Fragments vs herpesviridae

The name herpes makes most people think of painful ulcers in the mouth, or worse. But herpesviruses are actually a family of viruses that can also cause chicken pox, mononucleosis, and other diseases. Some 95% of adults are infected by at least one type of herpesvirus, and these can become deadly if people become immunocompromised, such as during an organ transplant. A drug that would inhibit all forms of herpesviruses would be useful, and the first steps are described in a recent ACS Med. Chem. Lett. paper by Michael Plotkin and colleagues at Merck.

 

The details of the primary screen are sparse, though the researchers did say they physically screened more than 100,000 compounds to identify molecules such as compound 5, a modest inhibitor of the DNA polymerases from both cytomegalovirus (CMV) and varicella zoster virus (VZV). (For most compounds the paper reports biochemical activity towards both of these polymerases as well as antiviral activity for CMV, VZV, herpes simplex virus 1 (HSV-1), and HSV-2, but for simplicity I’ll only show data for CMV here. The compounds generally have comparable activity towards different viruses.)

 

Hydrogen bond acceptors such as the ketone in compound 5 were found to be essential for activity, and exploring a variety of analogs led to compound 12, which in addition to submicromolar biochemical activity against the DNA polymerases also showed antiviral activity against CMV and other herpesviruses.

 

The paper goes into considerable detail on the lead optimization. The (S) enantiomer of compound 12 was an order of magnitude more potent than the (R) enantiomer. Modifications made to both of the phenyl rings ultimately led to compound 44, with low nanomolar biochemical activity against the polymerases and sub-micromolar antiviral activity against CMV, VZV, HSV-1, and HSV-2. Importantly, the researchers note that they did not have crystal structures during optimization, a useful reminder that structural information is not always necessary.

 

Compound 44 had modest oral bioavailability in rodents, but closely related compound 42 containing a trifluoromethyl group in place of the bromine was better, albeit with slightly lower biochemical potency. This molecule led to high survival rates in mice when dosed either before or after being exposed to HSV-1. In separate studies, the compound reduced CMV viral load. For both HSV-1 and CMV compound 42 compared favorably to acyclovir and ganciclovir, two commonly used drugs.

 

Although there is still some way to go to a drug, the researchers end by promising to describe “further progress of this series.” I look forward to reading about this.