) is a potent inhibitor of hepatitis C virus (HCV) RNA replication in an HCV replicon assay. The 5-triphosphate of PSI-6130 is a competitive inhibitor of the HCV RNA-dependent RNA polymerase (RdRp) and acts as a nonobligate chain terminator. Recently, it has been shown that the metabolism of PSI-6130 also results in the formation of the 5-triphosphate of the uridine congener, -D-2-deoxy-2-fluoro-2-C-methyluridine (PSI-6206; RO2433). Here we show that the formation of the 5-triphosphate of RO2433 (RO2433-TP) requires the deamination of PSI-6130 monophosphate and that RO2433 monophosphate is subsequently phosphorylated to the corresponding di-and triphosphates by cellular UMP-CMP kinase and nucleoside diphosphate kinase, respectively. RO2433-TP is a potent inhibitor of the HCV RdRp; however, both enzymatic and cell-based assays show that PSI-6130 triphosphate is a more potent inhibitor of the HCV RdRp than RO2433-TP.Hepatitis C virus (HCV), a member of the Flaviviridae family of viruses, is one of the major causes of liver disease. Nearly 2% of the U.S. population and an estimated 170 million people worldwide are believed to be infected with HCV (2, 20). Approximately 80% of infected individuals develop a chronic infection, and long-term chronic HCV infection can lead to liver cirrhosis and hepatocellular carcinoma (7,20,24). The current standard of care is a combination of pegylated interferon alpha and ribavirin (2,6,8,21), which produces viral response rates in approximately 50% of patients infected with genotype 1 virus. Due to the adverse effects associated with both interferon and ribavirin therapy and the lack of an optimal sustained viral response in the majority of patients infected with HCV, there is a need for more potent anti-HCV compounds with fewer adverse effects.The HCV RNA-dependent RNA polymerase (RdRp; the NS5B protein) is essential for virus RNA replication and therefore represents an attractive target for therapy (3,11,14,15,25). Since nucleoside analogs form the cornerstone of therapy against human immunodeficiency virus, hepatitis B virus, and herpesviruses, such an approach to the treatment of HCV infection should prove equally effective. Recently, several nucleoside analogs with modifications at either the 2Ј or the 4Ј position have demonstrated good activity against HCV in vitro and in vivo (4, 12, 18).The discovery and development of nucleoside analogs require an understanding of the pathways and enzymes involved in the anabolism of an analog to the active triphosphate form. We have shown that -D-2Ј-deoxy-2Ј-fluoro-2Ј-C-methylcytidine (PSI-6130) is a potent and selective inhibitor of HCV RNA synthesis in an HCV replicon assay (5,19,22). Recently, we reported that PSI-6130 is anabolized to the 5Ј-triphosphate by enzymes involved in the deoxycytidine salvage pathway and that 2Ј-fluoro-2Ј-C-methylcytidine 5Ј-triphosphate (PSI-6130-TP) is an inhibitor of the HCV RdRp (19). In vitro metabolism studies have now shown that in addition to the formation of PSI-6130-TP, the 5Ј-triphosphate of th...