In cells of the nervous system, which have little or no cellular thymi
dine kinase, the pharmacologic inhibition of viral thymidine kinase ma
y prevent the reactivation of herpes virus, which requires phosphoryla
ted thymidine for replication. We tested a newly synthesized inhibitor
of viral thymidine kinase, 9-(4-hydroxybutyl)-N-2-phenylguanine (HBPG
) for its capacity to suppress the reactivation of herpes simplex viru
s type 1 (HSV-1) in vivo. Mice, latently infected with McKrae strain H
SV-1, were treated with intraperitoneal injections of HBPG in a corn o
il vehicle (200 mg/kg every 3 h for a total of ten doses), and subject
ed to hyperthermic stress to stimulate viral reactivation immediately
before the third treatment. Three h after the last treatment, the mice
were sacrificed, and the presence of infectious virus was determined
by culture of ocular surface swabs and trigeminal ganglionic homogenat
es. Additionally, viral DNA in ganglionic extracts was analyzed by qua
ntitative PCR. Controls included latently infected, stressed animals r
eceiving injections of corn oil vehicle only, and latently infected, d
rug- and vehicle-treated, unstressed animals. HBPG had a statistically
significant inhibitory effect on hyperthermia-induced viral reactivat
ion. Homogenates of trigeminal ganglia and ocular surface swabs from H
BPG-treated animals were less likely to contain infectious virus than
those of infected, vehicle-treated, stressed controls (P < 0.005, ANOV
A). Unstressed controls showed no reactivation. Quantitation of viral
DNA in ganglionic extracts demonstrated a 100-fold reduction in the am
ount of viral DNA in the ganglia of HBPG-treated animals, compared wit
h vehicle-treated controls (P < 0.05, ANOVA). The results indicate tha
t HBPG has an inhibitory effect when given systemically for the suppre
ssion of herpes virus reactivation in mice.