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RNA Chemistry<br />

Eckart Mat<strong>the</strong>s<br />

Hydroxylation <strong>of</strong> Selected β-L-Deoxycytidine<br />

Derivatives Leads to New, Strong and Selective<br />

Inhibitors <strong>of</strong> Hepatitis B Virus Replication.<br />

We syn<strong>the</strong>sized a series <strong>of</strong> new N 4 -hydroxylated L-deoxycytidine<br />

derivatives and evaluated <strong>the</strong>ir antiviral activity. Our<br />

results demonstrate that at least L-HyddFC, L-Hyd4C and<br />

L-Hyd4FC act as highly efficient (ED 50 = 0.01-0.05 µM) and<br />

selective inhibitors <strong>of</strong> hepatitis B virus replication and warrant<br />

fur<strong>the</strong>r investigation.<br />

Most biological macromolecules contain chiral building<br />

blocks where natural nucleosides have <strong>the</strong> D-configuration<br />

whereas most amino acids have <strong>the</strong> L-form. Enzyme reactions<br />

are normally highly stereoselective (nearly stereospecific)<br />

and act mainly on one enantiomer such as D-nucleosides<br />

and L-amino acids. For this reason <strong>the</strong> L-nucleosides<br />

were underestimated for a long time. Thiacytidine (3TC,<br />

Lamivudine) was <strong>the</strong> first clinically used L-nucleoside, which<br />

was shown to be a more effective and less cytotoxic antiviral<br />

compound than <strong>the</strong> corresponding D-enantiomer. The most<br />

surprising aspect was that cellular deoxycytidine kinase<br />

lacks stereospecificity and was found to be able to phosphorylate<br />

3TC and a series <strong>of</strong> o<strong>the</strong>r L-cytidine derivatives,<br />

whereas L-thymidine derivatives seems to be poor substrates<br />

for <strong>the</strong> cellular thymidine kinase (TK1).<br />

Therefore L-cytidine derivatives have recently gained great<br />

interest as antiviral agents. After phosphorylation to <strong>the</strong><br />

triphosphates, however, some <strong>of</strong> <strong>the</strong> L-deoxycytidine analogues<br />

were shown to suppress not only <strong>the</strong> targeted viral<br />

polymerases, but partially also cellular DNA polymerases<br />

which produces antiproliferative toxicity. Between <strong>the</strong>se<br />

compounds are L-didehydrocytidines and L-dideoxycytidines<br />

(L-d4FC, L-d4C, L-ddFC, and L-ddC) with cytoxicity<br />

values (CD 50 ) for HepG2 cells between 8 and 70 µM.<br />

We have hypo<strong>the</strong>sized that <strong>the</strong> hydroxylation <strong>of</strong> <strong>the</strong> N 4 -<br />

aminogroup <strong>of</strong> L-deoxycytidine analogs might induce steric<br />

and electronic effects resulting in higher selectivity between<br />

viral and cellular DNA polymerase. We <strong>the</strong>refore syn<strong>the</strong>sized<br />

thirteen hi<strong>the</strong>rto unknown N 4 -hydroxy-modified L-deoxycytidine<br />

analogues (with support <strong>of</strong> C. Mark, Chemische<br />

Laboratorien, Worms) and evaluated <strong>the</strong>m as potential<br />

inhibitors <strong>of</strong> hepatitis B virus (HBV)- and human immunodeficiency<br />

virus (HIV)-replication (cooperation with H. Will,<br />

Heinrich-Pette-Institut, Hamburg, S. Urban, University <strong>of</strong><br />

Heidelberg, and H. Walter, University <strong>of</strong> Erlangen-<br />

Nürnberg). These derivatives did not display any activity<br />

against HIV replication but emerged as very powerful<br />

inhibitors <strong>of</strong> HBV replication.<br />

Figure 1 shows <strong>the</strong> structures <strong>of</strong> <strong>the</strong> most efficient L-cytidine<br />

analogs. The concentrations reducing secreted HBV<br />

DNA to <strong>the</strong> medium by 50% (ED 50 ) were between 10 and 50<br />

nM for L-HyddFC, L-Hyd4C and L-Hyd4FC (abbreviations see<br />

legend to fig.1) compared with 100 nM for 3TC. Figure 2<br />

NHOH<br />

O<br />

F<br />

NHOH<br />

N N N<br />

O N<br />

O N<br />

O N<br />

NHOH<br />

OH OH OH<br />

O<br />

O<br />

F<br />

Figure 1. Structures <strong>of</strong> β-Lnucleoside<br />

analogues detected as<br />

most efficient inhibitors <strong>of</strong> HBV<br />

replication in HepG2.2.15 cells.<br />

L-HyddFC: β-L-2´,3´-dideoxy-<br />

5-fluoro-N 4 -hydroxycytidine,<br />

L-Hyd4C: β-L-2´,3´-didehydro-<br />

2´,3´-dideoxy-N 4 -hydroxycytidine,<br />

L-Hyd4FC: β-L-2´,3´-didehydro-2´,3´-dideoxy-5-fluoro-N<br />

4 -<br />

hydroxycytidine.<br />

L- HyddFC<br />

ED 50 =0.01µM<br />

L- Hyd4C<br />

ED 50 =0.03µM<br />

L- Hyd4FC<br />

ED 50 =0.05µM<br />

Cancer Research 113

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