.28).Recent findings have indicated that several -L-nucleoside analogs exhibit high and potent antiviral activity against both human immunodeficiency virus (HIV) (12) and hepatitis B virus (HBV) (2, 3, 5, 9, 13) replication accompanied by low host cellular toxicity when compared to their respective natural -D-counterparts (15). These findings prompted a search for novel -L-nucleoside derivatives which could have synergistic activities and/or do not exhibit cross-resistance with currently available chemotherapeutic nucleoside analogs so that they could be used in combination therapy regimens. We have found that -L-dideoxyadenosine (ddA)-5Ј-triphosphate (-LddATP) is a potent inhibitor of both HIV type 1 reverse transcriptase and woodchuck hepatitis virus DNA polymerase (A. Faraj, L. Placidi, C. Perigaud, E. Cretton-Scott, G. Gosselin, L. T. Martin, C. Pierra, R. F. Schinazi, J. L. Imbach, and J. P. Sommadossi, Prog. Abstr. 13th Int. Round Table Nucleosides Nucleotides Biol. Appl., abstr. 135, 1998). However, -L-ddA per se has a limited anti-HBV activity (50% effective concentration [EC 50 ], 5 to 6 M) in HBV DNA-transfected human hepatoblastoma-derived HepG2 cells (2.2.15 cells) and no anti-HIV activity (EC 50 , Ͼ100 M) in peripheral blood mononuclear cells (PBMC) (1,4,8,10). Previous studies showed that -L-ddA is phosphorylated by 2Ј-deoxycytidine kinase (EC 2.7.1.74) with a high K m of 220 M (6). In addition, -L-ddA is not a substrate for the catabolic enzyme purine nucleoside phosphorylase (EC 2.4.2.1) (11). The purpose of the present study was to investigate the intracellular metabolism of -LddA in HepG2 cells, PBMC, and primary cultured hepatocytes in order to understand its limited in vitro antiviral activity.
MATERIALS AND METHODS
-L-ddA was synthesized as previously described (10). [2Ј,3Ј,8-3 H]-L-ddA (18.2 mCi/mmol) was obtained by tritium reduction of -L-2Ј,3Ј-didehydro-2Ј,3Ј-dideoxyadenosine (Moravek Biochemical). [2Ј,3Ј,8-3 H]-L-ddA was prepared by heterogeneous catalytic exchange with tritium gas in the presence of palladium catalyst and was Ͼ96% pure as ascertained by the high-performance liquid chromatography (HPLC) method described below. The presence of the tritium in both the base and L-dideoxyribose allowed us to follow the metabolism of this molecule.Cell culture conditions and preparation of samples. HepG2 cells were grown in 225-cm 2 tissue culture flasks in minimal essential medium with nonessential amino acids supplemented with 10% heat-inactivated dialyzed fetal bovine serum (FBS), 1% sodium pyruvate, and 1% penicillin-streptomycin. The medium was changed every 3 days, and the cells were subcultured once a week. After detachment of the adherent monolayer with a 10-min exposure to 30 ml of trypsin-EDTA and three consecutive washes with medium, confluent HepG2 cells (2 ϫ 10 6 /ml) were resuspended in a final volume of 10 ml of medium per time period and exposed to 10 M [ 3 H]-L-ddA (1,000 dpm/pmol). The cells were maintained at 37°C under a 5% CO 2 atmosphere for specified ti...