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9SGF

Human UCK1 in complex with NHC

Summary for 9SGF
Entry DOI10.2210/pdb9sgf/pdb
DescriptorUridine-cytidine kinase 1, N-hydroxycytidine, PHOSPHATE ION, ... (4 entities in total)
Functional Keywordsuck1, nhc, uck, transferase
Biological sourceHomo sapiens (human)
Total number of polymer chains4
Total formula weight127084.50
Authors
Ludaescher, J.,Leveque, C.,Scaletti Hutchinson, E.,Stenmark, P. (deposition date: 2025-08-22, release date: 2026-05-13, Last modification date: 2026-06-10)
Primary citationShu, H.,Ludascher, J.M.,Sharma, S.,Alam, S.,Frank, L.,Hutchinson, E.S.,Tampere, M.,Leveque, C.,van Kuilenburg, A.B.P.,Valerie, N.C.K.,Altun, M.,Chabes, A.,Stenmark, P.,Rudd, S.G.,Zhang, S.M.
Uridine cytidine kinases govern molnupiravir bioactivation and anti-SARS-CoV-2 activity.
Plos Pathog., 22:e1014225-e1014225, 2026
Cited by
PubMed Abstract: Molnupiravir is a nucleoside analogue antiviral drug against RNA viruses, including its clinical indication SARS-CoV-2. Whilst its mechanism-of-action is well defined, host factors that regulate its therapeutic responses have not been thoroughly deciphered and characterized. Here we show that uridine cytidine kinases (UCKs), key enzymes in pyrimidine salvage, effectively phosphorylate and thereby bioactivate N4-hydroxycytidine (NHC) - the active compound of molnupiravir, thus dictating its anti-SARS-CoV-2 efficacy and furthermore selectivity. In vitro, both isoforms of UCKs (UCK1 and UCK2) effectively phosphorylated NHC, where the structural basis of the catalysis was further deciphered via the first complete substrate bound co-crystal structure of UCK, i.e., UCK1-NHC-AMPPNP. In SARS-CoV-2-infected cells, UCK2 knockdown via siRNA hampered the intracellular accumulation of the tri-phosphorylated antiviral metabolite of NHC, resulting in a 10-fold reduction of the antiviral efficacy, and surprisingly, 2-fold reduction of its selectivity, which were critically recapitulated in a dose-dependent manner using a pan-UCK inhibitor. Altogether, this work underscores UCKs as pivotal players in upholding molnupiravir efficacy and therapeutic window of molnupiravir, and furthermore as pharmacologically tractable targets for tailoring the drug response.
PubMed: 42213735
DOI: 10.1371/journal.ppat.1014225
PDB entries with the same primary citation
Experimental method
X-RAY DIFFRACTION (2.179 Å)
Structure validation

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