A. Gazumyan et al., Novel anti-RSV dianionic dendrimer-like compounds: Design, synthesis and biological evaluation, CUR PHARM D, 6(5), 2000, pp. 525-546
Human Respiratory Syncytial Virus (RSV) is considered to be the leading cau
se of lower respiratory tract disease in infants and young children. RSV is
also a common pathogen in immunocompromised adults and in the elderly. RSV
infection can be epidemic and is evident worldwide. Ribavirin, a small mol
ecule agent, and Synagis(TM), a monoclonal neutralizing antibody, are the o
nly approved drugs for treatment and prevention of RSV in high-risk patient
s. This review is focused on a group of novel and specific inhibitors disco
vered at Wyeth-Ayerst Research. Some of these inhibitors have IC50 < 50 nM
and are active against all the tested group A and B viruses. They also have
shown good efficacy in cotton rats and primates. Mechanism of action studi
es indicate that the compounds inhibit the next step in infection after ads
orption suggesting that fusion is the target. A strong relationship between
the inhibitor structures and their anti-RSV activity was established. This
relationship appears to derive from a multivalent interaction between the
functional groupings of the inhibitors and the F protein, which seem to be
highly complementary and directional.