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 |
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Language: | English |
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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. |
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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 – name: a Ai-biopharma, Medicinal Chemistry Department, Montpellier, France |
Author_xml | – sequence: 1 givenname: Claire surname: Pierra Rouviere fullname: Pierra Rouviere, Claire organization: Ai-biopharma, Medicinal Chemistry Department, Montpellier, France – sequence: 2 givenname: Cyril B. orcidid: 0000-0002-6046-5032 surname: Dousson fullname: Dousson, Cyril B. email: cyril.dousson@ai-biopharma.com organization: Ai-biopharma, Medicinal Chemistry Department, Montpellier, France – sequence: 3 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 |
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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 |
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