Acyclovir, analogues

Case Conclusion SL is experiencing a recurrent genital herpes outbreak. The treatment of choice is either acyclovir or one of the acyclovir analogues. The duration of symptoms may be shortened because SL was able to identify and seek treatment for her outbreak early. 

Lucero B, Gomez C, Frugulhetti 1, Faro L, Alvarenga L, de Souza M, de Souza T, Ferreira V (2006) Synthesis and anti-HSV-1 activity of quinolonic acyclovir analogues. Bioorg Med Chem Lett 16 1010-1013... 

Dihydroxybutylguanine (DHBG, 35), [86304-28-1] C H 2N s03, is another analogue of acyclovir, reported by the Astra Pharmaceutical group... 

Moderate in vivo antiherpes vims activity was demonstrated by 9-P-Dxylofuranosylguanine [27462-39-1] (xylo-G, 38), C qH N O, and the 5 -mono-and 3, 5 -cycHc phosphates of (38), although none was as active as ara-A (89). Generally, guanine base-modified analogues of acyclovir are less active than acyclovir because they are not readily phosphorylated by herpes thymidine kinase. 

TACV Triacyclic analogue of acyclovir TGCV Triacyclic analogue of ganciclovir ANP Acyclic nucleoside phosphonate TK Thymidine kinase... 

All acyclic and carbocyclic guanosine analogues depicted in Fig. 1 follow the same modus operandi as exemplified for acyclovir (ACV) in Fig. 5, in that they need three phosphorylations to be converted to their active metabolite, the triphosphate form, which then interacts with the target enzyme, the viral DNA polymerase, as a chain terminator (De Clercq 2002). In its DNA chain-terminating... 

Golankiewicz B, Ostrowski T, Goslinski T, Januszczyk P, Zeidler J, Baranowski D, De Clercq E (2001) Fluorescent tricyclic analogues of acyclovir and ganciclovir. A structure-antiviral activity study, J Med Chem 44 4284 287... 

Fig. 5.22 Thymidine (A), guanosine (B) and some nucleoside analogues (C-J). C, idoxuridine D, cytarabine E, ribavirin F, zidovudine (AZT) G, dideoxycytidine (DDC) H, dideoxyinosine (DDI) I, acyclovir J, ganciclovir.

Acyclovir (acycloguanosine. Fig. 5.221) is a novel type of nucleoside analogue which becomes achvated only in herpes-infected host cells by a herpes-specific enzyme, thymidine kinase. This enzyme inihates conversion of acyclovir initially to a monophosphate and then to the antiviral triphosphate which inhibits viral DNA polymerase. The host cell polymerase is not inhibited to the same extent, and the antiviral triphosphate is not produced in uninfected cells. Ganciclovir (Fig. 5.22J) is up to 100... 

The antiviral nucleotide analogue 9-[2-(phosphonomethoxy)ethyl]-2,6-diaminopurine also uses its N7 as a major binding site and forms a N7-phosphonate macrochelate (698).1833 Another antiviral analogue of 2 -deoxyguanosine, acyclovir (9-[(2-hydroxyethoxy)-methyl]guanine) forms with Ni11 a bis-complex with two N7 coordinated in trans position to each other.1834... 

Acyclovir Zovirax) is a guanine nucleoside analogue most effective against HSV-1 and HSV-2, but it has some activity against VCV, CMV, and EBV. Valacyclovir (Valtrex) is the L-valine ester prodrug of acyclovir. Acyclovir is converted to its active metabolite via three phosphorylation steps. First, viral thymidine kinase converts acyclovir to acyclovir monophosphate. Next, host cell enzymes convert the monophosphate to the diphosphate and then to the active compound, acyclovir triphosphate. Because viral thymidine kinase has a much greater affinity for acyclovir triphosphate than does mammalian thymidine kinase, acyclovir triphosphate accumulates only in virus-infected cells. 

Famciclovir (Famvir) is the diacetyl ester prodrug of the acyclic guanosine analogue 6-deoxypenciclovir Dena-vir). Penciciovir has activity against HSV-1, HSV-2, VZV, and HB V. After oral administration, famciclovir is converted to penciciovir by first-pass metabolism. Penciciovir has a mechanism of action similar to that of acyclovir. It is first monophosphorylated by viral thymidine kinase then it is converted to a triphosphate by cellular kinases. Penciciovir triphosphate acts as a competitive inhibitor of viral DNA polymerase, but unlike acyclovir, it does not cause chain termination. 

Acyclovir is a synthetic purine nucleoside analogue with in vitro and in vivo inhibitory activity against human herpes viruses. 

---