Carbonyl J acid derivatives block protein priming of hepadnaviral P protein and DNA-dependent DNA synthesis activity of hepadnaviral nucleocapsids

J Virol. 2012 Sep;86(18):10079-92. doi: 10.1128/JVI.00816-12. Epub 2012 Jul 11.

Abstract

Current treatments for chronic hepatitis B are effective in only a fraction of patients. All approved directly antiviral agents are nucleos(t)ide analogs (NAs) that target the DNA polymerase activity of the hepatitis B virus (HBV) P protein; resistance and cross-resistance may limit their long-term applicability. P protein is an unusual reverse transcriptase that initiates reverse transcription by protein priming, by which a Tyr residue in the unique terminal protein domain acts as an acceptor of the first DNA nucleotide. Priming requires P protein binding to the ε stem-loop on the pregenomic RNA (pgRNA) template. This interaction also mediates pgRNA encapsidation and thus provides a particularly attractive target for intervention. Exploiting in vitro priming systems available for duck HBV (DHBV) but not HBV, we demonstrate that naphthylureas of the carbonyl J acid family, in particular KM-1, potently suppress protein priming by targeting P protein and interfering with the formation of P-DHBV ε initiation complexes. Quantitative evaluation revealed a significant increase in complex stability during maturation, yet even primed complexes remained sensitive to KM-1 concentrations below 10 μM. Furthermore, KM-1 inhibited the DNA-dependent DNA polymerase activity of both DHBV and HBV nucleocapsids, including from a lamivudine-resistant variant, directly demonstrating the sensitivity of human HBV to the compound. Activity against viral replication in cells was low, likely due to low intracellular availability. KM-1 is thus not yet a drug candidate, but its distinct mechanism of action suggests that it is a highly useful lead for developing improved, therapeutically applicable derivatives.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antiviral Agents / chemistry
  • Antiviral Agents / pharmacology*
  • Binding Sites
  • Cinnamates / chemistry
  • Cinnamates / pharmacology*
  • DNA, Viral / biosynthesis
  • Drug Resistance, Viral
  • Gene Products, pol / chemistry
  • Gene Products, pol / metabolism*
  • Hepadnaviridae / drug effects*
  • Hepadnaviridae / metabolism*
  • Hepatitis B Virus, Duck / drug effects
  • Hepatitis B Virus, Duck / metabolism
  • Hepatitis B virus / drug effects
  • Hepatitis B virus / metabolism
  • Humans
  • Macromolecular Substances
  • Models, Molecular
  • Naphthalenesulfonates / chemistry
  • Naphthalenesulfonates / pharmacology*
  • Nucleocapsid / drug effects
  • Nucleocapsid / metabolism
  • RNA-Directed DNA Polymerase / chemistry
  • RNA-Directed DNA Polymerase / metabolism

Substances

  • 4-hydroxy-7-((((5-hydroxy-6-((4-cinnamylphenyl)azo)-7-sulfo-2-naphthalenyl)amino)carbonyl)amino)-3-((4-cinnamylphenyl))azo-2-naphthalenesulfonic acid
  • Antiviral Agents
  • Cinnamates
  • DNA, Viral
  • Gene Products, pol
  • Macromolecular Substances
  • Naphthalenesulfonates
  • P protein, Hepatitis B virus
  • RNA-Directed DNA Polymerase