Two privileged drug scaffolds have been hybridized to create the novel heteromorphic nucleoside 5-(2-amino-3-cyano-5-oxo-5,6,7,8-tetrahydro-4H-chromen-4-yl)-1-(2-deoxypentofuranosyl)pyrimidine-2,4-(1H,3H)-dione (2). Compound 2 inhibited the replication of two orthopoxviruses, vaccinia virus (VV) (EC 50 = 4.6 ± 2.0 μM), and cowpox virus (CV) (EC 50 = 2.0 ± 0.3 μM). Compound 2 exhibited reduced activity against a thymidine kinase (TK) negative strain of CV, implying a requirement for 5′-monophosphorylation for antiorthopoxvirus activity. Compound 2 was efficiently phosphorylated by VV TK, establishing that VV TK is more promiscuous than previously believed.Smallpox, although declared eradicated as a natural disease in 1983 by the World Health Organization, now stands as the most potentially devastating of all bioterrorist threats. 1,2 It is presently the policy of the U.S. Government to provide two FDA-approved drugs for the treatment of smallpox and to have two others in the pipeline, ideally with different modes of action. 3 One drug, cidofovir (Vistide), licensed to treat cytomegalovirus (CMV) retinitis in HIV-infected patients, is available through a special protocol (Investigational New Drug, IND) We have pursued a chemistry-driven strategy for the discovery of lead molecules with antiorthopoxvirus activity. 16,17 Our approach to new orthopoxvirus antivirals has been guided by the following considerations: (a) since the "privileged" 18,19 structure of nucleosides has led to a variety of efficacious antiviral agents, 20 the nucleoside scaffold is an excellent point of departure in the search for new antiviral drugs; (b) other privileged 18,19 molecular scaffolds exist that have spawned a significant number of drugs and other biologically active agents, and these also can be used to discover molecular "masterkeys"; 21 (c) 5-formyl-2′-deoxyuridine is a neglected but powerful synthon for the generation of novel nucleoside structures that can be employed in multicomponent reactions [22][23][24][25] (MCR) to generate chemical diversity.In this study, a modified benzofuran-nucleoside chimera was generated in a MCR originating with 5-formyl-2′-deoxyuridine. [26][27][28] Benzofuran congeners form the nucleus of many biological active molecules. [29][30][31][32] Singh et al. 33 gained entry to these fused pyrans by reactions of 1,3-oxazinanes and oxazolidines with various carbon nucleophiles. We adapted this to the reaction of 5-formyl-2′-deoxyuridine with malononitrile and 1,3-cyclohexanedione to obtain a novel nucleoside. The synthesis was carried out using 5-formyl-2′-deoxyuridine 26-28 in a multicomponent reaction with malononitrile and 1,3-cyclohexanedione in EtOH to give 5-(2-amino-3-cyano-5-oxo-5,6,7,8-tetrahydro-4H-chromen-4-yl)-1-(2-deoxypentofuranosyl)pyrimidine-2,4(1H,3H)-dione (2) (Scheme 1).Compound 2 was obtained as a 1:1 diastereomeric mixture arising from the generation of a chiral carbon at position 4 of the chromone ring.The antiviral activities of 2 (Table 1) were determined in human fores...