The acyclic nucleoside phosphonates S)-1-(3-hydroxy-2-phosphonylmethox
ypropyl)cytosine (HPMPC), (S)-9-(3-hydroxy-2-phosphonylmethoxypropyl)a
denine (HPMPA), and 9-(2-phosphonylmethoxyethyl)adenine (PMEA) inhibit
ed herpes simplex virus-1 replication in Vero cells, and the IC50 valu
es ranged from 4 mu M (for HPMPC and HPMPA) to 40 mu M (for PMEA). Pre
treatment of cells with HPMPC for 12-24 hr induced an effective antivi
ral state, and the cells maintained this antiviral state for >7 days.
In contrast, much larger amounts (similar to 2.5-5 x IC50 doses) of PM
EA or HPMPA were required to establish an antiviral state, which laste
d for only similar to 24 or 72 hr, respectively. A 12-hr treatment of
the cells with the phosphonates was required for the establishment of
optimal antiviral activity; surprisingly, longer durations of exposure
to PMEA (but not HPMPA or HPMPC) resulted in diminished antiviral eff
ect. We investigated the metabolism of PMEA and HPMPC to determine the
cellular basis for these differences. The cellular uptake of HPMPC wa
s similar to 8-fold greater than that of PMEA. The levels of the PMEA
metabolites PMEA monophosphate and PMEA diphosphate increased for simi
lar to 12 hr and plateaued thereafter. PMEA and its metabolites were c
leared from the cells with a half-life of 4.9 hr. In contrast, the HPM
PC metabolites HPMPC monophosphate (HPMPCp) and HPMPC diphosphate (HPM
PCpp) accumulated throughout the 24-hr study period and, at equimolar
drug concentrations (25 mu M), reached intracellular levels similar to
2-3-fold greater than those of the PMEA metabolites. HPMPC also diffe
red from PMEA in its capacity to generate a phosphodiester metabolite
(HMPCp-choline), which was a predominant metabolite in HPMPC-treated c
ells. In addition, the rates of disappearance of intracellular metabol
ites of the two drugs were significantly different. Thus, the decay of
HPMPCpp was quite slow and biphasic (t(1/2) = 24 and 65 hr) and that
of HMPCp-choline was monophasic (t(1/2) = 87 hr). Together, these fact
ors can explain the differing antiviral potencies seen with PMEA and H
PMPC. The possible role of the choline adduct in the expression of ant
iviral activity of the drug remains to be elucidated, but the adduct m
ay serve as an intracellular store for the long term maintenance of ac
tive HPMPCpp in cells. The results also highlight the extent of divers
ity in the cellular pharmacology and antiviral activities of the acycl
ic nucleoside phosphonates.