Nucleoside phosphodiamide prodrug scaffolds: MerckRecent Research Landscape
Viral mutation leads to rapid drug resistance and treatment failure. Engineering the 4'-position of the nucleoside scaffold increases the genetic barrier to resistance and improves metabolic stability.
What technical problems is Merck addressing in Nucleoside phosphodiamide prodrug scaffolds?
Nonselective cellular toxicity
(7)evidences
Lack of selectivity in cytotoxic agents leads to off-target damage of healthy tissues. Establishing high selectivity reduces adverse side effects and increases the therapeutic window.
Inadequate intracellular drug bioavailability
(7)evidences
Viral mutations frequently render single-agent treatments ineffective. Increasing the barrier to resistance prevents therapeutic failure and extends drug efficacy.
Insufficient viral replication inhibition
(3)evidences
Viral reservoirs and latent infections remain unreachable by standard therapies. Eliminating these reservoirs prevents disease recurrence and long-term cellular damage.
Persistent latent viral reservoirs
(1)evidences
Uncontrolled insertion of viral DNA into host genomes leads to persistent infection and replication. Inhibiting this specific step prevents the establishment of a permanent viral reservoir.