Ganciclovir (GCV) and its lipophilic
elaidic acid ester prodrug E-GCV were evaluated for their antiherpetic,
cytostatic and metabolic properties,
E-GCV proved exquisitely inhibitory to the replication of herpes simplex virus type 1 (HSV-1) and HSV-2 in cell cultures (50% effective concentration (EC50): 0.002 microM). It was five- to 10-fold more effective than its parent
drug GCV.
E-GCV was at least 2000-fold more
cytostatic to HSV-1 or HSV-2
thymidine kinase (tk) gene-transfected mammary
carcinoma FM3A tk-/HSVtk+
tumor cells than to the corresponding nontransfected
tumor cells. The
cytostatic activity of
E-GCV to the HSVtk gene-transfected
tumor cells was far superior to that of GCV. Metabolic studies revealed that both GCV and
E-GCV were converted to the mono-, di- and tri-
phosphate derivatives of GCV to a markedly higher extent in FM3Atk-/HSV-1 tk+ cells than in wild-type FM3A/0 cells. Strikingly, mono-, di- and tri-
phosphate metabolites of GCV were retained for a substantially longer time in
E-GCV-treated cells (half-life approximately 50 h) than in GCV-treated cells (half-life approximately 20 h). The longer retention time of the GCV metabolites most likely explains why
E-GCV is superior to GCV against herpes simplex virus replication and HSVtk gene-transfected
tumor cell proliferation. Taking into account the marked stability of
E-GCV in human plasma and its much higher lipophilicity than GCV,
E-GCV should be considered as an effective lipophilic
prodrug of GCV with a markedly enhanced
cytostatic activity in HSVtk gene-transfected
tumor cells compared with parental
ganciclovir. Its usefulness in the combined gene/
chemotherapy of HSVtk gene-transfected
tumors should be further pursued.