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Topalis, Dimitri; Gillemot, Sarah; Snoeck, Robert; Andrei, Graciela
Drug resistance updates, March 2018, 2018-03-00, 20180301, Volume: 37Journal Article
Herpesviruses thymidine kinase (TK) and protein kinase (PK) allow the activation of nucleoside analogues used in anti-herpesvirus treatments. Mutations emerging in these two genes often lead to emergence of drug-resistant strains responsible for life-threatening diseases in immunocompromised populations. In this review, we analyze the binding of different nucleoside analogues to the TK active site of the three α-herpesviruses Herpes Simplex Virus 1 and 2 (HSV-1 and HSV-2) and Varicella-Zoster Virus (VZV) and present the impact of known mutations on the structure of the viral TKs. Furthermore, models of β-herpesviruses Human cytomegalovirus (HCMV) and human herpesvirus-6 (HHV-6) PKs allow to link amino acid changes with resistance to ganciclovir and/or maribavir, an investigational chemotherapeutic used in patients with multidrug-resistant HCMV. Finally, we set the basis for the understanding of drug-resistance in γ-herpesviruses Epstein-Barr virus (EBV) and Kaposi’s sarcoma associated herpesvirus (KSHV) TK and PK through the use of animal surrogate models.
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