Abstract
With the emergence of oseltamivir-resistant influenza viruses and in view of a highly pathogenic flu pandemic, it is important to develop new anti-influenza agents. Here, the development of neuraminidase (NA) inhibitors that were designed to overcome resistance mechanisms along with unfavorable pharmacokinetic (PK) properties is described. Several 5-guanidino- and 5-amidino-based oseltamivir derivatives were synthesized and profiled for their anti-influenza activity and in vitro and in vivo PK properties. Amidine 6 and guanidine 7 were comparably effective against a panel of different A/H1N1 and A/H3N2 strains and also inhibited mutant A/H1N1 neuraminidase. Among different prodrug strategies pursued, a simple amidoxime ethyl ester (9) exhibited a superior PK profile with an oral bioavailability of 31% (rats), which is comparable to oseltamivir (36%). Thus, bioisosteric replacement of the 5-guanidine with an acetamidine-in the form of its N-hydroxy prodrug-successfully tackled the two key limitations of currently used NA inhibitors, as exemplified with oseltamivir.
Publication types
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Research Support, Non-U.S. Gov't
MeSH terms
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Administration, Oral
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Amidines / chemical synthesis*
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Amidines / pharmacokinetics
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Amidines / pharmacology
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Animals
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Antiviral Agents / chemical synthesis*
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Antiviral Agents / pharmacokinetics
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Antiviral Agents / pharmacology
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Biological Availability
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Dogs
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Drug Resistance, Viral*
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Guanidines / chemical synthesis*
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Guanidines / pharmacokinetics
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Guanidines / pharmacology
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Humans
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Influenza A Virus, H1N1 Subtype / drug effects*
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Influenza A Virus, H1N1 Subtype / genetics
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Influenza A Virus, H3N2 Subtype / drug effects*
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Madin Darby Canine Kidney Cells
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Male
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Molecular Docking Simulation
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Mutation
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Neuraminidase / antagonists & inhibitors
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Neuraminidase / genetics
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Oseltamivir / analogs & derivatives*
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Oseltamivir / chemical synthesis*
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Oseltamivir / pharmacokinetics
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Oseltamivir / pharmacology
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Prodrugs / chemical synthesis*
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Prodrugs / pharmacokinetics
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Prodrugs / pharmacology
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Protein Binding
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Rats
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Rats, Sprague-Dawley
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Stereoisomerism
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Structure-Activity Relationship
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Swine
Substances
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Amidines
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Antiviral Agents
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Guanidines
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Prodrugs
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Oseltamivir
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Neuraminidase