HBV replication inhibitors

Chronic Hepatitis B Virus infections afflict >250 million people and kill nearly 1 million annually. Current non-curative therapies are dominated by nucleos(t)ide analogs (NAs) that profoundly but incompletely suppress DNA synthesis by the viral reverse transcriptase. Residual HBV replication dur...

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Published in:Antiviral research Vol. 179; p. 104815
Main Authors: Pierra Rouviere, Claire, Dousson, Cyril B., Tavis, John E.
Format: Journal Article
Language:English
Published: Netherlands Elsevier B.V 01-07-2020
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Abstract Chronic Hepatitis B Virus infections afflict >250 million people and kill nearly 1 million annually. Current non-curative therapies are dominated by nucleos(t)ide analogs (NAs) that profoundly but incompletely suppress DNA synthesis by the viral reverse transcriptase. Residual HBV replication during NA therapy contributes to maintenance of the critical nuclear reservoir of the HBV genome, the covalently-closed circular DNA, and to ongoing infection of naive cells. Identification of next-generation NAs with improved efficacy and safety profiles, often through novel prodrug approaches, is the primary thrust of ongoing efforts to improve HBV replication inhibitors. Inhibitors of the HBV ribonuclease H, the other viral enzymatic activity essential for viral genomic replication, are in preclinical development. The complexity of HBV's reverse transcription pathway offers many other potential targets. HBV's protein-priming of reverse transcription has been briefly explored as a potential target, as have the host chaperones necessary for function of the HBV reverse transcriptase. Improved inhibitors of HBV reverse transcription would reduce HBV's replication-dependent persistence mechanisms and are therefore expected to become a backbone of future curative combination anti-HBV therapies. •NA inhibitors currently dominate HBV therapy.•Improvement of NAs focuses on efficacy, safety, resistance and prodrug delivery.•HBV ribonuclease inhibitors are in preclinical development.•Other approaches for directly inhibiting HBV reverse transcription are possible.
AbstractList Chronic Hepatitis B Virus infections afflict >250 million people and kill nearly 1 million annually. Current non-curative therapies are dominated by nucleos(t)ide analogs (NAs) that profoundly but incompletely suppress DNA synthesis by the viral reverse transcriptase. Residual HBV replication during NA therapy contributes to maintenance of the critical nuclear reservoir of the HBV genome, the covalently-closed circular DNA, and to ongoing infection of naive cells. Identification of next-generation NAs with improved efficacy and safety profiles, often through novel prodrug approaches, is the primary thrust of ongoing efforts to improve HBV replication inhibitors. Inhibitors of the HBV ribonuclease H, the other viral enzymatic activity essential for viral genomic replication, are in preclinical development. The complexity of HBV’s reverse transcription pathway offers many other potential targets. HBV’s protein-priming of reverse transcription has been briefly explored as a potential target, as have the host chaperones necessary for function of the HBV reverse transcriptase. Improved inhibitors of HBV reverse transcription would reduce HBV’s replication-dependent persistence mechanisms and are therefore expected to become a backbone of future curative combination anti-HBV therapies.
Chronic Hepatitis B Virus infections afflict >250 million people and kill nearly 1 million annually. Current non-curative therapies are dominated by nucleos(t)ide analogs (NAs) that profoundly but incompletely suppress DNA synthesis by the viral reverse transcriptase. Residual HBV replication during NA therapy contributes to maintenance of the critical nuclear reservoir of the HBV genome, the covalently-closed circular DNA, and to ongoing infection of naive cells. Identification of next-generation NAs with improved efficacy and safety profiles, often through novel prodrug approaches, is the primary thrust of ongoing efforts to improve HBV replication inhibitors. Inhibitors of the HBV ribonuclease H, the other viral enzymatic activity essential for viral genomic replication, are in preclinical development. The complexity of HBV's reverse transcription pathway offers many other potential targets. HBV's protein-priming of reverse transcription has been briefly explored as a potential target, as have the host chaperones necessary for function of the HBV reverse transcriptase. Improved inhibitors of HBV reverse transcription would reduce HBV's replication-dependent persistence mechanisms and are therefore expected to become a backbone of future curative combination anti-HBV therapies. •NA inhibitors currently dominate HBV therapy.•Improvement of NAs focuses on efficacy, safety, resistance and prodrug delivery.•HBV ribonuclease inhibitors are in preclinical development.•Other approaches for directly inhibiting HBV reverse transcription are possible.
ArticleNumber 104815
Author Dousson, Cyril B.
Pierra Rouviere, Claire
Tavis, John E.
AuthorAffiliation b Department of Molecular Microbiology and Immunology, Saint Louis University School of Medicine, Saint Louis, MO USA
a Ai-biopharma, Medicinal Chemistry Department, Montpellier, France
AuthorAffiliation_xml – name: b Department of Molecular Microbiology and Immunology, Saint Louis University School of Medicine, Saint Louis, MO USA
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  surname: Pierra Rouviere
  fullname: Pierra Rouviere, Claire
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  givenname: Cyril B.
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  surname: Dousson
  fullname: Dousson, Cyril B.
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  givenname: John E.
  surname: Tavis
  fullname: Tavis, John E.
  email: John.tavis@health.slu.edu
  organization: Department of Molecular Microbiology and Immunology, Saint Louis University School of Medicine, Saint Louis, MO, USA
BackLink https://www.ncbi.nlm.nih.gov/pubmed/32380149$$D View this record in MEDLINE/PubMed
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Keywords Reverse transcriptase inhibitors
Ribonuclease H inhibitors
Hepatitis B virus
Chronic hepatitis B
Nucleos(t)ide analogs
Language English
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Snippet Chronic Hepatitis B Virus infections afflict >250 million people and kill nearly 1 million annually. Current non-curative therapies are dominated by...
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SubjectTerms Animals
Antiviral Agents - pharmacology
Chronic hepatitis B
Clinical Trials as Topic
Hepatitis B virus
Hepatitis B virus - drug effects
Hepatitis B virus - physiology
Hepatitis B, Chronic - drug therapy
Hepatitis B, Chronic - virology
Humans
Mice
Nucleic Acid Synthesis Inhibitors - pharmacology
Nucleos(t)ide analogs
Nucleosides - pharmacology
Reverse transcriptase inhibitors
Ribonuclease H - antagonists & inhibitors
Ribonuclease H inhibitors
Virus Replication - drug effects
Title HBV replication inhibitors
URI https://dx.doi.org/10.1016/j.antiviral.2020.104815
https://www.ncbi.nlm.nih.gov/pubmed/32380149
https://search.proquest.com/docview/2400549610
https://pubmed.ncbi.nlm.nih.gov/PMC7293572
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