Gemcitabine is a
nucleoside analogue of deoxycytidine and has been
reported to be a broad-spectrum antiviral agent against both DNA and
RNA viruses. Screening of a nucleos(t)ide analogue-focused library
identified gemcitabine and its derivatives (compounds 1, 2a, and 3a) blocking influenza virus
infection. To improve their antiviral selectivity by reducing cytotoxicity,
14 additional derivatives were synthesized in which the pyridine rings
of 2a and 3a were chemically modified. Structure-and-activity
and structure-and-toxicity relationship studies demonstrated that
compounds 2e and 2h were most potent against
influenza A and B viruses but minimally cytotoxic. It is noteworthy
that in contrast to cytotoxic gemcitabine, they inhibited viral infection
with 90% effective concentrations of 14.5–34.3 and 11.4–15.9
μM, respectively, maintaining viability of mock-infected cells
over 90% at 300 μM. Resulting antiviral selectivity was comparable
to that of a clinically approved nucleoside analogue, favipiravir.
The cell-based viral polymerase assay proved the mode-of-action of 2e and 2h targeting viral RNA replication and/or
transcription. In a murine influenza A virus-infection model, intraperitoneal
administration of 2h not only reduced viral RNA level
in the lungs but also alleviated infection-mediated pulmonary infiltrates.
In addition, it inhibited replication of severe acute respiratory
syndrome virus 2 infection in human lung cells at subtoxic concentrations.
The present study could provide a medicinal chemistry framework for
the synthesis of a new class of viral polymerase inhibitors.