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Potent anti-murine cytomegalovirus activity and reduced nephrotoxicity of ganciclovir cyclic phosphonate.

Abstract
Ganciclovir cyclic phosphonate (SR3775) is a derivative of the R enantiomer (SR3773) of ganciclovir phosphonate (9-[((+/-)-1-hydroxymethyl-3-phosphono)propyloxymethyl]guanine), both of which are potent inhibitors of human ctyomegalovirus and murine cytomegalovirus (MCMV). Against wild-type and four drug-resistant strains of MCMV, SR3773 was 2.3- to 3-fold more potent than SR3775. SR3775 was about half as active as SR3773 against MCMV infections in severe combined immunodeficient mice. However, whereas SR3773 caused 20 to 30% destruction of renal tubules at 50 mg/kg of body weight per day (but exerted no toxicity at 25 mg/kg/day), SR3775 showed no deleterious renal effects at 600 mg/kg/day over 14 days. SR3775 has a therapeutic index at least 12 times higher than SR3773 in mice, making it a candidate for the treatment of human cytomegalovirus disease.
AuthorsD F Smee, E J Reist
JournalAntimicrobial agents and chemotherapy (Antimicrob Agents Chemother) Vol. 40 Issue 8 Pg. 1964-6 (Aug 1996) ISSN: 0066-4804 [Print] United States
PMID8843317 (Publication Type: Journal Article, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • Antiviral Agents
  • Cyclic P-Oxides
  • Organophosphonates
  • ganciclovir cyclic phosphonate
  • 9-(1-hydroxy-4-phosphinyl-2-butoxymethyl)guanine
  • Ganciclovir
Topics
  • Animals
  • Antiviral Agents (pharmacology, therapeutic use, toxicity)
  • Cell Line
  • Cyclic P-Oxides (pharmacology, therapeutic use, toxicity)
  • Female
  • Ganciclovir (analogs & derivatives, pharmacology, therapeutic use, toxicity)
  • Herpesviridae Infections (drug therapy, virology)
  • Kidney Tubules, Proximal (drug effects)
  • Mice
  • Mice, Inbred BALB C
  • Mice, SCID
  • Microbial Sensitivity Tests
  • Muromegalovirus (drug effects)
  • Organophosphonates
  • Stereoisomerism
  • Viral Plaque Assay

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