De Clercq E, Bernaerts R, Shealy Y F, Montgomery J A
Rega Institute for Medical Research, Katholieke Universiteit Leuven, Belgium.
Biochem Pharmacol. 1990 Jan 15;39(2):319-25. doi: 10.1016/0006-2952(90)90031-f.
Carbocyclic cytidine (C-Cyd) is a broad-spectrum antiviral agent active against DNA viruses [pox (vaccinia)], (+)RNA viruses [toga (Sindbis, Semliki forest), corona], (-)RNA viruses [orthomyxo (influenza), paramyxo (parainfluenza, measles), rhabdo (vesicular stomatitis)] and (+/-)RNA viruses (reo). The target enzyme of C-Cyd is supposed to be CTP synthetase that converts UTP to CTP. In keeping with this assumption are the observations that (i) C-Cyd effects a dose-dependent inhibition of RNA synthesis in both virus-infected and uninfected cells, and (ii) exogenous addition of either Urd or Cyd reverses both the antiviral and cytocidal activity of C-Cyd, whereas addition of dThd or dCyd fails to do so. The selectivity of C-Cyd against Sindbis, vesicular stomatitis and reo virus is markedly increased when C-Cyd is combined with Cyd (10 micrograms/mL). This combination may therefore be worth pursuing as a chemotherapeutic modality for the treatment of virus infections.
碳环胞苷(C-Cyd)是一种广谱抗病毒剂,对DNA病毒[痘病毒(牛痘)]、(+)RNA病毒[披膜病毒(辛德毕斯病毒、Semliki森林病毒)、冠状病毒]、(-)RNA病毒[正粘病毒(流感病毒)、副粘病毒(副流感病毒、麻疹病毒)、弹状病毒(水疱性口炎病毒)]以及(+/-)RNA病毒(呼肠孤病毒)均有活性。C-Cyd的靶酶被认为是将UTP转化为CTP的CTP合成酶。与这一假设相符的观察结果有:(i)C-Cyd对病毒感染细胞和未感染细胞中的RNA合成均有剂量依赖性抑制作用;(ii)外源性添加尿苷(Urd)或胞苷(Cyd)均可逆转C-Cyd的抗病毒和杀细胞活性,而添加胸腺嘧啶脱氧核苷(dThd)或脱氧胞苷(dCyd)则不能。当C-Cyd与胞苷(10微克/毫升)联合使用时,其对辛德毕斯病毒、水疱性口炎病毒和呼肠孤病毒的选择性显著提高。因此,这种联合用药作为治疗病毒感染的一种化疗方式可能值得探索。