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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
-L-2'-deoxyribose of the
-L-2'-deoxynucleoside confers specific antihepadnavirus
activity. The unsubstituted nucleosides
-L-2'-deoxycytidine,
-L-thymidine, and
-L-2'-deoxyadenosine had the most potent, selective, and
specific antiviral activity against HBV replication. Human DNA
polymerases (
,
, and
) 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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