Selective inhibition of anthrax edema factor by adefovir, a drug for chronic hepatitis B virus infection

Adefovir Anthrax toxin Virulence factor
DOI: 10.1073/pnas.0306552101 Publication Date: 2004-03-03T02:33:11Z
ABSTRACT
Edema factor (EF), a key virulence in anthrax pathogenesis, has calmodulin (CaM)-activated adenylyl cyclase activity. We have found that adefovir dipivoxil, drug approved to treat chronic infection of hepatitis B virus, effectively inhibits EF-induced cAMP accumulation and changes cytokine production mouse primary macrophages. Adefovir diphosphate (PMEApp), the active cellular metabolite activity EF vitro with high affinity ( K i = 27 nM). A crystal structure EF-CaM-PMEApp reveals catalytic site forms better van der Waals contacts more hydrogen bonds PMEApp than its endogenous substrate, ATP, providing an explanation for ≈10,000-fold higher EF-CaM versus ATP. dipivoxil is clinically can block action toxin. It be used address role pathogenesis.
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