Abstract

A phosphoramidate prodrug of 2'-deoxy-2'-α-fluoro-β-C-methyluridine-5'-monophosphate, PSI-7851, demonstrates potent anti-hepatitis C virus (HCV) activity both in vitro and in vivo. PSI-7851 is a mixture of two diastereoisomers, PSI-7976 and PSI-7977, with PSI-7977 being the more active inhibitor of HCV RNA replication in the HCV replicon assay. To inhibit the HCV NS5B RNA-dependent RNA polymerase, PSI-7851 must be metabolized to the active triphosphate form. The first step, hydrolysis of the carboxyl ester by human cathepsin A (CatA) and/or carboxylesterase 1 (CES1), is a stereospecific reaction. Western blot analysis showed that CatA and CES1 are both expressed in primary human hepatocytes. However, expression of CES1 is undetectable in clone A replicon cells. Studies with inhibitors of CatA and/or CES1 indicated that CatA is primarily responsible for hydrolysis of the carboxyl ester in clone A cells, although in primary human hepatocytes, both CatA and CES1 contribute to the hydrolysis. Hydrolysis of the ester is followed by a putative nucleophilic attack on the phosphorus by the carboxyl group resulting in the spontaneous elimination of phenol and the production of an alaninyl phosphate metabolite, PSI-352707, which is common to both isomers. The removal of the amino acid moiety of PSI-352707 is catalyzed by histidine triad nucleotide-binding protein 1 (Hint1) to give the 5'-monophosphate form, PSI-7411. siRNA-mediated Hint1 knockdown studies further indicate that Hint1 is, at least in part, responsible for converting PSI-352707 to PSI-7411. PSI-7411 is then consecutively phosphorylated to the diphosphate, PSI-7410, and to the active triphosphate metabolite, PSI-7409, by UMP-CMP kinase and nucleoside diphosphate kinase, respectively.

Highlights

  • Nucleoside analogs have long been the backbone therapy for the treatment of viral diseases such as HIV, HBV, and HSV infections [1,2,3,4,5]

  • Materials—Recombinant human cathepsin A (CatA), carboxylesterase 1 (CES1), and carboxylesterase 2 (CES2) were purchased from R & D Systems (Minneapolis, MN); human trypsin, chymase, and neutrophil elastase were from Calbiochem; chymotrypsin was from MP Biomedicals (Solon, OH); cathepsin B, cathepsin D, cathepsin L, and lipase were from Sigma; cathepsin H, calpain 1, and caspase 1–10 were from BioVision (Mountain View, CA)

  • The first step in the metabolism of phosphoramidate prodrugs of nucleoside monophosphate analogs involves the hydrolysis of the carboxyl ester moiety [23, 24]

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Summary

To whom correspondence may be addressed

PSI-6130 demonstrated potent activity in the subgenomic HCV replicon assay [9]; the incubation of radiolabeled PSI-6130 with either replicon cells or primary human hepatocytes resulted in the formation of the 5Ј-mono-, di-, and triphosphate metabolites of PSI-6130 (10 – 12). The triphosphate metabolite (PSI-6130-TP) was shown to be a potent inhibitor of HCV NS5B RNA-directed RNA polymerase (RdRp) [11]. Incubation of replicon cells with the uridine analog, PSI-6206, resulted in no inhibition of HCV RNA production due to the inability of PSI-6206 to be phosphorylated by cellular nucleoside kinases to its monophosphate, PSI-7411 [10, 12]. Inhibition studies using the replicase assay and purified recombinant HCV NS5B RdRp showed that PSI-7409 was a potent inhibitor of HCV RNA synthesis [10, 12]. We describe the metabolic pathway for PSI-7851 and its two diastereoisomers, PSI-7976 and PSI-7977

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