Discovery of Novel Nucleotide Prodrugs with Improved Potency Against HCV Variants Carrying NS5B S282T Mutation
作者:Le Zhen、Liang Dai、Xiaoan Wen、Lan Yao、Xiaoliang Jin、Xiao-Wen Yang、Wenfeng Zhao、Sheng-Qi Yu、Haoliang Yuan、Guangji Wang、Hongbin Sun
DOI:10.1021/acs.jmedchem.7b00262
日期:2017.7.27
Resistant HCV variants carrying NSSB S282T mutation confer reduced sensitivity to sofosbuvir, the sole marketed NSSB polymerase inhibitor. On the basis of the finding that 2'-alpha-F-2'-beta-C-methylcytidine 5'-triphosphate (8) was more potent than sofosbuvir's active metabolite on inhibition of both wild-type and S282T mutant polymerase, a dual-prodrug approach has been established. Twenty-nine phosphoramidates with N-4-modified cytosine were designed, synthesized, and evaluated for anti-HCV activity, The results showed that compounds 4c-4e and 4m (EC50 = 0.19-0.25 mu M) exhibited comparable potency to that of sofosbuvir (EC50 = 0.15 mu M) on inhibition of wild-type replicons. Notably, 4c (EC50 = 0.366 mu M) was 1.5-fold more potent than sofosbuvir (EC50 = 0.589 mu M) on inhibition of S282T mutant replicons. In vitro metabolic studies disclosed the possible metabolic pathways of 4c. The toxicity study results indicated a good safety profile of 4c. Together, 4c-4e and 4m hold promise for drug development for the treatment of HCV infection, especially the resistant variants with NS5B S282T mutation.