ABSTRACTWe have evaluated the clinical potential of stavudine-5′-(p-bromophenyl methoxyalaninyl phosphate(stampidine [STAMP]), a novel aryl phosphate derivative of stavudine, as a new anti-human immunodeficiency virus (anti-HIV) agent, by examining its acute, subacute, and chronic toxicity profile in mice as well as by testing its antiviral activity in a surrogate human peripheral blood lymphocyte (Hu-PBL)-SCID mouse model of human AIDS. STAMP was very well tolerated in BALB/c and CD-1 mice, without any detectable acute or subacute toxicity at single intraperitoneal or oral bolus doses as high as 500 mg/kg of body weight. Notably, daily administration of STAMP intraperitoneally or orally for up to 8 consecutive weeks was not associated with any detectable toxicity at cumulative dose levels as high as 6.4 g/kg. Micromolar concentrations of the active STAMP metabolite in plasma were rapidly achieved and maintained for more than 4 h after parenteral as well as oral administration of a nontoxic 100-mg/kg bolus dose of STAMP. In accordance with its favorable pharmacokinetic profile and in vitro potency, STAMP exhibited dose-dependent and potent in vivo anti-HIV activity in Hu-PBL-SCID mice against a genotypically and phenotypically nucleoside analog reverse transcriptase inhibitor (NRTI)-resistant clinical HIV type 1 (HIV-1) isolate (BR/92/019; D67N, L214F, T215D, K219Q) at nontoxic dose levels. The remarkable in vivo safety and potency of STAMP warrants the further development of this promising new antiretroviral agent for possible clinical use in patients harboring NRTI-resistant HIV-1.
摘要 我们评估了司他夫定-5′-(对溴苯甲氧基丙氨酰磷酸酯(STAMP))作为一种新型抗人类免疫缺陷病毒(抗 HIV)药物的临床潜力,它是司他夫定的一种新型芳基磷酸酯衍生物、通过研究其在小鼠体内的急性、亚急性和慢性毒性概况,以及在人类艾滋病的代用人类外周血淋巴细胞(Hu-PBL)-SCID 小鼠模型中测试其抗病毒活性。BALB/c 和 CD-1 小鼠对 STAMP 的耐受性非常好,单次腹腔注射或口服剂量高达 500 毫克/千克体重时,均未检测到任何急性或亚急性毒性。值得注意的是,连续 8 周每天腹腔注射或口服 STAMP,在累积剂量高达 6.4 克/千克时也未检测到任何毒性。肠外和口服 100 毫克/千克无毒剂量的 STAMP 后,血浆中 STAMP 活性代谢物的微摩尔浓度可迅速达到并维持 4 小时以上。根据其良好的药代动力学特征和体外效力,STAMP 在 Hu-PBL-SCID 小鼠体内对基因型和表型上具有核苷类似物逆转录酶抑制剂(NRTI)抗性的临床 HIV 1 型(HIV-1)分离株(BR/92/019;D67N、L214F、T215D、K219Q)在无毒剂量水平上表现出剂量依赖性和强效的抗 HIV 活性。STAMP 显着的体内安全性和药效使我们有理由进一步开发这种前景广阔的新型抗逆转录病毒药物,以便在临床上用于对 NRTI 耐药的 HIV-1 患者。