Development Of Extremely Excellent Anti-HIV Active EFdA, Focused On The Design | 79322
Clinical Pharmacology & Biopharmaceutics
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4’-C-Ethynl-2’-fluoro-2-deoxyadenosine (EFdA) has attracted much attention due to its extremely excellent anti-HIV properties (1. prevent the emergence of resistant HIV mutants 2. over 400 times more active than AZT and several orders of magnitude more active than the other clinical reverse-transcriptase inhibitor 2’, 3’-dideoxynucleoside drugs 3. very low toxic 4. long acting 5. could be used for prophylaxis, and so on). EFdA is now under clinical investigation as MK-8591 by Merck & Co. In my talk, the development of EFdA, especially the design of it will be presented and discussed. For the design of the modified nucleoside which could solve the problems (1. emergence of drug-resistant HIV-mutants. 2. adverse effects by drugs. 3. necessary to take plenty number of drugs) that the clinical drugs have, I have proposed the following working hypotheses to solve the problems. They are: (1) the way to prevent the emergence of resistant HIV mutants, (2) the way to decrease the toxicity of modified nucleosides, (3) the way to provide the nucleoside with the stability to both enzymatic and acidic hydrolysis of nucleobase. 4’-C-substituted-2’-deoxynucleoside was designed to meet the hypotheses (1), (3) and the 2-site-modification was conducted to meet the hypothesis (2). The details of the hypotheses and the reason of the 4’-C-substitution will be discussed. To prevent the deamination of adenine base, fluorine atom was introduced at the 2-position of adenine base. Finally, EFdA which is modified at the two positions of the physiologic 2’-deoxyadenosine and has extremely excellent anti-HIV properties been successfully developed.
Hiroshi Ohrui received his PhD degree (1971) from The University of Tokyo. He joined RIKEN during 1966 and moved to Tokyo University in 1981 and moved to Yokohama University of Pharmacy in 2006. He worked for Dr. J J Fox at Sloan- Kettering Institute for Cancer Research during 1972-1973 and Dr. J G Moffatt at Syntex Research during 1973-1974. He received several awards including Inoue Prize for Science (2001), Japan Prize for Agricultural Sciences (2004), The Japan Society for Analytical Chemistry Award (2004), and Japan Academy Prize (2010). His research interests cover organic synthesis, chemical biology and chiral discrimination.
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