Another HCV target if the current ones are not sufficient for an all-oral treatment
  Structure of a hepatitis C virus RNA domain in complex with a translation inhibitor reveals a binding mode reminiscent of                   riboswitches                                                     Sergey M. Dibrov a,                        Kejia Ding a,                        Nicholas D. Brunn a,                        Matthew A. Parker b,                        B. Mikael Bergdahl b,                        David L. Wyles c, and                        Thomas Hermann a
   Author Affiliations                    a Department of Chemistry and Biochemistry, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA 92093;                                                 b Department of Chemistry and Biochemistry, San Diego State University, San Diego, CA 92182; and                                                  c Division of Infectious Diseases, Department of Medicine, University of California, San Diego, 9500 Gilman Drive, La Jolla,                            CA 92093                                                                                             Edited by Jennifer A. Doudna,  University of California, Berkeley, CA, and approved February 6, 2012  (received for review November                            13, 2011)                         
                     Abstract                    The internal ribosome entry site (IRES) in  the hepatitis C virus (HCV) RNA genome is essential for the initiation  of viral                      protein synthesis. IRES domains adopt well-defined  folds that are potential targets for antiviral translation inhibitors.                      We have determined the three-dimensional structure  of the IRES subdomain IIa in complex with a benzimidazole translation  inhibitor                      at 2.2 Å resolution. Comparison to the structure of  the unbound RNA in conjunction with studies of inhibitor binding to the                      target in solution demonstrate that the RNA  undergoes a dramatic ligand-induced conformational adaptation to form a  deep pocket                      that resembles the substrate binding sites in  riboswitches. The presence of a well-defined ligand-binding pocket  within the                      highly conserved IRES subdomain IIa holds promise  for the development of unique anti-HCV drugs with a high barrier to  resistance.                   
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