of of

be be

on on

in­

in­

the the

için için 129 129

and and

and and

into into der­

niik­

hep­

diğer diğer

(last­

man-

of of

acute acute

bi­

a a

can can

200,000 200,000

Bu Bu

fatigue, fatigue,

form form

obvious obvious

with with

sınıf sınıf

blood blood

or or

end end

liver) liver)

both both

the the

tedavisi tedavisi

of of

no no

corning corning

bir bir

chronic chronic

disease disease

the the

the the

of of

fever, fever,

untreated, untreated,

for for

razor razor

of of

noseb!eeds noseb!eeds

sentezlenen sentezlenen

serious serious

at at

of of

contact contact

gibi gibi

infection infection

with with

a a

occurs. occurs.

left left

tartışılmıştır. tartışılmıştır.

10% 10%

Anti-Hepatit Anti-Hepatit

with with

enfeksiyonu enfeksiyonu

çıkmışlardır. çıkmışlardır.

amount amount

Nükleositler Nükleositler

If If

cuts, cuts,

showing showing

chronic chronic

to to

ways ways

HBV HBV

a a

cause cause

HBV HBV

up up

through through

etkileri etkileri

(scarring (scarring

L-FMAU L-FMAU

Ajanı Ajanı

from from

il!ness il!ness

patients patients

responsible responsible

tiniest tiniest

ortaya ortaya

zamanlarda zamanlarda

Generally, Generally,

jaundice jaundice

infeksiyonlarının infeksiyonlarının

toothbrush, toothbrush,

in in

into into

many many

can can

ve ve

as as

is is

in in

a a

TURKEY TURKEY

Acute Acute

the the

.'ion .'ion

annually. annually.

Virüs Virüs

as as

leşikler, leşikler,

Virus Virus

Nukleositler, Nukleositler,

are are

HBV HBV

cases cases

spread spread

ve ve

B B

individuals individuals

olarak olarak

FTC FTC

such such

anti-HBV anti-HBV

cirrhosis cirrhosis

flue-like flue-like

disease. disease.

06100 06100

is is

(HBV) (HBV)

Even Even

develop develop

a a

months) months)

such such

B B

people people

infection infection

6 6

some some

the the

3TC, 3TC,

increased increased

There There

most most

kronik kronik

hepatitis. hepatitis.

b!ood, b!ood,

in in

virus virus

is is

of of

may may

virus virus

bileşikler bileşikler

blood. blood.

B B

bileşiklerin bileşiklerin

than than

B B

B B

HBV HBV

objects objects

period, period,

with with Chemistry, Chemistry,

Anti-Hepatit Anti-Hepatit

bileşiklerin bileşiklerin

and and

kelimeler: kelimeler:

with with

sign sign

bu bu

blood. blood.

developing developing

infected infected

Yalnızca Yalnızca

analoğu, analoğu,

B. B.

cancer cancer

chronic chronic

verici verici

: :

of of

yeni yeni

more more

cornınon cornınon

fected fected

Hepatitis Hepatitis

contact contact

liver liver

menstrua! menstrua! risk risk

newly newly

atitis atitis

ing ing

Hepatitis Hepatitis cubation cubation

clinical clinical

rnalaise rnalaise

and and hepatitis. hepatitis.

Hepatitis Hepatitis variable variable

lemede, lemede,

ümit ümit

leosit leosit

bazı bazı

Özet Özet

Anahtar Anahtar

Pharmaceutical Pharmaceutical

in in

G. G.

of of

in· in·

in­

ex­

the the

and and

300 300

any any

less less

that that

safe safe

sep­

were were

conı­

some some

hep­

cells, cells,

plays plays

given given

a a

the the

and and

for for

of of

HBV HBV

FTC FTC

and and

to to

seem seem

the the

over over

and and

and and

E E

term term

for for

liver liver

about about

liver liver

have have

infection. infection.

to to

O, O,

a a

recently, recently,

class class

that that

Department Department

3TC, 3TC,

today today

Ageııts Ageııts

the the

just just

C, C,

Agents, Agents,

REVIEWS REVIEWS

Anti-Hepatitis Anti-Hepatitis

as as

HBV HBV

due due

despite despite

be!ongs be!ongs

effective effective

B, B,

effective effective

Virus Virus

2001 2001

compounds compounds

scientist scientist

Since Since

such such

A, A,

B B

disease, disease,

viruses viruses

damaging damaging

no no

responsible responsible

as as

Pharmacy, Pharmacy,

promising promising

a a

synthesized synthesized

available available

of of more more

chronic chronic

that that

of of

these these

it. it.

liver. liver.

and and

microbes microbes

morta!ity morta!ity

Virus Virus

of of

are are

of of

anly anly

SCIENTIFIC SCIENTIFIC

been been

were were

metabolism, metabolism,

129-136, 129-136,

Anti·hepatitis Anti·hepatitis

only only

analogs, analogs,

the the

virus virus

carriers, carriers,

Additionally, Additionally,

the the

Faculty Faculty

and and

26, 26,

number number

of of

not not

have have

Aııti-Hepavtis Aııti-Hepavtis

a a

which which

effects effects

be be

agents agents

affecting affecting

patients. patients.

infecting infecting

as as

0 0

discovering discovering

is is

human human

hepatitis hepatitis

Sci., Sci.,

to to

are are

of of

Ankara, Ankara,

in in

on on

agents. agents.

nucleoside

in in

managenıent managenıent

chronic chronic

alphabetica! alphabetica!

hepatitis hepatitis

(HBV) (HBV)

Nııcleosides, Nııcleosides,

fection fection

these these

of of

15.5.2001 15.5.2001

28.6.2001 28.6.2001

27.6.2001 27.6.2001

family. family.

the the

morbidity morbidity

The The

there there

anti-HBV anti-HBV

of of

TARAMALAR/ TARAMALAR/

role role

Phann. Phann.

initials: initials:

: :

derivatives, derivatives,

appear appear

ÖLGEN*

these these

HBV HBV

intent intent

hepatitis hepatitis

capable capable

efforts efforts

virus virus

Nucleosides

J. J.

inflammation inflammation

far far

is is

of of

virus virus

antiviral antiviral

B B

new new

so-called so-called

Words: Words:

paper, paper,

Correspondence Correspondence

University University

fact fact

central central

° °

* *

the the separate separate

arate arate

Each Each

treatment treatment

pressly pressly virus virus

However, However, a a means means

chemotherapeutic chemotherapeutic

toxic toxic ln ln

tensive tensive

million million

atitis atitis

Pandemic Pandemic

this this

Revised Revised

Received Received discııssed. discııssed.

Accepted Accepted Nucleosides Nucleosides other other

Key Key BİLİMSEL BİLİMSEL

L-FMAU L-FMAU

pounds pounds

Sunımary Sunımary Agents Agents

Süreyya Süreyya FABAD FABAD

a a

in in

in in

in in

in in

as as

2'-

es­

ra­

the the

the the

an­

po­ celi celi

this this

!hat !hat

mo­

vivo vivo

pro­

have have

HBV HBV

virus virus

Dane Dane

chain chain

prop­

trans­

lor lor

of of

differ­

south­

of of

agents agents

of of

of of

(ducks, (ducks,

HepG2 HepG2

in in

B B

The The

other other

proteins proteins

to to

the the

which which

is is

the the

phase phase

including including

by by

2.2.15 2.2.15

the the

applied applied

as as

tine tine

found found

one one

in in

the the

virions virions

to to

reported reported

antiviral antiviral

infections infections

solid solid

celi celi

analogues analogues

validity validity

investigation investigation

was was

models models

DNA DNA

antiviral antiviral

are are

the the

Several Several

system system

screening screening

infectious infectious

been been

al.4 al.4

specific specific

due due

hepatitis hepatitis

. .

HepG2 HepG2

lt lt

by by

7

polymerase polymerase

produce produce

as as

(HepG2) (HepG2)

analogue analogue

et et

HBV HBV

reported, reported,

systern, systern,

hampered hampered

the the

the the

The The

the the

used used

vira! vira!

also also

the the

since since

. .

under under

facilitated facilitated

as as

different different

HBV HBV

designated designated

compounds. compounds.

level

5

animal animal

!ine !ine

culture culture

celi celi

used used

has has

Selis Selis

the the

been been

has has

cause cause

probably probably

assayed assayed

the the

nucleoside nucleoside

well well

was was

celi celi

Recently, Recently,

nucleosides nucleosides

DNA DNA

and and

be be

vitro vitro

constantly constantly

alsa alsa

greatly greatly

1987, 1987,

tissue tissue

as as

carrying carrying

HBeAg

can can

the the

virus virus

display display

including including

currently currently

lines, lines,

However, However,

carbocyclic carbocyclic

in in

commonly commonly

hepatocyteslO. hepatocyteslO.

In In

!ine !ine

B B

of of

can can

anti-HBV anti-HBV

can can

vira! vira!

alsa alsa

and and

have have

(RIA) (RIA)

vitro vitro

are are

cell cell

an an

cells cells

demonstrated demonstrated

it it

compounds compounds

of of

of of

cell cell

technology technology

experirnental experirnental

studies studies

Generally, Generally,

in in

duck duck

most most

The The

of of

LifecycJe3 LifecycJe3

ratell. ratell.

plasrnid plasrnid

has has

of of

. .

Many Many

and and

6

of of

and and

a a

nucleosides nucleosides

an an

been been

HBeAg) HBeAg)

these these

The The

the the

hepatitis hepatitis

and and

agents. agents.

HBsAg HBsAg

2). 2).

cultures cultures

compounds compounds

of of

HBV HBV

(PCR) (PCR)

hybridization. hybridization.

or or

components, components,

different different

hepatoblastoma hepatoblastoma

is is

has has

biology biology

by by

1. 1.

with with

compounds. compounds.

cells, cells,

classes classes

the the

screening screening

in in

.. ..

studies. studies.

celi celi

studied studied

"'" "'"

., .,

lack lack

metabolic metabolic

quantitation quantitation

1 1

......

1 1

1 1

10 10

vitro vitro

vitro vitro

(Figu:e (Figu:e

drug drug

(HBsAg (HBsAg tablishment tablishment

reaction reaction

been been

tiviral tiviral

tency tency

anti-HBV anti-HBV

ent ent major major em-blot em-blot

woodchucks) woodchucks) dioirnrnunoassay dioirnrnunoassay

agate agate

HB6118,9, HB6118,9, antiviral antiviral genome. genome.

Carbocycİic Carbocycİic

Carbohydrate-modified Carbohydrate-modified chimpanzees

the the particles, particles,

duced duced

system system

2.2.15 2.2.15

lecular lecular specific specific

The The

human human

Figure Figure fected fected

establishment establishment

system system

a a

at at

or or

an an

At At

in­

in­

ge­

he­

un­

vir­

and and

epi­

of of

giv­

celi, celi,

pol­

par­

con­

hep­

hep­

vira! vira!

their their

such such

tran­

tran­

from from

virus virus

to to

DNA DNA

small small

h·ans­

is is

Fig.1. Fig.1.

the the

poorly poorly

spread spread

of of

double double

(HBV), (HBV),

animal animal

for for

in in

a a

baby baby

both both

B B

can can

partially partially

in in

host host

(cccDNA (cccDNA

core core

synthesis synthesis

are are

RNA RNA

with with

to to

as as

virus virus

RNA RNA

cccDNA cccDNA

result result

HBV HBV

than than

pregenomic pregenomic

has has

strand strand

matured matured

reverse reverse

the the

remains remains

particles. particles.

virus virus

squirrel squirrel

features features

blood blood

matured, matured,

The The

synthesis synthesis

remain remain

vira! vira!

the the

several several

family family

the the

far far

DNA DNA

Approximately Approximately

the the

of of

B B

replication replication

to to

partially partially

the the

shown shown

serve serve

the the

vira! vira!

cases cases

mothers mothers

synthesized synthesized

available available

of of

HBV HBV of of

cellular cellular

and and

circular, circular,

the the

frequently frequently

larger larger

a a

far far

hepatitis hepatitis

the the

mother mother

vira! vira!

is is

in in

infected infected

B B

of of

the the

rninus rninus

. .

and and

is is

transcripts transcripts

1

of of

far far

entry) entry)

by by

cases. cases.

cells. cells.

ground ground

with with

common common

cccDNA cccDNA

alsa alsa

circular circular

to to

into into

give give

the the

proteins. proteins.

RNA's RNA's

receptor receptor

nucleus nucleus

of of

from from

acids acids

newly newly

exposed exposed

several several

duck duck

entry, entry,

hepatitis hepatitis

is is

enough enough

mode mode

to to

slightly slightly

to to

RNA RNA

host host

person person

repaired repaired

resource resource

lifecyc!e lifecyc!e

The The

to to

B B

the the

hepatitis hepatitis

is is

a a

share share

composed composed

and and

a a

90% 90%

vaccine vaccine

thes• thes•

This This

the the

closed closed

and and

(WHV), (WHV),

ternplate ternplate

followed followed

virus virus

is is

HBV-infected HBV-infected

carry carry

then then

as as

the the

to to

nucleic nucleic

cellular cellular

a a

polymerase polymerase

of of

DNA DNA

A A

belongs belongs

composed composed

hepatocytes into into

rise rise

HBV HBV

human human

packaged packaged

structural structural

is is

to to

with with

srnaller srnaller

routinely routinely

of of

(attachrnent, (attachrnent,

which which

as as

from from

up up

can can

is is

the the

DNA2. DNA2.

is is

accomplished accomplished

far far

viruses viruses

the the

pregRNA pregRNA

DNA). DNA).

contact contact

vira! vira!

DNA DNA

vira! vira!

initial initial

the the

are are

in in

Hepatitis Hepatitis

which which

live live

is is

vira! vira!

aut aut

virus virus

bom bom

of of

strand strand

(GSHV) (GSHV)

DNA DNA

largest largest

utilized utilized

and and

more more

giving giving

hepatitis hepatitis

organization, organization,

the the

the the

and and

covalently covalently

the the

events events

sources. sources.

serves serves

B B

a a

the the

be be

who who

or or

These These

as as

which which

vira! vira!

of of

II, II,

time, time,

After After

virus virus

who who

polymerase, polymerase,

sexual sexual

including including

The The

DNA DNA

plus plus

vira] vira]

to to

lor lor

tropism tropism

translocated translocated

size, size,

and and

virus virus

or or

Infants Infants

can can

(pregRNA), (pregRNA),

instrument instrument

into into

B. B.

the the

is is

budding budding

initial initial

diagram diagram

someone. someone.

the the

rise rise

same same

viral viral

genome genome

supercoiled supercoiled

vira! vira!

gen gen

130 130 Öl Öl

shorter shorter

tract tract

ions ions

scription scription of of

the the functions functions

by by

RNA RNA

fect fect

tide tide mRNA mRNA

stranded stranded dividuals dividuals

icure icure

and and

double-stranded double-stranded

known. known.

genome, genome,

ymerase ymerase

understood, understood,

birth. birth. one-third one-third

scripts. scripts.

sirnilar sirnilar

lated lated

tluough tluough as as DNA DNA

nomic nomic

woodchuck woodchuck somal somal atitis atitis or or (DHBV). (DHBV).

ing ing

viruses, viruses,

padnaviridae, padnaviridae,

unknown unknown

Hepatitis Hepatitis

work work The The

The The atitis atitis

of of

in in

ef­

ef­

131 131

nu­

and and

the the

that that

with with

duck duck

these these

vitro vitro

arab­

com­

(2',3'­

(2',3'­

activ­

study, study,

.ldlJAI' .ldlJAI'

wood­

inhibit inhibit

inhibit inhibit

shown shown

5-ethyl 5-ethyl

, ,

patent patent

ddG ddG

(Figure (Figure

replica­

virus virus

in in

34.7 34.7

of of

the the

with with

to to

r

to to

B B

irnportant irnportant -

of of

less less

Y Y

ddG ddG

-~,\\!R•Cıl!< -~,\\!R•Cıl!<

fMA\!R=nlı fMA\!R=nlı

in in

were were

, ,

the the

been been

antiviral antiviral

1

FIAC FIAC

inhibitory inhibitory

patients patients

is is

trial trial

Nll

mechanism mechanism

cu!ture cu!ture

ddDAP ddDAP

indicated indicated

-

on on

nucleosides nucleosides

patent patent

anti-HBV anti-HBV

X X

x~nıı,\·~Nıı, x~nıı,\·~Nıı,

infected infected

has has

in in

shown shown

arabinofuranosyl arabinofuranosyl

5-methyl 5-methyl

and and

(2'-fluoro, (2'-fluoro,

the the

activities activities

the the

cell cell

reported reported

DHBV DHBV

hepatitis hepatitis

the the

a a

effect effect

clinical clinical medically medically

arabinofuranosyl arabinofuranosyl

analogue, analogue,

been been

(2',3'-dideoxycytosine) (2',3'-dideoxycytosine)

DNA DNA

FIAU, FIAU,

significant significant

shown shown

in in

5-iodo 5-iodo

derivative derivative

significant significant

were were

FMAU FMAU

the the

. .

FEAU FEAU

concentrations concentrations

a a

, ,

against against

study, study,

chronic chronic

5) 5)

25

ddC ddC

Tl,\ll Tl,\ll

have have

16

arabinofuranosylpyrirnidine arabinofuranosylpyrirnidine

at at

although although

Although Although

anti-HBV anti-HBV

HBV HBV

chronically chronically

ddl ddl

ddA ddA

have have

against against

(2'-fluoro, (2'-fluoro,

1 1

shows shows

and and

nucleosides nucleosides

Another Another

that that

Ol~. Ol~.

inhibitory inhibitory

of of

extent, extent,

5) 5)

virus

-

in in

90% 90%

the the

analogue, analogue,

substituted substituted

X X

x~11·11

culture culture

showed showed

against against

(2'-fluoro, (2'-fluoro,

. .

B B

uracil) uracil)

also also

(Figure (Figure

!eve!, !eve!,

activities activities

by by

(2',3'-dideoxyinosine) (2',3'-dideoxyinosine)

22

2',3'-dideoxynucleosides 2',3'-dideoxynucleosides

-

!eve! !eve!

cell cell

lesser lesser

found found

activity activity

replication replication

uraci!) uraci!)

19

DNA. DNA.

a a

a a

FMAU FMAU

(Figure (Figure

ddl ddl

FIAC FIAC

FIAU FIAU

same same

the the

Another Another

in in

2'-fluoro 2'-fluoro

was was

respectively. respectively.

significant significant

To To

effective effective

2,6-diaminopurine) 2,6-diaminopurine)

2',3'-dideoxy 2',3'-dideoxy

hepatitis hepatitis

vivo vivo

it it

a a

several several

replication replication

HBV HBV

underlying underlying

5. 5.

!he !he

viruses

DHBV DHBV

drug drug

4. 4.

and and

flA(' flA('

not not

replication replication

µM, µM,

in in

of of

of of

at at

2'-fluoro-substituted 2'-fluoro-substituted

on on

reduce reduce

demonstrated demonstrated

vitrols. vitrols.

was was

FIAC FIAC

action action

chronic chronic

24.4 24.4 to to

HBV HBV

mode]s24. mode]s24.

5) 5)

chucks23. chucks23.

WHV WHV

arabinofuranosyl arabinofuranosyl

inofuranosyl inofuranosyl

cytosine), cytosine), Analogues, Analogues,

cleosides cleosides

Figure Figure

and and

herpes herpes

nucleosides nucleosides 2'-Fluoro-arabinofuranosylpyrirnidine 2'-Fluoro-arabinofuranosylpyrirnidine

The The Figure Figure

dideoxy, dideoxy,

dideoxyadenosine) dideoxyadenosine) exhibits exhibits

fect fect

dideoxyguanine), dideoxyguanine),

tion tion

in in ities ities

humansl7. humansl7.

pared18. pared18.

parent parent it it

fect fect

a a

po­

cell cell

!hat !hat

irn­

(2',3'-

have have

been been

been been

trials trials

mod­

BMS-

agent, agent,

as as

methyl methyl

the the

are are

activity activity

(Reverse (Reverse

antiviral antiviral

example, example,

transcrip­

has has

also also

in in

A A

ddA ddA

recent!y, recent!y,

(3'-azido-3'­

carbocyclic carbocyclic

RT RT

clinical clinical

For For

for for

showed showed

resembles resembles

1 1

studied studied

replicationl2. replicationl2.

anti-HIV anti-HIV

have have

HBV HBV

Y=Nll2 Y=Nll2

Y=ll Y=ll

activityl4. activityl4.

first first

Most Most

AZT AZT

antiviral antiviral

reverse reverse

nucleosides nucleosides

2001 2001

4). 4).

HBV HBV nucleosides nucleosides

cyclopropyl] cyclopropyl]

HBV HBV

the the

!he !he

been been

phase phase

ce!Jsl5. ce!Jsl5.

analog analog

Although Although

cyclobutyl cyclobutyl

11 11

X=Oll, X=Oll,

X=OII, X=OII,

X=Cl,Y=H X=Cl,Y=H

of of

BMS-200475, BMS-200475,

m m

activity. activity.

on on

against against

,, ,,

poten! poten!

r

evaluated evaluated

classl3. classl3.

-

nucleoside nucleoside

approved approved

was was

Y Y

anti-HBV anti-HBV

and and

have have

2.2.15 2.2.15

nucleosides nucleosides

(Figure (Figure

129-136, 129-136,

!his !his

-Ol,, -Ol,,

cells). cells).

effect effect ~:>!Ilı ~:>!Ilı

in in

have have

guanine guanine

were were

carbocyclic carbocyclic

X X

first first

particular particular

X X G

strategy strategy

26. 26.

,\ ,\

of of

to to

anti-HBV anti-HBV

undergoing undergoing

in in

patent patent

The The

the the

ineffective ineffective

and and

nucleoside, nucleoside,

agents agents

(2'-CDG) (2'-CDG)

Sci., Sci.,

()·dobulyl ()·dobulyl

(2.2.15 (2.2.15

('ydohulyl ('ydohulyl

3). 3).

11 11

inhibitors inhibitors

agent. agent.

activity activity

be be

nucleosides nucleosides

(Lobucavir) (Lobucavir)

2',3'-dideoxy 2',3'-dideoxy

carbocyclic carbocyclic

=il =il

=!\le =!\le

inhibitory inhibitory

Y"" Y""

to to

exhibit exhibit

exhibit exhibit

Y Y

Y Y

, ,

G G

reported reported

2

replication replication

an an

1-[2-(Hydroxymethyl) 1-[2-(Hydroxymethyl)

cyc!opropyl cyc!opropyl

currently currently

Pharnı. Pharnı.

to to

to to

Carbohydrate-modified Carbohydrate-modified

assays assays

compounds compounds

NH

011, 011,

(Figure (Figure

other other

3. 3.

anti-HBV anti-HBV

J. J.

is is

2. 2.

retroviruses, retroviruses,

the the

= =

=OH. =OH.

many many = =

carbocyclic carbocyclic

l'-<:llG l'-<:llG

anti-HBV anti-HBV

synthesized synthesized

anti-HBV anti-HBV

found found

X X

X X

X X

3'-Dideoxy 3'-Dideoxy

the the

an an

culture culture

deoxythymidine), deoxythymidine),

tential tential

of of

was was

Transcriptase) Transcriptase)

tion, tion,

2', 2',

Since Since

nucleosides nucleosides

Figure Figure

Recently, Recently,

erate erate

been been activity activity

200475 200475

reported reported

portant portant

as as

cyclobutyl cyclobutyl

reported reported

novel novel

deoxyguanosine deoxyguanosine

Figure Figure

Several Several

FABAD FABAD

exhibiting exhibiting nucleoside nucleoside

it it

it it

it it

is is

an an

in in

an an

re­

be be

he­

re­

en­

!he !he

the the

ad­

and and

be­

cul­

na na

Bio­

also also

sub­

clin­

as as

com­

as as Blood Blood

and and

(P-2,6-

DAPD DAPD

and and

under-

T-cells T-cells

can can

FTC FTC

DHBV DHBV

activity activity

of of

exhibit exhibit

the the

cells)34. cells)34.

celi celi

the the

µM) µM)

nor nor

in in

The The

towards towards

whu whu

Cytidine Cytidine

generally generally

favorable favorable

is is

cells) cells)

FTC FTC

of of

adenosine

to to

in in

in in

approved approved

levels levels

good good

L-isomer. L-isomer.

a a

!hat !hat in in

L-(-)-OddC L-(-)-OddC

L-(-)-OddC L-(-)-OddC

Recently, Recently,

either. either.

trials trials

respectively] respectively]

O.Ol O.Ol

degrades degrades

are are

by by

2.2.15 2.2.15

cif cif

(DXG), (DXG),

patent patent

phase-lll phase-lll

the the

PBM PBM

50 50

been been

developed developed

L-isomer L-isomer

7). 7).

with with

nota nota

DAPD DAPD

in in

(deoxy (deoxy

growth growth

DAPD DAPD

patients patients

shown shown

function. function.

moiety moiety

L-isomer L-isomer

in in

(Peripheral (Peripheral

patients patients

activity activity

!hat !hat

ducks33. ducks33.

2,6-diarninopurine 2,6-diarninopurine

(Human (Human

is is

~-L-isomer ~-L-isomer

results results

L-isomers L-isomers

cells, cells,

(EC

vivo vivo

the the

which which

!han !han

clinical clinical

dose-dependent dose-dependent

nM nM

indicated indicated

replication replication

structure-activity structure-activity

gar gar

D-, D-,

cells) cells)

L-isomer. L-isomer.

µM µM

the the

HBV-DNA HBV-DNA

the the

being being

the the

dCK dCK

been been the the

as as

exhibits exhibits

in in

il il

and and

AIDS AIDS

and and

su su

PBM PBM

Additionally, Additionally,

recently recently

0.5 0.5

discovery discovery

(Figure (Figure

vitro vitro

rate rate

is is

the the

any any

of of

cells) cells)

D D

cytotoxicity, cytotoxicity,

the the

the the

by by

!he !he

tumors tumors

of of

50 50

has has

0.03 0.03

in in

undergoing undergoing

anti-HIV anti-HIV

!hat !hat

the the

CEM CEM

in in

infected infected

has has

2.2.15 2.2.15

of of the the

studies studies

Currently, Currently,

enzymes enzymes

agent. agent.

the the

50 50

is is

DXG DXG

7), 7),

patent patent

phase phase

(EC DAPD DAPD

P-D-isomer P-D-isomer

70% 70%

in in

to to

nM nM

show show

deaminase, deaminase,

trial, trial,

currently currently

higher higher

inhibits inhibits

Extensive Extensive

DAPD DAPD

mitochondrial mitochondrial 3TC 3TC

with with

as as

to to

(EC

5 5 dioxolane-guanine dioxolane-guanine

in in

and and

neither neither

is is the the

lines31,32. lines31,32.

patent patent

led led

µM µM

and and

prostate prostate

activity activity

cytosine) cytosine)

it it

the the

Animal Animal

of of

potency potency

Leukemia Leukemia

not not

treatment treatment

dioxolanes) dioxolanes)

significant significant

(Figure (Figure

to to inhibition

between between

suggested suggested

and and

activity activity

celi celi

much much

anti-HBV anti-HBV

catabolic catabolic

!hat !hat

AZT AZT

0.09 0.09

clinical clinical

HIV36 HIV36

on on

dose30. dose30.

and and

cytidine cytidine

(±)-FTC (±)-FTC

cluonically cluonically

2 2 a a

the the

(ADA)38,39. (ADA)38,39.

agent35. agent35.

was was

an an

treat, treat,

50 50

ll ll

agent. agent.

analogue analogue

studies studies

phosphorylated phosphorylated

undergoing undergoing

of of

at at

50 50

and and

the the

mg mg

in in

show show

converted converted

as as

to to

for for

with with

However, However,

extremely extremely

profile. profile.

both both

strong strong

L-(-)-OddC L-(-)-OddC

(EC

antiviral antiviral

prodrug prodrug

studies studies

anti-HBV anti-HBV

25 25

[EC

7 7

effects effects

for for

undetectable undetectable

be be

3

(cis-5-fluoro-l-[2-(hydroxymethyl)-1,3-oxathiolan (cis-5-fluoro-l-[2-(hydroxymethyl)-1,3-oxathiolan

D-configuration. D-configuration.

reported reported

difference difference

anti-HBV anti-HBV

not not phase phase

hepatoma hepatoma

lrials lrials

vivo vivo

the the

FDA FDA

al al

5-yl]-cytosine) 5-yl]-cytosine)

toxicity toxicity

dearninase dearninase HBV dioxolane dioxolane

can can

ur ur against against is is

difficult difficult

anti-cancer anti-cancer

patocellular patocellular Lymphoblastic Lymphoblastic

P-L-dioxolane P-L-dioxolane

Since Since

and and

exhibits exhibits

Mononuclear) Mononuclear) diaminopurine diaminopurine

tures tures

lationship lationship

anti-HBV anti-HBV

currently currently

racemate racemate

anabolic anabolic

was was

verse verse

Kinase). Kinase).

This This

hanced hanced D-isomer D-isomer efficient!y efficient!y

strate strate did did

enantiomer enantiomer

logical logical

the the

in in

showed showed

cent cent FTC, FTC, polen! polen!

ceived ceived

ical ical bination bination

carne carne -

by by

in in

el el

re-

in­

lri­

(2'­

Nllı Nllı

a a

Un­

(100 (100

!hat !hat

may may

with with

fluo­

arab­

HBV HBV

[(-)-P­

com­

arab­

poly­

shown shown

X"' X"'

in in

at at

HBV HBV

HlV HlV

reduced reduced

L-

9. 9.

All All

and and

L-

Olgen, Olgen,

OH OH

2

3TC 3TC

DArl>, DArl>,

DXG,X.,,011 DXG,X.,,011

derivatives derivatives

The The

been been

DNA DNA

and and

endogenous endogenous

FIACTP FIACTP

with with

and and

suggests suggests

against against

form form

cytosine cytosine

and and

':Z ':Z

~ ~

activity activity

rapidly rapidly

slructures. slructures.

effects

L~-o.__JoH L~-o.__JoH

nucleosides nucleosides

also also

combined combined

L-

D-

6). 6).

vira! vira!

compounds compounds

activity, activity,

ducks ducks

of of

of of

has has

inhibit inhibit

( (

which which

3TC 3TC

- D

in in

nucleosides. nucleosides.

was was

Y Y

irnidazole irnidazole

X X N

nucleosides, nucleosides,

patients patients

imidazoles imidazoles

to to B, B,

nucleosides nucleosides

activities activities

adverse adverse

class class

ln ln

!eve! !eve!

inhibition inhibition

{-)-Odd(' {-)-Odd('

dioxolane dioxolane

and and

and and

irnidazole irnidazole

(Figure (Figure

these these

characlerized, characlerized,

anti-HBV anti-HBV

DHBV DHBV

the the

activity, activity,

!his !his

7)28. 7)28.

and and

shown shown

50% 50%

at at

and and

of of

serious serious

hepatitis hepatitis

y y

glycoside glycoside

vitro vitro

well well

synthesized synthesized

about about

arabinofuranosyl arabinofuranosyl

2'-deoxy-2'-fluoro 2'-deoxy-2'-fluoro

no no

significant significant

agents agents

been been

J J

dioxolane dioxolane

part, part,

the the

not not

N N X

(Figure (Figure

itsin itsin

suppress suppress

shown shown

activity activity

1,2,3-triazole 1,2,3-triazole in in

1,2,3-triazole 1,2,3-triazole

no no

z: z:

with with

lriazole lriazole

fom1 fom1

is is

chronic chronic

2'-deoxy-2'-fluoro 2'-deoxy-2'-fluoro

for for

to to

has has

HBV. HBV.

polymerase polymerase

findings findings

O-

Oxathiolane Oxathiolane

5-iodo 5-iodo

6. 6.

have have

and and

OH OH

of of

7. 7.

~ ~

FTC.X=F FTC.X=F

JTC.X=li JTC.X=li

found found

DNA DNA

synthesized synthesized

anti-HBV anti-HBV

againsl againsl

anti-HBV anti-HBV

effectively effectively

addition addition

mediated, mediated,

view view

HO\_,_o-~J HO\_,_o-~J

132 132

to to

HBV-DNA HBV-DNA

L-2',3'-dideoxy-3'-thiacyctidine] L-2',3'-dideoxy-3'-thiacyctidine]

fection fection

chimpanzees chimpanzees

in in

Figure Figure

Oxathiolane, Oxathiolane,

nucleosides nucleosides

Figure Figure

inofuranosyl inofuranosyl

µM µM

fortunately, fortunately, pounds pounds

were were

heterocyclic heterocyclic

roarabinofuranosyl roarabinofuranosyl

aJ.27, aJ.27,

the the

as as

inofuranosyl inofuranosyl

merase26. merase26.

fluoro, fluoro, Ölgen Ölgen

in in HBV HBV

compounds compounds

phosphale) phosphale) be be FABAD J. Pharın.Sci .. 26, 129-136. 2001 going preclinical studies as an anti-HIV and anti­ was no inhibitory effect on HBV transcription or pro­ HBV agent. tein synthesis. L-FMAU was faund !o be metabolized in cells by the cellular thymidine kinase and deoxy­ The interesting findings !hat some of the nucleosides citidine kinase to its monophosphate, and sub­ with unnatural L-configuration show more polen! sequently to the di- and triphosphate by some other antiviral activity with lower cytoxicity !han cor­ unknown enzymes (Figure 9). responding D-counterparts led to the extensive lnhibitionof HBV and EBV j screening of L-nucleosides (Figure 8) as potential an­ l DNA polymerases tiviral agents. In this regard, several new anti-HBV agents have been discovered. TK L-FMAU ~ l-FMAUMP -- L-FMAUOP - L-FMAUTP klnase human ONA polymerases t a. p, ôand

ONA '

1.-

The L-enantiomer of the anti-HIV drug ddC was re­ mltochondrlal compartment mi-ONA ported to exhibit polen! anti-HBV activity (EC50 O.Ol µM, 2.2.15 cells). Its 5-fluoro congener (L-FddC) (Fig­ Figure 9. Proposed metabolism of L-FMAU46 ure 8) showed not only potent anti-HBV activity

(EC50 O.Ol µM) but also potent anti-HIV activity Although the precise mechanism of action of L­ without significant toxicity in celi cultures40,41. Re­ FMAU is not clear, a dose-dependent inhibition of cently, L-FddC has also been shown to be a strong in­ HBV DNA synthesis by L-FMAUTP (L-5-methyl-2- 4 hibitor of DHBV both in vitro and in vivo 2. Two oth­ fluoro arabinofuranosyl uracil triphosphate) was ob­ er L-nucleosides, namely L-Fd4C (L-2'-fluoro-2',3'­ served in the DNA polymerase assays with isolated dideoxycytosine) and L-d4C (L-2',3'-didehydro-2',3'­ HBV particles, suggesting that inhibition of vira! dideoxycytosine) (Figure 8) have alsa been reported DNA polymerase may account far its anti-HBV activ­ to have patent antiviral activities43. L-Fd4C shows ity. extremely polen! anti-HBV activity (EC50 2 nM in 2.2.15 cells) and anti-HIV activity (EC 0.09 µM in 50 In addition lo its in vitro anti-HBV activity, L-FMAU CEM cells), whereas L-d4C is less poleni against both also exhibits potent activity against DHBV in prirnary viruses (8 nM and 1.0 µM far HBV and HIV, re­ duck hepatocytes (EC 0.1 µM)47,48. The phar­ spectively). 50 macokinetics of L-FMAU in rats have been reported by Wright et al.49. A linear disposition of L-FMAU, Another L-nucleoside, L-FMAU [1-(2-fluoro-5- was observed over the dosage of 10 to 50 mg/kg after methyl-~-L-arabinofuranosyl)uracil],(Figure 8) was intravenous administration. L-FMAU with these out­ reported by Chu et al. 44, as a patent antiviral agent standing features, is considered as a promising clinical against HBV (EC50 0.1 µM in 2.2.15 cells). L-FMAU was faund to have a low cytotoxicity while the D­ agent for the treatment of chronic HBV infectionsso. counterpart, D-FMAU, was determined to be less ac­ tive and significantly more toxic. In addition to its Recently, a different class, of nucleoside containing patent anti-HBV activity, L-FMAU alsa exhibits po­ the iınidazo[4, 5-e] [l, 3] diazepine heterocyclic ring tent anti-EBV activity. The anti-HBV mechanism of system was also reported by Chen et al. 51. Among the L-FMAU has been reported by Pai et al.45. it was synthesized nucleosides, 6-amino-8-hydroxy-4H-1-P­ found !hat L-FMAU produced a dose-dependent in­ D-ribofuranosylirnidazo[ 4,5-e] [l,3] diazepine-4-one hibition to the vira! DNA replication in 2.2.15 cells was found to be a potent anti- virus agent with a 50% inhibitory concentration at 0.1 µM. There (Figure 10).

133

. .

. .

,. ,.

. .

[ [

:. :.

B B

]. ].

S, S,

R. R.

R, R,

Y, Y,

of of

Z, Z,

2'­

B, B,

an an

vi­

2L 2L

84, 84,

cir­

line line

C C

that that

Pro­

2',3'­

anti­

Natl. Natl.

Proc. Proc.

8541-

in in

poly­

Paris, Paris,

(1&2), (1&2),

1988. 1988.

Chem. Chem.

cloned cloned

experi­

human human

expres­

replica­

activity activity

Res. Res.

Shapiro Shapiro

Park Park

of of

cultures cultures

M. M.

cell cell

Chu Chu

86, 86,

DNA, DNA,

USA, USA,

compari­

19 19

cells cells

1986. 1986.

chronic chronic

R, R,

Innaimo Innaimo

hepatitis hepatitis

Proc. Proc.

Replicative Replicative

transfected transfected

cloned cloned

the the

A A

Colonno Colonno

hepatitis hepatitis

analogue analogue

with with

Merchant Merchant

Med. Med.

Yarchoan Yarchoan

vitro vitro Nucleosides, Nucleosides,

YC, YC,

Sci. Sci.

of of

AM, AM,

of of

selective selective

Stable Stable

of of

genome genome

Essex Essex

USA, USA,

by by

JP, JP,

1995. 1995.

G. G.

virus virus

Enantiomeric Enantiomeric

A, A,

study study

carbocyclic carbocyclic

Phanrı. Phanrı.

Abstracts Abstracts

in in

17-25, 17-25,

B B

Acids, Acids,

Jl, Jl,

2836-2844, 2836-2844,

with with

Engle Engle

DL). DL).

MG, MG,

NR, NR,

HepG2 HepG2

K. K.

DNA, DNA,

of of

Sci. Sci.

and and

Acs Acs

Quantitative Quantitative

58, 58,

Acad. Acad.

P, P,

chronic chronic

chirnpanzees, chirnpanzees,

hepatocyte hepatocyte

Cheng Cheng

1987. 1987.

62. 62. Bioorg. Bioorg.

virus virus

Daris Daris

in in

47-73, 47-73,

JW. JW.

differentiated differentiated

pilot pilot

Arch. Arch.

M, M,

of of

B B

Martel Martel

novel novel

1986. 1986.

in in

Bisceglie Bisceglie

C, C,

a a

carbocyclic carbocyclic

viral viral

Youg Youg

transfected transfected

65, 65,

produced produced

systems, systems,

prevention prevention

Inhibition Inhibition

Acad. Acad.

Tyrrell Tyrrell

Mullins Mullins

A A

hepatoblastoma hepatoblastoma

Natl. Natl.

P, P,

Price Price

Nudeic Nudeic

Production Production

patent patent

Virol., Virol.,

hepatitis hepatitis

SCH, SCH,

duck duck

MA. MA.

a a

anti-hepadnavirus anti-hepadnavirus

Virol., Virol.,

by by

virus virus

Di Di

1994. 1994.

vitro, vitro,

Hartman Hartman

the the

1987. 1987.

JE, JE,

D, D,

J. J.

JL, JL,

& &

G. G.

Activities Activities

test test

and and

Matsubara Matsubara

cells cells

B B

37-47, 37-47,

G. G.

the the

transfection transfection

in in

virus virus

RH, RH,

Ther., Ther.,

Natl. Natl.

1992. 1992.

by by

H, H, 4641-4644. 4641-4644. and and

with with

Proc. Proc.

JC, JC,

Summers Summers

cloned cloned

JH. JH.

hepatitis hepatitis

B B

A, A,

Bachard Bachard

treatment treatment

47, 47,

G2 G2

hepatitis hepatitis

virus virus

Acs Acs

for for

humarı humarı

virus, virus, Gerber Gerber

Acs Acs

84, 84,

Shvartsman Shvartsman

of of

Lapointe Lapointe

Tovell Tovell

primary primary

JC, JC,

B B

after after

Cyclopropyl]Methyl Cyclopropyl]Methyl

a a

the the

331-341, 331-341,

R, R,

Proc. Proc.

B B

the the

444-448, 444-448,

ST, ST,

culture culture

virions,]. virions,].

virus virus

Cavalcanti Cavalcanti

Sundeen Sundeen

Purcell Purcell

Hep Hep

O, O,

JS, JS,

activity activity

of of

Cell, Cell,

analog analog

DNA, DNA,

in in

AZ, AZ,

B B

ML, ML,

hepatitis hepatitis

DE, DE,

49, 49,

1997. 1997. Chemotheraphy, Chemotheraphy,

861-864, 861-864,

S, S,

84, 84,

far far

USA, USA,

Treatment Treatment

Anti-Viral Anti-Viral

Mitsuya Mitsuya

line line

cell cell

in in

causes causes

BMS-200475, BMS-200475,

Pugh Pugh

Nucleotides Nucleotides

Hepatitis Hepatitis

reaction reaction

of of

Fujiyama Fujiyama

Pharmaco/. Pharmaco/.

Chao Chao

16, 16,

Korenman Korenman

MA, MA,

metabolism metabolism

WA, WA,

with with

Hoofnagle Hoofnagle

Kocy Kocy

Sci. Sci.

virus virus

virus virus

JG, JG,

state state

hepatitis hepatitis

JS, JS,

T_, T_,

cell cell

DNA. DNA.

H. H.

1987. 1987.

Banerjee Banerjee

and and

hepatitis hepatitis

Chen Chen

USA, USA,

Romet-Lemonne Romet-Lemonne

GM. GM.

vitro vitro

Zelent Zelent

Huang Huang

replication replication

Olgen Olgen

B B

cells cells

B B

GS, GS,

infectious infectious

2000. 2000.

R. R.

S, S,

of of

127-132, 127-132,

infection infection

1991. 1991.

chain chain

C, C,

hepatitis hepatitis

Sells Sells

Sullivan Sullivan

GA, GA,

in in

drug drug

C, C,

MW, MW,

Sci. Sci.

Methods., Methods.,

TE, TE,

particles particles

PM, PM,

Anti-HBV Anti-HBV

1989. 1989.

7, 7,

HBV HBV

G2 G2

Acad. Acad.

MA, MA,

duck duck

MA, MA,

and and

j, j,

of of

G, G,

of of

1998. 1998.

hepatitis, hepatitis,

Popper Popper

of of

two two

Virol. Virol.

(Hydroxymethyl) (Hydroxymethyl)

Lett., Lett.,

Nucleosides, Nucleosides,

Bisacchi Bisacchi

ra! ra!

Slusarchyk Slusarchyk

Pierra Pierra

jacobs jacobs

Broder Broder

Synthesis Synthesis

dideoxyinosine dideoxyinosine

Acad. Acad. Waggoner Waggoner

Fried Fried

hepatitis hepatitis

2'-deoxyguanosine, 2'-deoxyguanosine,

Zahler Zahler

Hepatology, Hepatology, 253-268, 253-268,

deoxyguanosine deoxyguanosine

8544, 8544,

Price Price

France, France,

1005-1009, 1005-1009,

in in

Dusheiko Dusheiko

Kitos Kitos

son son

with with sion sion

virus virus Selis Selis

cular cular

tion tion

Acs Acs

produce produce

duction duction

transfected transfected

Sells Sells

Nat1. Nat1. intermediate intermediate

Sureau Sureau integrated integrated

Wu Wu

merase merase

hepatitis hepatitis

Tsurimoto Tsurimoto

Hep Hep

M, M,

mental mental

hepatoma hepatoma Tuttleman Tuttleman

12. 12.

13. 13.

14. 14.

15. 15.

16. 16.

6. 6.

8. 8.

11. 11.

89-105, 89-105,

Status Status

5. 5. 7. 7.

10. 10. 9. 9.

4. 4.

ge­

the the

nu­

and and

that, that,

vitro vitro

3TC, 3TC,

virus, virus,

struc­

Purcell Purcell

far far

in in

chronic chronic

B B

Current Current

as as

virus virus

R, R,

anti-HBV anti-HBV

anti-HBV anti-HBV

B B

proınising proınising

of of

hepatitis, hepatitis, of

CK. CK.

effective effective

raceınic raceınic

far far

such such

indicates indicates

L-fonn L-fonn

studied studied

only only

hepatitis hepatitis

5-fluorocytosine 5-fluorocytosine

Chu Chu

no no

necessary necessary

patent patent

Girones Girones

hepatitis hepatitis

K, K,

the the

The The

diazepine-4-one. diazepine-4-one.

are are

oxaselenolane oxaselenolane

and and

stili stili

CT, CT,

treatrnent treatrnent

the the

1989. 1989.

agents agents

be be

analogs, analogs,

OH OH

Lee Lee

drugs. drugs.

A. A.

on on

management management

evaluated evaluated

of of

[1.3] [1.3]

are are

discussion discussion

µM) µM)

to to

the the

1-[2-(hydroxymethyl)-1,3-

exhibited exhibited

synthesized synthesized

BK, BK,

';> ';>

H H

ıo....;-OH ıo....;-OH

N N

studies studies

Chung Chung

the the

1.2 1.2

and and

far far

HO HO

of of

6-amino-8-hydroxy-4H-1-P-D­

322-327, 322-327,

Dejean Dejean

1 1

based based

S, S,

1985. 1985.

50 50

!here !here

far far

the the

antiviral antiviral

9, 9,

tlıyminc tlıyminc

OH OH

hypoxıınthinc hypoxıınthinc

anti-HBV anti-HBV

ııdrnine ııdrnine

guaninr guaninr

5-nuonıcytosinc 5-nuonıcytosinc

cyto~ine cyto~ine

of of

Chun Chun

C, C,

appear appear

(EC

nucleoside nucleoside

N-

N~O N~O

H"" H""

/B /B

of of

Y, Y,

faregoing faregoing

further further

form form

organization organization

new new

Since Since

11). 11).

analogues analogues

D-

489-495, 489-495,

nucleosides nucleosides

the the

Kaneko, Kaneko,

the the of of

o~ o~

that that

Pourcel Pourcel

Choi Choi

Structure Structure

H,N-{I H,N-{I

Among Among

synthesized synthesized

Se Se

317, 317,

Structure Structure

P, P,

nucleosides nucleosides

µM) µM)

L-FMAU L-FMAU

~'.J-

cytosine cytosine

RH, RH,

Hepatology, Hepatology,

number number

. .

JH, JH,

compounds compounds

11. 11.

vivo, vivo,

(Figure (Figure

a a

Compact Compact

52

10. 10.

1.2 1.2

infection. infection.

of of

and and

in in

were were

HO--. HO--.

chemotherapeutics chemotherapeutics

other other

obvious obvious

50 50

RH. RH.

Hong Hong

nome, nome,

Nature, Nature,

Miller Miller

Tiollais Tiollais

suınınary, suınınary,

is is

development development

134 134

FTC FTC

Figure Figure oxaselenolane oxaselenolane

(EC

and and 3. 3.

among among

In In 1. 1.

it it

2. 2.

HBV HBV

Ölgen Ölgen

safe safe

Conclusion Conclusion

References References class class

Figure Figure

cleosides, cleosides,

ture ture

activity

ribofuranosylimidazo[4,5-e] ribofuranosylimidazo[4,5-e]

activity activity The The

.. ..

a a

B B

B B

(-) (-)

23, 23,

di­

for for

38, 38,

YJ, YJ,

(-)­

ac­

LS LS

ve­

LS, LS,

JA, JA,

de­

BC, BC,

333, 333,

~-L­

Ber­

135 135

mu­

Nel­

Chu Chu

HM, HM,

f\ f\

Schi­

turn­

diox­

An!i­

1992. 1992.

asym­

suppl. suppl.

the the

Cheng Cheng Chem­

C, C,

(-)-L-P­

P, P,

(-l-P-D-

L-P-(2S, L-P-(2S,

1993. 1993.

infected infected

Res., Res.,

the the

Fyfe Fyfe

potential potential

and and

virus virus

LW, LW,

JL. JL.

monax), monax),

DR, DR,

structure­

of of

of of Xiang Xiang

jeong jeong

dioxolane dioxolane

)eong )eong

of of

Med., Med.,

hepa!itis hepa!itis

hepatitis hepatitis

(-)-P-D-2,6-

B B

and and

as as

of of

. .

5-fluoro 5-fluoro

Antimicrob. Antimicrob.

!heir !heir

LJ, LJ,

YC YC

K. K.

Tennan! Tennan!

f. f.

1995. 1995.

CK. CK.

unnatural unnatural

Mathe Mathe

McC!ure McC!ure

and and

Agents Agents

FD, FD,

lamivudine lamivudine

Frick Frick

AJ, AJ,

its its

lamivudine lamivudine

Res.,.11, Res.,.11,

CK CK

Chemother., Chemother.,

Schaffer Schaffer

of of

duck duck

519-528, 519-528,

duck duck

hepatocyte hepatocyte

6899-6902, 6899-6902,

and and

Imbach Imbach

to to

metabolite, metabolite,

JP, JP,

of of

1996. 1996.

site-directed site-directed

Antiviral Antiviral

M, M,

CK, CK,

profiles profiles

Chu Chu

C. C.

CK, CK,

the the

Averette Averette

Engl. Engl.

of of

of of

activities activities

and and

36, 36,

vi!ro, vi!ro,

Cheng Cheng

Wilson Wilson

33, 33,

chronically chronically

Chu Chu

(Marmota (Marmota

its its

that that

1996. 1996.

metabolite metabolite

and and

activities activities

Alves Alves

trial trial

Paff Paff

LR, LR,

in in

DL, DL,

Z, Z,

of of

Pharm. Pharm.

nucleosides nucleosides

Chu Chu

Chu Chu

65-70, 65-70,

3008-3011, 3008-3011,

Agents Agents

JA, JA,

A, A,

agent, agent,

synthesis synthesis

its its

CN, CN,

anti-hepatitis anti-hepatitis

New New

with with

and and

K, K,

1994. 1994.

Lett., Lett.,

13-L-dioxolane-cytidine. 13-L-dioxolane-cytidine.

Boudinou! Boudinou!

7, 7,

Aldrich Aldrich

Antimicrob. Antimicrob.

through through

DC, DC,

resistance resistance

55, 55,

virus virus

anabolic anabolic

Gao Gao

FD, FD,

FD, FD,

Pharmacokinetics Pharmacokinetics

J, J,

and and

clearance clearance

(-)-P-D-2,6-diaminopurine (-)-P-D-2,6-diaminopurine

anti-HBV anti-HBV

of of

The The

Kim Kim

Evidence Evidence

Somrnadossi Somrnadossi

Generation Generation

Sharunugana!han Sharunugana!han

Cannon Cannon

1957-1960, 1957-1960,

Chang Chang

HM, HM,

Med.Chem., Med.Chem.,

of of

therapy therapy

SH, SH,

Res., Res.,

RF. RF.

cis-5-fluoro-1-[2-(hydroxymethyl) cis-5-fluoro-1-[2-(hydroxymethyl)

and and

Wurster Wurster

Liot!a Liot!a

antiviral antiviral

Condreay Condreay

and and

W. W.

f. f.

woodchucks woodchucks

S, S,

AM, AM,

RF, RF,

rnonkeys, rnonkeys,

1992. 1992.

preliminary preliminary

GR. GR.

40, 40,

rapid rapid

infection, infection,

of of

RF, RF,

RF, RF,

analogue analogue

dioxolane dioxolane

8321-8330, 8321-8330,

mutants mutants

Liu Liu

M, M,

DL). DL).

Antimicrob. Antimicrob.

asymmetric asymmetric

Pharmacokine!ics Pharmacokine!ics

in in

(+)-L-P-dioxolane-T (+)-L-P-dioxolane-T

RE, RE,

B B

A A

Saputelli Saputelli

activity activity

Boudinot Boudinot

Tetrahedron Tetrahedron

4R)-Dioxolanyl 4R)-Dioxolanyl

WI-l, WI-l,

for for

Boudino! Boudino!

Chemother., Chemother.,

X, X,

68, 68,

demonstrate demonstrate

), ),

dioxolane dioxolane

Cancer Cancer

2',3'-dideoxycytidine 2',3'-dideoxycytidine

M. M.

Mason Mason

antiviral antiviral

McClure McClure

rhesus rhesus

Schinazi Schinazi

P, P,

PF, PF,

and and

Painter Painter

potential potential

Davis Davis

an!i-HIV an!i-HIV

of of

Schinazi Schinazi

RF. RF.

Aubertin Aubertin

vitre, vitre,

Sharunuganaıhan Sharunuganaıhan

Guo Guo

Tyrrell Tyrrell

Nampalli Nampalli

a a

in in

1995. 1995.

1994. 1994.

Schinazi Schinazi

Schinazi Schinazi

2686-2692, 2686-2692,

1994. 1994.

Miller Miller

agents: agents:

Chem. Chem.

Virol., Virol.,

which which

Development Development

RF, RF,

G, G,

BH, BH,

L-~-(2S, L-~-(2S,

Cullen Cullen

in in

PA, PA,

Dornsife Dornsife

and and

as as

hepa!i!is hepa!i!is

cytotoxicities, cytotoxicities,

irnmunodeficiency irnmunodeficiency

relationships, relationships,

Chemolher., Chemolher.,

Rubin Rubin

enantiomers enantiomers

required required

f. f.

nucleoside nucleoside

KP, KP,

36, 36,

KL, KL,

synthesis, synthesis,

81, 81,

PughJ, PughJ,

MC, MC,

JW, JW,

, guanosine,

JW, JW,

JV, JV,

polymerase polymerase

during during

HO, HO,

HO, HO,

Polen! Polen!

is is

Anticancer Anticancer

CK CK

C, C,

RF RF

1994. 1994.

DJ, DJ,

and and

(+) (+)

D, D,

P-L-2',3'-dideoxy-3'-!hiacytidine P-L-2',3'-dideoxy-3'-!hiacytidine

1657-1661, 1657-1661,

virus virus

oxolane oxolane

Schinazi Schinazi Fisher Fisher

Agents Agents

chronic chronic

2,6-diaminopurine 2,6-diaminopurine

Baldwin Baldwin olane olane

other., other., cary cary

Rajagopalan Rajagopalan

diaminopuriiı.e diaminopuriiı.e

1292-1297, 1292-1297,

Antiviral Antiviral

381, 381, guanosine guanosine

Furman Furman Rajagopalan Rajagopalan

Beach Beach dioxolane-C dioxolane-C

Kim Kim son son CK. CK.

tagenesis tagenesis

rivative rivative

~ctt ~ctt

enantiomer enantiomer

suppL suppL

human human

ducks, ducks, Chu Chu

gogne gogne

4S)- activi!y activi!y

over over

Beach Beach

Gosselin Gosselin

Kim Kim anti-HIV anti-HIV

Schinazi Schinazi

tivities, tivities,

configuration, configuration,

-l,3-oxa!hiolan-5-yl]cytosine, -l,3-oxa!hiolan-5-yl]cytosine,

and and novel novel

nazi nazi

Grove Grove Tuttle Tuttle

virus virus

Fourel], Fourel],

YC. YC.

metric metric

37. 37.

39. 39.

30. 30.

38. 38.

31. 31.

33. 33.

3;ı 3;ı

36. 36.

35. 35.

34. 34.

B, B,

B, B,

of of

C. C.

A, A,

vi­

la­

16, 16,

ac­

Ef­

Vi-

Lo­

nu­

Fox Fox

An­

336-

ura­

2',3'­

Syn­

Res., Res.,

anti­

com­

duck duck

HIV­

Med. Med.

virus virus

of of

virus virus

Anti­

in in

1992. 1992.

1979. 1979.

26-29, 26-29,

91-94, 91-94,

Virol., Virol.,

Treaı­

serum serum

M, M,

C. C.

purine

N, N,

33, 33,

of of

and and

in in

]. ].

A, A,

for for

virus virus

Trepo Trepo

in in

123. 123.

L. L.

of of

and and

Biological Biological

Med., Med.,

C C

DL. DL.

Chomel Chomel

27, 27,

arabinosyl­

1-{2-deoxy-

fluoro-P-D­

E. E.

June June

127 127

Savarese Savarese

21-24, 21-24,

inhibit inhibit

Maısuda Maısuda

Med. Med.

acyclovir, acyclovir,

International International

Trepo Trepo

C, C,

Efficacy Efficacy

virus virus

Antiviral Antiviral

level level

assay assay

and and

to to

suppression suppression

J J

hepatitis hepatitis

hepatitis hepatitis

16, 16,

1990. 1990.

of of

22, 22,

jewell jewell

1995. 1995.

replication, replication,

SE, SE, JJ, JJ,

B B

CK, CK,

Lopez Lopez

F. F.

6th 6th

lamivudine, lamivudine,

Clerq Clerq

Tyrrell Tyrrell

abilities abilities

Invest. Invest.

Synthesis Synthesis

arabinofuranosyl­

Greenberg Greenberg

Chem., Chem.,

L-arabinofuranosyl L-arabinofuranosyl

W, W,

antiherpes antiherpes

K, K,

cytosines cytosines

2'-fluoro 2'-fluoro

Chemother., Chemother.,

woodchucks, woodchucks,

DNA DNA

Bartholomew Bartholomew

rapid rapid

Fox Fox

De De

2001 2001

jacquet jacquet

U, U,

Sciences, Sciences,

MJ, MJ,

ducks, ducks,

Chu Chu

virus virus

culture culture

a a

with with

Nucleosides. Nucleosides.

of of

129. 129.

Chem., Chem.,

lan lan

C, C,

Clin. Clin.

and and

473-475, 473-475,

T, T,

relationships, relationships,

Straus Straus

B B

and and

the the

ER, ER,

in in

396-397, 396-397,

Synıhesis Synıhesis

5-substituted 5-substituted

Med. Med.

KA, KA,

Jj. Jj.

RS, RS,

virus virus

K, K,

cell cell

hepatitis hepatitis

Hiroıa Hiroıa

34, 34,

of of

woodchuck woodchuck

f. f.

Agents Agents

woodchuck woodchuck

Hepatology, Hepatology,

B B

arabinosyl- arabinosyl-pyrimidine

......

A A

Med. Med.

ducks ducks

infected infected

345, 345,

Robins Robins

AM, AM,

of of

!riphosphaıes !riphosphaıes

CK CK

effects effects

U, U,

Ooka Ooka

Fox Fox

Derivatives, Derivatives,

infected infected

129-136. 129-136. f. f.

Schiff Schiff

on on

sera, sera,

jacque! jacque!

S, S,

Lunel-Fabiani Lunel-Fabiani

1991. 1991.

JH. JH.

results results

G. G.

Klein Klein

Reichman Reichman

and and

hepatitis hepatitis

Savani Savani

and and

the the

in in

Synthesis Synthesis

E, E,

O, O,

HS, HS,

and and

26. 26.

Chu Chu

RP, RP,

1983. 1983.

5-alkenyl-1-(2-deoxy-2-

K, K,

Nucleosides. Nucleosides.

TL, TL,

TL, TL,

Wa!anabe Wa!anabe

uracils, uracils,

C C

by by

hepatitis hepatitis

Lancet, Lancet,

ı1ucleosides, ı1ucleosides,

2'-fluoro-2'-deoxy-

Pharmaceutical Pharmaceutical

110. 110.

2000. 2000.

Suzuki Suzuki

2',3'-dideoxynucleosides 2',3'-dideoxynucleosides

Bisceglie Bisceglie

JJ JJ

and and

comparison comparison

O, O,

Sci.. Sci..

Chemother Chemother

Su Su

Su Su

lnhibitory lnhibitory

Reichman Reichman

217-228, 217-228,

inhibit inhibit

Antimicrob. Antimicrob.

Milman Milman

DNA DNA

replication replication

chronically chronically

Dohin Dohin

humarı humarı

Imidazole Imidazole

Hantz Hantz

1993. 1993.

T T

on on

chronically chronically

structure-activity structure-activity

Hoofnagle Hoofnagle

duck duck

Perrillo Perrillo

2'deoxy-2'fluoro-D 2'deoxy-2'fluoro-D

C. C.

Di Di

Fisher Fisher

nucleosides nucleosides

1992. 1992.

J, J,

Lopez Lopez

15, 15,

Fox Fox

nucleosides, nucleosides,

152-156, 152-156,

Y, Y,

WX, WX,

in in

2'-fluorinated 2'-fluorinated

of of

vivo vivo

1984, 1984,

KA, KA,

KA, KA,

on on

KA, KA,

sorne sorne

and and

of of

of of

Allaudeen Allaudeen

Ma Ma

on on

JL, JL,

Li Li

B77, B77,

and and

Hanız Hanız

antiviral antiviral

Turkey, Turkey,

patients, patients,

chimpanzees chimpanzees

which which

in in

Agenls Agenls

MP, MP,

26, 26,

?harın. ?harın.

DLJ, DLJ,

!, !,

!, !,

4, 4,

and and

S, S,

of of

BE BE

of of

O, O,

Luo Luo

Res., Res.,

MW, MW,

of of

polymerase polymerase

MW, MW,

Trepo Trepo

nucleosides, nucleosides,

of of

some some

J. J.

liver liver

1989. 1989.

pyrimidine pyrimidine

E-5-(2-bromovinyl)-2'-deoxyuridine, E-5-(2-bromovinyl)-2'-deoxyuridine,

C C

B. B.

J, J,

and and

Nucleosides. Nucleosides.

122-126, 122-126,

187-199, 187-199,

liviral liviral

Chem., Chem.,

Walanabe Walanabe

Symposium Symposium

2-halogeno-~-D-arabinofuranosyl) 2-halogeno-~-D-arabinofuranosyl)

339, 339, hepadnavirus, hepadnavirus,

tro tro

Lee Lee

and and

pounds pounds

Korba Korba

Hanız Hanız

and and

JJ. JJ.

(2'-deoxy-2'-fluoro-iJ-D-arabinofuranosyl)-5-iodocytosine (2'-deoxy-2'-fluoro-iJ-D-arabinofuranosyl)-5-iodocytosine

Fox Fox

Fourel Fourel

hepadnaviral hepadnaviral

infected infected

1984. 1984. Benhamou Ankara, Ankara,

dideoxy-3'-thiacytidine dideoxy-3'-thiacytidine

thesis thesis

mivudine mivudine

cils, cils,

Beames Beames

ment ment

SuppL SuppL Tyrrell Tyrrell

Fried Fried

Wa!anabe Wa!anabe Activities Activities

Chun Chun

pez pez

Triazole Triazole viral viral

4, 4,

37, 37,

pyrimidine pyrimidine

arabinofuranosyl) arabinofuranosyl)

Olgen Olgen

Fourel Fourel Wa!anabe Wa!anabe and and

cleosides cleosides

fects fects microb. microb.

DNA DNA

tivity tivity

Diensıag Diensıag Inhibition Inhibition pyrimidine pyrimidine

replication replication

ABAD ABAD

F F

17. 17.

18. 18.

19. 19.

26. 26.

22. 22.

28. 28.

25. 25.

27. 27.

23. 23.

20. 20.

29. 29.

24. 24. 21. 21.

1 1

G, G,

2'­

in­

30, 30,

K.; K.;

and and

Dis­

con­

syn­

anti­

l-(2-

nov­

CK. CK.

j. j.

Med. Med.

Drug Drug

Phar­

[4,5-E] [4,5-E]

of of

YC. YC.

Phase Phase

J J

Res., Res.,

novel novel

ofa ofa

and and

FD. FD.

Chu Chu

(HBV) (HBV)

short short

and and

FD. FD.

1350-1353, 1350-1353,

(L-FMAU) (L-FMAU)

a a

replication replication

model model

neurologic neurologic

H. H.

Levy, Levy,

Gumina Gumina

), ),

Nucleotides Nucleotides

!. !.

), ),

(9), (9),

N.; N.;

Cheng Cheng

studies studies

analogue analogue

Du Du

imidazo imidazo

virus virus

virus virus

activity activity

Du Du

12 12

S, S,

B B

Anh"viral Anh"viral

severe severe

M. M.

C., C.,

B B

efficient, efficient,

Synthesis Synthesis

Boudinot Boudinot

195-201. 195-201.

C, C,

Boudinot Boudinot

1997. 1997.

nucleosides, nucleosides,

1999. 1999.

Biopharm. Biopharm.

by by

7, 7,

viral viral

Krakoff, Krakoff,

An An

Peek Peek

Res., Res.,

B B

RF, RF,

36, 36,

vivo, vivo,

and and

Trepo Trepo

1996. 1996.

Raber, Raber,

S.; S.;

and and

Nucleosides Nucleosides

aromatic, aromatic,

RS. RS.

in in

hepatitis hepatitis

Pierra Pierra

1989, 1989,

nucleoside nucleoside

LA, LA,

rats, rats,

C, C,

S. S.

pharmacokinetic pharmacokinetic

hepatitis hepatitis

S.; S.;

A52, A52,

CK CK

331-335, 331-335,

of of

2000. 2000.

L, L,

CK CK

in in

Pharm. Pharm.

and and

34, 34,

terminated terminated

Schinazi Schinazi

(3), (3),

94&-957, 94&-957,

Borel Borel

pharmacodynamic pharmacodynamic planar, planar,

Ma Ma

system, system,

Drugs Drugs

Chu Chu

Chu Chu

Legha, Legha,

l-(2-fluoro-13-L-arabinofuranosyl)-5-

purine purine

S, S,

18 18

oxaselenolane oxaselenolane

inhibits inhibits

Graham Graham

Hosmane Hosmane

rats, rats,

model model

Schmidt, Schmidt,

Res., Res.,

S, S,

YC, YC,

anti-hepatitis anti-hepatitis

T, T,

), ),

and and

T, T,

R, R,

absorbtion absorbtion

ring ring

in in of of

of of

M.; M.;

l-(2-deoxy-2-fluoro-13-L-arabinofuranosyl) l-(2-deoxy-2-fluoro-13-L-arabinofuranosyl)

New New

(1-11), (1-11),

3906-3912, 3906-3912,

L.; L.;

(L-FMAU) (L-FMAU)

(FMAU) (FMAU)

j. j.

of of

Ma Ma

Adds, Adds,

A. A.

17 17

Ma Ma

oral oral

hepatocytes hepatocytes

jacob jacob

analog, analog,

Sood Sood

Olgen Olgen

potent potent

l-(2-deoxy-2-fluoro-13-D-arabinofuranosyl)-5-

5:7-fused, 5:7-fused,

Aguesse Aguesse

Cheng Cheng

(21), (21),

B, B,

JD, JD,

a a Antiviral Antiviral

Invest. Invest.

JD, JD,

F, F,

E, E,

43 43

woodchuck woodchuck

and and

of of

activities activities

HNI, HNI,

CK, CK,

diazepine diazepine

1996. 1996.

Nucleic Nucleic

ring-expanded ring-expanded

the the

primary primary

Chem. Chem.

[1,3] [1,3]

Chu Chu

and and

viral viral

Gullen Gullen

taining taining

Disposition, Disposition,

thesis thesis

el el

Chen Chen

methyluracil methyluracil

Wright Wright

continuous continuous

Wright Wright

bioavailability bioavailability

fection, fection,

1995. 1995. in in

Pharmacokinetic Pharmacokinetic

fluoro-5-methyl-13-L-arabinofuranosyl)uracil fluoro-5-methyl-13-L-arabinofuranosyl)uracil

A24, A24, macokinetics macokinetics

-5-methyluracil -5-methyluracil

Abbruzzese, Abbruzzese,

nucleoside nucleoside Fluoro-5-methyl-Jj-L-arabinofuranosyluracil, Fluoro-5-methyl-Jj-L-arabinofuranosyluracil,

Zoulim Zoulim in in

toxicity. toxicity.

trial trial

methyluracil methyluracil Tennant Tennant

Castellanos, Castellanos,

52. 52.

51. 51.

50. 50.

49. 49.

47. 47.

48. 48.

46. 46.

of of

of of

(j3-

(L­

Liu Liu

and and

798-

l-(2-

nov­

MA, MA,

2',3'­ hep­

Xiang Xiang

{HIV) {HIV)

a a

Use Use

Cheng Cheng

of of

Chem., Chem.,

human human

human human

Agents Agents

reverse reverse

in in

TS, TS,

Chemo­

979-981, 979-981,

37, 37,

Dutsch­

of of

antiviral antiviral

as as

Inhibition Inhibition

of of

of of

CG, CG,

E, E,

2'-fluoro-5-

YC. YC.

and and

Lin Lin

Antimicrob. Antimicrob.

synthesis synthesis

virus virus

Epstein-Barr Epstein-Barr

uracil uracil

Med. Med.

39, 39,

Ascenzi Ascenzi

virus virus

(~-L-d4C) (~-L-d4C)

YC. YC.

]. ].

O, O,

GE GE

Agents Agents

B B

Chem., Chem.,

and and

Wang Wang

and and

synthesis synthesis

1996. 1996.

potential potential

BH, BH,

Gullen Gullen

Cheng Cheng

K, K,

2',3'-Dideoxy-~-L-5-

Antimicrob. Antimicrob.

inhibitors inhibitors

inhibitors inhibitors

evaluation evaluation

as as

vitro, vitro,

Cheng Cheng

JP, JP,

Hanız Hanız

Med. Med.

virus virus

YL, YL,

uridine, uridine,

DNA DNA

in in

Design Design

L-nucleoside, L-nucleoside,

B B

]. ].

C, C,

Pharmacokinetics Pharmacokinetics

vivo. vivo.

hepatitis hepatitis

CK, CK,

380-386, 380-386,

Chemother., Chemother.,

potent potent

Baldwin Baldwin

potent potent

Zhu Zhu

YC. YC.

in in viral viral

Antimicrob. Antimicrob.

CK. CK.

Dutschuman Dutschuman

40, 40,

(HIV) (HIV)

CK. CK.

Chu Chu

novel novel

Borel Borel

and and

duck duck

FD, FD,

immunodeficiency immunodeficiency

biological biological

1996. 1996.

a a

nucleosides nucleosides and and

MC, MC,

SB, SB,

(HBV), (HBV),

E, E,

Chu Chu hepatitis hepatitis

YL, YL,

Agents Agents

Sommadossi Sommadossi

Chu Chu

by by

virus virus

Pai Pai

Cheng, Cheng,

Liu Liu

and and

Shanmuganathan Shanmuganathan

far far

suppress suppress

vitro vitro

(HBV) (HBV)

YC, YC,

JF, JF,

virus virus

Zhu Zhu

GQ, GQ,

human human

inhibits inhibits

448-453, 448-453,

in in

1996. 1996.

exceptionally exceptionally

B B

virus virus

C, C,

Boudinot Boudinot

and and

TW, TW,

MZ, MZ,

MZ, MZ,

Du Du

Chemother., Chemother.,

B B

SH, SH,

agent agent

woodchucks, woodchucks,

40, 40,

virus virus

Yao Yao

Dannaoui Dannaoui

Cheng Cheng

two two

Ma Ma

both both B B

BC, BC,

JW, JW,

in in

Luo Luo

Luo Luo

F, F,

and and

Liu Liu

against against

SB, SB,

Antimicrob. Antimicrob.

Synthesis Synthesis

Trepo Trepo

1997. 1997.

GE, GE,

CK, CK,

hepatitis hepatitis

1994. 1994.

TS, TS,

TS, TS,

SB, SB,

Pai Pai

1757-1759, 1757-1759,

2',3'-dideoxy-2',3'-didehydro-j3-L-5-fluorocytidine 2',3'-dideoxy-2',3'-didehydro-j3-L-5-fluorocytidine

hepatitis hepatitis

antiviral antiviral

Pai Pai

Agents Agents

1995. 1995.

of of

ther., ther.,

virus, virus,

2'-fluoro-5-methyl-~-L-arabinofuranosyluracil 2'-fluoro-5-methyl-~-L-arabinofuranosyluracil

el el methyl-~-L-arabinofuranosyl methyl-~-L-arabinofuranosyl

Chu Chu

FMAU) FMAU)

fluoro-5-methyl-13-L-arabinofuranosyl) fluoro-5-methyl-13-L-arabinofuranosyl)

Witcher Witcher Tennant Tennant

YJ, YJ,

39, 39,

Chemther., Chemther.,

of of 2',3'-dideoxy-2',3'-didehydro-13-L-cytidine 2',3'-dideoxy-2',3'-didehydro-13-L-cytidine

Lin Lin

hepatitis hepatitis

immunodeficiency immunodeficiency

L-Fd4C), L-Fd4C),

Lin Lin fluorocytidine fluorocytidine

Zoulim Zoulim

man man

SH, SH,

and and

803, 803,

agents agents

YC. YC.

transcription transcription

dideoxy-L-pyrimidine dideoxy-L-pyrimidine atocytes, atocytes,

136 136

45. 45.

44. 44.

43. 43.

Ölgen Ölgen

42. 42.

40. 40. 41. 41.