Acyclic Nucleotide Analogs Derived from 8-Azapurines
J ournal of Medicinal Chemistry, 1996, Vol. 39, No. 20 4087
Naesens, L.; Neyts, J .; Balzarini, J .; Bischofberger, N.; De Clercq,
E. In vivo Antiretroviral Efficacy of Oral Bis(POM)-PMEA, the
Bis(pivaloyloxymethyl) Prodrug of 9-(2-Phosphonylmethoxyeth-
yl)adenine (PMEA). Nucleosides Nucleotides 1995, 14, 767-770.
(8) (a) Heijtink, R. A.; De Wilde, G. A.; Kruining, J .; Berk, L.;
Balzarini, J .; De Clercq, E.; Holy´, A.; Schalm, S. W. Inhibitory
Effect of 9-(2-Phosphonylmethoxyethyl)adenine (PMEA) on Hu-
man and Duck Hepatitis B Virus Infection. Antivir. Res. 1993,
21, 141-153. (b) Heijtink, R. A.; Kruining, J .; De Wilde, G. A.;
Balzarini, J .; De Clercq, E.; Schalm, S. W. Inhibitory Effects of
Acyclic Nucleoside Phosphonates on Human Hepatitis B Virus
Refer en ces
(1) (a) Holy´, A.; Votruba, I.; Merta, A.; CÅ erny´, J .; Vesely´, J .; Vlach,
J .; Sˇediva´, K.; Rosenberg, I.; Otmar, M.; Hrˇebabecky´, H.;
Tra´vn´ıcˇek, M.; Vonka, V.; Snoeck, R.; De Clercq, E. Acyclic
Nucleotide Analogs: Synthesis, Antiviral Activity and Inhibition
Effects on Some Cellular and Virus Encoded Enzymes in vitro.
Antiviral Res. 1990, 13, 295-312. (b) De Clercq, E. Broad-
spectrum Anti-DNA Virus and Anti-retrovirus Activity of Phos-
phonylmethoxyalkyl Purines and Pyrimidines. Biochem. Phar-
macol. 1991, 42, 963-972. (c) Holy´, A. Isopolar Phosphorus-
Modified Nucleotide Analogues. In Advances in Antiviral Drug
Design, 1st ed.; De Clercq, E., Ed.; J AI Press, Inc.: Greenwich,
CT, 1994; pp 179-232.
(2) (a) De Clercq, E.; Holy´, A.; Rosenberg, I.; Sakuma, T.; Balzarini,
J .; Maudgal, P. c. A Novel Selective Broad-Spectrum Anti-DNA
Virus Agent. Nature 1986, 23, 464-467. (b) De Clercq, E.;
Sakuma, T.; Baba, M.; Pauwels, R.; Balzarini, J .; Rosenberg, I.;
Holy´, A. Antiviral Activity of Phosphonylmethoxyalkyl Deriva-
tives of Purines and Pyrimidines. Antiviral Res. 1987, 8, 261-
272. (c) Baba, M.; Konno, K.; Shigeta, S.; De Clercq, E. In vitro
Activity of (S)-9-(3-Hydroxy-2-phosphonylmethoxypropyl)ade-
nine Against Newly Isolated Clinical Varicella-Zoster Virus
Strains. Eur. J . Clin. Microbiol. Infect. Dis. 1987, 6, 158-160.
(3) Terry, B. J .; Mazina, K. E.; Tuomari, A. V.; Haffey, M. L.; Hagen,
M.; Feldman, A.; Slusarchyk, W. A.; Young, M. G.; Zahler, R.;
Field, A. K. Broad-spectrum antiviral activity of the acyclic
guanosine phosphonate (R,S)-HPMPG. Antiviral Res. 1988, 10,
235-251.
(4) (a) Balzarini, J .; Naesens, L.; Herdewijn, P.; Rosenberg, I.; Holy´,
A.; Pauwels, R.; Baba, M.; J ohns, D. G.; De Clercq, E. Marked
in vivo Antiretrovirus Activity of 9-(2-Phosphonylmethoxyethyl)-
adenine, A Selective Antihuman Immunodeficiency Virus Agent.
Proc. Natl. Acad. Sci. U.S.A. 1989, 86, 332-336. (b) Gangemi,
J . D.; Cozens, R. M.; De Clercq, E.; Balzarini, J .; Hochkeppel,
H. K. 9-(2-Phosphonylmethoxyethyl)adenine in the Treatment
of Murine Acquired Immunodeficiency Disease and Opportu-
nistic Herpes Simplex Virus Infections. Antimicrob. Agents
Chemother. 1989, 33, 1864-1868. (c) Balzarini, J .; Hao, Z.;
Herdewijn, P.; J ohns, D. G.; De Clercq, E. Intracellular Metabo-
lism and Mechanism of Antiretrovirus Action of 9-(2-Phospho-
nylmethoxy-ethyl)adenine, A Potent Antihuman Immunodefi-
ciency Virus Compound. Proc. Natl. Acad. Sci. U.S.A. 1991, 88,
1499-1503. (d) Balzarini, J .; Perno, C. F.; Schols, D.; De Clercq,
E. Activity of Acyclic Nucleoside Phosphonate Analogues Against
Human Immunodeficiency Virus in Monocyte/ Macrophages and
Peripheral Blood Lymphocytes. Biochem. Biophys. Res. Com-
mun. 1991, 178, 329-335. (e) Naesens, L.; Neyts, J .; Balzarini,
J .; Holy´, A.; Rosenberg, I.; De Clercq, E. Efficacy of Oral 9-(2-
Phosphonylmethoxyethyl)-2,6-diaminopurine (PMEDAP) in the
Treatment of Retrovirus and Cytomegalovirus Infections in Mice.
J . Med. Virol. 1993, 39, 167-172. (f) Naesens, L.; Balzarini, J .;
De Clercq, E. Therapeutic Potential of PMEA as an Antiviral
Drug. Rev. Med. Virol. 1994, 4, 147-159.
(5) (a) Naesens, L.; Balzarini, J .; Rosenberg, I.; Holy´, A.; De Clercq,
E. 9-(2-Phosphonylmethoxyethyl)-2,6-diaminopurine (PMEDAP):
A Novel Agent with Antihuman Immunodeficiency Virus Activ-
ity in vitro and Potent Anti-Moloney Murine Sarcoma Virus
Activity in vivo. Eur. J . Clin. Microbiol. Infect. Dis. 1989, 8,
1043-1047. (b) Balzarini, J .; Naesens, L.; Slachmuylders, J .;
Niphuis, H.; Rosenberg, I.; Holy´, A.; Schellekens, H.; De Clercq,
E. 9-(2-Phosphonylmethoxyethyl)adenine (PMEA) Effectively
Inhibits Simian Immunodeficiency Virus (SIV) Infection in
Rhesus Monkeys. AIDS 1991, 5, 21-28. (c) Thormar, H.;
Balzarini, J .; Holy´, A.; J indrˇich, J .; Rosenberg, I.; Debyser, Z.;
Desmyter, J .; De Clercq, E. Inhibition of Visna Virus Replication
by 2′,3′-Dideoxynucleosides and Acyclic Nucleoside Phosphonate
Analogs. Antimicrob. Agents Chemother. 1993, 37, 2540-2544.
(d) Hoover, E. A.; Ebner, J . P.; Zeidner, N. S.; Mullins, J . I. Early
Therapy of Feline Leukemia Virus Infection (FeLV,FAIDS) with
9-(2-Phosphonylmethoxyethyl)adenine (PMEA). Antiviral Res.
1991, 16, 77-92. (e) Egberink, H.; Borst, M.; Niphuis, H.;
Balzarini, J .; Neu, H.; Schellekens, H.; De Clercq, E.; Horzinek,
M.; Koolen, M. Suppression of Feline Immunodeficiency Virus
Infection in vivo by 9-(2-Phosphonomethoxyethyl)adenine. Proc.
Natl. Acad. Sci. U.S.A. 1990, 87, 3087-3091.
and Duck Hepatitis
B Virus Infections in Tissue Culture.
Antimicrob. Agents Chemother. 1994, 38, 2180-2182. (c) Balzari-
ni, J .; Kruining, J .; Heijtink, R.; De Clercq, E. Comparative
Antiretrovirus and Antihepadnavirus Activity of Three Different
Classes of Nucleoside Phosphonate Derivatives. Antivir. Chem.
Chemother. 1994, 5, 360-365. (d) Tsai, C. C.; Follis, K. E.; Sabo,
A.; Grant, R.; Bischofberger, N. Efficacy of 9-(2-Phosphonyl-
methoxyethyl)adenine Treatment against Chronic Simian Im-
munodeficiency Virus Infection in Macaques. J . Infect. Dis. 1995,
171, 1338-1343.
(9) Kreider, J . W.; Balogh, K.; Olson, R. O.; Martin, J . C. Treatment
of Latent Rabbit and Human Papillomavirus Infections with
9-(2-Phosphonylmethoxyethyl)guanine (PMEG). Antiviral Res.
1990, 14, 51-58.
(10) (a) Rose, W. C.; Crosswell, A. R.; Bronson, J . J .; Martin, J . C. In
vivo Antitumor Activity of 9-[(2-Phosphonylmethoxy)ethyl]gua-
nine and Related Phosphonate Nucleotide Analogues. J . Natl.
Cancer Inst. 1990, 82, 510-512. (b) Otova´, B.; Sladka´, M.;
Blazˇek, K.; Schramlova´, J .; Votruba, I.; Holy´, A. Cytostatic Effect
of 9-(2-Phosphonomethoxyethyl)adenine (PMEA). 2. Lympho-
blastic Leukemia in Sprague Dawley Rats. Folia Biol. Prague.
1993, 39, 142. (c) Otova´, B.; Krˇenova´, D.; Z´ıdek, Z.; Holy´, A.;
Votruba, I.; Krˇen, V. Cytostatic Effect of 9-(2-Phosphonometh-
oxyethyl)adenine (PMEA). 3. Rat and Mouse Carcinomas and
Sarcomas. Folia Biol. Prague. 1993, 39, 311-314.
(11) Balzarini, J .; Holy´, A.; J indrˇich, J .; Dvorˇa´kova´, H.; Hao, Z.;
Snoeck, R.; Herdewijn, P.; J ohns, D. G.; De Clercq, E. 9-[(2RS)-
3-Fluoro-2-phosphonylmethoxypropyl] Derivatives of Purines: a
New Class of Highly Selective Antiretroviral Agents in vitro and
in vivo. Proc. Natl. Acad. Sci. U.S.A. 1991, 88, 4961-4965.
(12) (a) Holy´, A.; Masoj´ıdkova´, M. Synthesis of Enantiomeric N-(2-
Phosphonomethoxypropyl) Derivatives of Purine and Pyrimidine
bases. 1. The Stepwise Approach. Collect. Czech. Chem. Com-
mun. 1995, 60, 1196-1212. (b) Holy´, A.; Dvorˇa´kova´, H.; Ma-
soj´ıdkova´, M. Synthesis of Enantiomeric N-(2-Phosphonometh-
oxypropyl) Derivatives of Heterocyclic Bases. 2. Synthon Ap-
proach. Collect. Czech. Chem. Commun. 1995, 60, 1390-1409.
(13) (a) Balzarini, J .; Holy´, A.; J indrˇich, J .; Naesens, L.; Snoeck, R.;
Schols, D.; De Clercq, E. Differential Antiretrovirus Effects of
the (S) and (R)-Enantiomers of Acyclic Nucleoside Phosphonates.
Potent and Selective in vitro and in vivo Antiretrovirus Activity
of the (R)-9-(2-Phosphonomethoxypropyl) Derivatives of Hetero-
cyclic Bases. Antimicrob. Agents Chemother. 1993, 37, 332-338.
(b) Vahlenkamp, T. W.; Deronde, A.; Balzarini, J .; Naesens, L.;
De Clercq, E.; Vaneijk, M. J . T.; Horzinek, M. C.; Egberink, H.
F. (R)-9-(2-phosphonylmethoxypropyl)-2,6-diaminopurine is a
potent inhibitor of feline immunodeficiency virus infection.
Antimicrob. Agents Chemother. 1995, 39, 746-749. (c) Balzarini,
J ; Aquaro S, Perno CF, Witvrouw, M; Holy´, A; De Clercq, E.:
Anti-human Immunodeficiency Virus Activity of the (R)-Enan-
tiomer of 9-(2-Phosphonylmethoxypropyl)adenine [(R)-PMPA]
and 9-(2-Phosphonylmethoxypropyl)-2,6-diaminopurine [(R)-
PMPDAP] in Different Human Cell Systems. Biochem. Biophys.
Res. Commun. 1996, 219, 337-341.
(14) Tsai, C. C.; Follis, K. E.; Sabo, A.; Beck, T. W.; Grant, R. F.;
Bischofberger, N.; Benveniste, R. E.; Black, R. Prevention of SIV
Infection in Macaques by (R)-9-(2-Phosphonylmethoxypropyl)-
adenine. Science 1995, 270, 1197-1199.
(15) (a) Votruba, I.; Bernaerts, R.; Sakuma, T.; De Clercq, E.; Merta,
A.; Rosenberg, I.; Holy´, A. Intracellular Phosphorylation of
Broad-Spectrum anti-DNA Virus Agent (S)-9-(3-Hydroxy-2-
phosphonylmethoxypropyl)adenine and Inhibition of Viral DNA
Synthesis. Mol. Pharmacol. 1987, 32, 524-529. (b) Merta, A.;
Vesely´, J .; Votruba, I.; Rosenberg, I.; Holy´, A. Phosphorylation
of Acyclic Nucleotide Analogues HPMPA and PMEA in L1210
Mouse Leukemic Cell Extracts. Neoplasma 1990, 37, 111-120.
(c) Balzarini, J .; De Clercq, E. 5-Phosphoribosyl-1-pyrophosphate
Synthetase Converts the Acyclic Nucleoside Phosphonates 9-(3-
Hydroxy-2-phosphonylmethoxypropyl)adenine and 9-(2-Phos-
phonylmethoxyethyl)adenine Directly to Their Antivirally Active
Diphosphate Derivatives. J . Biol. Chem. 1991, 266, 8686-8689.
(d) Merta, A.; Votruba, I.; J indrˇich, J .; Holy´, A.; Cihla´rˇ, T.;
Rosenberg, I.; Otmar, M.; Herve´, T. Y. Phosphorylation of 9-(2-
Phosphonomethoxyethyl)adenine and 9-(S)-(3-Hydroxy-2-phospho-
nomethoxypropyl)adenine by AMP(dAMP) Kinase from L1210
Cells. Biochem. Pharmacol. 1992, 44, 2067-2077. (e) Aduma,
P.; Connelly, M. C.; Srinivas, R. V.; Fridland, A. Metabolic
Diversity and Antiviral Activities of Acyclic Nucleoside Phos-
phonates. Mol. Pharmacol. 1995, 47, 816-822.
(6) (a) Gong, Y. F.; Marshall, D. R.; Srinivas, R. V.; Fridland, A.
Susceptibilities of Zidovudine-Resistant Variants of Human
Immunodeficiency Virus Type 1 to Inhibition by Acyclic Nucleo-
side Phosphonates. Antimicrob. Agents Chemother. 1994, 38,
1683-1687. (b) Cundy, K. C.; Barditch-Crovo, P. A.; Walker, R.
E.; Collier, A. C.; Ebeling, D.; Toole, J .; J affe, H. S. Clinical
Pharmacokinetics of Adefovir in Human Immunodeficiency
Virus Type 1 Infected Patients. Antimicrob. Agents Chemother.
1995, 39, 2401-2405.
(7) Starrett, J . E.; Tortolani, D. R.; Russell, J .; Hitchcock, M. J . M.;
Whiterock, V.; Martin, J . C.; Mansuri, M. M. Synthesis, Oral
Bioavailability Determination, and in vitro Evaluation of Pro-
drugs of the Antiviral Agent 9-[2-(Phosphonomethoxy)ethyl]-
adenine (PMEA). J . Med. Chem. 1994, 37, 1857-1864. (b)