Which enzyme is necessary for the activation of acyclovir in treating herpesvirus infections?

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Acyclovir requires the action of thymidine kinase for its activation, which is essential when treating herpesvirus infections. Thymidine kinase is a viral enzyme encoded by herpesviruses that phosphorylates acyclovir, converting it from its inactive form into acyclovir monophosphate. This initial phosphorylation is critical because acyclovir needs to be further phosphorylated by cellular kinases to its diphosphate and triphosphate derivatives, which then compete with the natural nucleotides for incorporation into viral DNA.

Acyclovir's triphosphate form is a potent inhibitor of viral DNA polymerase, which prevents further viral replication. The specificity of this activation process highlights why acyclovir is selectively toxic to infected cells, as healthy cells do not express thymidine kinase, leading to minimal side effects in uninfected tissue.

The other enzymes mentioned do not play a role in the initial activation of acyclovir. DNA ligase is involved in DNA replication and repair, uracil DNA glycosylase is involved in base excision repair, and viral protease is crucial for processing viral proteins. None of these are related to the phosphorylation and activation of acyclovir.

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