收入国家未确诊的感染和获得DAAs的机会有限,仍然存在许多挑战。因此,了解HCV的分子生物学对于推动治疗进展至关重要,特别是其两种主要蛋白酶的表征:NS2/3蛋白酶,一种负责多蛋白第一次切割事件的半胱氨酸蛋白酶;以及NS3/4A蛋白酶,这是一种丝氨酸蛋白酶,可以切割HCV基因组的剩余部分。这些蛋白酶作为药物靶点已被广泛研究,尽管仍有很多需要了解。NS3/4A蛋白酶已成为daa开发的有效靶点,近年来有几种fda批准的药物。然而,许多挑战仍然存在,因为丙型肝炎病毒的遗传多样性已经导致耐药菌株的出现,需要使用昂贵的泛基因型DAAs。在本章中,我们探讨了NS2/3和NS3/4A在病毒生命周期中的结构和功能,daa如何参与这些靶点以及哪些突变驱动抗性。最后,我们讨论了未来甚至是较少探索的方法,希望对当前丙型肝炎病毒药物开发做出贡献。
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引用次数: 0
Challenges for developing selective viral protease inhibitors as antiinfectives. 开发选择性病毒蛋白酶抑制剂作为抗感染药物的挑战。
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-01-01 Epub Date: 2025-07-16 DOI: 10.1016/bs.enz.2025.06.009
Claudiu T Supuran, Luigi Pisano

The biochemical machinery of most viruses comprises proteases which are crucial for their life cycle. In the last decades, proteases from pathogenic viruses started to be considered as potential drug targets, and this led to the development of several classes of effective antivirals used for the management of HIV, HCV and SARS CoV 2 infections. More than 25 clinically used protease inhibitors (PIs) are now available for the management of these three infections, but many other viruses encode for proteases which started to be considered only recently as potential drug targets. They include enterovirises, filoviruses such as Zika, Dengue and West Nile viruses, Chikungunya and other togaviruses, Ebola, Marbug and many other hemorrhagic viruses. The proteases of many such pathogens have been cloned, characterized and in some cases also crystallized in complex with inhibitors, but no compounds progressed yet to clinical trials. There are several relevant challenges in designing PIs as novel antivirals, such as: (i) the drug design strategies of peptidomimetic inhibitors, which are many times complex and expensive; (ii) the difficulties in identifying non-peptidomimetic PIs; (iii) the selectivity for the target versus host proteases of the identified PIs; (iv) their metabolism, absorption and in vivo antiviral activity, and, most importantly, (v) the emergence of drug/multidrug resistance due to the high mutation rates of many viruses. Many of these challenges started to be approached by innovative strategies which will be duscussed in the chapter.

大多数病毒的生化机制包括对其生命周期至关重要的蛋白酶。在过去的几十年里,来自致病病毒的蛋白酶开始被认为是潜在的药物靶点,这导致了几种有效抗病毒药物的发展,用于管理艾滋病毒、丙型肝炎病毒和SARS冠状病毒感染。目前有超过25种临床使用的蛋白酶抑制剂(pi)可用于治疗这三种感染,但许多其他病毒编码的蛋白酶最近才开始被认为是潜在的药物靶点。它们包括肠病毒、丝状病毒(如寨卡病毒)、登革热病毒和西尼罗河病毒、基孔肯雅病毒和其他托加病毒、埃博拉病毒、马尔布格病毒和许多其他出血性病毒。许多这类病原体的蛋白酶已经被克隆、鉴定,在某些情况下还与抑制剂一起结晶,但尚未有化合物进入临床试验。在将pi设计为新型抗病毒药物方面存在一些相关挑战,例如:(i)拟肽抑制剂的药物设计策略,这是许多倍的复杂和昂贵的;(ii)识别非拟肽pi的困难;(iii)鉴定的pi对目标蛋白酶和宿主蛋白酶的选择性;(四)它们的代谢、吸收和体内抗病毒活性,最重要的是,(五)由于许多病毒的高突变率而出现的药物/多药耐药性。许多这些挑战开始通过创新战略来解决,这将在本章中讨论。
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引用次数: 0
Fungal α-carbonic anhydrases. 真菌α-碳酸酐酶。
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-01-01 Epub Date: 2025-07-19 DOI: 10.1016/bs.enz.2025.07.003
Katia D'Ambrosio, Anna Di Fiore, Vincenzo Alterio, Martina Buonanno, Vincenzo Massimiliano Vivenzio, Simona Maria Monti, Giuseppina De Simone, Emma Langella

Carbonic anhydrases (CAs) are widely distributed in the fungal kingdom and play crucial roles for their growth, development, virulence, and survival. Known fungal CAs belong either to the α- or the β-classes, with the α-class encoded only in filamentous ascomycetes. Here we report the main findings relative to α-CAs characterized so far from different fungi, namely Aspergillus oryzae, Sordaria macrospora and Paracoccidioides. Structural, functional and biochemical data will be discussed underlying the necessity of more research efforts to gain a comprehensive understanding of fungal α-CAs.

碳酸酐酶广泛分布于真菌界,对真菌的生长、发育、毒力和生存起着至关重要的作用。已知的真菌CAs分为α-类和β-类,α-类仅在丝状子囊菌中编码。本文报道了迄今为止在米曲霉、大孢子Sordaria和副球虫(paracoccidiides)等不同真菌中有关α-CAs的主要发现。结构、功能和生化数据将被讨论,以支持更多的研究努力,以获得对真菌α-CAs的全面了解。
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引用次数: 0
Coronaviruses main proteases and their inhibitors. 冠状病毒主要是蛋白酶及其抑制剂。
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-01-01 Epub Date: 2025-09-27 DOI: 10.1016/bs.enz.2025.07.005
Claudiu T Supuran, Clemente Capasso

The SARS-CoV-2 main protease (Mpro) plays a pivotal role in the viral life cycle by cleaving polyproteins pp1a and pp1ab into functional non-structural proteins (NSPs), including components essential for RNA replication, such as nsp7, nsp8, and RNA-dependent RNA polymerase. The high sequence conservation across coronaviruses and absence of closely related human proteases make Mpro an attractive target for selective antiviral interventions. Recent efforts in drug discovery have led to the development of a wide spectrum of Mpro inhibitors, including covalent peptidomimetics (e.g., nirmatrelvir) and non-covalent small molecules with enhanced pharmacological profiles, such as ensitrelvir. Structure-based drug design, fragment-based drug discovery (FBDD), high-throughput screening (HTS), and in silico approaches have contributed to identification of novel scaffolds and optimization of binding interactions within the catalytic pocket. Non-covalent inhibitors offer reversible binding mechanisms that reduce off-target effects and are particularly promising for clinical translation. However, challenges such as the limited oral bioavailability of peptidomimetic compounds, metabolic instability, and emerging resistance highlight the need for further optimization. Ongoing research is exploring prodrug strategies, advanced delivery systems, and combinatorial regimens that integrate Mpro inhibitors with other antivirals to achieve synergistic effects and suppress resistance. This chapter provides a comprehensive overview of the current landscape of Mpro-targeted therapeutics and emphasizes their potential role in future pandemic preparedness.

SARS-CoV-2主蛋白酶(Mpro)通过将多蛋白pp1a和pp1ab切割成功能性非结构蛋白(NSPs),包括RNA复制必需的成分,如nsp7、nsp8和RNA依赖性RNA聚合酶,在病毒生命周期中起着关键作用。跨冠状病毒的高序列保守性和缺乏密切相关的人类蛋白酶使Mpro成为选择性抗病毒干预的有吸引力的靶点。最近在药物发现方面的努力已经导致了广泛的Mpro抑制剂的发展,包括共价肽模拟物(例如,尼马特利韦)和具有增强药理特征的非共价小分子,例如恩司替韦。基于结构的药物设计、基于片段的药物发现(FBDD)、高通量筛选(HTS)和计算机方法有助于鉴定新的支架和优化催化口袋内的结合相互作用。非共价抑制剂提供可逆的结合机制,减少脱靶效应,特别有希望用于临床翻译。然而,诸如拟肽化合物有限的口服生物利用度、代谢不稳定和新出现的耐药性等挑战突出了进一步优化的必要性。正在进行的研究正在探索前药策略、先进的给药系统和将Mpro抑制剂与其他抗病毒药物结合以实现协同效应和抑制耐药性的组合方案。本章全面概述了mpro靶向治疗的现状,并强调了它们在未来大流行防范中的潜在作用。
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引用次数: 0
Malassezia spp. carbonic anhydrases. 马拉色菌属碳酸酐酶。
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-01-01 Epub Date: 2025-07-16 DOI: 10.1016/bs.enz.2025.04.001
Silvia Selleri, Andrea Angeli

Carbonic anhydrases (CAs) are essential metalloenzymes that catalyse the reversible conversion of CO₂ to bicarbonate, playing a crucial role in pH regulation, CO₂ sensing, and metabolic homeostasis. In Malassezia species, β-class CAs have emerged as promising drug targets for antifungal and dermatological applications, particularly in conditions such as dandruff and seborrheic dermatitis. Among the studied Malassezia species, the carbonic anhydrases from M. globosa (MgCA), M. restricta (MreCA) and M. pachydermatis (MpaCA) have been extensively characterized, demonstrating significant functional differences in both inhibition and activation mechanisms. This chapter explores the inhibition of Malassezia CAs using diverse classes of inhibitors, including sulfonamides, boronic acids, phenols, dithiocarbamates, and benzoxaboroles. Many of these compounds exhibit selective inhibition of fungal CAs over human isoforms, underscoring their potential as novel antifungal agents. Additionally, activation studies have revealed that both MgCA and MreCA can be modulated by biogenic amines and amino acids, with MreCA displaying markedly higher sensitivity, particularly to catecholamines like L-adrenaline, suggesting a potential link between stress responses and fungal virulence. The differential inhibition and activation profiles of Malassezia β-CAs provide valuable insights into fungal physiology, enzyme regulation, and potential therapeutic interventions. These findings establish a strong foundation for the rational design of selective inhibitors and activators that could serve as next-generation antifungal agents.

碳酸酐酶(carbon anhydrase, CAs)是催化二氧化碳可逆转化为碳酸氢盐的重要金属酶,在pH调节、二氧化碳感知和代谢稳态中起着至关重要的作用。在马拉色菌中,β类CAs已成为抗真菌和皮肤病应用的有希望的药物靶点,特别是在头皮屑和脂溢性皮炎等疾病中。在研究的马拉色菌中,globosa (MgCA)、限制性M. (MreCA)和厚皮M. (MpaCA)的碳酸酐酶已被广泛表征,在抑制和激活机制上都显示出显著的功能差异。本章探讨了使用不同种类的抑制剂,包括磺胺类、硼酸类、酚类、二硫代氨基甲酸酯类和苯并恶硼唑类对马拉色菌CAs的抑制作用。许多这些化合物表现出对真菌CAs的选择性抑制,强调了它们作为新型抗真菌药物的潜力。此外,活化研究表明,MgCA和MreCA都可以被生物胺和氨基酸调节,MreCA表现出明显更高的敏感性,特别是对儿茶酚胺如l -肾上腺素,这表明应激反应与真菌毒力之间存在潜在联系。马拉色菌β-CAs的不同抑制和激活谱为真菌生理学、酶调节和潜在的治疗干预提供了有价值的见解。这些发现为合理设计可作为下一代抗真菌药物的选择性抑制剂和活化剂奠定了坚实的基础。
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引用次数: 0
Coronaviruses papain-like proteases and their inhibitors. 冠状病毒木瓜蛋白酶及其抑制剂。
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-01-01 Epub Date: 2025-10-13 DOI: 10.1016/bs.enz.2025.06.006
Ahmed E Elsawi, Haytham O Tawfik, Wagdy M Eldehna

The multipurpose enzyme papain-like protease (PLpro) is crucial for both immune evasion and viral multiplication. The replication-transcription complex is formed when PLpro, encoded by nonstructural protein 3 (nsp3), cleaves the viral polyprotein to release nsp1 through nsp4. Furthermore, by eliminating ubiquitin and ISG15 from key immune signaling proteins, such as IRF3, STING, and MDA5, PLpro impairs host antiviral defenses by reducing type I interferon responses. The catalytic triad and several functional domains, including the flexible BL2 loop that regulates access to the viral polyprotein substrate and inhibitor, as well as the SUb1 and SUb2 binding sites for ISG15/Ub recognition, are structural features of PLpro. Due to these features, PLpro is a desirable target for both allosteric and active-site inhibition. Numerous prospective inhibitors have been identified through drug repurposing and natural product screening, supported by structural and computational analyses that highlight key interaction sites. The biological significance, structural intricacy, and therapeutic potential of PLpro as a dual-action antiviral target, which can inhibit viral replication and restore host immune function, are highlighted in this chapter.

多用途酶木瓜蛋白酶样蛋白酶(PLpro)对免疫逃避和病毒增殖都至关重要。当由非结构蛋白3 (nsp3)编码的PLpro切割病毒多蛋白并通过nsp4释放nsp1时,复制转录复合物就形成了。此外,通过消除关键免疫信号蛋白(如IRF3、STING和MDA5)中的泛素和ISG15, PLpro通过减少I型干扰素反应削弱宿主抗病毒防御。催化三联体和几个功能域,包括调节进入病毒多蛋白底物和抑制剂的柔性BL2环,以及ISG15/Ub识别的SUb1和SUb2结合位点,是PLpro的结构特征。由于这些特点,PLpro是变构抑制和活性位点抑制的理想靶点。通过药物再利用和天然产物筛选,在强调关键相互作用位点的结构和计算分析的支持下,已经确定了许多有前景的抑制剂。本章强调了PLpro作为一种双作用抗病毒靶点的生物学意义、结构复杂性和治疗潜力,它可以抑制病毒复制和恢复宿主免疫功能。
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引用次数: 0
Bacteriophage endolysins. Bacteriophage endolysins。
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-01-01 Epub Date: 2025-09-27 DOI: 10.1016/bs.enz.2025.06.008
Nidhi Prajapati, Dharmendra Prajapati, Anil Patani, Sherzodbek Tashbaev, Gulomov Gafurjon Shavkatbek Ugli, Ashish Patel

In the last phase of their life cycle, bacteriophages form lytic enzymes known as bacteriophage endolysins that destroy the bacterial cell wall and liberate new virions. Endolysins have emerged as high-scope antimicrobial agents, especially against Gram-positive infections, due to their specificity, rapid action, and ability to target essential cell wall components. Because bacterial resistance to endolysins continues to be rare, their unique mode of action places them at a strategic advantage over traditional antibiotics. They can now be employed to design synthetic or chimeric endolysins with enhanced activity and broadened host range, even against Gram-negative bacteria, due to advancements made in molecular biology and protein engineering. This chapter gives a thorough analysis of the structure of bacteriophage endolysins, mode of action, classification, therapeutic applications, and challenges. Their potential in clinical medicine, agriculture, food safety, and biotechnology are also discussed, focusing on how they can serve as a viable solution to the global antibiotic resistance issue.

在其生命周期的最后阶段,噬菌体形成称为噬菌体内溶素的裂解酶,破坏细菌细胞壁并释放新的病毒粒子。由于其特异性、快速作用和靶向基本细胞壁成分的能力,内溶素已成为一种高范围的抗菌药物,特别是针对革兰氏阳性感染。由于细菌对内溶素的耐药性仍然很少见,它们独特的作用方式使它们比传统抗生素具有战略优势。由于分子生物学和蛋白质工程的进步,它们现在可以用于设计具有增强活性和扩大宿主范围的合成或嵌合内溶素,甚至可以对抗革兰氏阴性细菌。本章对噬菌体内溶素的结构、作用方式、分类、治疗应用和挑战进行了全面的分析。还讨论了它们在临床医学、农业、食品安全和生物技术方面的潜力,重点讨论了它们如何作为全球抗生素耐药性问题的可行解决方案。
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引用次数: 0
Overview on fungal and protozoan carbonic anhydrases. 真菌和原生动物碳酸酐酶综述。
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-01-01 Epub Date: 2025-06-27 DOI: 10.1016/bs.enz.2025.05.001
Claudiu T Supuran, Clemente Capasso

An overview of carbonic anhydrases (CAs) in fungi and protozoa is provided, emphasizing their evolutionary significance, functional diversity, and implications for human health. CAs are metalloenzymes that catalyze the reversible hydration of carbon dioxide, playing crucial roles in cellular homeostasis, pH regulation, and metabolic adaptation. In fungi, α- and β-class CAs are predominant, facilitating growth and virulence, particularly in pathogenic species such as Candida spp., Cryptococcus neoformans and many others. Protozoa exhibit a broader range of CA classes, including the recently identified η-class in Plasmodium falciparum, which is vital for the survival of the parasite and presents a significant potential as a drug target. The evolutionary trajectories of CAs reflect adaptations to diverse ecological niches, with gene duplication leading to functional diversification. Understanding the biochemical properties and regulatory mechanisms of CAs in these organisms can lead to innovative therapeutic strategies against fungal and protozoan infections, highlighting their potential as drug and diagnostic targets.

概述了真菌和原生动物中的碳酸酐酶(CAs),强调了它们的进化意义、功能多样性和对人类健康的影响。CAs是催化二氧化碳可逆水化的金属酶,在细胞内稳态、pH调节和代谢适应中起着至关重要的作用。在真菌中,α-和β类CAs占主导地位,促进生长和毒力,特别是在致病性物种中,如念珠菌、新型隐球菌和许多其他物种。原生动物表现出更广泛的CA类别,包括最近在恶性疟原虫中发现的η-类,这对寄生虫的生存至关重要,并且具有作为药物靶点的巨大潜力。CAs的进化轨迹反映了对不同生态位的适应,基因复制导致功能多样化。了解这些生物体内CAs的生化特性和调控机制,可以带来针对真菌和原生动物感染的创新治疗策略,突出它们作为药物和诊断靶点的潜力。
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引用次数: 0
HIV protease and its inhibition. HIV蛋白酶及其抑制作用。
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-01-01 Epub Date: 2025-07-23 DOI: 10.1016/bs.enz.2025.06.001
Stefano Rusconi, Niccolò Paoletti, Claudiu T Supuran

The HIV protease (HPR) is a virus-specific aspartic protease responsible for processing the polyproteins of gag and gag-pol during virion maturation and for the proliferation of HIV. The activity of HPR is essential for virus infectivity, thus it is an important target for the development of anti-HIV drugs. HPR is only one major viral protease, since there are other proteases, which are specific to HCV or SARS-CoV-2 and are therapeutic targets as well. HPR inhibitors in combination with other classes of anti-HIV drugs are one of the main components of an effective anti-HIV therapy. Nevertheless, upon several circumstances, HIV can develop a discrete pattern of resistance towards one or several HPR inhibitors through the phenomenon of cross-resistance. The aim of our work is to illustrate various features of HPR: its structure, the various mechanisms which lead to its inhibition, the HPR inhibitors which are used in the clinical arena, and the pathways involved in drug resistance, plus the mechanisms to overcome it.

HIV蛋白酶(HPR)是一种病毒特异性的天冬氨酸蛋白酶,在病毒粒子成熟过程中负责处理gag和gag-pol多蛋白,并参与HIV的增殖。HPR的活性对病毒的感染性至关重要,因此它是开发抗hiv药物的重要靶点。HPR只是一种主要的病毒蛋白酶,因为还有其他蛋白酶,它们是HCV或SARS-CoV-2特异性的,也是治疗靶点。HPR抑制剂与其他类型的抗hiv药物联合使用是有效的抗hiv治疗的主要组成部分之一。然而,在某些情况下,HIV可以通过交叉耐药现象对一种或几种HPR抑制剂产生离散的耐药模式。我们工作的目的是阐明HPR的各种特征:它的结构,导致其抑制的各种机制,在临床领域使用的HPR抑制剂,以及涉及耐药性的途径,以及克服它的机制。
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引用次数: 0
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