Inhibition of woodchuck hepatitis virus replication by adenine arabinoside monophosphate coupled to lactosaminated poly-L-lysine and administered by intramuscular route

Hepatology. 1995 Oct;22(4 Pt 1):1072-7. doi: 10.1016/0270-9139(95)90611-8.

Abstract

We prepared a hepatotropic conjugate, suitable for intramuscular (IM) injection, of lactosaminated poly-L-lysine with adenine arabinoside monophosphate (ara-AMP), a drug active against hepatitis B virus (HBV). We studied its organ distribution in mice and its antiviral activity in woodchucks that are carriers of woodchuck hepatitis virus (WHV). In mice, after IM administration of a conjugate tritiated in the drug moiety (5.2 micrograms/g equal to 2 micrograms/g of ara-AMP) radioactivity in liver was three times greater than in kidney, spleen, and intestine. On the contrary, after IM injection of unconjugated, tritiated, ara-AMP (5 micrograms/g) the amounts of radioactivity in liver, spleen, and kidney were similar. Unconjugated ara-AMP and the conjugate were administered IM to woodchucks for 13 days. Unconjugated ara-AMP decreased viremia at the daily dose of 5 mg/kg but was ineffective at 2.5 mg/kg. The conjugate at the daily doses of 4.2 and 7 mg/kg (equal to 1.5 and 2.5 mg/kg of ara-AMP, respectively) markedly lowered the viremia, which decreased to undetectable levels in the animals treated with the higher dose. Assuming that in HBV-infected patients the same doses will be active, then the amount of conjugate (soluble at 200 mg/mL) required by a 70-kg patient will be contained in a volume of 1.5 to 2.5 mL, compatible with the IM route. Compared with a similar ara-AMP complex with lactosaminated human albumin, currently being studied in clinical trials for the treatment of chronic type B hepatitis, which must be infused intravenously, the present conjugate might provide more patient compliance because of IM administration.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amino Sugars / administration & dosage
  • Amino Sugars / chemistry
  • Amino Sugars / pharmacology*
  • Animals
  • Antiviral Agents / administration & dosage
  • Antiviral Agents / chemistry
  • Antiviral Agents / pharmacology*
  • DNA, Viral / blood
  • Drug Stability
  • Female
  • Hepatitis B / drug therapy
  • Hepatitis B Virus, Woodchuck / drug effects
  • Hepatitis B Virus, Woodchuck / genetics
  • Hepatitis B Virus, Woodchuck / physiology*
  • Humans
  • Infusions, Intravenous
  • Kinetics
  • Male
  • Marmota / virology
  • Mice
  • Polylysine / administration & dosage
  • Polylysine / analogs & derivatives*
  • Polylysine / chemistry
  • Polylysine / pharmacology
  • Structure-Activity Relationship
  • Vidarabine Phosphate / administration & dosage
  • Vidarabine Phosphate / analogs & derivatives*
  • Vidarabine Phosphate / chemistry
  • Vidarabine Phosphate / pharmacology*
  • Virus Replication / drug effects*

Substances

  • Amino Sugars
  • Antiviral Agents
  • DNA, Viral
  • lactosaminated polylysine-adenine arabinoside monophosphate
  • Vidarabine Phosphate
  • Polylysine