Mechanism of anti-HIV action of masked alaninyl d4T-MP derivatives

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Abstract

So324 is a 2',3'-dideoxy-2',3'-didehydrothymidine-5'-monophosphate (d4T- MP) prodrug containing at the phosphate moiety a phenyl group and the methylester of alanine linked to the phosphate through a phosphoramidate linkage. So324 has anti-HIV activity in human CEM, MT4, and monocyte/macrophage cells that is superior to that of d4T. In contrast to d4T, So324 is also able to inhibit HIV replication in thyroidine kinase- deficient CEM cells. After uptake of So324 by intact human lymphocytes, d4T- MP is released and subsequently converted intracellularly to d4T-TP. In addition, accumulation of substantial amounts of a novel d4T derivative has been found. This d4T metabolite has been characterized as alaninyl d4T- MP. The latter metabolite accumulates at ≃13- to 200-fold higher levels than d4T-TP depending the experimental conditions. Alaninyl d4T-MP should be considered as an intra- and/or extracellular depot form of d4T and/or d4T- MP. These findings may explain the superior anti-retroviral activity of So324 over d4T in cell culture.

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Balzarini, J., Karlsson, A., Aquaro, S., Perno, C. F., Cahard, D., Naesens, L., … Mcguigan, C. (1996). Mechanism of anti-HIV action of masked alaninyl d4T-MP derivatives. Proceedings of the National Academy of Sciences of the United States of America, 93(14), 7295–7299. https://doi.org/10.1073/pnas.93.14.7295

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