-L-5-Iododioxolane uracil was shown to have potent anti-Epstein-Barr virus (EBV) activity (50% effective concentration ؍ 0.03 M) with low cytotoxicity (50% cytotoxic concentration ؍ 1,000 M). It exerts its antiviral activity by suppressing replicative EBV DNA and viral protein synthesis. This compound is phosphorylated in cells where the EBV is replicating but not in cells where the EBV is latent. EBV-specific thymidine kinase could phosphorylate -L-5-iododioxolane uracil to the monophosphate metabolite. The K m of -L-5-iododioxolane uracil with EBV thymidine kinase was estimated to be 5.5 M, which is similar to that obtained with thymidine but about fivefold higher than that obtained with 2 fluoro-5-methyl--L-arabinofuranosyl uracil, the first L-nucleoside analogue discovered to have anti-EBV activity. The relative V max is seven times higher than that of thymidine. The anti-EBV activity of -L-5-iododioxolane uracil and its intracellular phosphorylation could be inhibited by 5-ethynylthymidine, a potent EBV thymidine kinase inhibitor. The present study suggests that -L-5-iododioxolane uracil exerts its action after phosphorylation; therefore, EBV thymidine kinase is critical for the antiviral action of this drug.
Epstein-Barr virus (EBV) is an important human pathogen.This virus has been determined to cause infectious mononucleosis, fatal acute infectious mononucleosis-X-linked lymphoproliferative syndrome, and oral hairy leukoplakia (16,17,48). EBV also has a close association with several types of malignancies, including Burkitt's lymphoma, nasopharyngeal carcinoma (NPC), Hodgkin's disease, (2, 13, 21), some T-cell lymphomas (1,26,32,35,40,58), smooth muscle cell leiomyosarcoma (23), and certain cases of gastric adenocarcinomas (38,46,53). EBV infection can enhance human immunodeficiency virus type 1 (HIV-1) replication in T cells (56), and EBV is also related to the development of lymphoma induced in AIDS patients (55). It was also reported that almost all posttransplant lymphomas appeared to be EBV genome positive, irrespective of histological appearance or clonability of the lesion (18,44,49,59). A more complex picture of EBV-associated malignancies is emerging, particularly with regard to virus-positive tumors of non-B-cell origin. It is hoped that a better understanding of EBV persistence and the part played by EBV in the oncogenic process will permit the development of new approaches aimed at the prevention and treatment of EBV-associated tumors. Therefore, it would be ultimately useful to have anti-EBV compounds that do not have serious side effects.Several compounds have shown anti-EBV activity in cell culture systems, including acyclovir (ACV), ganciclovir (DHPG), 2Ј-fluoro-5-methyl--D-arabinofuranosyl uracil (D-FMAU), and (S)-1-(3-hydroxy-2-phosphonyl-methoxypropyl)cytosine (cidofivir) (6,9,26,27,36,50,52). However, the clinical application of many of these compounds is restricted by severe side effects (52). Recently, our laboratory found a new anti-EBV L-dioxolane nucleoside analogue, ...