# Structural biology of HIV-1 reverse transcriptase allosteric inhibitors for drug design

**Authors:** Zhenzhen Zhou, Yanying Sun, Da Feng, Zhao Wang, Fabao Zhao, Shenghua Gao, Peng Zhan, Dongwei Kang, Xinyong Liu

PMC · DOI: 10.1016/j.apsb.2025.11.007 · 2025-11-13

## TL;DR

This paper reviews the structural biology of HIV-1 reverse transcriptase inhibitors to guide the design of more effective anti-HIV drugs.

## Contribution

A comprehensive review of recent co-crystal structures of allosteric inhibitors with HIV-1 RT for drug development.

## Key findings

- Co-crystal structures of small molecule inhibitors with HIV-1 RT have advanced drug design.
- Allosteric inhibitors show high efficiency and low toxicity, making them promising drug candidates.
- Structural insights help identify strategies for developing next-generation anti-HIV drugs.

## Abstract

HIV-1 reverse transcriptase (RT) is responsible for reverse transcription of viral single-stranded RNA to double-stranded DNA, which plays an important role in the replication cycle of HIV-1 and has been identified as a key target for anti-HIV-1 drug discovery. Among HIV-1 RT inhibitors, allosteric inhibitors acting on non-catalytic sites have the advantages of high efficiency and low cytotoxicity, which are the focus of the research on anti-HIV-1 inhibitors. Great progress has been achieved in the structural biology of HIV-1 RT, which significantly facilitated the development of RT allosteric inhibitors. Herein, we provided a detailed review of the co-crystal structures of small molecule allosteric inhibitors in complex with RT reported in the last decade. Moreover, the strategies to discover novel and efficient inhibitors based on co-crystal structures have also been discussed, expecting to provide a reference for the development of the next-generation anti-HIV-1 drugs.

This is a detailed review of the co-crystal structures of small molecule allosteric inhibitors in complex with HIV-1 reverse transcriptase (RT) reported in the last decade.Image 1

## Linked entities

- **Proteins:** POMT1 (protein O-mannosyltransferase 1)

## Full-text entities

- **Diseases:** cytotoxicity (MESH:D064420)
- **Species:** Human immunodeficiency virus 1 (no rank) [taxon 11676]

## Figures

40 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12828086/full.md

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Source: https://tomesphere.com/paper/PMC12828086