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10.1038/s41594-021-00651-0

http://scihub22266oqcxt.onion/10.1038/s41594-021-00651-0
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34381216!8437801!34381216
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suck abstract from ncbi


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pmid34381216      Nat+Struct+Mol+Biol 2021 ; 28 (9): 740-746
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  • Mechanism of molnupiravir-induced SARS-CoV-2 mutagenesis #MMPMID34381216
  • Kabinger F; Stiller C; Schmitzova J; Dienemann C; Kokic G; Hillen HS; Hobartner C; Cramer P
  • Nat Struct Mol Biol 2021[Sep]; 28 (9): 740-746 PMID34381216show ga
  • Molnupiravir is an orally available antiviral drug candidate currently in phase III trials for the treatment of patients with COVID-19. Molnupiravir increases the frequency of viral RNA mutations and impairs SARS-CoV-2 replication in animal models and in humans. Here, we establish the molecular mechanisms underlying molnupiravir-induced RNA mutagenesis by the viral RNA-dependent RNA polymerase (RdRp). Biochemical assays show that the RdRp uses the active form of molnupiravir, beta-D-N(4)-hydroxycytidine (NHC) triphosphate, as a substrate instead of cytidine triphosphate or uridine triphosphate. When the RdRp uses the resulting RNA as a template, NHC directs incorporation of either G or A, leading to mutated RNA products. Structural analysis of RdRp-RNA complexes that contain mutagenesis products shows that NHC can form stable base pairs with either G or A in the RdRp active center, explaining how the polymerase escapes proofreading and synthesizes mutated RNA. This two-step mutagenesis mechanism probably applies to various viral polymerases and can explain the broad-spectrum antiviral activity of molnupiravir.
  • |Animals[MESH]
  • |Antiviral Agents/chemistry/metabolism/pharmacology[MESH]
  • |Base Sequence[MESH]
  • |COVID-19 Drug Treatment[MESH]
  • |COVID-19/*prevention & control/virology[MESH]
  • |Cytidine/*analogs & derivatives/chemistry/metabolism/pharmacology[MESH]
  • |Humans[MESH]
  • |Hydroxylamines/chemistry/*metabolism/pharmacology[MESH]
  • |Models, Molecular[MESH]
  • |Molecular Structure[MESH]
  • |Mutagenesis/drug effects/*genetics[MESH]
  • |Mutation/drug effects/genetics[MESH]
  • |Nucleic Acid Conformation[MESH]
  • |Protein Binding/drug effects[MESH]
  • |Protein Conformation[MESH]
  • |RNA, Viral/chemistry/*genetics/metabolism[MESH]
  • |RNA-Dependent RNA Polymerase/chemistry/genetics/metabolism[MESH]
  • |SARS-CoV-2/drug effects/*genetics/physiology[MESH]


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