School of Pharmacy, Jinzhou Medical University, Jinzhou 121001, China.
International Institute for Translational Chinese Medicine, Guangzhou University of Chinese Medicine, Guangzhou 510006, China.
Molecules. 2023 Jul 25;28(15):5634. doi: 10.3390/molecules28155634.
SARS-CoV-2 is a highly contagious and pathogenic virus that first appeared in late December 2019 and caused a global pandemic in a short period. The virus is a single-stranded RNA virus belonging to the Coronaviridae family. Numerous treatments have been developed and tested in response to the pandemic, particularly antiviral drugs. Among them, GS441524 (GS441), a nucleoside antiviral drug, has demonstrated promising results in inhibiting SARS-CoV-2. Nevertheless, the limited oral bioavailability of GS441 restricts its application to patients with the virus. In this study, a novel prodrug of GS441 (NGP-1) with an isobutyl ester and cyclic carbonate structure was designed and synthesized. Its purity and the stability in different artificial digestive juices of NGP-1 was determined with HPLC-DAD methods. The pharmacokinetics of NGP-1 and GS441 were studied in rats via gavage administration. A new LC-MS/MS method was developed to quantitatively analyze GS441 in plasma samples. The results showed that the k, C, and MRT of converted GS441 from NGP-1 were 5.9, 3, and 2.5 times greater than those of GS441 alone. The F of NGP-1 was approximately four-fold that of GS441, with an AUC of 9716.3 h·ng mL. As a prodrug of GS441, NGP-1 increased its lipophilicity, absorption, and bioavailability, indicating that it holds promise in improving the clinical efficacy of anti-SARS-CoV-2 medications.
SARS-CoV-2 是一种高传染性和高致病性的病毒,于 2019 年 12 月底首次出现,并在短时间内引发了全球大流行。该病毒是一种单链 RNA 病毒,属于冠状病毒科。针对该大流行,已经开发并测试了许多治疗方法,特别是抗病毒药物。其中,核苷类抗病毒药物 GS441524(GS441)在抑制 SARS-CoV-2 方面显示出了良好的效果。然而,GS441 的口服生物利用度有限,限制了其在病毒感染者中的应用。在本研究中,设计并合成了一种新型 GS441 的前药(NGP-1),其具有异丁酯和环碳酸酯结构。采用 HPLC-DAD 法测定 NGP-1 的纯度及其在不同人工消化液中的稳定性。通过灌胃给药研究了 NGP-1 和 GS441 在大鼠体内的药代动力学。建立了一种新的 LC-MS/MS 方法,用于定量分析血浆样品中的 GS441。结果表明,从 NGP-1 转化而来的 GS441 的 k、C 和 MRT 分别是 GS441 单独给药的 5.9、3 和 2.5 倍。NGP-1 的 F 值约为 GS441 的 4 倍,AUC 为 9716.3 h·ng·mL。作为 GS441 的前药,NGP-1 提高了其亲脂性、吸收和生物利用度,表明它有望提高抗 SARS-CoV-2 药物的临床疗效。