A large number of nucleoside analogues have been described as inhibitors of hepatitis B virus (HBV) and HIV replication. Recently L-nucleoside analogues in particular have gained increasing interest. They are characterized by an opposite configuration from that of the natural D-nucleoside analogues and represent one of the most attractive groups of antiretroviral compounds, including ß-L-2Ј,3Ј-dideoxy-3-thiacytidine (3TC) and its, and ß-L-2Ј,3Ј-didehydro-2Ј,3Ј-dideoxy-2Ј-fluoro-cytidine (L-2ЈFd4C) (3,5,22).Some of them not only have been found to be more potent than their corresponding D-nucleosides but seem to exhibit lower cytotoxicity and have been proved to be effective and selective agents for the treatment of chronic hepatitis B virus infections (4). However, only long-term therapy with a single nucleoside for several years was shown to be able to completely suppress HBV DNA in serum of patients and to reverse the progression of the disease. The disadvantage connected with such therapy regimens is the development of drug-resistant HBV strains (22). Therefore, the challenge will be to develop more-efficient drugs for shorter treatment regimens and to combine them to reach synergistic or at least additive drug action. This approach has been described not only as being highly efficient for the treatment of HIV infections but also as preventing the development of resistant mutants. Therefore, AIDS therapy is considered a model for future therapy of chronic HBV infections (17).Recently we described a series of new ß-L-N 4 -hydroxydeoxycytidine and ß-L-5-methyl-deoxycytidine derivatives as inhibitors of HBV replication. Between them, ß-L-2Ј,3Ј-didehydro-2Ј,3Ј-dideoxy-N 4 -hydroxycytidine (L-Hyd4C) (Fig. 1) emerged as the most effective in suppression of virus production in HepG2.2.15 cells (50% effective dose [ED 50 ] ϭ 0.03 M), displaying an extremely low cytotoxicity (50% cytotoxic dose [CD 50 ] for HepG2 cells ϭ 2,500 M) (12).These encouraging features have prompted us to investigate the cellular pharmacology of L-Hyd4C in a hepatic cell line. This included the activation of this unnatural L-deoxycytidine nucleoside to its 5Ј-mono-, 5Ј-di-, and 5Ј-triphosphate, the search for other metabolites, and the estimation of the intracellular halflives (t 1/2 ) of the 5Ј-di-and 5Ј-triphosphate of (This work was presented in part at BIT's 5th Anniversary Congress of International Drug Discovery Science and Technology, 7 to 13 November 2007, Xi'an and Beijing, China.)
MATERIALS AND METHODSCompounds. The synthesis and characterization of L-Hyd4C and its 5Ј-triphosphate were described elsewhere (E. Matthes, M. von Janta-Lipinski, H. Will, H. Sirma, and A. High-performance liquid chromatography (HPLC) analysis by methods described below showed 12% of radioactive contamination of the tritiated products which were separated by HPLC.Acetonitrile (gradient grade), tetrabutylammonium phosphate (monobasic, purissimum), and 3-deazauridine (deazaUR) were obtained from Sigma-Aldrich (Taufkirchen, Germany). Ammonium dihydrogen ph...