Abstract5′-O-D-and L-amino acid derivatives and 5′-O-(D-and L-amino acid methyl ester phosphoramidate) derivatives of vidarabine (ara-A) were synthesized as vidarabine prodrugs. Some compounds were equi-or more potent in vitro than vidarabine against two pox viruses and their uptake by cultured cells was improved compared to the parent drug.
KeywordsVidarabine; ara-A; Amino acid ester prodrug; Phosphoramidate prodrug; Antiviral activity; Selective protection of nucleoside; Levulinate ester; Oral bioavailability; Adenosine deaminase; Arahypoxanthine; ara-H; Caco-2 permeability There has been continued interest in the synthesis and biological evaluation of nucleoside analogs capable of delivering the corresponding nucleotides inside cells. 1 1-Beta-Darabinofuranosyladenine (vidarabine or ara-A) is an antiviral drug with activity against herpes viruses, poxviruses, and certain rhabdoviruses, hepadnarviruses, and RNA tumor viruses. [2][3][4] Vidarabine also is active against vaccinia virus both in vitro 5 and in vivo. 6 However, it is more toxic and less metabolically stable than other current antivirals such as acyclovir and ganciclovir; further it is poorly soluble with low oral bioavailability. It is readily deaminated by adenosine deaminase (ADA) to ara-hypoxanthine (ara-H), 7 which possesses some antiviral activity but is at least 10-fold less potent than vidarabine. 6-8 Adenosine deaminase (ADA) is a cytosolic enzyme that participates in purine metabolism where it degrades either adenosine or 2′-deoxyadenosine to inosine or 2′-deoxyinosine, respectively. Further metabolism of these deaminated nucleosides leads to hypoxanthine. ADA also degrades vidarabine to ara-H by same mechanism. 7 Our current interest in prodrugs of vidarabine was triggered by the report of the activity of vidarabine against cowpox virus 9 and by our discovery that vidarabine was 3-to 5-fold more active against vaccinia and cowpox viruses than cidofovir in plaque reduction assays. 10 Cidofovir is a broad spectrum antiviral agent, [11][12][13] that is, limited in its usage because of nephrotoxicity and poor oral bioavailability (~2% in humans) [14][15][16] and for which prodrugs have been developed. 17 Furthermore, we found that the activity of vidarabine against these viruses was enhanced approximately 10-fold when combined with 2′-deoxycoformycin (pentostatin, a potent inhibitor of ADA), thus providing significant superiority to cidofovir. Based on these results and earlier studies on 5′-substituted vidarabine analogs, we hypothesized that minimizing the conversion of vidarabine to its hypoxanthine analog could yield a significantly more potent anti-pox virus agent. With this goal in mind, we have developed a prodrug strategy that protects the vidarabine from metabolic conversion by making 5′-amino acid esters and 5′-phosphoramidates of the drug. Further, our rationale includes the design of prodrugs that increase aqueous solubility over that of the parent drug and also increase the potential for membrane transport by the dipeptide intest...