Expanding the toolbox of metabolically stable lipid prodrug strategies

Nucleoside- and nucleotide-based therapeutics are indispensable treatment options for patients suffering from malignant and viral diseases. These agents are most commonly administered to patients as prodrugs to maximize bioavailability and efficacy. While the literature provides a practical prodrug...

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Main Authors: Kiran S. Toti, Nicole Pribut, Michael D’Erasmo, Madhuri Dasari, Savita K. Sharma, Perry W. Bartsch, Samantha L. Burton, Hannah B. Gold, Anatoliy Bushnev, Cynthia A. Derdeyn, Adriaan E. Basson, Dennis C. Liotta, Eric J. Miller
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-01-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2022.1083284/full
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author Kiran S. Toti
Nicole Pribut
Michael D’Erasmo
Madhuri Dasari
Savita K. Sharma
Perry W. Bartsch
Samantha L. Burton
Samantha L. Burton
Samantha L. Burton
Hannah B. Gold
Anatoliy Bushnev
Cynthia A. Derdeyn
Cynthia A. Derdeyn
Cynthia A. Derdeyn
Cynthia A. Derdeyn
Adriaan E. Basson
Dennis C. Liotta
Eric J. Miller
author_facet Kiran S. Toti
Nicole Pribut
Michael D’Erasmo
Madhuri Dasari
Savita K. Sharma
Perry W. Bartsch
Samantha L. Burton
Samantha L. Burton
Samantha L. Burton
Hannah B. Gold
Anatoliy Bushnev
Cynthia A. Derdeyn
Cynthia A. Derdeyn
Cynthia A. Derdeyn
Cynthia A. Derdeyn
Adriaan E. Basson
Dennis C. Liotta
Eric J. Miller
author_sort Kiran S. Toti
collection DOAJ
description Nucleoside- and nucleotide-based therapeutics are indispensable treatment options for patients suffering from malignant and viral diseases. These agents are most commonly administered to patients as prodrugs to maximize bioavailability and efficacy. While the literature provides a practical prodrug playbook to facilitate the delivery of nucleoside and nucleotide therapeutics, small context-dependent amendments to these popular prodrug strategies can drive dramatic improvements in pharmacokinetic (PK) profiles. Herein we offer a brief overview of current prodrug strategies, as well as a case study involving the fine-tuning of lipid prodrugs of acyclic nucleoside phosphonate tenofovir (TFV), an approved nucleotide HIV reverse transcriptase inhibitor (NtRTI) and the cornerstone of combination antiretroviral therapy (cART). Installation of novel lipid terminal motifs significantly reduced fatty acid hepatic ω-oxidation while maintaining potent antiviral activity. This work contributes important insights to the expanding repertoire of lipid prodrug strategies in general, but particularly for the delivery and distribution of acyclic nucleoside phosphonates.
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spelling doaj.art-95897a2077a94f00b1666c0194367d182023-01-06T13:38:48ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122023-01-011310.3389/fphar.2022.10832841083284Expanding the toolbox of metabolically stable lipid prodrug strategiesKiran S. Toti0Nicole Pribut1Michael D’Erasmo2Madhuri Dasari3Savita K. Sharma4Perry W. Bartsch5Samantha L. Burton6Samantha L. Burton7Samantha L. Burton8Hannah B. Gold9Anatoliy Bushnev10Cynthia A. Derdeyn11Cynthia A. Derdeyn12Cynthia A. Derdeyn13Cynthia A. Derdeyn14Adriaan E. Basson15Dennis C. Liotta16Eric J. Miller17Department of Chemistry, College of Arts and Sciences, Emory University, Atlanta, GA, United StatesDepartment of Chemistry, College of Arts and Sciences, Emory University, Atlanta, GA, United StatesDepartment of Chemistry, College of Arts and Sciences, Emory University, Atlanta, GA, United StatesDepartment of Chemistry, College of Arts and Sciences, Emory University, Atlanta, GA, United StatesDepartment of Chemistry, College of Arts and Sciences, Emory University, Atlanta, GA, United StatesDepartment of Chemistry, College of Arts and Sciences, Emory University, Atlanta, GA, United StatesDepartment of Chemistry, College of Arts and Sciences, Emory University, Atlanta, GA, United StatesEmory National Primate Research Center, Emory University, Atlanta, GA, United StatesEmory Vaccine Center, Emory University, Atlanta, GA, United StatesDepartment of Chemistry, College of Arts and Sciences, Emory University, Atlanta, GA, United StatesDepartment of Chemistry, College of Arts and Sciences, Emory University, Atlanta, GA, United StatesEmory National Primate Research Center, Emory University, Atlanta, GA, United StatesEmory Vaccine Center, Emory University, Atlanta, GA, United StatesDepartment of Pathology and Laboratory Medicine, School of Medicine, Emory University, Atlanta, GA, United StatesDepartment of Laboratory Medicine and Pathology, University of Washington, Seattle, WA, United StatesHIV Pathogenesis Research Unit, Department of Molecular Medicine and Haematology, University of the Witwatersrand, Johannesburg, Gauteng, South AfricaDepartment of Chemistry, College of Arts and Sciences, Emory University, Atlanta, GA, United StatesDepartment of Pharmacology and Chemical Biology, School of Medicine, Emory University, Atlanta, GA, United StatesNucleoside- and nucleotide-based therapeutics are indispensable treatment options for patients suffering from malignant and viral diseases. These agents are most commonly administered to patients as prodrugs to maximize bioavailability and efficacy. While the literature provides a practical prodrug playbook to facilitate the delivery of nucleoside and nucleotide therapeutics, small context-dependent amendments to these popular prodrug strategies can drive dramatic improvements in pharmacokinetic (PK) profiles. Herein we offer a brief overview of current prodrug strategies, as well as a case study involving the fine-tuning of lipid prodrugs of acyclic nucleoside phosphonate tenofovir (TFV), an approved nucleotide HIV reverse transcriptase inhibitor (NtRTI) and the cornerstone of combination antiretroviral therapy (cART). Installation of novel lipid terminal motifs significantly reduced fatty acid hepatic ω-oxidation while maintaining potent antiviral activity. This work contributes important insights to the expanding repertoire of lipid prodrug strategies in general, but particularly for the delivery and distribution of acyclic nucleoside phosphonates.https://www.frontiersin.org/articles/10.3389/fphar.2022.1083284/fullprodrugsHIVtenofovirmetabolismlipidsnucleoside
spellingShingle Kiran S. Toti
Nicole Pribut
Michael D’Erasmo
Madhuri Dasari
Savita K. Sharma
Perry W. Bartsch
Samantha L. Burton
Samantha L. Burton
Samantha L. Burton
Hannah B. Gold
Anatoliy Bushnev
Cynthia A. Derdeyn
Cynthia A. Derdeyn
Cynthia A. Derdeyn
Cynthia A. Derdeyn
Adriaan E. Basson
Dennis C. Liotta
Eric J. Miller
Expanding the toolbox of metabolically stable lipid prodrug strategies
Frontiers in Pharmacology
prodrugs
HIV
tenofovir
metabolism
lipids
nucleoside
title Expanding the toolbox of metabolically stable lipid prodrug strategies
title_full Expanding the toolbox of metabolically stable lipid prodrug strategies
title_fullStr Expanding the toolbox of metabolically stable lipid prodrug strategies
title_full_unstemmed Expanding the toolbox of metabolically stable lipid prodrug strategies
title_short Expanding the toolbox of metabolically stable lipid prodrug strategies
title_sort expanding the toolbox of metabolically stable lipid prodrug strategies
topic prodrugs
HIV
tenofovir
metabolism
lipids
nucleoside
url https://www.frontiersin.org/articles/10.3389/fphar.2022.1083284/full
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