In search of effective anti-HHV-6 agents

Erik De Clercq1, Lieve Naesens

  • 1Rega Institute for Medical Research, K.U. Leuven, Minderbroedersstraat 10, B-3000 Leuven, Belgium. erik.declercq@rega.kuleuven.be

Insights

Developing effective treatments for Human Herpesvirus 6 (HHV-6) is crucial. Researchers are exploring nucleoside and non-nucleoside analogues, alongside protein kinase inhibitors, to combat HHV-6 infections.

Area of Science:

  • Virology
  • Antiviral Drug Discovery

Background:

  • Human Herpesvirus 6 (HHV-6) is a beta-herpesvirus, similar to Human Cytomegalovirus (HCMV).
  • Existing anti-HCMV drugs like ganciclovir, foscarnet, and cidofovir are considered for HHV-6 treatment.
  • Currently, no specific antiviral drug is established for HHV-6 infections, necessitating further research.

Purpose of the Study:

  • To encourage and guide the search for novel antiviral drugs effective against HHV-6.
  • To identify potential therapeutic agents for HHV-6-associated diseases.
  • To explore different chemical classes of compounds for anti-HHV-6 activity.

Main Methods:

  • Investigation of nucleoside analogues, including acyclic derivatives, cyclopropyl nucleosides, and phosphonate analogues.
  • Exploration of non-nucleoside analogues such as quinoline-3-carboxamides and aryl sulfones.
  • Evaluation of specific protein kinase inhibitors, exemplified by CMV423 targeting protein tyrosine kinases.

Main Results:

  • Several nucleoside analogues (e.g., S2242, A-5021, cyclopropavir) show promise.
  • Non-nucleoside derivatives offer potential for optimization via structure-activity relationship (SAR) studies.
  • CMV423 demonstrates potent and selective activity against HHV-6 by inhibiting cellular protein tyrosine kinases.

Conclusions:

  • The development of novel antiviral agents for HHV-6 is actively progressing.
  • Both nucleoside and non-nucleoside analogues represent viable strategies for HHV-6 treatment.
  • Protein kinase inhibitors are emerging as a promising class of drugs against HHV-6.