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Review
. 2013 Nov;33(6):1215-48.
doi: 10.1002/med.21256. Epub 2012 May 2.

Highlights in antiviral drug research: antivirals at the horizon

Affiliations
Review

Highlights in antiviral drug research: antivirals at the horizon

Erik De Clercq. Med Res Rev. 2013 Nov.

Abstract

This review highlights ten "hot topics" in current antiviral research: (i) new nucleoside derivatives (i.e., PSI-352938) showing high potential as a direct antiviral against hepatitis C virus (HCV); (ii) cyclopropavir, which should be further pursued for treatment of human cytomegalovirus (HCMV) infections; (iii) North-methanocarbathymidine (N-MCT), with a N-locked conformation, showing promising activity against both α- and γ-herpesviruses; (iv) CMX001, an orally bioavailable prodrug of cidofovir with broad-spectrum activity against DNA viruses, including polyoma, adeno, herpes, and pox; (v) favipiravir, which is primarily pursued for the treatment of influenza virus infections, but also inhibits the replication of other RNA viruses, particularly (-)RNA viruses such as arena, bunya, and hanta; (vi) newly emerging antiarenaviral compounds which should be more effective (and less toxic) than the ubiquitously used ribavirin; (vii) antipicornavirus agents in clinical development (pleconaril, BTA-798, and V-073); (viii) natural products receiving increased attention as potential antiviral drugs; (ix) antivirals such as U0126 targeted at specific cellular kinase pathways [i.e., mitogen extracellular kinase (MEK)], showing activity against influenza and other viruses; and (x) two structurally unrelated compounds (i.e., LJ-001 and dUY11) with broad-spectrum activity against virtually all enveloped RNA and DNA viruses.

Keywords: CMX001; LJ-001; N-MCT; PSI-352938; U0126; antiarenaviral; antipicornaviral; cyclopropavir; dUY11; favipiravir; natural products.

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Figures

Figure 1
Figure 1
Structures of nucleoside analogues and their prodrugs active against HCV NS5B polymerase.
Figure 2
Figure 2
Structures of cyclopropavir, valcyclopropavir, and the cyclic phosphonate of cyclopropavir.
Figure 3
Figure 3
Structures of carbocyclic thymidine, North‐methanocarbathymidine (N‐MCT), South‐methanocarbathymidine (S‐MCT), and D‐(+)‐iso‐methanocarbathymidine (D‐(+)‐iso‐MCT).
Figure 4
Figure 4
Structures of cidofovir (CDV) and HDPCDV (CMX001).
Figure 5
Figure 5
Structures of T‐705, T‐1105, and T‐1106, and of T‐705 metabolites.
Figure 6
Figure 6
Arenavirus inhibitors targeted at viral entry.
Figure 7
Figure 7
Structures of pleconaril, BTA‐798, and V‐073.
Figure 8
Figure 8
Structures of natural products.
Figure 9
Figure 9
Structures of MEK inhibitors U0126, PD 184352, PD 0325901, and PD 098059.
Figure 10
Figure 10
Structures of dUY11 and LJ‐001.

References

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    1. De Clercq E. Another ten stories in antiviral drug discovery (part C): “Old” and “new” antivirals, strategies and perspectives. Med Res Rev 2009;29:611–645. - PubMed
    1. De Clercq E. Yet another ten stories on antiviral drug discovery (part D): Paradigms, paradoxes and paraductions. Med Res Rev 2010;30:667–707. - PubMed
    1. De Clercq E. The next ten stories on antiviral drug discovery (part <styled-content style="fixed-case">E</styled-content>): Advents, advances and adventures. Med Res Rev 2011;31:118–160. - PMC - PubMed

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