A Structural Basis for the Inhibition of the NS5 Dengue Virus mRNA 2′-O-Methyltransferase Domain by Ribavirin 5′-Triphosphate

Ribavirin is one of the few nucleoside analogues currently used in the clinic to treat RNA virus infections, but its mechanism of action remains poorly understood at the molecular level. Here, we show that ribavirin 5′-triphosphate inhibits the activity of the dengue virus 2′- O -methyltransferase NS5 domain (NS5MTase DV ). Along with several other guanosine 5′-triphosphate analogues such as acyclovir, 5-ethynyl-1-β- d -ribofuranosylimidazole-4-carboxamide (EICAR), and a series of ribose-modified ribavirin analogues, ribavirin 5′-triphosphate competes with GTP to bind to NS5MTase DV . A structural view of the binding of ribavirin 5′-triphosphate to this enzyme was obtained by determining the crystal structure of a ternary complex consisting of NS5MTase DV , ribavirin 5′-triphosphate, and S -adenosyl- l -homocysteine at a resolution of 2.6 à . These detailed atomic interactions provide the first structural insights into the inhibition of a viral enzyme by ribavirin 5′-triphosphate, as well as the basis for rational drug design of antiviral agents with improved specificity against the emerging flaviviruses.