Cytomegalovirus mutants resistant to ganciclovir and cidofovir differ in susceptibilities to synguanol and its 6-ether and 6-thioether derivatives

Antimicrob Agents Chemother. 2014;58(3):1809-12. doi: 10.1128/AAC.02544-13. Epub 2013 Dec 30.

Abstract

The methylenecyclopropane nucleoside (MCPN) analogs synguanol and its 6-alkoxy (MBX2168) and 6-alkylthio (MBX1616) derivatives retained good in vitro activities against several common ganciclovir-resistant UL97 kinase variants of human cytomegalovirus. Foscarnet-MCPN cross-resistance was observed among UL54 polymerase variants. UL54 exonuclease domain ganciclovir-cidofovir dual-resistant variants were remarkably more hypersensitive to these MCPNs than to cyclopropavir, with some 50% effective concentration ratios that were <0.1× the wild type. Different categories of MCPNs may have therapeutically exploitable mechanistic differences in viral DNA polymerase inhibition.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Antiviral Agents / pharmacology*
  • Cidofovir
  • Cyclopropanes / pharmacology*
  • Cytomegalovirus / drug effects*
  • Cytomegalovirus / genetics
  • Cytosine / analogs & derivatives*
  • Cytosine / pharmacology
  • Drug Resistance, Multiple, Viral / genetics
  • Foscarnet / pharmacology
  • Ganciclovir / pharmacology*
  • Genotype
  • Guanine / analogs & derivatives*
  • Guanine / pharmacology
  • Mutation / genetics
  • Organophosphonates / pharmacology*

Substances

  • Antiviral Agents
  • Cyclopropanes
  • MBX 1616
  • MBX 2168
  • Organophosphonates
  • synguanol
  • Foscarnet
  • Guanine
  • Cytosine
  • cyclopropavir
  • Cidofovir
  • Ganciclovir