ORGANIC
LETTERS
2011
Vol. 13, No. 19
5264–5266
Enantioselective Total Synthesis of the
Potent Anti-HIV Nucleoside EFdA
Masayuki Kageyama,† Tomohiro Nagasawa,† Mayumi Yoshida,† Hiroshi Ohrui,‡ and
Shigefumi Kuwahara*,†
Laboratory of Applied Bioorganic Chemistry, Graduate School of Agricultural Science,
Tohoku University, Tsutsumidori-Amamiyamachi, Aoba-ku, Sendai 981-8555,
Japan, and Yokohama College of Pharmacy, 601 Matano-cho, Totsuka-ku,
Yokohama 245-0066, Japan
Received August 4, 2011
ABSTRACT
A concise enantioselective total synthesis of 40-ethynyl-2-fluoro-20-deoxyadenosine (EFdA), an extremely potent anti-HIV agent, has been
accomplished from (R)-glyceraldehyde acetonide in 18% overall yield by a 12-step sequence involving a highly diastereoselective ethynylation of
an R-alkoxy ketone intermediate.
EFdA [40-ethynyl-2-fluoro-20-deoxyadenosine (1), also
abbreviated as 40Ed2FA] is a nucleoside analog designed
by Ohrui and co-workers as a nucleoside reverse tran-
scriptase inhibitor (NRTI) for the treatment of human
immunodeficiency virus (HIV) infection (Figure 1).1 The
20-deoxyadenosine analog 1, modified at the 2- and 40-
positions of the parent natural nucleoside, forms a stark
structural contrast to eight existing NRTIs clinically ap-
proved for AIDS treatment in its retention of the 30-
hydroxyl group; any of the currently prescribed drugs
such as zidovudine (AZT) and stavudine lack the 30-
hydroxyl function requisite for DNA chain elongation
by viral reverse transcriptases and thereby serve as
chain elongation terminators.2 The modifications at the
two positions (2 and 40) of 20-deoxyadenosine while retain-
ing its 30-hydroxyl endowed 1 with promising properties as
an anti-HIV drug as follows: (1) exceptionally potent
inhibitory activity against HIV-1 replication [e.g., EC50
(HIV-1NL4ꢀ3), 50 pM in phytohemagglutinin-activated
peripheralbloodmononuclearcells, which isseveral orders
of magnitude better than those of any currently prescribed
NRTIs such as AZT (22 nM) and tenofovir (3300 nM)];3
(2) excellent in vitro selectivity indices (SI = CC50/EC50)
(e.g., 200,000 for HIV-1NL4ꢀ3, 134,000 for HIV-1IIIB);3ꢀ5
(3) no acute toxicity in ICR mice at a dose of 100 mg/kg;1a,6
(4) retention of efficacy even against a wide spectrum of
† Tohoku University.
‡ Yokohama College of Pharmacy.
(3) Michailidis, E.; Marchand, B.; Kodama, E. N.; Singh, K.;
Matsuoka, M.; Kirby, K. A.; Ryan, E. M.; Sawani, A. M.; Nagy, E.;
Ashida, N.; Mitsuya, H.; Parniak, M. A.; Sarafianos, S. G. J. Biol.
Chem. 2009, 284, 35681–35691.
(4) Kawamoto, A.; Kodama, E.; Sarafianos, S. G.; Sakagami, Y.;
Kohgo, S.; Kitano, K.; Ashida, N.; Iwai, Y.; Hayakawa, H.; Nakata, H.;
Mitsuya, H.; Arnold, E.; Matsuoka, M. Int. J. Biochem. Cell Biol. 2008,
40, 2410–2420.
(5) Nakata, H.; Amano, M.; Koh, Y.; Kodama, E.; Yang, G.; Bailey,
C. M.; Kohgo, S.; Hayakawa, H.; Matsuoka, M.; Anderson, K. S.;
Cheng, Y.-C.; Mitsuya, H. Antimicrob. Agents Chemother. 2007, 51,
2701–2708.
(1) (a) Kohgo, S.; Ohrui, H.; Kodama, E.; Matsuoka, M.; Mitsuya, H.
40-C-Substituted-2-halo-adenosine derivative. Can. Pat. CA 2502109,
2005. (b) Kohgo, S.; Yamada, K.; Kitano, K.; Iwai, Y.; Sakata, S.; Ashida,
N.; Hayakawa, H.; Nameki, D.; Kodama, E.; Matsuoka, M.; Mitsuya, H.;
Ohrui, H. Nucleosides Nucleotides Nucleic Acids 2004, 23, 671–690.
(c) Ohrui, H. Chem. Rec. 2006, 6, 133–143. (d) Ohrui, H.; Hayakawa,
H.; Kohgo, S.; Matsuoka, M.; Kodama, E.; Mitsuya, H. J. Synth. Org.
Chem. Jpn. 2006, 64, 716–723. (e) Ohrui, H.; Kohgo, S.; Hayakawa, H.;
Kodama, E.; Matsuoka, M.; Nakata, T.; Mitsuya, H. Nucleosides
Nucleotides Nucleic Acids 2007, 26, 1543–1546. (f) Ohrui, H. Proc.
Jpn. Acad., Ser. B 2011, 87, 53–65.
(2) Nikolenko, G. N.; Kotelkin, A. T.; Oreshkova, S. F.; Ilyichev,
A. A. Mol. Biol. 2011, 45, 93–109. (b) Sharma, B. Neurobehav. HIV Med.
2011, 3, 27–40.
(6) Hattori, S.; Ide, K.; Nakata, H.; Harada, H.; Suzu, S.; Ashida, N.;
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10.1021/ol202116k
Published on Web 09/02/2011
2011 American Chemical Society