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Antimicrobial Agents and Chemotherapy, January 2001, p. 229-235, Vol. 45, No. 1
0066-4804/01/$04.00+0   DOI: 10.1128/AAC.45.1.229-235.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.

Antiviral L-Nucleosides Specific for Hepatitis B Virus Infection

Martin L. Bryant,1,* Edward G. Bridges,1 Laurent Placidi,2 Abdesslem Faraj,2 Anna-Giulia Loi,3 Claire Pierra,3 David Dukhan,3 Gilles Gosselin,4 Jean-Louis Imbach,4 Brenda Hernandez,2 Amy Juodawlkis,1 Bud Tennant,5 Brent Korba,6 Paul Cote,6 Pat Marion,7 Erika Cretton-Scott,2 Raymond F. Schinazi,8 and Jean-Pierre Sommadossi2

Novirio Pharmaceuticals, Inc., Cambridge, Massachusetts 021401; Department of Pharmacology and Toxicology, Division of Clinical Pharmacology, The Liver Center, University of Alabama at Birmingham, Birmingham, Alabama 352942; Novirio Pharmaceuticals, SARL, 75008 Paris,3 and Laboratoire de Chimie Bioorganique, CNRS UMR 5625, Université de Montpellier II, 34095 Cedex 5 Montpellier,4 France; Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York 148535; Division of Molecular Virology and Immunology, Georgetown University College of Medicine, Rockville, Maryland 208526; Divisions of Gastroenterology and Infectious Diseases and Geographic Medicine, Stanford University School of Medicine, Stanford, California 943057; and Laboratory of Biochemical Pharmacology, Department of Pediatrics, Emory University School of Medicine and Veterans Affairs Medical Center, Decatur, Georgia 300338

Received 10 April 2000/Returned for modification 20 June 2000/Accepted 10 October 2000

A unique series of simple "unnatural" nucleosides has been discovered to inhibit hepatitis B virus (HBV) replication. Through structure-activity analysis it was found that the 3'-OH group of the beta -L-2'-deoxyribose of the beta -L-2'-deoxynucleoside confers specific antihepadnavirus activity. The unsubstituted nucleosides beta -L-2'-deoxycytidine, beta -L-thymidine, and beta -L-2'-deoxyadenosine had the most potent, selective, and specific antiviral activity against HBV replication. Human DNA polymerases (alpha , beta , and gamma ) and mitochondrial function were not affected. In the woodchuck model of chronic HBV infection, viral load was reduced by as much as 108 genome equivalents/ml of serum and there was no drug-related toxicity. In addition, the decline in woodchuck hepatitis virus surface antigen paralleled the decrease in viral load. These investigational drugs, used alone or in combination, are expected to offer new therapeutic options for patients with chronic HBV infection.


* Corresponding author. Mailing address: Novirio Pharmaceuticals, Inc., 125 Cambridge Park Dr., Cambridge, MA 02140. Phone: (617) 250-3100. Fax: (617) 250-3101. E-mail: bryant.martin{at}novirio.com.


Antimicrobial Agents and Chemotherapy, January 2001, p. 229-235, Vol. 45, No. 1
0066-4804/01/$04.00+0   DOI: 10.1128/AAC.45.1.229-235.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.



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