Transient kinetic studies with human immunodeficiency virus (HIV) type 1 reverse transcriptase suggest that nucleotide analogs containing the 2,3-didehydro-2,3-dideoxy ribose ring structure present in D4T (stavudine) triphosphate are among the most effective alternative substrates. For unclear reasons, however, the corresponding purine nucleoside, 2,3-didehydro-2,3-dideoxyguanosine (D4G), was found to be inactive in cell culture. We have found that the previously reported lack of activity of D4G is primarily due to solution instability, and in this report we describe a novel use of a guanosine prodrug approach to stabilize the nucleoside. D4G was modified at the 6 position of the purine ring to contain a cyclopropylamino group yielding the prodrug, cyclo-D4G. An evaluation of cyclo-D4G revealed that the prodrug possessed anti-HIV activity. In addition, cyclo-D4G had increased stability, lipophilicity, and solubility, as well as decreased toxicity relative to D4G, suggesting that further study is warranted.Human immunodeficiency virus type 1 (HIV-1), the causative agent of AIDS, requires reverse transcriptase (RT) to copy its single-stranded RNA genome into a double-stranded DNA copy for integration into the host cell genome. To date, some of the most successful drugs at treating HIV are nucleoside reverse transcriptase inhibitors (NRTIs), which lack a 3Ј-hydroxyl group and serve to chain terminate viral replication after activation by cellular kinases. However, treatment with NRTIs is limited by their toxicity to the host (often because of their interaction with mitochondrial polymerase ␥ [9,20]) and the ability of the virus to mutate and gain resistance (3,14). In order to avoid the appearance of resistant virus, highly active antiretroviral therapy has been used, which includes multidrug combinations (11). However, mutants resistant to combinations of presently available compounds have still arisen (19). In order to further our ability to treat HIV, new compounds are needed with different metabolism, resistance, and toxicity profiles to supplement agents presently available.Recently, a guanosine prodrug approach has proven successful in improving the pharmacokinetics of already potently active guanosine NRTIs. The guanine ring of both dioxolane guanosine (DXG) (12) and carbovir (CBV) (26) were functionalized at the 6 position with an amine to make diaminopurine dioxolane (DAPD; compound 1) (1) and abacavir (1592U89 or Ziagen; compound 2) (5), respectively (Fig. 1). Abacavir and DAPD are metabolized to guanosine analogs by deamination and phosphorylated to make the active triphosphates (6, 7). The presence of the amino group improved the lipophilicity, solubility, and oral bioavailability of these guanosine analogs (1, 5). The presence of the cyclopropylsubstituted secondary amine of abacavir also improved its absorption into the central nervous system (5).Transient kinetic studies have been used to provide insight into structural modifications of the ribose ring, which are well tolerated by HIV-1 RT (7,10,21,2...