2'-Spiro-nucleosides for Hepatitis C Therapy
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Solution Overview
Problem
Current treatments for hepatitis C virus (HCV) and dengue virus infections are limited, with no effective vaccines or specific therapies available, and existing antiviral agents face challenges such as poor physicochemical and pharmacokinetic properties, leading to limited efficacy and potential for resistant strains.
Innovation Solution
Development of 2'-spiro-nucleosides and their derivatives that target the NS5B polymerase of HCV and other viral proteins, potentially inhibiting viral replication by acting as chain terminators or competitive inhibitors, and improving pharmacokinetic properties through stable phosphate prodrugs.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If current treatments with interferon-alpha and ribavirin are used, then immunotherapy is provided, but clinical benefit is limited and treatment duration is prolonged
Solution Approach 1:
The patent modifies the nucleoside structure by introducing a 2'-spiro-oxetane group and varying substituents at the 5-position, which changes the physicochemical parameters of the molecule to improve antiviral activity and pharmacokinetic properties, thereby enhancing clinical benefit and potentially reducing treatment duration
Solution Approach 2:
The invention combines the nucleoside core structure with specific substituent groups (halogens, alkyl groups, cycloalkyl groups) to create composite molecular structures that exhibit synergistic effects, improving both efficacy and pharmacokinetic profile compared to conventional nucleosides
2Reliability
If existing antiviral agents are used, then viral replication is inhibited, but physicochemical and pharmacokinetic properties are poor
Solution Approach 1:
The patent introduces specific functional groups at particular positions (5-position substituents, 2'-spiro-oxetane group) to locally modify the molecule's properties, enhancing solubility, metabolic stability, and cellular uptake without compromising the core antiviral mechanism against NS5B polymerase
Solution Approach 2:
The 2'-spiro-oxetane group acts as an intermediary structure that improves the pharmacokinetic properties of the nucleoside by enhancing cellular penetration and metabolic stability, while the variable substituents at the 5-position serve as intermediaries to optimize binding affinity to the viral polymerase
3Reliability
If conventional nucleoside analogs are used, then antiviral activity is achieved, but resistance development occurs
Solution Approach 1:
The patent designs nucleoside analogs with a core 2'-spiro-oxetane structure that can accommodate multiple different substituents at the 5-position, creating a series of compounds with diverse structures but similar mechanism of action, which may reduce resistance development by targeting multiple interaction points on the viral polymerase
Data Source
AI summary
Disclosed herein are 2'-spiro-nucleosides of formula I and derivatives thereof useful for treating a subject infected by hepatitis C virus or dengue virus, wherein B is selected from among B2 and B3 represented by the following structures:


