4.7 Article

MK-8591 (4′-Ethynyl-2-Fluoro-2′-Deoxyadenosine) Exhibits Potent Activity against HIV-2 Isolates and Drug-Resistant HIV-2 Mutants in Culture

Journal

ANTIMICROBIAL AGENTS AND CHEMOTHERAPY
Volume 61, Issue 8, Pages -

Publisher

AMER SOC MICROBIOLOGY
DOI: 10.1128/AAC.00744-17

Keywords

HIV-2; MK-8591; 4 '-ethynyl-2-fluoro-2 '-deoxyadenosine; EFdA; NRTI; antiretroviral therapy; drug resistance; HIV-1

Funding

  1. National Institutes of Health/National Institute of Allergy and Infectious Diseases (NIH/NIAID) [1R01-AI120765, 2R01-AI060466]
  2. UW Center for AIDS Research (CFAR, an NIH) [P30 AI027757]
  3. UW Royalty Research Fund [A92723]
  4. U.S. National Institutes of Health
  5. University of Washington
  6. Bill and Melinda Gates Foundation
  7. Gilead Sciences
  8. Alere Technologies
  9. Merck Co.
  10. Janssen Pharmaceutica
  11. Cerus Corporation
  12. Abbott Molecular Diagnostics
  13. Mary Gates Endowment
  14. NIH/NIAID
  15. France Recherche Nord & Sud Sida-hiv Hepatites (ANRS)

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There is a pressing need to identify more effective antiretroviral drugs for HIV-2 treatment. Here, we show that the investigational compound MK-8591 (4'-ethynyl-2-fluoro-2'-deoxyadenosine [EFdA]) is highly active against group A and B isolates of HIV-2; 50% effective concentrations [EC50] for HIV-2 were, on average, 4.8-fold lower than those observed for HIV-1. MK-8591 also retains potent activity against multinucleoside-resistant HIV-2 mutants (EC50 <= 11 nM). These data suggest that MK-8591 may have antiviral activity in HIV-2-infected individuals.

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