Inhibitors of purine nucleoside phosphorylase may have therapeutic val
ue in the treatment of T-cell proliferative diseases such as T-cell le
ukemia, in the suppression of host-versus-graft response in organ tran
splants, and in the treatment of T-cell-mediated autoimmune diseases.
Competitive inhibitors of this enzyme have been designed using the thr
ee-dimensional structure of the enzyme determined by X-ray crystallogr
aphy. This approach has resulted in the synthesis of the most potent a
nd membrane-permeable inhibitors of purine nucleoside phosphorylase re
ported so far.