KP-1212/1461, a nucleoside designed for the treatment of HIV by viral mutagenesis

Antiviral Res. 2005 Jul;67(1):1-9. doi: 10.1016/j.antiviral.2005.03.004.

Abstract

We report the activities of a novel nucleoside analog against HIV. This nucleoside (KP-1212) is not a chain terminator but exerts its antiviral effects via mutagenesis of the viral genome. Serial passaging of HIV in the presence of KP-1212 causes an increase in the mutation rate of the virus leading to viral ablation. HIV strains resistant to KP-1212 have not yet been isolated. Quite to the contrary, virus treated with KP-1212 exhibited an increased sensitivity not only to KP-1212 but also to another nucleoside reverse transcriptase inhibitor (NRTI), zidovudine. HIV strains resistant to other NRTIs (e.g. zidovudine, lamivudine, stavudine, abacavir, etc.) exhibited no cross-resistance towards KP-1212. Multiple assays confirmed that KP-1212 has a favorable (low) genotoxicity profile when compared to some approved antiviral nucleosides. In addition, KP-1212 is not toxic to mitochondria nor does it exhibit any inhibitory effects on mitochondrial DNA synthesis.

MeSH terms

  • Animals
  • Anti-HIV Agents* / chemistry
  • Anti-HIV Agents* / pharmacology
  • Anti-HIV Agents* / toxicity
  • Azacitidine / analogs & derivatives*
  • Azacitidine / chemistry
  • Azacitidine / pharmacology
  • Azacitidine / toxicity
  • Cell Line
  • Cricetinae
  • HIV Infections / drug therapy*
  • HIV-1 / drug effects*
  • HIV-1 / genetics
  • HIV-1 / growth & development
  • Humans
  • Microbial Sensitivity Tests
  • Mutation*
  • Nucleosides / chemistry
  • Nucleosides / pharmacology*
  • Nucleosides / therapeutic use
  • Nucleosides / toxicity
  • Reverse Transcriptase Inhibitors / pharmacology
  • Zidovudine / pharmacology

Substances

  • Anti-HIV Agents
  • KP 1461
  • Nucleosides
  • Reverse Transcriptase Inhibitors
  • 5,6-dihydro-5-azacytidine
  • Zidovudine
  • Azacitidine