5,6-Dihydro-5-azathymidine (DHAdT), a nucleoside antibiotic inhibitory for herpes simplex virus (HSV) in cell cultures (H. E. Renis, Antimicrob. Agents Chemother. 13: 613-617, 1978), was evaluated in mice with experimental HSV infections. DHAdT protected mice infected with HSV type 1 (HSV-1) when the virus was inoculated intravenously and the drug was given by subcutaneous or oral routes. The activity observed was dependent on the dose and schedule of treatment. Doses of 100 to 400 mg/kg given three to four times daily (at 4-h intervals) for 4 to 5 days gave greater protection than less frequent treatment for shorter time intervals. DHAdT treatment reduced the rate of isolation as well as the HSV-1 titers in homogenates prepared from spinal cords and brains, whereas the titers in kidney homogenates were only marginally affected. The above treatment regime with DHAdT afforded only partial protection to mice infected intracerebrally with HSV-1 or mice inoculated intravaginally with HSV-1 or HSV-2. The antiviral activity of DHAdT was reversed by the co-administration of thymidine. Under these conditions, DHAdT was not toxic in mice.The antibiotic nucleoside 5,6-dihydro-5-azathymidine (DHAdT) was shown to inhibit herpes simplex virus type 1 (HSV-1) and HSV-2 in infected cell cultures (10). It appeared that HSV-2 was less susceptible than HSV-1, but more susceptible than vaccinia virus. In addition, DHAdT was essentially noncytotoxic at concentrations which were inhibitory to HSV-1. The anti-HSV-1 activity of DHAdT was reversed by thymidine (dThd) and deoxyuridine and partially by deoxycytidine. DHAdT has been shown to be effective in hairless mice with cutaneous herpesvirus infection (16).The studies described herein were undertaken to determine the activity of DHAdT in mice infected with HSV. The effect of DHAdT, by different routes and schedules of therapy, was evaluated in mice infected with HSV-1 and -2 by different routes.MATERIALS AND METHODS Mice. Upj:TUC(ICR)spf mice, of both sexes, obtained from the Upjohn colony, were housed in the same room in stainless steel cages. Food and water were provided ad libitum. They weighed 18 to 20 g at the time of virus inoculation.Viruses. The propagation and assay on primary rabbit kidney (PRK) monolayers of the herpesviruses used in these studies have been described (11). The HSV-1 (MRS) had a titer of 3.4 x 107 plaque-forming units (PFU) per 1.0 ml on PRK, and the 50% lethal dose (LD50) was 1029/0.05 ml after intravenous (i.v.) injection of mice. The HSV-2 (35D) had a titer of 4.0 x 10' PFU/1.0 ml on PRK and 1024 LD5o/0.05 ml after i.v. injection of mice.Vaccinia virus was obtained originally from the Michigan Department of Health. The titer of the virus was 7.9 x 106 PFU/0.5 ml on PRK.Virus inoculation. HSV-1 was diluted in Eagle basal medium containing 3% fetal bovine serum (BME-3% FBS), and 0.05 ml was inoculated into the tail veins of male mice as previously described (11). The virus dilution was that necessary to cause 90% lethality in the control group. For intr...