Sixty Years at the Rega Institute

Erik De Clercq1

  • 1Rega Institute for Medical Research, KU Leuven, Herestraat 49, B-3000 Leuven, Belgium.

Viruses
|February 26, 2025
PubMed

Insights

This research highlights the discovery of key antiviral compounds, including interferon inducers and reverse transcriptase inhibitors, leading to treatments for HIV and Hepatitis B virus infections.

Area of Science:

  • Virology
  • Immunology
  • Medicinal Chemistry

Background:

  • Interferon research began with polyacrylic acid (PAA) and Poly(I)·Poly(C) as inducers.
  • The discovery of reverse transcriptase (RT) spurred the search for inhibitors.
  • Early HIV replication inhibitors included suramin and nucleoside analogs.

Purpose of the Study:

  • To identify potent inducers of interferon and inhibitors of viral replication.
  • To develop effective treatments for Human Immunodeficiency Virus (HIV) and Hepatitis B Virus (HBV).
  • To explore novel antiviral agents, including nucleoside and non-nucleoside reverse transcriptase inhibitors.

Main Methods:

  • Identification of interferon inducers like PAA and Poly(I)·Poly(C).
  • Screening for reverse transcriptase inhibitors, leading to the discovery of suramin.
  • Development and testing of acyclic nucleoside phosphonates and non-nucleoside RT inhibitors (NNRTIs).

Main Results:

  • Cloning and expression of human β-interferon.
  • Suramin identified as the first HIV replication inhibitor.
  • Discovery of potent acyclic nucleoside phosphonates and NNRTIs for HIV and HBV.
  • Tenofovir emerged as a key nucleotide RT inhibitor, with prodrugs TDF and TAF developed.

Conclusions:

  • Significant advancements in antiviral drug discovery for HIV and HBV.
  • Development of effective therapies including nucleotide RT inhibitors and their prodrugs.
  • Efficacy of these drugs in Pre-Exposure Prophylaxis (PrEP) for HIV prevention.