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Antiviral Agents, chapter 39 Different living organisms Eucaryotes Mono or polycellular Cell nucleus; DNA May have cell wall sexual and / or asexual replication Animals Plants Fungi Protocista: - Protozoea - Algea Procaryotes Bakteriea: Monocellular, no nucleus - DNA single strand, cell wall, asex. replic. Virus RNA or DNA + protein coating (not really a cell) Use other oramisms ribosomes for protein synth Stages of replication DNA or RNA Protein Coat - Capsid Protein coat - Envelope (glycoproteins - antigens, not all viruses) Many different shapes May attack: •Animals •Plants •Bacteria (Phages) Procaryotes and eucaryotes B 5' Replication DNA polymerase 3' 5' Leading strand O Lagging strand 3' O HO 5' DNA 5' 3' 3' 5' 5' 3' X B O P O O O O X O P O O 5' O HO (+) stranded RNA 5' Transcription 3' RNA polymerase 3' DNA 3' 5' DNA 5' 5' 5' 3' Translation 5' mRNA (+) stranded RNA 3' 5' 3' 5' 3' Protein B 3' X Stages of replication - DNA virus Attachment, penetration, uncoating, transfer of DNA to cell nucleus Viral DNA integrated in host DNA Replication transcription translation mRNA Viral replication enzymes Synthesis of more viral DNA translation Viral proteins, Capsid etc Integration of viral proteins in host cell membrane Cancer cell Oncogenic viruses Assembly Release: Budding thru membranes (knoppskyting) Lysis Stages of replication - RNA virus (+) stranded RNA = mRNA Alternative A: (-) RNA virus 3' 5' More difficult to treath RNA virus infect. More mutation - Less repair mech. than with DNA (-) stranded RNA Viral RNA replicase Protein 5' mRNA (+) stranded RNA 3' Alternative B: (+) RNA virus (≠Retrovirus) 5' 3' Alternative C: Retrovirus; (+) RNA virus (+) stranded RNA 5' 3' (+) stranded RNA Viral RNA replicase 3' 5' (-) stranded RNA Viral RNA replicase 5' 3' 5' 3' 5' (+) stranded RNA incl. mRNA 3' 3' 5' 5' 3' (-) DNA strand Retroviral Reverse transcriptase 3' 5' 3' 5' Protein 5' 3' Further replication as a DNA virus Antiviral Drugs •Amantadine and analogs •Neuraminidase Inhibitors •Nucleoside analogs - Antimetabolites •Other comp. that interfere with replication •Comp. that interfere with translation (protein synth) •Interferon / interferon inducers Specific retroviral drugs •Reverse transcriptase inhibitors Nucleosides (NRTIs) Non-nucleosides (NNRTIs) NH2 •Protease inhibitors Amantadine Effect against influenza A viruses No longer in use N. •Inhib. penetration of RNA virus •Inhib. uncoting Neuraminidase Inhibitors Effect on influenza virus A and B(?) Inhib. neuraminidase (enzyme that breaks bonds between HA* in newly HA in formed virus and host cell) Prevents release of virus HA: Hemaglutinin, (glycoprotein) important for bonding between influenza virus and host HO HO HO OH H N CO2H Glycopeptide O O HO Neuraminidase H N ≈ SN1 HO O CO2H OH O OH + HO Glycopeptide HO O Sialic acid HO HO OH O H N CO2H HO HO O HO H N OH2 CO2H OH Glycopeptide O O HO Sialic acid O ≈ TS‡ HO HO OH O H N CO2H HO Lead compound Neuramidinase Inhib. (not selective for viral NA) Carbocyclic drug HO HO HO O First selective drug HO OH O H N CO2H HO OH DANA CO2H HN O O O H N HN NH2 Zanamivir Relenza® H O N H2N O CO2H Oseltamivir Tamiflu® Binding of oseltamivir to NA H O N H2N O O OH O HO O H N NH2 O Hydrophobic pocket HO HO Basic centre better binding than DANA OH O H N HO O CO2H DANA HO HO OH O H N CO2H HN O HN NH2 Zanamivir Nucleoside analogs - Antimetabolites (C.f. anticancer compounds) O N HN H2N N O N H Esterases N O O Valtrex® O Valacyclovir Increase GI absorbtion N HN H2N N N Aciclovir® Zovirax® N HN H2N O HO O N HO N O Acyclovir HO Xanthine oxidase OH Guanosine Adenosine deaminase N N H2N HO N NH2 N O 6-Deoxyacyclovir Increased solubility N N H 2N HO N N O Guanosine analog Activity: DNA Herpes viruses (ex. Herpes simplex, varicella, cytomegalo, epstein barr) O O N HN H2N HO N Viral thymidine kinase N H2N O N HN O P Acyclovir N Normal cellular enzymes N O H2N O N HN N O P P P Preference for the viral enzymes N O Viral DNA polymerase Normal DNA / RNA chain O O O P O O N HN O O Base R R=H in DNA R=OH in RNA H2N DNA Chain O P N N O No 3'OH - No Chain elongation Relatet Structures O O N HN H2N N O N H N O O HO Valgancyclovir Valcyte® Esterases O N HN H2N N HN N HO N O O,N-acetal H2N N N Xanthine oxidase Esterases Gancyclovir Cymevene® H2N N N AcO HO HO N N HO Peniciclovir More stable Low oral availability •Converted to triphosphates •Inhibitors of viral DNA polymerases •Gancyclovir: Not dependent of viral thymine kinase (better effect CMV, EB) AcO Famciclovir Ribavirin Copegus® Rebetol® O H2N N HO H2N N HO N O HO Cytosine analogs O CH3 HN O HN N O O X Cytarabine (ARA-C) Cytarabin®, Cytosar®, N N O O OH Thymidine NH2 R OH R = I, X = OH R = I, X = NH2 (less tox) R = Br, X = OH R = F, X = OH R = CF3, X = OH HO NH2 N N O O OH OH HO N O OH Cytosine OH Only cancer ther in N. Incorp. DNA - faulty viral proteins OH Guanosine OH Thymidine analogs O N HN N O N HO HO O Guanosine analog Fosforylated to triphosphate in vivo Inhib. viral RNA polymerase, RNA / DNA synthesis Broad spectrum (RNA and DNA viruses, some effect on HIV) Used against Hepatitis in N., serious side effects Adenosine analogs NH2 NH2 N N N HO HO N O N N N HO OH Adenosine N O OH HO Isolated Streptomyces antibioticus First studied as anticancer drug Interfere with DNA synth Tox. Rapid metab. adenosine deaminase Fludarabine Fludara® cancer ther. NH2 N N F N N HO O OH Vidarabine (Ara-A) HO Not good substrate for adenosine deaminase Antimetabolite Other comp. that interfere with replication Foscarnet Foscavir® Comp. that interfere with translation Na O O P O (protein synth) O O Na Not orally avail. No in vivo activation required Inhib. DNA polymerase Neurotox. Also active against HIV Na Methisazone N H N S NH2 O N R One of the oldest antiviral comp. known Inhib protein synth Interferon / interferon inducers Interferon: •Rel small glycoproteins formed in virus infected cells (leukocytes, fibroblasts) •Binds to surphase of other cells •Initiates events leading to inhib. of mRNA trascrib. and translation •Host spesific (not virus spesific) Interferon Inducers •Double stranded RNA •Heparin •Dextranes •Other bioplolymers •Tilorone Side effects O O N O N