摘要
核苷类似物被广泛用作抗感染和抗肿瘤剂。然而,它们的临床使用可能面临与其理化性质、药代动力学参数和/或其特殊作用机制相关的限制。事实上,一旦进入细胞,核苷类似物需要被代谢成相应的(多)磷酸化衍生物,由细胞和/或病毒激酶介导,以干扰核酸的生物合成。在这个活化过程中,第一个磷酸化步骤通常是限制步骤,为了克服这一限制,已经提出了许多前药方法。在本文中,我们将重点关注与新的前药策略、原始合成方法的发展和核苷酸前药(即原核苷酸)的新应用相关的最新文献数据(从 2015 年起),导致细胞内递送 5'-单磷酸核苷类似物。
关键词: 原核苷酸,磷酸三酯,磷酸二酯,亚磷酰胺,磷酸二酰胺,不对称合成,化疗
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