Gene/Protein
Disease
Symptom
Drug
Enzyme
Compound
Pivot Concepts:
Gene/Protein
Disease
Symptom
Drug
Enzyme
Compound
Target Concepts:
Gene/Protein
Disease
Symptom
Drug
Enzyme
Compound
Query: EC:2.7.1.21 (
thymidine kinase
)
7,561
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Azidothymidine (zidovudine,
AZT
) used for treatment of HIV infection blocks the viral reverse transcriptase after phosphorylation by cellular enzymes. The first step in this reaction is the formation of
AZT
monophosphate, primarily catalyzed by host cytoplasmatic
thymidine kinase
(TK1). The activity of TK1 was determined in extracts of PHA-stimulated peripheral blood mononuclear cells (PBMCs) from 20 healthy volunteers and 49 HIV-infected patients at different stages of disease. In both groups we found a large intra- and interindividual variation of TK activity. Because TK1 expression is cell cycle regulated the proportion of stimulated cells was determined in the samples and the median
thymidine kinase
activity calculated. It was 3.0 pmol/mg/min x % S phase in the HIV-seronegative group and 1.1 pmol/mg/min x % S phase in HIV-infected individuals. The difference in
thymidine kinase
activity is statistically significant (p = 0.0001). The concentration of TK1 protein in the same extracts was also determined by immunoblotting. A positive correlation (r = 0.74) was observed between TK activity and amount of TK1 protein. The reason for this downregulation of TK is still unknown but may be related to the anergy observed in lymphocytes from HIV-infected persons. The reduced capacity for intracellular phosphorylation of
AZT
in HIV-infected individuals may be an important factor in the emergence of clinical
AZT
resistance and should also be accounted for in testing
AZT
resistance in vitro with PBMCs from healthy blood donors.
...
PMID:Decreased thymidine kinase levels in peripheral blood cells from HIV-seropositive individuals: implications for zidovudine metabolism. 754 7
Human immunodeficiency virus (HIV) resistance to the nonnucleoside reverse transcriptase inhibitors emerges very rapidly under selection in culture and in patients. In contrast, zidovudine (3'-azido-3'-deoxythymidine [
AZT
])-resistant HIV generally emerges in patients only after more-prolonged therapy. Although HIV can be cultured from many patients shortly after the initiation of
AZT
treatment, characterization of the virus that is cultured generally indicates that it is sensitive to
AZT
. To initiate an evaluation of the mechanisms contributing to early HIV breakthrough in the presence of
AZT
and other nucleoside analogs, we have utilized replication-defective HIV encoding reporter genes. These recombinant HIV allow a quantitative analysis of a single cycle of infection. Results with these defective HIV indicate that early infection in the presence of
AZT
often results from the infection of a cell which is refractory to the antiretroviral effects of
AZT
. Characterization of a cell line derived from one such cell has demonstrated decreased accumulation of
AZT
triphosphate, increased phosphorylation of thymidine to thymidine triphosphate, and increased levels of
thymidine kinase
activity. In addition,
AZT
inhibition of replication-competent HIV infection is also significantly impaired in this cell line. Attempts to detect and characterize the mechanisms responsible for early viral infection after initiation of
AZT
therapy may result in the development of new strategies for prolonged suppression of viral infection prior to the emergence of drug-resistant virus.
...
PMID:Sanctuary growth of human immunodeficiency virus in the presence of 3'-azido-3'-deoxythymidine. 785 95
AZT
is an inhibitor of HIV reverse transcriptase which active form is
AZT
-triphosphate. Its clinical efficacy is limited by its toxicity and the emergence of mutant resistant viruses. This might be due to an unfficient cellular metabolism of
AZT
which leads to the intracellular accumulation of
AZT
monophosphate. We tested a possible enhancement of this metabolism with the HSV1
thymidine kinase
, an enzyme that also possesses a good thymidilate kinase activity. We show that, compared to parental cells, the proportion of
AZT
triphosphate is increased 3 fold in HSV1-TK expressing cells, and that inhibition of HIV replication in these cells requires 3 to 10 fold less
AZT
. This observation forms the basis for a new gene therapy strategy named genetically controlled pharmacomodulation.
...
PMID:[Genetically controlled pharmacomodulation: application to the treatment of HIV infection]. 788 39
We have previously shown that multidrug-resistant cells expressing the multidrug transporter P-glycoprotein are less sensitive to the antiviral activity of
AZT
. Subsequently, we addressed the question whether
AZT
itself is able to induce cellular resistance to the drug. Indeed, CEM cells propagated in the presence of increasing concentrations of
AZT
become resistant to the antigrowth and antiviral activity of
AZT
but do not express detectable level of P-glycoprotein. Sensitivity of these cells to other compounds, such as vinblastine, vincristine, ddI, and ddC remained unchanged, indicating that, in contrast to P-glycoprotein-positive cells,
AZT
-induced resistance is specific for
AZT
. Interestingly, in
AZT
-induced resistant cells the intracellular accumulation of
AZT
and exogenous deoxythymidine, as well as
thymidine kinase
activity, are significantly reduced when compared with the parental cell line. Our findings show that
AZT
itself may directly induce the expression of cellular mechanisms leading to the acquisition of specific cellular resistance that can affect its antiviral activity.
...
PMID:Zidovudine induces the expression of cellular resistance affecting its antiviral activity. 788 2
(1) The currently used clinical anti-metabolites are targeted against-key enzymes of de novo purine and pyrimidine biosynthesis. However, the activities of salvage enzymes in each of the biosynthetic segments are markedly higher than those of the rate-limiting enzymes of de novo biosynthesis. Enzyme-pattern-targeted chemotherapy has been suggested to overcome the circumvention activity of salvage. Combination of inhibition of de novo and salvage pathways does provide a synergistic impact. Examples that enzyme-pattern-targeted drug treatment yields synergism include the following: tiazofurin (against IMP DH) and allopurinol (by raising serum hypoxanthine levels it inhibits GPRT); methotrexate or 5-FU lead to inhibition of the dTMP synthase reaction and
AZT
(a competitive inhibitor of
thymidine kinase
) or dipyridamole (a nucleoside transport inhibitor); acivicin, an inhibitor and inactivator of glutamine-utilizing enzymes in the de novo pathways of purine and pyrimidine biosynthesis, and dipyridamole. (2) Administration of MTX, 5-FU, tiazofurin or acivicin causes inhibition and/or inactivation of target enzymes. That these drugs are effective in spite of the presence of highly active salvage enzymes is now accounted for, at least in part, by new observations showing that these drugs markedly reduce (but do not eliminate) the activities (amounts) of CdR and TdR kinases, dTMP synthase and GPRT. This action is attributed to the rapid decay rate of these enzymes. (3) Studies on the bone marrow enzymic programs indicate that there is a window of opportunity for strengthening therapy and for the protection of bone marrow by administering salvage metabolites when the salvage enzymes are still present in high enough activities, i.e., 2-6 hr after administration of the blockers of de novo enzyme activities. (4) These results are a strong argument for discovering and utilizing inhibitors of purine and pyrimidine salvage enzymes to achieve more successful enzyme-pattern-targeted chemotherapy and to avoid development of resistant clones of cancer cells. (5) These approaches provide greater explanatory coherence than the previous accounts because recognition of (a) the importance of salvage and (b) rapid decay of key and salvage enzymes reveals a paradigm shift. The problem-solving process in chemotherapy should now be not only data-driven but also explanation-driven.
...
PMID:Targeted and non-targeted actions of anti-cancer drugs. 794 86
Novel diaryl phosphate triester derivatives of the anti-HIV nucleoside analogue
AZT
have been prepared by phosphorochloridate chemistry. These materials were designed to act as membrane-soluble pro-drugs of the bio-active free nucleotides. In particular, novel parasubstituted diaryl phosphate derivatives were prepared. In vitro evaluation revealed the compounds to have a pronounced and selective antiviral effect, the magnitude of which varied considerably with the nature of the aryl substituent. In particular, strongly electron-withdrawing aryl substituents correlate with high anti-HIV potency in C8166 cells. Along with
AZT
, the compounds are poorly effective in JM cells, which appear to lack
thymidine kinase
, indicating the phosphates to act as pro-drugs of the nucleoside rather than of the free phosphate.
...
PMID:Synthesis and anti-HIV activity of some novel diaryl phosphate derivatives of AZT. 794 14
In this report, we provide evidence that the cellular
thymidine kinase
activity is required for the inhibition of HIV replication by zidovudine (
AZT
) in lymphocytes. The HSV-1
thymidine kinase
protein is not able to substitute for the cellular enzyme, in accord with in vitro data that
AZT
is poorly phosphorylated by the HSV-derived activity.
...
PMID:Cellular thymidine kinase activity is required for the inhibition of HIV-1 replication by AZT in lymphocytes. 812 27
The monomeric and symmetrical dimeric 5'-hydrogenphosphonate derivatives of
AZT
were prepared and evaluated for their inhibitory properties against HIV-1 in several cell lines. The synthesis of the compounds was achieved by reaction of
AZT
with in situ prepared phosphorus tris(imidazolide) or with phosphonic acid in the presence of pivaloyl chloride. The two title compounds showed in vitro anti-HIV activity similar to (but not better than) that of
AZT
in three cell lines which were not deficient in
thymidine kinase
. On the other hand they were inactive in CEM-TK- cells. Pharmacokinetic studies in several media corroborate the assumption that these compounds must not be considered as 'true antiviral agents', but that they act by releasing their nucleoside entity.
...
PMID:5'-Hydrogenphosphonates of anti-HIV nucleoside analogues revisited: controversial mode of action. 827 9
The target protein (enzyme) with which antiviral agents interact determines their antiviral activity spectrum. Based on their activity spectrum, antiviral compounds could be divided into the following classes: (1) sulfated polysaccharides (i.e., dextran sulfate), which interact with the viral envelope glycoproteins and are inhibitory to a broad variety of enveloped viruses (i.e., retro-, herpes-, rhabdo-, and arenaviruses): (2) SAH hydrolase inhibitors (i.e., neplanocin A derivatives), which are particularly effective against poxvirus, (-)RNA viruses (paramyxovirus, rhabdovirus), and (+/-)RNA virus (reovirus); (3) OMP decarboxylase inhibitors (i.e., pyrazofurin) and CTP synthetase inhibitors (i.e., cyclopentenylcytosine), which are active against a broad range of DNA, (+)RNA, (-)RNA, and (+/-)RNA viruses; (4) IMP dehydrogenase inhibitors (i.e., ribavirin), which are also active against various (+)RNA and (-)RNA viruses and, in particular, ortho- and paramyxoviruses; (5) acyclic guanosine analogs (i.e., ganciclovir) and carbocyclic guanosine analogs (i.e., cyclobut-G), which are particularly active against herpesviruses (i.e., HSV-1, HSV-2, VZV, CMV); (6) thymidine analogs (i.e., BVDU, BVaraU), which are specifically active against HSV-1 and VZV because of their preferential phosphorylation by the virus-encoded
thymidine kinase
; (7) acyclic nucleoside phosphonates (i.e., HPMPA, HPMPC, PMEA, FPMPA), which, depending on the structure of the acyclic side chain, span an activity spectrum from DNA viruses (papova-, adeno-, herpes-, hepadna-, and poxvirus) to retroviruses (HIV); (8) dideoxynucleoside analogs (i.e.,
AZT
, DDC), which act as chain terminators in the reverse transcriptase reaction and thus block the replication of retroviruses as well as hepadnaviruses; and (9) the TIBO, HEPT, and other TIBO-like compounds, which interact specifically with the reverse transcriptase of HIV-1 and thus block the replication of HIV-1, but not of HIV-2 or any other retrovirus.
...
PMID:Antiviral agents: characteristic activity spectrum depending on the molecular target with which they interact. 843 May 18
In a model system employing Chinese hamster V-79 cells, the DNA synthesis inhibitor 3'-azido-3'-deoxythymidine (BW A509U,
AZT
) was shown to induce genome-wide DNA hypermethylation, low-frequency silencing of
thymidine kinase
(TK;
EC 2.7.1.21
) gene expression, and resistance to
AZT
. Twenty-four hours of exposure of V-79 cells to 150 microM
AZT
led to > 2-fold enhancement of genomic 5-methylcytosine levels and produced TK- epimutants at a rate approximately 43-fold above background. Such
AZT
-induced TK- epimutants were shown to be severely reduced in their capacity to activate
AZT
to its proximate antiviral form,
AZT
5'-monophosphate, as compared with the TK+ parental cell line from which they were derived. TK- clones isolated under these conditions were shown to be 9- to 24-fold more resistant to the cytotoxic effects of
AZT
than the parental TK+ cell line and showed collateral resistance to 5-fluoro-2'-deoxyuridine. Three of four TK- epimutants could be reactivated at very high frequency (8-73%) to the TK+
AZT
-sensitive phenotype by 24 hr of exposure to the demethylating agent 5-azadeoxycytidine (5-azadC), implying that drug-induced DNA hypermethylation, rather than classical mutation, was involved in the original gene-silencing event in these three clones. These 5-azadC-induced TK+ revertants concomitantly regained the ability to metabolize
AZT
to its 5'-monophosphate. RNA slot blot analyses indicated that the four
AZT
-induced TK- clones expressed 8.9%, 15.6%, 17.8%, and 11.1% of the parental level of TK mRNA. The three clones that were reactivatable by 5-azadC showed reexpression of TK mRNA to levels 84.4%, 51.1%, and 80.0% that of the TK+ parental cell line. These experiments show that one potential mechanism of drug resistance involves drug-induced DNA hypermethylation and resulting transcriptional inactivation of cellular genes whose products are required for drug activation.
...
PMID:Epigenetic mechanisms of drug resistance: drug-induced DNA hypermethylation and drug resistance. 846 12
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