PMID- 19812032 OWN - NLM STAT- MEDLINE DCOM- 20100205 LR - 20161202 IS - 1083-351X (Electronic) IS - 0021-9258 (Linking) VI - 284 IP - 50 DP - 2009 Dec 11 TI - Structural basis for the role of the K65R mutation in HIV-1 reverse transcriptase polymerization, excision antagonism, and tenofovir resistance. PG - 35092-100 LID - 10.1074/jbc.M109.022525 [doi] AB - K65R is a primary reverse transcriptase (RT) mutation selected in human immunodeficiency virus type 1-infected patients taking antiretroviral regimens containing tenofovir disoproxil fumarate or other nucleoside analog RT drugs. We determined the crystal structures of K65R mutant RT cross-linked to double-stranded DNA and in complexes with tenofovir diphosphate (TFV-DP) or dATP. The crystals permit substitution of TFV-DP with dATP at the dNTP-binding site. The guanidinium planes of the arginines K65R and Arg(72) were stacked to form a molecular platform that restricts the conformational adaptability of both of the residues, which explains the negative effects of the K65R mutation on nucleotide incorporation and on excision. Furthermore, the guanidinium planes of K65R and Arg(72) were stacked in two different rotameric conformations in TFV-DP- and dATP-bound structures that may help explain how K65R RT discriminates the drug from substrates. These K65R-mediated effects on RT structure and function help us to visualize the complex interaction with other key nucleotide RT drug resistance mutations, such as M184V, L74V, and thymidine analog resistance mutations. FAU - Das, Kalyan AU - Das K AD - Center for Advanced Biotechnology and Medicine (CABM), Rutgers University, Piscataway, New Jersey 08854, USA. FAU - Bandwar, Rajiv P AU - Bandwar RP FAU - White, Kirsten L AU - White KL FAU - Feng, Joy Y AU - Feng JY FAU - Sarafianos, Stefan G AU - Sarafianos SG FAU - Tuske, Steven AU - Tuske S FAU - Tu, Xiongying AU - Tu X FAU - Clark, Arthur D Jr AU - Clark AD Jr FAU - Boyer, Paul L AU - Boyer PL FAU - Hou, Xiaorong AU - Hou X FAU - Gaffney, Barbara L AU - Gaffney BL FAU - Jones, Roger A AU - Jones RA FAU - Miller, Michael D AU - Miller MD FAU - Hughes, Stephen H AU - Hughes SH FAU - Arnold, Eddy AU - Arnold E LA - eng SI - PDB/3JSM SI - PDB/3JYT GR - P01 GM066671/GM/NIGMS NIH HHS/United States GR - Intramural NIH HHS/United States GR - AI 27690/AI/NIAID NIH HHS/United States GR - P01 GM 066671/GM/NIGMS NIH HHS/United States GR - R37 AI027690/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, N.I.H., Intramural DEP - 20091007 PL - United States TA - J Biol Chem JT - The Journal of biological chemistry JID - 2985121R RN - 0 (Organophosphonates) RN - 0 (Reverse Transcriptase Inhibitors) RN - 94ZLA3W45F (Arginine) RN - 99YXE507IL (Tenofovir) RN - EC 2.7.7.- (reverse transcriptase, Human immunodeficiency virus 1) RN - EC 2.7.7.49 (HIV Reverse Transcriptase) RN - JAC85A2161 (Adenine) SB - IM MH - Adenine/*analogs & derivatives/chemistry/pharmacology MH - Arginine/genetics/metabolism MH - Crystallization MH - Crystallography, X-Ray MH - Drug Resistance, Viral/*physiology MH - *HIV Reverse Transcriptase/chemistry/drug effects/physiology MH - Humans MH - Models, Molecular MH - Molecular Sequence Data MH - Molecular Structure MH - *Mutation MH - Organophosphonates/chemistry/*pharmacology MH - Protein Conformation MH - Reverse Transcriptase Inhibitors/chemistry/*pharmacology MH - Tenofovir PMC - PMC2787370 OID - NLM: PMC2787370 EDAT- 2009/10/09 06:00 MHDA- 2010/02/06 06:00 CRDT- 2009/10/09 06:00 PHST- 2009/10/09 06:00 [entrez] PHST- 2009/10/09 06:00 [pubmed] PHST- 2010/02/06 06:00 [medline] AID - M109.022525 [pii] AID - 10.1074/jbc.M109.022525 [doi] PST - ppublish SO - J Biol Chem. 2009 Dec 11;284(50):35092-100. doi: 10.1074/jbc.M109.022525. Epub 2009 Oct 7.