Abstract:Ribavirin (RBV)-containing polymers are synthesized based on poly(N-vinylpyrrolidone) and poly(acrylic acid), two polymers with extensive characterization in biomedicine. The copolymers are shown to exhibit a minor to negligible degree of association with erythrocytes, thus effectively eliminating the origin of the main side effects of RBV. The therapeutic benefit of macromolecular RBV prodrugs is illustrated by matched efficacy in suppressing production of nitric oxide by stimulated cultured macrophages as co… Show more
“…Using this tool, we designed MPs of RBV with potency near matching that of the pristine drug yet without associated toxicity. Together with our previous reports on hemocompatibility of MPs of RBV, our efforts establish a novel platform for safe and efficient delivery of RBV that can also be adapted to other nucleoside analogue drugs for various therapies (antiviral, anticancer).…”
Efficacious, potent, and at the same time nontoxic macromolecular prodrugs of ribavirin are designed taking advantage over prodrug activation by the intracellular milieu. Activity of these prodrugs is illustrated in the cells hosting hepatitis C virus replication and also in the cells implicated in the inflammatory response to the viral infection.
“…Using this tool, we designed MPs of RBV with potency near matching that of the pristine drug yet without associated toxicity. Together with our previous reports on hemocompatibility of MPs of RBV, our efforts establish a novel platform for safe and efficient delivery of RBV that can also be adapted to other nucleoside analogue drugs for various therapies (antiviral, anticancer).…”
Efficacious, potent, and at the same time nontoxic macromolecular prodrugs of ribavirin are designed taking advantage over prodrug activation by the intracellular milieu. Activity of these prodrugs is illustrated in the cells hosting hepatitis C virus replication and also in the cells implicated in the inflammatory response to the viral infection.
“…23,25 In short, human red blood cells (RBC) were obtained from Skejby Hospital blood bank, cryopreserved in 54.7 mM glycerol, 0.050 M NaPO 3 , 0.37 mM NaCl, and on the day of experiment washed in PBS (3 × 10 mL, 5 min, 400 rpm). In a 96-well round-bottomed multiplate, RBCs (45 μL) were subjected to polymers (5 μL) and incubated 24 h (37 °C, 300 rpm).…”
Macromolecular prodrugs of ribavirin were developed as blood safe formulations with capacity to fight inflammation and human immunodeficiency virus in vitro.
“…Kryger et al documented the synthesis of two macromolecular prodrugs by polymerization of RBV-acrylate once with poly(acrylic acid) (AA) [ 53 ] and another with poly( N -vinylpyrrolidone) (NVP) [ 54 ] (see 16 and 17 in Figure 9 , respectively). The resulting prodrugs showed no cytotoxicity to macrophages.…”
Background: Poor pharmacokinetic profiles and resistance are the main two drawbacks from which currently used antiviral agents suffer, thus make them excellent targets for research, especially in the presence of viral pandemics such as HIV and hepatitis C. Methods: The strategies employed in the studies covered in this review were sorted by the type of drug synthesized into ester prodrugs, targeted delivery prodrugs, macromolecular prodrugs, other nucleoside conjugates, and non-nucleoside drugs. Results: Utilizing the ester prodrug approach a novel isopropyl ester prodrug was found to be potent HIV integrase inhibitor. Further, employing the targeted delivery prodrug zanamivir and valine ester prodrug was made and shown a sole delivery of zanamivir. Additionally, VivaGel, a dendrimer macromolecular prodrug, was found to be very efficient and is now undergoing clinical trials. Conclusions: Of all the strategies employed (ester, targeted delivery, macromolecular, protides and nucleoside analogues, and non-nucleoside analogues prodrugs), the most promising are nucleoside analogues and macromolecular prodrugs. The macromolecular prodrug VivaGel works by two mechanisms: envelope mediated and receptor mediated disruption. Nucleotide analogues have witnessed productive era in the recent past few years. The era of non-interferon based treatment of hepatitis (through direct inhibitors of NS5A) has dawned.
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