• FluTrackers.com Inc. does not provide medical advice. Information on this web site is collected from various internet resources, and the FluTrackers board of directors makes no warranty to the safety, efficacy, correctness or completeness of the information posted on this site by any author or poster. The information collated here is for instructional and/or discussion purposes only and is NOT intended to diagnose or treat any disease, illness, or other medical condition. Every individual reader or poster should seek advice from their personal physician/healthcare practitioner before considering or using any interventions that are discussed on this website. By continuing to access this website you agree to consult your personal physican before using any interventions posted on this website, and you agree to hold harmless FluTrackers.com Inc., the board of directors, the members, and all authors and posters for any effects from use of any medication, supplement, vitamin or other substance, device, intervention, etc. mentioned in posts on this website, or other internet venues referenced in posts on this website.
  • We are not asking for any donations. Do not donate to any entity who says they are raising funds for us.

Nat Commun . Mechanism of SARS-CoV-2 polymerase stalling by remdesivir

tetano

Editor, Senior Moderator
Nat Commun


. 2021 Jan 12;12(1):279.
doi: 10.1038/s41467-020-20542-0.
Mechanism of SARS-CoV-2 polymerase stalling by remdesivir


Goran Kokic[SUP] 1 [/SUP], Hauke S Hillen[SUP] 1 2 [/SUP], Dimitry Tegunov[SUP] 1 [/SUP], Christian Dienemann[SUP] 1 [/SUP], Florian Seitz[SUP] 3 [/SUP], Jana Schmitzova[SUP] 1 [/SUP], Lucas Farnung[SUP] 1 [/SUP], Aaron Siewert[SUP] 3 [/SUP], Claudia H?bartner[SUP] 4 [/SUP], Patrick Cramer[SUP] 5 [/SUP]



Affiliations
Free article

Abstract

Remdesivir is the only FDA-approved drug for the treatment of COVID-19 patients. The active form of remdesivir acts as a nucleoside analog and inhibits the RNA-dependent RNA polymerase (RdRp) of coronaviruses including SARS-CoV-2. Remdesivir is incorporated by the RdRp into the growing RNA product and allows for addition of three more nucleotides before RNA synthesis stalls. Here we use synthetic RNA chemistry, biochemistry and cryo-electron microscopy to establish the molecular mechanism of remdesivir-induced RdRp stalling. We show that addition of the fourth nucleotide following remdesivir incorporation into the RNA product is impaired by a barrier to further RNA translocation. This translocation barrier causes retention of the RNA 3'-nucleotide in the substrate-binding site of the RdRp and interferes with entry of the next nucleoside triphosphate, thereby stalling RdRp. In the structure of the remdesivir-stalled state, the 3'-nucleotide of the RNA product is matched and located with the template base in the active center, and this may impair proofreading by the viral 3'-exonuclease. These mechanistic insights should facilitate the quest for improved antivirals that target coronavirus replication.
 
Back
Top Bottom