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Lam AM, Murakami E, Espiritu C, Steuer HMM, Niu C, Keilman M, Bao H, Zennou V, Bourne N, Julander JG, Morrey JD, Smee DF, Frick DN, Heck JA, Wang P, Nagarathnam D, Ross BS, Sofia MJ, Otto MJ, Furman PA. PSI-7851, a pronucleotide of beta-D-2'-deoxy-2'-fluoro-2'-C-methyluridine monophosphate, is a potent and pan-genotype inhibitor of hepatitis C virus replication. Antimicrob Agents Chemother 2010; 54:3187-96. [PMID: 20516278 PMCID: PMC2916354 DOI: 10.1128/aac.00399-10] [Citation(s) in RCA: 123] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2010] [Revised: 05/12/2010] [Accepted: 05/26/2010] [Indexed: 12/16/2022] Open
Abstract
The hepatitis C virus (HCV) NS5B RNA polymerase facilitates the RNA synthesis step during the HCV replication cycle. Nucleoside analogs targeting the NS5B provide an attractive approach to treating HCV infections because of their high barrier to resistance and pan-genotype activity. PSI-7851, a pronucleotide of beta-D-2'-deoxy-2'-fluoro-2'-C-methyluridine-5'-monophosphate, is a highly active nucleotide analog inhibitor of HCV for which a phase 1b multiple ascending dose study of genotype 1-infected individuals was recently completed (M. Rodriguez-Torres, E. Lawitz, S. Flach, J. M. Denning, E. Albanis, W. T. Symonds, and M. M. Berry, Abstr. 60th Annu. Meet. Am. Assoc. Study Liver Dis., abstr. LB17, 2009). The studies described here characterize the in vitro antiviral activity and cytotoxicity profile of PSI-7851. The 50% effective concentration for PSI-7851 against the genotype 1b replicon was determined to be 0.075+/-0.050 microM (mean+/-standard deviation). PSI-7851 was similarly effective against replicons derived from genotypes 1a, 1b, and 2a and the genotype 1a and 2a infectious virus systems. The active triphosphate, PSI-7409, inhibited recombinant NS5B polymerases from genotypes 1 to 4 with comparable 50% inhibitory concentrations. PSI-7851 is a specific HCV inhibitor, as it lacks antiviral activity against other closely related and unrelated viruses. PSI-7409 also lacked any significant activity against cellular DNA and RNA polymerases. No cytotoxicity, mitochondrial toxicity, or bone marrow toxicity was associated with PSI-7851 at the highest concentration tested (100 microM). Cross-resistance studies using replicon mutants conferring resistance to modified nucleoside analogs showed that PSI-7851 was less active against the S282T replicon mutant, whereas cells expressing a replicon containing the S96T/N142T mutation remained fully susceptible to PSI-7851. Clearance studies using replicon cells demonstrated that PSI-7851 was able to clear cells of HCV replicon RNA and prevent viral rebound.
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Affiliation(s)
- Angela M. Lam
- Pharmasset, Inc., 303A College Road East, Princeton, New Jersey 08540, University of Texas Medical Branch, Galveston, Texas 77555, Institute for Antiviral Research, Department of Animal, Dairy and Veterinary Sciences, Utah State University, Logan, Utah 84322, Department of Biochemistry and Molecular Biology, New York Medical College, Valhalla, New York 10595
| | - Eisuke Murakami
- Pharmasset, Inc., 303A College Road East, Princeton, New Jersey 08540, University of Texas Medical Branch, Galveston, Texas 77555, Institute for Antiviral Research, Department of Animal, Dairy and Veterinary Sciences, Utah State University, Logan, Utah 84322, Department of Biochemistry and Molecular Biology, New York Medical College, Valhalla, New York 10595
| | - Christine Espiritu
- Pharmasset, Inc., 303A College Road East, Princeton, New Jersey 08540, University of Texas Medical Branch, Galveston, Texas 77555, Institute for Antiviral Research, Department of Animal, Dairy and Veterinary Sciences, Utah State University, Logan, Utah 84322, Department of Biochemistry and Molecular Biology, New York Medical College, Valhalla, New York 10595
| | - Holly M. Micolochick Steuer
- Pharmasset, Inc., 303A College Road East, Princeton, New Jersey 08540, University of Texas Medical Branch, Galveston, Texas 77555, Institute for Antiviral Research, Department of Animal, Dairy and Veterinary Sciences, Utah State University, Logan, Utah 84322, Department of Biochemistry and Molecular Biology, New York Medical College, Valhalla, New York 10595
| | - Congrong Niu
- Pharmasset, Inc., 303A College Road East, Princeton, New Jersey 08540, University of Texas Medical Branch, Galveston, Texas 77555, Institute for Antiviral Research, Department of Animal, Dairy and Veterinary Sciences, Utah State University, Logan, Utah 84322, Department of Biochemistry and Molecular Biology, New York Medical College, Valhalla, New York 10595
| | - Meg Keilman
- Pharmasset, Inc., 303A College Road East, Princeton, New Jersey 08540, University of Texas Medical Branch, Galveston, Texas 77555, Institute for Antiviral Research, Department of Animal, Dairy and Veterinary Sciences, Utah State University, Logan, Utah 84322, Department of Biochemistry and Molecular Biology, New York Medical College, Valhalla, New York 10595
| | - Haiying Bao
- Pharmasset, Inc., 303A College Road East, Princeton, New Jersey 08540, University of Texas Medical Branch, Galveston, Texas 77555, Institute for Antiviral Research, Department of Animal, Dairy and Veterinary Sciences, Utah State University, Logan, Utah 84322, Department of Biochemistry and Molecular Biology, New York Medical College, Valhalla, New York 10595
| | - Veronique Zennou
- Pharmasset, Inc., 303A College Road East, Princeton, New Jersey 08540, University of Texas Medical Branch, Galveston, Texas 77555, Institute for Antiviral Research, Department of Animal, Dairy and Veterinary Sciences, Utah State University, Logan, Utah 84322, Department of Biochemistry and Molecular Biology, New York Medical College, Valhalla, New York 10595
| | - Nigel Bourne
- Pharmasset, Inc., 303A College Road East, Princeton, New Jersey 08540, University of Texas Medical Branch, Galveston, Texas 77555, Institute for Antiviral Research, Department of Animal, Dairy and Veterinary Sciences, Utah State University, Logan, Utah 84322, Department of Biochemistry and Molecular Biology, New York Medical College, Valhalla, New York 10595
| | - Justin G. Julander
- Pharmasset, Inc., 303A College Road East, Princeton, New Jersey 08540, University of Texas Medical Branch, Galveston, Texas 77555, Institute for Antiviral Research, Department of Animal, Dairy and Veterinary Sciences, Utah State University, Logan, Utah 84322, Department of Biochemistry and Molecular Biology, New York Medical College, Valhalla, New York 10595
| | - John D. Morrey
- Pharmasset, Inc., 303A College Road East, Princeton, New Jersey 08540, University of Texas Medical Branch, Galveston, Texas 77555, Institute for Antiviral Research, Department of Animal, Dairy and Veterinary Sciences, Utah State University, Logan, Utah 84322, Department of Biochemistry and Molecular Biology, New York Medical College, Valhalla, New York 10595
| | - Donald F. Smee
- Pharmasset, Inc., 303A College Road East, Princeton, New Jersey 08540, University of Texas Medical Branch, Galveston, Texas 77555, Institute for Antiviral Research, Department of Animal, Dairy and Veterinary Sciences, Utah State University, Logan, Utah 84322, Department of Biochemistry and Molecular Biology, New York Medical College, Valhalla, New York 10595
| | - David N. Frick
- Pharmasset, Inc., 303A College Road East, Princeton, New Jersey 08540, University of Texas Medical Branch, Galveston, Texas 77555, Institute for Antiviral Research, Department of Animal, Dairy and Veterinary Sciences, Utah State University, Logan, Utah 84322, Department of Biochemistry and Molecular Biology, New York Medical College, Valhalla, New York 10595
| | - Julie A. Heck
- Pharmasset, Inc., 303A College Road East, Princeton, New Jersey 08540, University of Texas Medical Branch, Galveston, Texas 77555, Institute for Antiviral Research, Department of Animal, Dairy and Veterinary Sciences, Utah State University, Logan, Utah 84322, Department of Biochemistry and Molecular Biology, New York Medical College, Valhalla, New York 10595
| | - Peiyuan Wang
- Pharmasset, Inc., 303A College Road East, Princeton, New Jersey 08540, University of Texas Medical Branch, Galveston, Texas 77555, Institute for Antiviral Research, Department of Animal, Dairy and Veterinary Sciences, Utah State University, Logan, Utah 84322, Department of Biochemistry and Molecular Biology, New York Medical College, Valhalla, New York 10595
| | - Dhanapalan Nagarathnam
- Pharmasset, Inc., 303A College Road East, Princeton, New Jersey 08540, University of Texas Medical Branch, Galveston, Texas 77555, Institute for Antiviral Research, Department of Animal, Dairy and Veterinary Sciences, Utah State University, Logan, Utah 84322, Department of Biochemistry and Molecular Biology, New York Medical College, Valhalla, New York 10595
| | - Bruce S. Ross
- Pharmasset, Inc., 303A College Road East, Princeton, New Jersey 08540, University of Texas Medical Branch, Galveston, Texas 77555, Institute for Antiviral Research, Department of Animal, Dairy and Veterinary Sciences, Utah State University, Logan, Utah 84322, Department of Biochemistry and Molecular Biology, New York Medical College, Valhalla, New York 10595
| | - Michael J. Sofia
- Pharmasset, Inc., 303A College Road East, Princeton, New Jersey 08540, University of Texas Medical Branch, Galveston, Texas 77555, Institute for Antiviral Research, Department of Animal, Dairy and Veterinary Sciences, Utah State University, Logan, Utah 84322, Department of Biochemistry and Molecular Biology, New York Medical College, Valhalla, New York 10595
| | - Michael J. Otto
- Pharmasset, Inc., 303A College Road East, Princeton, New Jersey 08540, University of Texas Medical Branch, Galveston, Texas 77555, Institute for Antiviral Research, Department of Animal, Dairy and Veterinary Sciences, Utah State University, Logan, Utah 84322, Department of Biochemistry and Molecular Biology, New York Medical College, Valhalla, New York 10595
| | - Phillip A. Furman
- Pharmasset, Inc., 303A College Road East, Princeton, New Jersey 08540, University of Texas Medical Branch, Galveston, Texas 77555, Institute for Antiviral Research, Department of Animal, Dairy and Veterinary Sciences, Utah State University, Logan, Utah 84322, Department of Biochemistry and Molecular Biology, New York Medical College, Valhalla, New York 10595
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