Current Topics in Medicinal Chemistry

ISSN: 1568-0266

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Current Topics in Medicinal Chemistry
Volume 5, Number 13, 2005


Contents


Nucleoside and Nucleotide Therapeutics: Recent Targets in Medicinal Chemistry
Guest Editor: Claire Simons


Editorial
Pp.1189


Recent Advances in Antiviral Nucleoside and Nucleotide Therapeutics Pp.1191
Claire Simons, Qinpei Wu and Thet Thet Htar
[Abstract]


Mitochondrial Thymidine Kinase Inhibitors Pp.1205
María-Jesús Pérez-Pérez, Ana-Isabel Hernández, Eva-María Priego, Fátima Rodríguez-Barrios, Federico Gago, María-José Camarasa and Jan Balzarini
[Abstract]


MraY Inhibitors as Novel Antibacterial Agents Pp.1221
Christophe Dini
[Abstract]


Transition States and Inhibitors of the Purine Nucleoside Phosphorylase Family Pp.1237
Erika A. Taylor Ringia and Vern L. Schramm
[Abstract]


PNP Anticancer Gene Therapy Pp.1259
Yang Zhang, William B. Parker, Eric J. Sorscher and Steven E. Ealick
[Abstract]


Purine Derivatives as Ligands for A3 Adenosine Receptors
Pp.1275
Bhalchandra V. Joshi and Kenneth A. Jacobson
[Abstract]




Abstracts

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Editorial

Nucleoside And Nucleotide Therapeutics: Recent Targets In Medicinal Chemistry
The field of nucleoside/nucleotide therapeutics is a challenging area of research owing to the combination of carbohydrate, heterocyclic and phosphate chemistry, all of which have their own peculiar requirements of synthesis, stereochemistry and handling. However this combination results in a diverse area with respect to drug structure and drug target, resulting in an array of clinical applications. Nucleoside therapeutics were established in the 1960s with the naturally occurring nucleoside antibiotics, e.g. showdomycin and pyrazofurin, displaying potent antibacterial and anticancer activities. The advent of HIV/AIDS in the 1980s saw an explosion of interest in nucleoside/nucleotides as inhibitors after the licensing of the nucleoside reverse transciptase inhibitors AZT, ddC, ddI and d4T. This increased interest has seen a range of sugar and base modifications achieved using elegant methodology.

Nucleosides and nucleotides have become synonymous with antiviral therapy and the first review documents recent progress in this field. A greater understanding of the viral genome/life cycle, epidemiology and pathogenesis of viral infections, and the mechanism of action and mechanism of resistance to described antiviral agents, has enabled the advancement of antiviral therapeutics. The development of acyclic, carbocyclic and L-nucleosides continues to generate potent antiviral agents, with the D-nucleosides containing substantially modified sugar, e.g. entecavir and cyclopropavir, and/or heterocyclic base moieties, e.g. ring–expanded nucleosides (RENs) and bicyclic nucleoside analogues (BCNAs). Very promising results have been shown with third generation antisense oligonucleotides, antisense chimeric locked nucleic acid (LNA), short interfering (si)RNA and antisense peptide nucleic acid (PNA). Further development, leading to clinical application of the nucleotide/oligonucleotide therapeutics, is concerned with the development of prodrug technology, efficient delivery systems and modifications to improve stability.

A key goal in the design of nucleoside/nucleotide drugs is limited toxicity. Mitochondrial toxicity is associated with prolonged treatments with nucleoside derivatives (e.g. AZT and FIAU); implicated in mitochondrial toxicity is mitochondrial thymidine kinase (TK-2), an enzyme instrumental in the activation of deoxynucleoside analogues with biological and therapeutic properties to their corresponding deoxynucleoside monophosphates. The second review describes recent literature covering different aspects of TK-2 including kinetic and binding studies as well as inhibitor design. TK-2 inhibitors have potential as valuable tools to unravel the role of TK-2 in mitochondrial dNTP pools and homeostasis, and may also help to clarify the contribution of TK-2-catalyzed phosphorylation of nucleoside derivatives with mitochondrial toxicity.

An exciting target in antibacterial therapy is MraY, an enzyme involved in the final steps of the cytoplasmic synthesis of peptidoglycan, and is the subject of the third review. The major source of future development of MurY inhibitors resides in the nucleoside based inhibitors group. This group has been subdivided into classes: Tunicamycins, Ribosamino-uridines, Uridylpeptides and Capuramycins. Analysis of the pharmacological behaviour observed of compounds within these classes, shows that broad-spectrum antibacterial activity, including relevant resistant strains and in vivo efficacy without toxicity are achievable. Among them, Caprazamycins, Muraymycins, Riburamycins and Capuramycins present the most promising profiles, with activity against Gram-positive bacteria (MRSA and/or MSSA) and Mycobacterium spp. observed. Further optimization of their physico-chemical properties, while maintaining a good level of activity against MraY, should result in these outstanding antibacterial nucleosides entering the clinic.

The fourth and fifth reviews are both concerned with purine nucleoside phosphorylase (PNP), an enzyme involved in the catabolism and recycling of nucleosides. One review describes the development of transition state analogue inhibitors as novel nucleoside antibiotics whilst the second describes the progress in the development of E. coli PNP anticancer gene therapy. The transition state inhibitor approach is based on the prediction that chemically stable analogues of a transition state complex are able to convert the energy of enzymatic rate acceleration (kcat/knon) into binding energy. Transition state (TS) analogues developed for PNP exhibit differential inhibition specificity for bovine, human, and malarial PNPs, for which transition state structures have been reported, and Mycobacterium tuberculosis. Transition state determination and the subsequent development of transition state analogue inhibitors, which help to elucidate the geometric and electronic conformations that are necessary to fully implement design of TS analogues, are described with impressive inhibitory activity obtained for the Immucillin derivatives, which display picomolar slow-onset dissociation constants.

Escherichia coli PNP catalyzes the cleavage of 9-(2-deoxy-β-D-ribofuranosyl)-6-methylpurine (MeP-dR), while human PNP does not. MeP-dR is well tolerated while the cleavage product, 6-methylpurine (MeP), is highly cytotoxic. This clinical profile allows an anticancer gene therapy strategy in which solid tumors are transfected with the gene for E. coli PNP. Tumor cells expressing E. coli PNP will liberate MeP and be killed. Furthermore, MeP released from the cell via the purine transport system will enter nearby cells, resulting in bystander killing of tumor cells. The review describes the progress in the development of E. coli PNP anticancer gene therapy, the structural basis for activity of nucleoside phosphorylases and future directions for the development of activating enzymes for suicide gene therapy is also reviewed.

The final review describes the development of purine derivatives as ligands for A3 adenosine receptors. Selective agonists and antagonists for A3 adenosine receptors (ARs) are being explored for the treatment of a variety of disorders, including brain and heart ischemic conditions, cancer, and rheumatoid arthritis. Highly selective ligands have been designed, using both empirical approaches and a semi-rational approach based on molecular modeling. Key structural features determining A3AR interaction and conformational preferences of the ribose moiety are described, with a series of ring constrained (N)-methanocarba 5'-uronamide derivatives reported to be highly selective A3AR agonists.

I am indebted to the eminent researchers at the forefront of research in the nucleoside/nucleotide field who generously gave their time and knowledge in contributing to this special issue, which highlights the continuing value, clinical potential and therapeutic diversity of this field of research.

Dr. Claire Simons
Medicinal Chemistry Division,
Welsh School of Pharmacy,
Cardiff University,
King Edward VII Avenue,
Cardiff CF10 3XF,
UK


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Recent Advances in Antiviral Nucleoside and Nucleotide Therapeutics
Claire Simons, Qinpei Wu and Thet Thet Htar

Recent developments in nucleoside/nucleotide therapeutics and antiviral drug targets are described covering progress in the development of nucleoside/nucleotide mimetics for the treatment of influenza virus, human immunodeficiency virus type 1, hepatitis B and C virus, herpes virus infections; including herpes simplex virus, cytomegalovirus and varicella zoster virus infections, and the highly pathogenic poxviruses (variola, vaccinia and mokey pox) and filoviruses (Ebola and Marburg).


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Mitochondrial Thymidine Kinase Inhibitors
María-Jesús Pérez-Pérez, Ana-Isabel Hernández, Eva-María Priego, Fátima Rodríguez-Barrios, Federico Gago, María-José Camarasa and Jan Balzarini

Mitochondrial thymidine kinase or TK-2 belongs to the family of mammalian deoxynucleoside kinases (dNKs) that catalyze the phosphorylation of deoxynucleosides to their corresponding deoxynucleoside monophosphates by γ-phosphoryl transfer of ATP. These enzymes are instrumental in the activation of deoxynucleoside analogues with biological and therapeutic properties. Moreover, dNKs are fundamental to maintain dNTPs pools for DNA synthesis and repair. TK-2 has a mitochondrial localization and is the only thymidine kinase that is physiologically active in non-proliferating and resting cells. Several recent investigations point to an important role of TK-2 in the maintenance of mitochondrial dNTPs pools. Indeed, mutations in the gene encoding TK-2 have been associated with mitochondrial DNA (mtDNA) depletion that mostly affects skeletal muscle. Moreover, TK-2 has been suggested to be implicated in mitochondrial toxicity associated to prolonged treatments with nucleoside analogues (i.e AZT for the treatment of AIDS patients). In this scenario, TK-2 inhibitors could be a useful tool to further clarify both the physiological role of TK-2 in the maintenance of mitochondrial dNTP pools, and the possible contribution of TK-2 to the mitochondrial toxicity of pyrimidine nucleoside analogues. In the present article we review the most recent literature covering different aspects of TK-2 as well as published TK-2 inhibitors, with special emphasis on acyclic nucleoside analogues that have been described by our research groups and whose prototype compound is 1-[(Z)-4-(triphenylmethoxy)-2-butenyl]thymine.


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MraY Inhibitors as Novel Antibacterial Agents
Christophe Dini

MraY presents all necessary biological requirements to be considered as a target of interest for the discovery of novel antibacterials. Furthermore, several inhibitors aimed at this enzyme have been discovered. Amphomycin, which is currently used as a topical antibacterial in the veterinary industry is one of them, but the major source of future developments resides in the nucleoside based inhibitors group. This group has been subdivided into classes: Tunicamycins, Ribosamino-uridines, Uridylpeptides and Capuramycins. Analysis of pharmacological behaviours observed with several compounds within these classes, shows that broad-spectrum antibacterial activity, including relevant resistant strains and in vivo efficacy without toxicity are achievable. Among them, Caprazamycins, Muraymycins, Riburamycins and Capuramycins present the most promising profiles.


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Transition States and Inhibitors of the Purine Nucleoside Phosphorylase Family
Erika A. Taylor Ringia and Vern L. Schramm

Purine nucleoside phosphorylase (PNP), an enzyme involved in the catabolism and recycling of nucleosides, is under investigation for the development of novel antibiotics. One method used for the design of inhibitors is transition state analysis. Chemically stable analogues of a transition state complex are predicted to convert the energy of enzymatic rate acceleration (kcat/knon) into binding energy. Transition state structures have been reported for the bovine (Bos taurus), human (Homo sapiens), and malarial (Plasmodium falciparum) PNPs. All three enzymes proceed through SN1-like mechanisms and have transition states with substantial ribooxocarbenium ion character. Bovine PNP proceeds through an early SN1-like transition state, whereas the human and malarial PNPs proceed through more dissociative transition state. Transition state analogues developed for PNP exhibit differential inhibition specificity for these three enzymes based upon their distinct reaction rates (kcat), mechanisms, and substrate specificity. The most powerful inhibitors of these three enzymes have picomolar dissociation constants, two of which are Immucillin-H and DADMe-Immucillin-H. MT-Immucillin-H was also developed as a specific inhibitor for P. falciparum PNP by virtue of its unique utilization of 5’-methylthio substrates. Although the transition state for tuberculosis (Mycobacterium tuberculosis) PNP is yet to be determined, inhibition values support a mechanism with a dissociative transition state like those of its human and plasmodial counterparts. Comparison of the transition states and substrate specificity of various PNPs permits the design of species-specific inhibitors for use as therapeutic agents.


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PNP Anticancer Gene Therapy
Yang Zhang, William B. Parker, Eric J. Sorscher and Steven E. Ealick

Escherichia coli purine nucleoside phosphorylase (PNP) catalyzes the cleavage of 9-(2-deoxy-β-D-ribofuranosyl)-6-methylpurine (MeP-dR), while human PNP does not. MeP-dR is well tolerated while the cleavage product, 6-methylpurine (MeP), is highly cytotoxic. This clinical profile suggests an anticancer gene therapy strategy in which solid tumors are transfected with the gene for E. coli PNP. Tumor cells expressing E. coli PNP will liberate MeP and be killed. Furthermore, MeP released from the cell via the purine transport system will enter nearby cells, resulting in bystander killing of tumor cells. To reduce toxicity resulting from activation of MeP-dR by intestinal tract flora, we redesigned the E. coli PNP active site to cleave prodrugs that are not cleaved by wild type E. coli PNP. It is possible that the variation of substrate specificity among enzymes that cleave nucleosides will have broader application in the gene therapy approach to prodrug activation. Here we review progress in the development of E. coli PNP anticancer gene therapy. We also review the structural basis for activity of nucleoside phosphorylases and suggest future directions for the development of activating enzymes for suicide gene therapy.


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Purine Derivatives as Ligands for A3 Adenosine Receptors
Bhalchandra V. Joshi and Kenneth A. Jacobson*

Selective agonists and antagonists for A3 adenosine receptors (ARs) are being explored for the treatment of a variety of disorders, including brain and heart ischemic conditions, cancer, and rheumatoid arthritis. This review covers both the structure activity relationships of nucleoside agonist ligands and selected antagonists acting at this receptor and the routes of synthesis. Highly selective agonists have been designed, using both empirical approaches and a semi-rational approach based on molecular modeling. The prototypical A3 agonists IB-MECA 10 and the more receptor-subtype-selective Cl-IB-MECA 11, both of which have affinity in binding to the receptor of ~ 1 nM, have been used widely as pharmacological probes in the elucidation of the physiological role of this receptor. In addition to the exploration of the effects of structural modification of the adenine and ribose moieties on A3AR affinity, the effects of these structural changes on the intrinsic efficacy have also been studied in a systematic fashion. Key structural features determining A3AR interaction include the N6-benzyl group, 2-position substitution such as halo, substitution of ribose (e.g., the (N)-methanocarba ring system, various 2'- and 3'-substitutions and 4'-thio substitution of oxygen). Conformational studies of the ribose moiety and its equivalents indicate that the ring oxygen is not required and the North (N) ring conformation is preferred in binding to the A3AR. Using these observations, a series of ring constrained (N)-methanocarba 5'-uronamide derivatives was recently reported to be highly selective A3AR agonists, the most notable amongst them was MRS3558 113 having a Ki value in binding to the human A3 receptor of 0.3 nM.

 

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