Tryptophan dendrimers that inhibit HIV replication by binding to the HIV envelope glycoproteins gp120 and gp41 have unexpectedly also proven to be potent, specific, and selective inhibitors of the replication of the unrelated enterovirus A71. Dendrimer 12, a consensus compound that was synthesized on the basis of the structure-activity relationship analysis of this series, is 3-fold more potent against the BrCr lab strain and, surprisingly, inhibits a large panel of clinical isolates in the low-nanomolar/high-picomolar range.
Enterovirus A71 (EV71) is a small virus (ϳ30 nm) with a singlestranded positive-sense RNA genome of ϳ7.4 kb that belongs to the genus Enterovirus of the family Picornaviridae (1, 2). EV71 is the etiologic agent of hand, foot, and mouth disease (HFMD), a mild syndrome that most frequently affects children younger than 6 years and that is characterized by the development of fever with skin vesicles on the palms and feet, as well as ulcers on the oral mucosa (3). Unlike other HFMD-associated enteroviruses, EV71 can also cause severe neurological problems, such as aseptic meningitis and brain stem encephalitis, which can lead to cardiopulmonary failure and death (4-6). After having suffered from such neurological complications, survivors often have permanent neurological sequelae, such as delayed neurodevelopment, reduced cognitive function, and polio-like paralysis (7). Similar to other human enteroviruses, such as poliovirus, transmission of EV71 occurs through the fecal-oral route (8).In recent years, large outbreaks of EV71 have been reported throughout the world, and they have been particularly severe in the Pacific region of Asia, with a high number of fatal cases among children (9-11). So far, there is no drug on the market to treat or prevent this infection. An inactivated EV71 vaccine was recently approved in China (12), but it may induce only limited crossneutralization between EV71 genogroups, which does not make it suitable for widespread use.Recently, we reported on the anti-HIV activity of a dendrimer family containing different central scaffolds and multiple (9 to 18) peripheral tryptophan (Trp) groups (Fig. 1, compounds 1 to 11) that are linked to the dendrimer branches through an amino group. These compounds were shown to inhibit an early step in the replication cycle of HIV by interacting with glycoproteins gp120 and gp41 of the HIV envelope (13). Further exploration in virus-cell-based assays for broad-spectrum antiviral activity against other viruses (herpes simplex viruses 1 and 2, vaccinia virus, varicella-zoster virus, vesicular stomatitis virus, respiratory syncytial virus, reovirus 1, Sindbis virus, Punta Toro virus, cytomegalovirus, influenza virus A [subtypes H1N1 and H3N2], influenza virus B, feline coronavirus, and feline herpes virus) did not reveal any inhibitory activity, except when evaluated against EV71, a virus whose structure and mechanism of replication are completely different than those of HIV. This unexpected and intriguing observation prompted us to inv...