Article
First clinical description of letermovir resistance mutation in cytomegalovirus UL51 gene and potential impact on the terminase complex structure.
Antiviral research - 1 Aug 2022
Muller Clotilde, Tilloy Valentin, Frobert Emilie, Feghoul Linda, Garrigue Isabelle, Lepiller Quentin, Mirand Audrey, Sidorov Egor, Hantz Sébastien, Alain Sophie
Abstract excerpt
BACKGROUND: Letermovir (LMV) is a human cytomegalovirus (HCMV) terminase inhibitor indicated as prophylaxis for HCMV-positive stem-cell recipients. Its mechanism of action involves at least the viral terminase proteins pUL56, pUL89 and pUL51. Despite its efficiency, resistance mutations were characterized in vitro and in vivo, largely focused on pUL56. To date, mutations in pUL51 in clinical resistance remain to...
Topics
- Acetates
- Antiviral Agents
- Cytomegalovirus
- Drug Resistance, Viral
- Endodeoxyribonucleases
- Humans
- Mutation
- Quinazolines
- Viral Proteins
