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Cidofovir and (S)-9-[3-hydroxy-(2-phosphonomethoxy)propyl]adenine are highly effective inhibitors of vaccinia virus DNA polymerase when incorporated into the template strand.

Abstract
The acyclic nucleoside phosphonate drug (S)-9-[3-hydroxy-(2-phosphonomethoxy)propyl]adenine [(S)-HPMPA], is a broad-spectrum antiviral and antiparasitic agent. Previous work has shown that the active intracellular metabolite of this compound, (S)-HPMPA diphosphate [(S)-HPMPApp], is an analog of dATP and targets DNA polymerases. However, the mechanism by which (S)-HPMPA inhibits DNA polymerases remains elusive. Using vaccinia virus as a model system, we have previously shown that cidofovir diphosphate (CDVpp), an analog of dCTP and a related antiviral agent, is a poor substrate for the vaccinia virus DNA polymerase and acts to inhibit primer extension and block 3'-to-5' proofreading exonuclease activity. Based on structural similarities and the greater antiviral efficacy of (S)-HPMPA, we predicted that (S)-HPMPApp would have a similar, but more pronounced effect on vaccinia polymerase than CDVpp. Interestingly, we found that (S)-HPMPApp is a good substrate for the viral enzyme, exhibiting K(m) and V(max) parameters comparable to those of dATP, and certainly not behaving like CDVpp as a functional chain terminator. Metabolic experiments indicated that (S)-HPMPA is converted to (S)-HPMPApp to a much greater extent than CDV is converted to CDVpp, although both drugs cause identical effects on virus DNA replication at their 50% effective concentration. Subsequent studies showed that both compounds can be faithfully incorporated into DNA, but when CDV and (S)-HPMPA are incorporated into the template strand, both strongly inhibit trans-lesion DNA synthesis. It thus appears that nucleoside phosphonate drugs exhibit at least two different effects on DNA polymerases depending upon in what form the enzyme encounters the drug.
AuthorsWendy C Magee, Kathy A Aldern, Karl Y Hostetler, David H Evans
JournalAntimicrobial agents and chemotherapy (Antimicrob Agents Chemother) Vol. 52 Issue 2 Pg. 586-97 (Feb 2008) ISSN: 0066-4804 [Print] United States
PMID18056278 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
Chemical References
  • Antiviral Agents
  • DNA Primers
  • DNA, Viral
  • Nucleic Acid Synthesis Inhibitors
  • Organophosphonates
  • Cytosine
  • 9-(S)-(3-hydroxy-2-(phosphonomethoxy)propyl)adenine
  • DNA polymerase, vaccinia virus
  • DNA-Directed DNA Polymerase
  • Adenine
  • Cidofovir
Topics
  • Adenine (analogs & derivatives, pharmacology)
  • Antiviral Agents (pharmacology)
  • Cidofovir
  • Cytosine (analogs & derivatives, pharmacology)
  • DNA Primers
  • DNA, Viral (biosynthesis, drug effects, genetics)
  • DNA-Directed DNA Polymerase
  • Nucleic Acid Synthesis Inhibitors
  • Organophosphonates (pharmacology)
  • Templates, Genetic
  • Vaccinia virus (drug effects, genetics, physiology)
  • Virus Replication

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