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(1)

ᓫᇛ኱Ꮫ ༤ኈㄽᩥ

HBV

⸆ࢆ┠ᣦࡋࡓ

᪂つ

4 ′

఩ಟ㣭ࢾࢡࣞ࢜ࢩࢻㄏᑟయࡢ タィ࡜ྜᡂ

Design and synthesis of novel

4′-modified nucleoside analogues as anti-HBV drugs

௧࿴ඖᖺᗘ

㨣ሯ ೺࿃

(2)
(3)

┠ ḟ

➨㸯❶ ⥴ ㄽ

➨㸯⠇

B

ᆺ ⫢ ⅖

➨㸯㡯

HBV

ឤ ᰁ

... ... 1

➨㸰㡯

HBV

ឤ ᰁ ᚋ ࡢ ⮬ ↛ ⤒ 㐣

... ... 2

➨㸱㡯

HBV

ឤ ᰁ ⑕ ἞ ⒪

... ... 4

➨㸰⠇

HBV

➨㸯㡯

HBV

ࡢ ࣛ ࢖ ࣇ ࢧ ࢖ ࢡ ࣝ

... 6

➨㸰㡯 ⸆ ๣ ⪏ ᛶ

HBV... 8

➨㸱⠇

NAs

➨㸯㡯 ⌧ ᅾ ᢎ ㄆ ࡉ ࢀ ࡚ ࠸ ࡿ

NAs

ࡢ ≉ ᚩ

... 9

➨㸰㡯

4′-

⨨ ᥮

NAs... 11

➨㸱㡯

4′-

⨨ ᥮

NAs

ࡢ ❧ య 㓄 ᗙ

... ... 14

➨㸲㡯

HBV

ά ᛶ ࢆ ᭷ ࡍ ࡿ

4′-

⨨ ᥮

NAs... 15

➨㸰❶

4′ -

࢔ ࢪ ࢻ

-5-

࣓ ࢳ ࣝ

-4-

⨨ ᥮ ࣆ ࣜ ࣑ ࢪ ࣥ ࢾ ࢡ ࣞ ࢜ ࢩ ࢻ ࡟ 㛵 ࡍ ࡿ ᳨ ウ ➨㸯⠇

... ... 17

➨㸰⠇

4′ -࢔ ࢪ ࢻ -5-࣓ ࢳ ࣝ -4-⨨ ᥮ ࣆ ࣜ ࣑ ࢪ ࣥ ࢾ ࢡ ࣞ ࢜ ࢩ ࢻ ࡢ

ྜ ᡂ

... 19

➨㸱⠇

4′ -࢔ ࢪ ࢻ -5-࣓ ࢳ ࣝ -4-⨨ ᥮ ࣆ ࣜ ࣑ ࢪ ࣥ ࢾ ࢡ ࣞ ࢜ ࢩ ࢻ ࡢ

HBV

ά ᛶ ཬ ࡧ ⣽ ⬊ ẘ ᛶ ホ ౯

... 22

➨㸲⠇ ⪃ ᐹ

... .... 23

➨㸱❶

4′ -

⨨ ᥮ ࢖ ࢯ ࢾ ࢡ ࣞ ࢜ ࢩ ࢻ ࡟ 㛵 ࡍ ࡿ ᳨ ウ ➨㸯⠇

... ... 24

➨㸰⠇

4′ -⨨ ᥮ ࢖ ࢯ ࢾ ࢡ ࣞ ࢜ ࢩ ࢻ ࡢ ྜ ᡂ ࡟ 㛵 ࡍ ࡿ ᳨ ウ

➨㸯㡯

4′-

⨨ ᥮ ࢖ ࢯ ࢾ ࢡ ࣞ ࢜ ࢩ ࢻ ࡢ ྜ ᡂ ィ ⏬

... 27

➨㸰㡯

4′-

࢚ ࢳ ࢽ ࣝ

- 3′-

࢚ ࢟ ࢯ ࣓ ࢳ ࣞ ࣥ ࢖ ࢯ ࢪ ࢹ ࢜ ࢟ ࢩ ࢢ ࢔ ࣀ ࢩ ࣥ

ࡢ ྜ ᡂ

... ... 27

➨㸱㡯

4′-

ࢩ ࢔ ࣀ ࢖ ࢯ ࢪ ࢹ ࢜ ࢟ ࢩ ࢔ ࢹ ࣀ ࢩ ࣥ ࡢ ྜ ᡂ

... 30

➨㸲㡯

2-

࢔ ࣑ ࣀ

- 4′-

ࢩ ࢔ ࣀ ࢖ ࢯ ࢪ ࢹ ࢜ ࢟ ࢩ ࢔ ࢹ ࣀ ࢩ ࣥ ࡢ ྜ ᡂ

... 33

➨㸳㡯

4′-

ࢩ ࢔ ࣀ ࢖ ࢯ ࢪ ࢹ ࢜ ࢟ ࢩ ࢔ ࢹ ࣀ ࢩ ࣥ ࣜ ࣥ 㓟 ࣉ ࣟ ࢻ ࣛ ࢵ ࢢ

ࡢ ྜ ᡂ

... ... 34

➨㸱⠇

4′ -⨨ ᥮ ࢖ ࢯ ࢾ ࢡ ࣞ ࢜ ࢩ ࢻ ࡢ ᢠ ࢘ ࢖ ࣝ ࢫ ά ᛶ ཬ ࡧ

(4)

⣽ ⬊ ẘ ᛶ ホ ౯

... ... 35

➨㸲⠇ ⪃ ᐹ

... .. 36

➨㸲❶ ⥲ ᣓ

... .. 39

ㅰ ㎡

... ... 41

ᐇ 㦂 ࡢ 㒊

... . 43

ཧ ⪃ ᩥ ⊩

... 71

(5)

␎ ㄒ ⾲

[A]

Ac : acetyl ADV : Adefovir

AIBN : 2,2 ′-azobis (isobutyronitrile)

APCI : atmospheric aressure chemical ionization

aq : aqua

AZT : 3′ -azido-3′ -dehydroxythymidine [B]

Bz : benzoyl

[C]

calcd. : calculated

cccDNA : covalently closed circular DNA CC

5 0

: 50% cytotoxic concentration CDI : 1,1 ′-carbonyldiimidazole [D]

dATP : 2′ -deoxy adenosine triphosphate DABCO : 1,4-diazabicyclo [2.2.2] octane DBU : 1,8-diazabicyclo [5.4.0] undec-7-ene DCM : dichloromethane

dCTP : 2′ -deoxy cytidine triphosphate ddC : 2′,3′-dideoxycytidine

ddI : 2′,3′-dideoxyinosine

DDQ : 2,3-dichloro-5,6-dicyano-p -benzoquinone dGTP : 2′ -deoxy guanosine triphosphate

DIAD : diisopropyl azodicarboxylate DMAP : N ,N-dimethyl-4-aminopyridine DMF : N ,N-dimethylformamide

DMP : Dess-Martin periodinane DMSO : dimethyl sulfoxide DMTr : 4,4 ′-dimethoxytrityl

d4T : 2′,3′-didehydro- 2′-deoxythymidine

(6)

[E]

EC

5 0

: half maximal (50%) effective concentration

EDC : 1-ethyl-3-(3-dimethylaminopropyl) carbodiimide ESI : electrospray ionization

Et : ethyl

ETV : Entecavir [H]

HBe : hepatitis B virus envelope HBs : hepatitis B virus surface HBV : hepatitis B virus

HCV : hepatitis C virus

HIV : human immunodeficiency virus [I]

IFN : interferon

isoddA : 2′,3′-dideoxy isoadenosine [L]

LAM : Lamivudine LP : lone pair [M]

m CBA : m -chlorobenzoic acid

m CPBA : m -chloroperoxybenzoic acid Me : methyl

mRNA : messenger RNA MS 3A : molecular sieve 3

ύ

MS : mass spectrometry

MTT : 3-(4,5-di-methylthiazol-2-yl)-2,5-diphenyltetrazolium bromide [N]

Nap : (2-naphthalenyl) methyl NAs : nucleoside analogues n -BuLi : n -butyllithium

NMR : nuclear magnetic resonance nor-AZADO : 9-azanoradamantane-N -oxyl

NTCP : Na

+

-taurocholate cotransporting polypeptide

(7)

[P]

PCR : polymerase chain reaction pgRNA : pregenomicRNA

PMB : p -methoxybenzyl PPh

3

: triphenylphosphine PTSA : p -toluenesulfonic acid [Q]

QOL : quality of life [R]

rcDNA : relaxed circular DNA [T]

TAF : Tenofovir alafenamide

TBAF : tetrabutylammonium fluoride

TBA-HS : tetrabutylammonium hydrogen sulfate TBDPS : tert -butyldiphenylsilyl

TBS : tert -butyldimethylsilyl

TCDI : 1,1 ′-thiocarbonyldiimidazole TCID

5 0

: tissue culture infectious dose 50%

TDF : Tenofovir disoproxyl TEA : triethylamine

TFA : trifluoroacetic acid THF : tetrahydrofuran TIPS : triisopropylsilyl

TTP : thymidine triphosphate

(8)

1

1❶ ⥴

⥴ ㄽ

1⠇ B

ᆺ ⫢ ⅖

1

HBV

ឤ ᰁ

HBV (B

ᆺ ⫢ ⅖ ࢘ ࢖ ࣝ ࢫ

)

ࡢ ឤ ᰁ ⪅ ᩘ ࡣ ୡ ⏺ ࡛ ⣙

2

5,700

୓ ே ࠸ ࡿ ࡜ ᥎ ᐃ ࡉ ࢀ ࡚ ࠾ ࡾ

,

[ 1 ] ᮏ 㑥 ࡛ ࡣ ே ཱྀ ࡢ ⣙

1%

ࡀ ឤ ᰁ ࡋ ࡚ ࠸ ࡿ ࡜ ⪃ ࠼ ࡽ ࢀ ࡚ ࠸

.

[ 2 ]

HBV

࡟ ឤ ᰁ ࡋ

,

៏ ᛶ ⫢ ⅖ ࢆ ᘬ ࡁ ㉳ ࡇ ࡋ ࡓ ሙ ྜ

,

⫢ ◳ ኚ ࡸ ⫢ ࡀ ࢇ ࡬ ࡜

㐍 ᒎ ࡍ ࡿ ࡇ ࡜ ࡀ ▱ ࡽ ࢀ

, 2010

ᖺ ࡟ ࠾ ࡅ ࡿ ୡ ⏺ ࡢ ⫢ ࡀ ࢇ ࡢ ⣙ ༙ ᩘ ࡣ

HBV

ᰁ ࡟ ㉳ ᅉ ࡋ ࡚ ࠸ ࡿ ࡇ ࡜ ࡀ ሗ ࿌ ࡉ ࢀ ࡓ

.

[ 3 ] ࡉ ࡽ ࡟

, 2015

ᖺ ࡟ ࡣ ୡ ⏺ ࡛

887,000

ே ࡀ

B

ᆺ ⫢ ⅖ ࡢ ྜ ే ⑕ ࡟ ࡼ ࡗ ࡚ Ṛ ஸ ࡋ ࡚ ࠸ ࡿ ࡇ ࡜ ࡀ ሗ ࿌ ࡉ ࢀ ࡓ

.

[ 1 ] ≉ ࡟

,

࢔ ࣇ ࣜ ࢝ ࡸ ༡ ⡿

,

᪥ ᮏ ࢆ 㝖 ࡃ ࢔ ࢪ ࢔ ࡛ ࡣ 㧗 ࠸ ᭷ ⑓ ⋡ ࡀ ☜ ㄆ ࡉ ࢀ ࡚ ࠾ ࡾ

, HBV

ឤ ᰁ ᑐ ⟇ ࡣ ඲ ୡ ⏺ ⓗ ࡞ ㄢ 㢟 ࡜ ࡞ ࡗ ࡚ ࠸ ࡿ

.

[ 4 ]

HBV

ࡢ ឤ ᰁ ⤒ ㊰ ࡣ ឤ ᰁ ⪅ ࡢ ⾑ ᾮ ࡸ ⢭ ᾮ ࡜ ࡢ ᥋ ゐ ࡛ ࠶ ࡾ

,

ฟ ⏘ ࡟ ࡼ ࡿ ᆶ ┤ ឤ ᰁ ࡜ ᛶ ஺ ΅ ࡸ ㍺ ⾑

,

㏱ ᯒ

࡟ ࡼ ࡿ Ỉ ᖹ ឤ ᰁ ࡀ ୺ ࡞ ཎ ᅉ ࡜ ࡞ ࡿ

.

ᮏ 㑥 ࡛ ࡣ

,

ᆶ ┤ ឤ ᰁ ᑐ ⟇ ࡜ ࡋ ࡚

1985

ᖺ ࡟

B

ᆺ ⫢ ⅖ ࣡ ࢡ ࢳ ࣥ ࡢ ౑ ⏝ ࡀ 㛤 ጞ ࡉ ࢀ

,

ࡑ ࡢ ⩣ ᖺ ࠿ ࡽ ࢢ ࣟ ࣈ ࣜ ࣥ 〇 ๣ ࡢ ే ⏝ ࡀ ⾜ ࢃ ࢀ ࡿ ࡼ ࠺ ࡟ ࡞ ࡗ ࡓ

.

ᅾ ࡣ ዷ ፬ ೺ デ ࡟ ࡚

HBV

ࡢ ࢫ ࢡ ࣜ ࣮ ࢽ ࣥ ࢢ ᳨ ᰝ ࡀ ⾜ ࢃ ࢀ

, HBV

ࡢ ᆶ ┤ ឤ ᰁ ࡣ ⴭ ࡋ ࡃ ῶ ᑡ ࡋ ࡓ

.

[ 4 ] ࡋ ࠿ ࡋ ࡞ ࡀ ࡽ

,

Ỉ ᖹ ឤ ᰁ ࡣ ῶ ᑡ ࡏ ࡎ

,

㏆ ᖺ ࡛ ࡣ ᣢ ⥆ ឤ ᰁ ࡜ ࡞ ࡾ ࡸ ࡍ ࠸ ࢤ ࣀ ࢱ ࢖ ࣉ

A

HBV

ឤ ᰁ ࡀ ቑ ຍ ഴ ྥ ࡟ ࠶ ࡿ

.

[ 5 ] -[ 7 ] ࡇ ࡢ

ࡼ ࠺ ࡞ ஦ ែ ࢆ ៧ ៖ ࡋ

, WHO

ࡣ ඲ ங ඣ ࡀ

HBV

࣡ ࢡ ࢳ ࣥ ࢆ ᥋ ✀ ࡍ ࡿ ࠕ ࣘ ࢽ ࣂ

࣮ ࢧ ࣝ ࣡ ࢡ ࢳ ࢿ ࣮ ࢩ ࣙ ࣥ ࠖ ࢆ ⾜ ࠺ ࡼ ࠺ ࡟ ່ ࿌ ࡋ ࡚ ࠾ ࡾ

,

㆟ ㄽ ࡀ ⾜ ࢃ ࢀ ࡚ ࠸

.

[ 8 ] ࡋ ࠿ ࡋ ࡞ ࡀ ࡽ

,

ࡍ ࡭ ࡚ ࡢ ឤ ᰁ ࢆ ஦ ๓ ࡟ 㜵 ࡄ ࡇ ࡜ ࡣ ⌧ ᐇ ⓗ ࡛ ࡣ ࡞ ࠸

.

ࡑ ࡢ ࡓ ࡵ

, HBV

ឤ ᰁ ࡟ ࠾ ࡅ ࡿ ⮬ ↛ ⤒ 㐣 ࢆ ▱ ࡾ

,

ឤ ᰁ ⪅ ࡢ デ ᩿ ཬ ࡧ ἞ ⒪ ἲ ࡢ

☜ ❧ 㺃ᨵ Ⰻ ࢆ ⾜ ࠺ ࡇ ࡜ ࡣ ឤ ᰁ ⪅ ࡢ

QOL

ࢆ ᨵ ၿ ࡍ ࡿ ୖ ࡛ 㔜 せ ࡛ ࠶ ࡿ

.

(9)

2

2

HBV

ឤ ᰁ ᚋ ࡢ ⮬ ↛ ⤒ 㐣

HBV

࡟ ឤ ᰁ ࡋ ࡓ ሙ ྜ

,

୍ 㐣 ᛶ ឤ ᰁ ࢆ ᘬ ࡁ ㉳ ࡇ ࡍ ሙ ྜ ࡜

,

ᣢ ⥆ ឤ ᰁ ࡜ ࡞ ࡿ ሙ ྜ ࡀ ࠶ ࡿ

.

୍ 㐣 ᛶ ឤ ᰁ ࡢ ከ ࡃ ࡣ ண ᚋ Ⰻ ዲ ࡛ ࠶ ࡿ ࡀ

,

⛥ ࡟ ๻ ⑕ ⫢ ⅖ ࢆ ᘬ ࡁ

㉳ ࡇ ࡍ ࡇ ࡜ ࡀ ࠶ ࡾ

,

ࡑ ࡢ ሙ ྜ

,

⮴ Ṛ ⋡ ࡣ

70-80%

࡛ ࠶ ࡿ

.

[ 9 ] ୍ ᪉

,

ᣢ ⥆ ឤ ᰁ

࡜ ࡞ ࡗ ࡓ ሙ ྜ

,

៏ ᛶ ⫢ ⅖ ࢆ ⤒ ࡚ ⫢ ࡀ ࢇ ࡜ ࡞ ࡾ

,

ண ᚋ ୙ Ⰻ ࡜ ࡞ ࡿ ࡇ ࡜ ࡶ ᑡ ࡞ ࡃ ࡞ ࠸

.

ᣢ ⥆ ឤ ᰁ ࢆ ᘬ ࡁ ㉳ ࡇ ࡍ ☜ ⋡ ࡣ ᖺ 㱋 ࡟ ࡼ ࡗ ࡚ ኱ ࡁ ࡃ ␗ ࡞ ࡗ ࡚ ࠾ ࡾ

,

᪂ ⏕ ඣ ࡢ ሙ ྜ ࡣ ⣙

95%, 1-5

ṓ ࡢ ሙ ྜ

20-30%,

ᡂ ே ࡢ ሙ ྜ

5%

ᮍ ‶ ࡢ ☜ ⋡ ࡛ ᣢ ⥆ ឤ ᰁ ࢆ ᘬ ࡁ ㉳ ࡇ ࡍ

.

[ 1 0 ] ᣢ ⥆ ឤ ᰁ ⪅ ࡢ ከ ࡃ ࡣ ⑕ ≧ ࡢ ࡞ ࠸ ↓ ⑕ ೃ ᛶ ࢟ ࣕ

ࣜ ࢔ ࡜ ࡞ ࡿ

.

ࡇ ࡢ ↓ ⑕ ೃ ᛶ ࢟ ࣕ ࣜ ࢔ ࡢ ᮇ 㛫 ࢆ ձ ච ␿ ᐶ ᐜ ᮇ ࡜ ࿧ ࡪ

.

ච ␿ ᐶ ᐜ ᮇ ࡢ ᮇ 㛫 ࡣ ಶ ே ᕪ ࡀ ኱ ࡁ ࡃ

,

ᩘ ᖺ 㹼 ༑ ᩘ ᖺ ࡢ ᖜ ࡀ ࠶ ࡿ

.

ච ␿ ᐶ ᐜ ᮇ ࡀ ⤊

ࢃ ࡿ ࡜ ⫢ ⅖ ࡢ ⑕ ≧ ࢆ ࿊ ࡋ ጞ ࡵ ࡿ

.

ࡇ ࡢ ⫢ ⅖ ࢆ Ⓨ ⑕ ࡋ ࡚ ࠸ ࡿ ᮇ 㛫 ࢆ ղ ච ␿ ᛂ

⟅ ᮇ

,

ࡶ ࡋ ࡃ ࡣ ճ ప ቑ Ṫ ᮇ ࡜ ࿧ ࡪ

.

ච ␿ ᛂ ⟅ ᮇ ࡜ ప ቑ Ṫ ᮇ ࡢ 㐪 ࠸ ࡣ

HBV

࣮ ࢝ ࣮ ࡢ ≧ ែ ࡛ ༊ ู ࡉ ࢀ ࡿ

.

ࡑ ࡢ ᚋ

,

୍ ᪦ ៏ ᛶ ⫢ ⅖ ࡀ ⤊ ᜥ ࡋ

,

⫢ ⅖ ࡢ ⑕ ≧

ࢆ ࿊ ࡉ ࡞ ࡃ ࡞ ࡗ ࡓ ᮇ 㛫 ࢆ մ ᐶ ゎ ᮇ ࡜ ࿧ ࡪ

. (Fig.1 )

ᣢ ⥆ ឤ ᰁ ࡢ ≧ ែ ࡣ ኱ ࡁ ࡃ ศ ࡅ ࡚ ࡇ ࡢ

4

ẁ 㝵 ࡟ ศ 㢮 ࡉ ࢀ ࡿ ࡀ

,

ឤ ᰁ ⪅ ࡀ ࡝ ࡢ ẁ 㝵 ࡟ ࠶ ࡿ ࡢ ࠿ ࢆ ุ ᩿ ࡍ ࡿ ୖ ࡛ 㔜 せ ࡞ ࣐ ࣮ ࢝ ࣮ ࡀ

HBe

ᢠ ཎ

, HBe

ᢠ య

,

(10)

3

HBs

ᢠ ཎ

, HBs

ᢠ య ࡛ ࠶ ࡿ

.

ࡇ ࢀ ࡽ ࡢ ࣐ ࣮ ࢝ ࣮ ࡢ ⮫ ᗋ ⓗ ព ࿡ ࢆ

Table 1

࡟ ࡲ

࡜ ࡵ ࡓ

.

HBe

ᢠ ཎ ࡣ

HBV

࡟ ࠾ ࡅ ࡿ ቑ Ṫ ࡢ ά Ⓨ ࡉ ࢆ ⾲ ࡍ

. HBe

ᢠ ཎ ࡀ 㝧 ᛶ ࡛ ࠶ ࡿ ሙ

, HBV

ࡀ ά Ⓨ ࡟ ቑ Ṫ ࡋ ࡚ ࠾ ࡾ

,

ឤ ᰁ ຊ ࡀ 㧗 ࡃ

,

⫢ ⅖ ࡣ ቑ ᝏ ࡍ ࡿ

.

୍ ᪉

, HBe

ᢠ ཎ ࡀ 㝜 ᛶ ࡢ ሙ ྜ

, HBV

ࡢ ቑ Ṫ ࡀ ᢚ ไ ࡉ ࢀ ࡚ ࠸ ࡿ ࡇ ࡜ ࡀ ♧ ၀ ࡉ ࢀ ࡿ

.

ࡲ ࡓ

, HBs

ᢠ ཎ ࡣ

HBV

࡟ ឤ ᰁ ࡋ ࡚ ࠸ ࡿ ࠿ ྰ ࠿ ࢆ ⾲ ࡍ

.

ࡘ ࡲ ࡾ

, HBs

ᢠ ཎ ࡀ 㝧 ᛶ ࡛ ࠶ ࢀ ࡤ

,

ឤ ᰁ ⪅ ࡢ య ෆ ࡟

HBV

ࡀ Ꮡ ᅾ ࡍ ࡿ ࡇ ࡜ ࢆ ⾲ ࡋ

, HBs

ᢠ ཎ ࡀ 㝜 ᛶ ࡛ ࠶ ࢀ ࡤ

,

య ෆ ࠿ ࡽ

HBV

ࡀ 㝖 ཤ ࡉ ࢀ ࡚ ࠸ ࡿ ࡇ ࡜ ࢆ ⾲ ࡍ

.

ࡲ ࡓ

, HBe

ᢠ య ཬ ࡧ

, HBs

ᢠ య ࡣ ឤ ᰁ ⪅ ⏤ ᮶ ࡢ ᢠ య ࡛ ࠶ ࡿ

. HBe

ᢠ య ࡢ 㝧 ᛶ ࡣ

HBV

ࡢ ቑ Ṫ ࡀ ప ୗ ࡋ

,

ឤ ᰁ ຊ ࡀ ప ࠸ ࡇ ࡜ ࢆ ⾲ ࡋ

, HBs

ᢠ య 㝧 ᛶ ࡣ

HBV

࡟ ᑐ ࡍ ࡿ ච ␿ ࢆ

⋓ ᚓ ࡋ ࡚ ࠸ ࡿ ࡇ ࡜ ࢆ ⾲ ࡍ

.

[ 6 ]

ࡑ ࡋ ࡚

, HBe

ᢠ ཎ ࡜

HBe

ᢠ య ࡣ ≉ Ṧ ࡞ 㛵 ಀ ࡟ ࠶ ࡿ ࡇ ࡜ ࡀ ▱ ࡽ ࢀ ࡚ ࠸ ࡿ

. HBe

ᢠ ཎ 㝧 ᛶ ࡢ 㝿 ࡟ ࡣ

HBe

ᢠ య ࡣ 㝧 ᛶ ࡟ ࡞ ࡽ ࡎ

, HBe

ᢠ ཎ ࡀ 㝜 ᛶ ࡟ ࡞ ࡗ ࡓ ᚋ ࡟

HBe

ᢠ య ࡣ 㝧 ᛶ ࡜ ࡞ ࡿ

.

ࡇ ࡢ ⌧ ㇟ ࡢ ࡇ ࡜ ࢆ ࢭ ࣟ ࢥ ࣥ ࣂ ࣮ ࢪ ࣙ ࣥ ࡜ ࿧ ࡪ

.

ඛ ㏙ ࡋ ࡓ ࡼ ࠺ ࡟

, HBe

ᢠ ཎ 㝧 ᛶ ࡣ

HBV

ࡀ ά Ⓨ ࡟ ቑ Ṫ ࡋ ࡚ ࠸ ࡿ ࡇ ࡜ ࢆ ⾲ ࡋ

,

⫢ ⑓ ኚ ࡀ 㐍 ⾜ ࡋ ࡚ ࠸ ࡿ ࡇ ࡜ ࢆ ♧ ၀ ࡍ ࡿ

.

ࡑ ࡢ ࡓ ࡵ

,

ᣢ ⥆ ឤ ᰁ ⪅ ࡟ ࡜ ࡗ ࡚ ࢭ

ࣟ ࢥ ࣥ ࣂ ࣮ ࢪ ࣙ ࣥ ࡀ ࠸ ࠿ ࡟ ᪩ ࡃ ⏕ ࡌ ࡿ ࠿ ࡀ ண ᚋ ࢆ ᨵ ၿ ࡍ ࡿ ୖ ࡛

,

㠀 ᖖ ࡟ 㔜 せ ࡜ ࡞ ࡿ

.

[ 4 ] ,[ 6] ,[11] -[ 14 ]

ࡍ ࡞ ࢃ ࡕ

, HBV

࡟ ឤ ᰁ ࡋ ࡓ ሙ ྜ

,

᪩ ᮇ ࡟ ᳨ ᰝ ࢆ ⾜ ࠸

,

㐺 ࡋ ࡓ ἞ ⒪ ࢆ ⾜ ࠺ ࡇ ࡜ ࡀ ᝈ ⪅ ࡢ

QOL

ྥ ୖ ࡟ ࠾ ࠸ ࡚ 㠀 ᖖ ࡟ 㔜 せ ࡜ ࡞ ࡿ

.

(11)

4

3

HBV

ឤ ᰁ ⑕ ἞ ⒪

⌧ ᅾ

, HBV

ឤ ᰁ ⑕ ࡢ ἞ ⒪ ࡟ ࡣ

NAs (

᰾ 㓟 ࢔ ࢼ ࣟ ࢢ

)

IFN (

࢖ ࣥ ࢱ ࣮ ࣇ ࢙

ࣟ ࣥ

)

〇 ๣ ࡀ ౑ ⏝ ࡉ ࢀ ࡚ ࠸ ࡿ

.

ᮏ 㑥 ࡛ ࡣ ᭱ ึ ࡟

IFN

〇 ๣ ࡢ ౑ ⏝ ࡀ 㛤 ጞ ࡉ ࢀ

.

ࡋ ࠿ ࡋ ࡞ ࡀ ࡽ

, IFN

〇 ๣ ࡣ ᢞ ୚ ⤒ ㊰ ࡀ ⓶ ୗ ὀ ᑕ ࡜ ࡞ ࡗ ࡚ ࡋ ࡲ ࠺ ௚

,

๪ స

⏝ ࡀ ከ ᒱ ࡟ ࢃ ࡓ ࡾ

,

㛫 ㉁ ᛶ ⫵ ⅖ ࡞ ࡝ ࡢ 㔜 ⠜ ࡞ ๪ స ⏝ ࡶ ሗ ࿌ ࡉ ࢀ ࡚ ࠸ ࡓ

.

[ 1 5 ]

ࡑ ࡢ ࡓ ࡵ

,

๪ స ⏝ ࡀ ẚ ㍑ ⓗ ᑡ ࡞ ࡃ

,

⤒ ཱྀ ᢞ ୚ ࡀ ྍ ⬟ ࡞ ἞ ⒪ ⸆ ࡀ ᮃ ࡲ ࢀ ࡚

࠸ ࡓ

.

ࡇ ࠺ ࡋ ࡓ ୰

, HIV (ࣄ ࢺ ච ␿ ୙ ඲ ࢘ ࢖ ࣝ ࢫ )

࡟ ᑐ ࡋ ࡚ ౑ ⏝ ࡉ ࢀ ࡚ ࠸ ࡓ

NAs

࡛ ࠶ ࡿ

LAM (1)

HBV

ࡢ ㏫ ㌿ ෗ ࢆ 㜼 ᐖ ࡍ ࡿ ࡇ ࡜ ࡀ Ⓨ ぢ ࡉ ࢀ

,

ᮏ 㑥 ࡛

2000

ᖺ ࠿ ࡽ

LAM

ࡢ ౑ ⏝ ࡀ 㛤 ጞ ࡉ ࢀ ࡓ

.

ࡋ ࠿ ࡋ

, LAM

ࡣ 㛗 ᮇ ᢞ ୚ ࡀ ᚲ せ

࡛ ࠶ ࡾ

,

ࡑ ࡢ ⤖ ᯝ

,

⪏ ᛶ ᰴ ࡢ ฟ ⌧ ࡟ క ࠺ ࣈ ࣞ ࢖ ࢡ ࢫ ࣝ ࣮ ࡀ ሗ ࿌ ࡉ ࢀ ࡓ

.

[ 1 6]

ࡑ ࡢ ᚋ

, ADV ( 2)

ࡢ ౑ ⏝ ࡀ

2004

ᖺ ࡟ 㛤 ጞ ࡉ ࢀ

, ADV

LAM

⪏ ᛶ ᰴ ࡟ ᑐ ࡋ

࡚ ࡶ ᭷ ຠ ࡛ ࠶ ࡗ ࡓ

.

[ 1 7 ] ࡉ ࡽ ࡟

LAM

⪏ ᛶ ᰴ ࡟ ᑐ ࡋ

, LAM

ADV

ࢆ ే ⏝ ࡍ ࡿ ࡇ ࡜ ࡛

,

ࡼ ࡾ 㧗 ࠸ ᢠ

HBV

ຠ ᯝ ࢆ Ⓨ ᥹ ࡋ

,

୧ ๣ ࡟ ᑐ ࡍ ࡿ ⪏ ᛶ ᰴ ࡢ ฟ ⌧ ࣜ ࢫ ࢡ ࡀ ప ୗ ࡍ ࡿ ࡇ ࡜ ࡀ ሗ ࿌ ࡉ ࢀ ࡓ

.

[ 1 8 ] -[ 1 9] ࡋ ࠿ ࡋ ࡞ ࡀ ࡽ

, ADV

ࡢ ๪ స ⏝ ࡜ ࡋ ࡚

⭈ 㞀 ᐖ ࡀ ☜ ㄆ ࡉ ࢀ ࡚ ࠾ ࡾ

,

⭈ ᶵ ⬟ ࡀ ప ୗ ࡋ ࡚ ࠸ ࡿ ሙ ྜ

,

ᢞ ୚ 㔞 ࢆ ㄪ ᩚ ࡍ ࡿ ᚲ せ ࡀ ࠶ ࡗ ࡓ

.

[ 2 0 ] ࡑ ࡢ ᚋ

, 2006

ᖺ ࡟ ⌧ ᅾ ࡢ ➨ ୍ 㑅 ᢥ ⸆ ࡛ ࠶ ࡿ

ETV (3 )

ࡢ ౑

⏝ ࡀ 㛤 ጞ ࡉ ࢀ ࡓ

. ETV

ࡣ ༢ ๣ ࡛ 㠀 ᖖ ࡟ ᢠ

HBV

ά ᛶ ࡀ 㧗 ࡃ

, 0.5 mg/day

࡜ ࠸

࠺ ᴟ ᚤ 㔞 ࡛ ᙉ ຊ ࡟

HBV

ࡢ ቑ Ṫ ࢆ ᢚ ไ ࡍ ࡿ

(LAM:100 mg/day, ADV:10 mg/day).

ࡉ ࡽ ࡟

, ETV

ࡣ ⪏ ᛶ ᰴ ࡀ ฟ ⌧ ࡋ ࡟ ࡃ ࡃ

,

๪ స ⏝ ࡀ 㠀 ᖖ ࡟ ᑡ ࡞ ࠸ ࡜

࠸ ࠺ ඃ ࢀ ࡓ ≉ 㛗 ࡀ ࠶ ࡿ

.

ࡓ ࡔ ࡋ

,

⪏ ᛶ ᰴ ࡀ ⏕ ࡌ ࡟ ࡃ ࠸ ࡢ ࡣ

ETV

HBV

ᰁ ⑕ ἞ ⒪ ࡢ ึ ᮇ ࠿ ࡽ ౑ ⏝ 㛤 ጞ ࡋ ࡓ ሙ ྜ ࡛ ࠶ ࡾ

,

᪤ ࡟

LAM

࡛ ἞ ⒪ ࢆ 㛤 ጞ ࡋ

, LAM

⪏ ᛶ ᰴ ࡀ ⏕ ࡌ ࡚ ࠸ ࡿ ≧ ែ ࡛ 㛗 ᮇ ᢞ ୚ ࢆ ⾜ ࡗ ࡓ ሙ ྜ

, ETV

⪏ ᛶ ᰴ ࡢ ฟ ⌧ ࡀ ☜ ㄆ ࡉ ࢀ ࡚ ࠸ ࡿ

.

[ 2 1 ] ࡑ ࡢ ᚋ

, TDF (4 )

2014

ᖺ ࡟ ౑ ⏝ ࡀ 㛤 ጞ ࡉ ࢀ ࡓ ࡀ

, TDF

ࡣ ⫢ ⮚ ࡬ ࡢ ྾ ཰ ຠ ⋡ ࡀ ᝏ ࡃ

, 300 mg/day

ࡢ ᢞ ୚ ࡀ ᚲ せ ࡛ ࠶ ࡗ ࡓ

.

[ 2 2 ] ࡢ ㄢ 㢟 ࢆ ゎ Ỵ ࡍ ࡿ ࡓ ࡵ

, Tenofovir

ࢆ ࣍ ࢫ ࣍ ࣥ ࢔ ࣑ ࢹ ࣮ ࢺ ࡛ ಟ 㣭 ࡋ ࡓ

TAF (5)

ࡀ 㛤 Ⓨ ࡉ ࢀ

, 2017

ᖺ ࡟ ౑ ⏝ ࡀ 㛤 ጞ ࡉ ࢀ ࡓ

. TAF

TDF

ࡼ ࡾ ࡶ ⫢ ⮚ ࡟ ຠ ⋡ ⓗ

࡟ ྲྀ ࡾ ㎸ ࡲ ࢀ ࡿ ࡓ ࡵ

, 25 mg/day

ࡢ ᢞ ୚ ࡛

TDF

࡜ ྠ ➼ ࡢ ຠ ᯝ ࢆ ♧ ࡍ

.

[ 2 3 ] ࡢ ࡓ ࡵ ⾑ ୰ ⃰ ᗘ ࢆ ప ࡃ ᢚ ࠼ ࡿ ࡇ ࡜ ࡀ ྍ ⬟ ࡛ ࠶ ࡾ

,

๪ స ⏝ ࡢ ప ῶ ࡀ ᮇ ᚅ ࡉ ࢀ

࡚ ࠸ ࡿ

. (Fig.2)

(12)

5

᭱ ㏆ ሗ ࿌ ࡉ ࢀ ࡓ ᪂ つ

NAs

࡜ ࡋ ࡚ ࡣ

,

ࢩ ࢡ ࣟ ࣉ ࣟ ࣃ ࣥ ⎔ ࡢ ᑟ ධ ࡟ ࡼ ࡾ

,

ࢩ ࢡ ࣟ ࢾ ࢡ ࣞ ࢜ ࢩ ࢻ ࡢ 㓄 ᗙ ᅛ ᐃ ໬ ࢆ ⾜ ࡗ ࡚ ᢠ ࢘ ࢖ ࣝ ࢫ ά ᛶ ࢆ ቑ ᙉ ࡋ ࡓ

Besifovir dipivoxil ( 6 )

[ 2 4 ] -[ 2 5]

2019

ᖺ ࠿ ࡽ 㡑 ᅜ ࡛ ౑ ⏝ 㛤 ጞ ࡉ ࢀ ࡚ ࠸ ࡿ

.

ࡽ ࡟

, NAs

IFN

࡜ ␗ ࡞ ࡿ స ⏝ ᶵ ᗎ ࢆ ᣢ ࡘ ᢠ

HBV

⸆ ࡢ 㛤 Ⓨ ࡀ 㐍 ࢇ ࡛ ࠸

.

[ 2 6 ] ᚋ ㏙ ࡍ ࡿ

NTCP

ཷ ᐜ య ࡬ ࡢ

Dane

⢏ Ꮚ ࡢ ⤖ ྜ ࢆ 㜼 ᐖ ࡍ ࡿ

Myrcludex-

B

2019

ᖺ ࠿ ࡽ

Phase2

ࡢ ⮫ ᗋ ヨ 㦂 ࡀ ⾜ ࢃ ࢀ ࡚ ࠸ ࡿ

.

[ 2 7 ] -[ 2 9] ࡉ ࡽ ࡟

, HBV

ࣉ ࢩ ࢻ 㔜 ྜ ࢆ 㜼 ᐖ ࡍ ࡿ

Morphothiadine (7 )

[ 3 0 ]

HBV DNA

㌿ ෗ ᅉ Ꮚ ࢆ 㜼 ᐖ ࡍ ࡿ

Nitazoxanide ( 8)

[ 3 1 ] -[ 3 3]

2019

ᖺ ࠿ ࡽ

Phase2

ࡢ ⮫ ᗋ ヨ 㦂 ࡀ 㐍 ⾜ ୰ ࡛ ࠶

. (Fig.3)

(13)

6

2⠇ HBV

1㡯 HBV

ࡢ ࣛ ࢖ ࣇ ࢧ ࢖ ࢡ ࣝ

HBV

ࡣ ࣊ ࣃ ࢻ ࢼ ࢘ ࢖ ࣝ ࢫ ⛉ ࡟ ᒓ ࡋ ࡚ ࠾ ࡾ

, HBV

ࣅ ࣜ ࢜ ࣥ ࡣ

Dane

⢏ Ꮚ ࡜

࿧ ࡤ ࢀ ࡚ ࠸ ࡿ

. Dane

⢏ Ꮚ ࡣ

3.2kbp

ࡢ ୙ ᏶ ඲ ࡞ ஧ ᮏ 㙐

DNA (relaxed circular DNA, rcDNA)

ࡀ ࢾ ࢡ ࣞ ࢜ ࢝ ࣉ ࢩ ࢻ ࡟ ᑒ ධ ࡉ ࢀ

,

ࡉ ࡽ ࡟ ࡑ ࡢ ࿘ ᅖ ࢆ ࢚ ࣥ ࣋

ࣟ ࣮ ࣉ ࡀ そ ࡗ ࡓ ᵓ 㐀 ࢆ ࡋ ࡚ ࠸ ࡿ

.

[ 3 4 ]

HBV

1964

ᖺ ࡟ Ⓨ ぢ ࡉ ࢀ ࡚ ࠿ ࡽ 㛗 ࠸ ᮇ 㛫

, HBV

࡟ ឤ ᰁ ࡍ ࡿ ᇵ 㣴 ⣽ ⬊ ࡀ

࡞ ࠿ ࡗ ࡓ ࡓ ࡵ

,

◊ ✲ ࡀ 㜼 ࡲ ࢀ ࡚ ࠸ ࡓ

.

ࡋ ࠿ ࡋ ࡞ ࡀ ࡽ

, 2012

ᖺ ࡟

HBV

ࡀ ⫢ ⣽

⬊ ࡟ ౵ ධ ࡋ

,

ឤ ᰁ ࢆ ᡂ ❧ ࡉ ࡏ ࡿ ࡓ ࡵ ࡢ ཷ ᐜ యࠕ

NTCP (Na

+౫ Ꮡ ᛶ ⫹ Ồ 㓟 ࢺ ࣛ

ࣥ ࢫ ࣏ ࣮ ࢱ ࣮

)ࠖ ࡀ Ⓨ ぢ ࡉ ࢀ ࡓ .

[ 3 5 ] ࡇ ࡢ ࡇ ࡜ ࡟ ࡼ ࡾ

, NTCP

ࢆ Ⓨ ⌧ ࡋ ࡓ ⣽ ⬊

ᰴ ࡀ ᶞ ❧ ࡉ ࢀ

,

HBV

ά ᛶ ࢆ ᭷ ࡍ ࡿ ໬ ྜ ≀ ࡢ ࢫ ࢡ ࣜ ࣮ ࢽ ࣥ ࢢ ࡸ ヲ ⣽ ࡞

HBV

ቑ Ṫ 㐣 ⛬ ࡢ ◊ ✲ ࡀ ྍ ⬟ ࡜ ࡞ ࡾ

, HBV

࡟ 㛵 ࡍ ࡿ ◊ ✲ ࡣ ᛴ ㏿ ࡟ Ⓨ ᒎ ࡋ

.

[ 3 6 ] -[ 3 7]

HBV

ࡣ ≉ ␗ ࡞ ࣛ ࢖ ࣇ ࢧ ࢖ ࢡ ࣝ ࢆ ᙧ ᡂ ࡋ ࡚ ࠸ ࡿ ࡇ ࡜ ࡀ ▱ ࡽ ࢀ ࡚ ࠾ ࡾ

, Dane

⢏ Ꮚ ࡣ

NTCP

࡟ ᥋ ╔ ࡋ

( Fig.4,

ձ

),

౵ ධ ࡍ ࡿ

( Fig.4,

ղ

).

ࡑ ࡢ ᚋ

,

⬺ Ẇ ࢆ

⤒ ࡚

rcDNA

ࡀ ᰾ ෆ ࡬ ࡜ ⛣ ⾜ ࡍ ࡿ

(Fig.4,

ճ

).

᰾ ෆ ࡟ ⛣ ⾜ ࡋ ࡓ

rcDNA

ࡣ ᐟ

୺ ࡢ ᣢ ࡘ 㓝 ⣲ ࡟ ࡼ ࡗ ࡚

covalently closed circular DNA (cccDNA)

࡜ ࿧ ࡤ ࢀ ࡿ

(14)

7

㠀 ᖖ ࡟ Ᏻ ᐃ ࡞

DNA

࡬ ࡜ ኚ ᥮ ࡉ ࢀ ࡿ

( Fig.4,

մ

).

ࡑ ࡢ ᚋ

, cccDNA

࠿ ࡽ ᐟ ୺

DNA

౫ Ꮡ ᛶ

RNA

࣏ ࣜ ࣓ ࣛ ࣮ ࢮ ࡟ ࡼ ࡗ ࡚

3.5 kb

pgRNA

࡜ ࿧ ࡤ ࢀ ࡿ

mRNA

࡬ ㌿ ෗ ࡉ ࢀ ࡿ

( Fig.4,

յ

).

ࡉ ࡽ ࡟

cccDNA

࠿ ࡽ ࡢ ㌿ ෗ ࡛ ࡣ

, pgRNA

࡟ ຍ ࠼

, 3

✀ 㢮 ࡢ

mRNA

ࡀ ㌿ ෗ ࡉ ࢀ

, mRNA

࠿ ࡽ ㏫ ㌿ ෗ 㓝 ⣲ ࡸ ࢝ ࣉ ࢩ ࢻ ➼ ࡢ

࢘ ࢖ ࣝ ࢫ ⏤ ᮶ ࡢ ࢱ ࣥ ࣃ ࢡ ㉁ ࡀ ⩻ ヂ ࡉ ࢀ ࡿ

(Fig.4,

ն

).

ࡑ ࡢ ᚋ

, pgRNA

ࡣ ⩻ ヂ ࡉ ࢀ ࡓ ࢝ ࣉ ࢩ ࢻ ෆ ࡟ ᑒ ධ ࡉ ࢀ

( Fig.4,

շ

),

࢝ ࣉ ࢩ ࢻ ෆ ࡟ Ꮡ ᅾ ࡍ ࡿ ㏫ ㌿ ෗ 㓝 ⣲ ࡟ ࡼ ࡗ ࡚ ㏫ ㌿ ෗ ࢆ ཷ ࡅ

rcDNA

ࡀ ྜ ᡂ ࡉ ࢀ ࡿ

(Fig.4,

ո

). rcDNA

ࢆ ྵ

ࡴ ࢾ ࢡ ࣞ ࢜ ࢝ ࣉ ࢩ ࢻ ࡣ

,

࢚ ࣥ ࣋ ࣟ ࣮ ࣉ ࢆ ᙧ ᡂ ࡋ ࡘ ࡘ

Dane

⢏ Ꮚ ࡜ ࡞ ࡾ ⬺ 㞳 ࡍ ࡿ

( Fig.4 ,

չ

).

ࡇ ࡢ

cccDNA

࠿ ࡽ ࡢ ୍ 㐃 ࡢ ὶ ࢀ

( Fig.4 ,

յ

-չ )

ࢆ ⧞ ࡾ ㏉ ࡍ ࡇ ࡜ ࡛

HBV

ࡣ ቑ Ṫ ࡍ ࡿ

.

[ 3 8 ] -[ 4 1 ] ࡑ ࡢ ࡓ ࡵ

, B

ᆺ ⫢ ⅖ ࢆ ᰿ ἞ ࡍ ࡿ ࡟ ࡣ

cccDNA

ࢆ ᤼ 㝖 ࡍ ࡿ ᚲ せ ࡀ ࠶ ࡿ ࡀ

, cccDNA

ࡢ ᤼ 㝖 ࡣ ᅔ 㞴 ࡛ ࠶ ࡾ

,

⌧ ᅾ ࡢ ἞

⒪ ἲ ࡛ ࡣ

HBV

ࡢ ቑ Ṫ ࢆ ᢚ ไ ࡍ ࡿ ࡟ ࡜ ࡝ ࡲ ࡗ ࡚ ࠸ ࡿ

.

(15)

8

2

㡯 ⸆⸆ ๣ ⪏ ᛶ

HBV

๓ 㡯 ࡛ ♧ ࡋ ࡓ ࡼ ࠺ ࡟

HBV

ࡣ ㏫ ㌿ ෗ ࢆ ⾜ ࠺ ࡓ ࡵ

,

㑇 ఏ Ꮚ ኚ ␗ ࡀ ⏕ ࡌ ࡸ ࡍ

.

ࡋ ࡓ ࡀ ࡗ ࡚

,

㑇 ఏ Ꮚ ኚ ␗ ࢆ ㏻ ࡌ ࡚ ⸆ ๣ ⪏ ᛶ ᰴ ࡀ ฟ ⌧ ࡋ ࡸ ࡍ ࡃ

,

≉ ࡟

, NAs

࡟ ᑐ ࡍ ࡿ ⸆ ๣ ⪏ ᛶ ᰴ ࡢ ฟ ⌧ ࡀ ၥ 㢟 ࡜ ࡞ ࡗ ࡚ ࠸ ࡿ

. NAs

HBV

ࡢ ㏫ ㌿

෗ ࡢ 㐣 ⛬ ࢆ 㜼 ᐖ ࡍ ࡿ ࡇ ࡜ ࡛ ᢠ

HBV

స ⏝ ࢆ ♧ ࡍ ࡀ

,

ࡇ ࡢ స ⏝ ࡣ

HBV

ࡢ ቑ Ṫ

ࢆ ᢚ ไ ࡍ ࡿ ࡶ ࡢ ࡛ ࠶ ࡾ

,

᰿ ἞ ࡟ ࡣ ⮳ ࡽ ࡞ ࠸

.

ࡑ ࡢ ࡓ ࡵ

, NAs

ࡢ ౑ ⏝ ࢆ ୰ Ṇ ࡋ ࡓ ሙ ྜ

,

෌ ࡧ

HBV

ࡀ ቑ Ṫ ࡋ

,

἞ ⒪ ๓ ࡢ ≧ ែ ࡟ ᡠ ࡿ ࡇ ࡜ ࡀ ሗ ࿌ ࡉ ࢀ ࡚ ࠸ ࡿ

.

ࡇ ࡢ ࡇ ࡜ ࠿ ࡽ 㛗 ᮇ ⓗ ࡞ ண ᚋ ᨵ ၿ ࡢ ࡓ ࡵ ࡟

NAs

ࡢ ᢞ ୚ ࡣ ཎ ๎ ࡜ ࡋ ࡚ ୰ Ṇ ࡏ

,

⥅ ⥆ ᢞ ୚ ࡟ ࡼ ࡗ ࡚

HBV

ࡢ ቑ Ṫ ࢆ ᢚ ไ ࡋ ⥆ ࡅ ࡿ ᚲ せ ࡀ ࠶ ࡿ

.

[ 4 2 ] ࡋ ࠿ ࡋ

࡞ ࡀ ࡽ

,

㛗 ᮇ ᢞ ୚ ࡣ ⸆ ๣ ⪏ ᛶ ᰴ ࡢ ฟ ⌧ ࣜ ࢫ ࢡ ࢆ 㧗 ࡵ ࡚ ࡋ ࡲ ࠸

,

⸆ ๣ ⪏ ᛶ ᰴ ࡀ ฟ ⌧ ࡋ ࡓ ሙ ྜ

,

ࣈ ࣞ ࢖ ࢡ ࢫ ࣝ ࣮ ࢆ ᘬ ࡁ ㉳ ࡇ ࡍ

.

⸆ ๣ ⪏ ᛶ ⋓ ᚓ ࡢ ᶵ ᗎ ࡟ 㛵 ࡍ ࡿ ◊ ✲ ࡣ ┒ ࢇ ࡟ ࠾ ࡇ ࡞ ࢃ ࢀ ࡚ ࠾ ࡾ

, NAs

࡟ ᑐ ࡍ ࡿ ⪏ ᛶ ᰴ ࡟ ࠾ ࠸ ࡚ ㏫ ㌿ ෗ 㓝 ⣲ ࡢ ࢔ ࣑ ࣀ 㓟 ኚ ␗ ⟠ ᡤ ࡀ ሗ ࿌ ࡉ ࢀ ࡚ ࠸ ࡿ

.

[ 4 1 ] -

[ 4 6] ᭱ ࡶ 㧗 ࠸ 㢖 ᗘ ࡛ ⏕ ࡌ ࡿ

LAM

⪏ ᛶ ᰴ ࡣ ㏫ ㌿ ෗ 㓝 ⣲ ࡢ

204

␒ ┠ ࡢ ࣓ ࢳ ࢜

ࢽ ࣥ ࡀ ࣂ ࣜ ࣥ ࡶ ࡋ ࡃ ࡣ ࢖ ࢯ ࣟ ࢖ ࢩ ࣥ ࡟ ኚ ␗ ࡋ

,

ࡉ ࡽ ࡟

180

␒ ┠ ࡢ ࣟ ࢖ ࢩ ࣥ ࡀ ࣓ ࢳ ࢜ ࢽ ࣥ ࡟ ኚ ␗ ࡍ ࡿ ࡇ ࡜ ࡛ ⏕ ࡌ ࡿ

.

[ 4 1 ] , [4 2 ] ࡉ ࡽ ࡟

, LAM

⪏ ᛶ ᰴ ࡣ

ETV

࡟ ᑐ ࡍ ࡿ ឤ ཷ ᛶ ࡀ ప ୗ ࡋ

,

㏫ ㌿ ෗ 㓝 ⣲ ࡢ

184

␒ ┠ ࢺ ࣞ ࢜ ࢽ ࣥ

, 202

␒ ┠ ࡢ ࢭ

ࣜ ࣥ ࡶ ࡋ ࡃ ࡣ

250

␒ ┠ ࡢ ࣓ ࢳ ࢜ ࢽ ࣥ ࡀ ኚ ␗ ࡍ ࡿ ࡇ ࡜ ࡛

ETV

࡟ ᑐ ࡍ ࡿ ⸆ ๣

⪏ ᛶ ࢆ ⋓ ᚓ ࡍ ࡿ ࡇ ࡜ ࡀ ሗ ࿌ ࡉ ࢀ ࡚ ࠸ ࡿ

.

[ 4 5 ] ࡲ ࡓ

, TDF

ཬ ࡧ

TAF

࡟ ᑐ ࡋ ࡚ ⪏ ᛶ ࢆ ⋓ ᚓ ࡋ ࡓ ⑕ ౛ ࡢ ሗ ࿌ ࡣ ᑡ ࡞ ࠸ ࡶ ࡢ ࡢ

, LAM

ཬ ࡧ

ETV

୧ ๣ ⪏ ᛶ ࢘ ࢖ ࣝ ࢫ ࡟ ᑐ ࡋ ࡚

TDF

ࡢ ᢞ ୚ ୰ ࡟ ⸆ ๣ ⪏ ᛶ ᰴ ࡢ ฟ ⌧ ࢆ ㉳ ࡇ ࡋ ࡓ ⑕ ౛ ࡀ ሗ ࿌ ࡉ ࢀ

.

[ 4 6 ]

ࡇ ࡢ ࡼ ࠺ ࡟

,

⸆ ๣ ⪏ ᛶ ᰴ ࡢ ฟ ⌧ ࡣ ἞ ⒪ ࡟ ౑ ⏝ ࡛ ࡁ ࡿ ⸆ ๣ ࡢ 㑅 ᢥ ⫥ ࡀ ᑡ ࡞ ࡃ ࡞ ࡗ ࡚ ࡋ ࡲ ࠺ ࡇ ࡜ ࠿ ࡽ

, HBV

ឤ ᰁ ⪅ ࡢ ண ᚋ ࡟ ┤ ⤖ ࡍ ࡿ ၥ 㢟 ࡛ ࠶ ࡿ

.

ࡑ ࡢ ࡓ ࡵ

,

⸆ ๣ ⪏ ᛶ ᰴ ࡟ ᑐ ࡋ ࡚ ࡶ ຠ ᯝ ࢆ ♧ ࡋ

,

࠿ ࡘ

,

ᙉ ຊ ࡞ ᢠ

HBV

స ⏝ ࡟ ࡼ ࡗ

࡚ ⸆ ๣ ⪏ ᛶ ࡢ ⋓ ᚓ ࢆ チ ࡉ ࡎ

,

ప ⣽ ⬊ ẘ ᛶ ࡢ ᪂ つ

NAs

ࡢ 㛤 Ⓨ ࡀ ồ ࡵ ࡽ ࢀ ࡚ ࠸

.

(16)

9

3⠇ NAs

1㡯 ⌧

⌧ ᅾ ᢎ ㄆ ࡉ ࢀ ࡚ ࠸ ࡿ

NAs

ࡢ ≉ ᚩ

NAs

HBV

ࡢ ࣛ ࢖ ࣇ ࢧ ࢖ ࢡ ࣝ ࡟ ࠾ ࠸ ࡚

pgRNA

࠿ ࡽ

rcDNA

ࢆ ྜ ᡂ ࡍ ࡿ

㏫ ㌿ ෗ ࢆ 㜼 ᐖ ࡍ ࡿ

.

㏫ ㌿ ෗ ࡣ ࣄ ࢺ ࡢ ⣽ ⬊ ࡛ ࡣ ࡯ ࡜ ࢇ ࡝ ⾜ ࢃ ࢀ ࡚ ࠸ ࡞ ࠸ ࡓ ࡵ

,

㏫ ㌿ ෗ ࢆ 㜼 ᐖ ࡍ ࡿ ࡇ ࡜ ࡛ ṇ ᖖ ࡞ ⣽ ⬊ ࡢ ά ື ࢆ ᐖ ࡍ ࡿ ࡇ ࡜ ࡞ ࡃ

, HBV

ࡢ ࣛ ࢖

ࣇ ࢧ ࢖ ࢡ ࣝ ࡢ ࡳ ࢆ 㜼 ᐖ ࡛ ࡁ ࡿ

.

ࡲ ࡓ

,

㏫ ㌿ ෗ 㓝 ⣲ ࡣ ୍ ⯡ ⓗ ࡞

DNA

࣏ ࣜ ࣓ ࣛ

࣮ ࢮ ࡜ ẚ ㍑ ࡋ ࡚ ᇶ ㉁ ≉ ␗ ᛶ ࡀ ప ࠸ ࡇ ࡜ ࡀ ▱ ࡽ ࢀ ࡚ ࠸ ࡿ

.

[ 4 7 ] -[ 48 ] ࡇ ࡢ ࡇ ࡜ ࡣ

,

㏫ ㌿ ෗ 㓝 ⣲ ࡀ ࢾ ࢡ ࣞ ࢜ ࢳ ࢻ ࡟ 㢮 ఝ ࡋ ࡚ ࠸ ࡿ ໬ ྜ ≀ ࢆ ㄗ ࡗ ࡚ ྲྀ ࡾ ㎸ ࡳ

, DNA

ෆ ࡟ ⤌ ࡳ ㎸ ࡴ ࡇ ࡜ ࢆ ♧ ၀ ࡍ ࡿ

.

NAs

ࡣ ⣽ ⬊ ࡟ ྲྀ ࡾ ㎸ ࡲ ࢀ ࡓ ᚋ ࡟ ୕ ࣜ ࣥ 㓟 య

(

ࡶ ࡋ ࡃ ࡣ ஧ ࣜ ࣥ 㓟 య

)

࡜ ࡞ ࡗ ࡚ స ⏝ ࢆ ♧ ࡍ

.

ࣜ ࣥ 㓟 ໬ ࡉ ࢀ ࡓ

NAs

dATP, dGTP, dCTP, TTP

ࡢ ࠸ ࡎ ࢀ

࠿ ࡜ ➇ ྜ ࡋ ࡚ ㏫ ㌿ ෗ 㓝 ⣲ ࡟ ྲྀ ࡾ ㎸ ࡲ ࢀ

, HBV DNA

࡟ ⤌ ࡳ ㎸ ࡲ ࢀ ࡿ

. DNA

⤌ ࡳ ㎸ ࡲ ࢀ ࡓ

NAs

5 ′

࠿ ࡽ

3 ′

᪉ ྥ ࡬ ࡢ

DNA

ఙ 㛗 ࢆ 㜼 ᐖ ࡍ ࡿ

. (Fig.5 )

ࡇ ࡢ ࡼ ࠺ ࡟ ㏫ ㌿ ෗ 㓝 ⣲ ࢆ 㜼 ᐖ ࡋ ࡚ ᢠ ࢘ ࢖ ࣝ ࢫ స ⏝ ࢆ ♧ ࡍ

NAs

, HIV

(17)

10

⒪ ࡢ ศ 㔝 ࡟ ࠾ ࠸ ࡚ ኱ ࡁ ࡃ ◊ ✲ 㺃㛤 Ⓨ ࡀ 㐍 ᒎ ࡋ ࡚ ࡁ ࡓ

. 1985

,

ᙜ ᫬ ࡣ ୙ ἞ ࡢ

⑓ ࡛ ࠶ ࡗ ࡓ

HIV

ឤ ᰁ ⑕ ࡟ ᑐ ࡋ ࡚ ᭱ ึ ࡢ

NAs

࡛ ࠶ ࡿ

AZT ( 9)

ࡀ ‶ ᒇ ࡽ ࡟ ࡼ ࡗ ࡚ 㛤 Ⓨ ࡉ ࢀ

, HIV

ឤ ᰁ ⑕ ࡢ ண ᚋ ࡣ ๻ ⓗ ࡟ ᨵ ၿ ࡋ ࡓ

.

[ 4 9 ] -[ 5 0] ࡑ ࡢ ᚋ

, AZT

ᵓ 㐀 ⓗ ≉ ᚩ ࠿ ࡽ ከ ࡃ ࡢ

NAs

ࡀ 㛤 Ⓨ ࡉ ࢀ

, HIV

ࡢ Ṛ ஸ ⋡ ࡣ 㢧 ⴭ ࡟ ప ୗ ࡋ ࡓ

. HIV

἞ ⒪ ࡟ 㐺 ᛂ ࡀ ࠶ ࡿ ௦ ⾲ ⓗ ࡞

NAs

Fig.6

࡟ ࡲ ࡜ ࡵ ࡓ

.

᭱ ึ ࡟ 㛤 Ⓨ ࡉ ࢀ ࡓ

AZT

ࡣ ࢳ ࣑ ࢪ ࣥ ࡢ

3 ′఩ ࡢ Ỉ 㓟 ᇶ ࢆ ࢔ ࢪ ࢻ ᇶ ࡟ ⨨ ᥮ ࡋ

NAs

࡛ ࠶ ࡿ

. AZT

HIV

ࡀ ㏫ ㌿ ෗ ࡟ ࡼ ࡗ ࡚

DNA

ࢆ ఙ 㛗 ࡍ ࡿ 㝿

, TTP

➇ ྜ ࡋ ࡚ ㏫ ㌿ ෗ 㓝 ⣲ ࡟ ྲྀ ࡾ ㎸ ࡲ ࢀ

, HIV

DNA

࡟ ⤌ ࡳ ㎸ ࡲ ࢀ ࡿ

.

ࡑ ࡋ ࡚

,

ḟ ࡢ ఙ 㛗 ࡟ ࠾ ࠸ ࡚

, 3′

఩ ࡢ Ỉ 㓟 ᇶ ࡀ Ꮡ ᅾ ࡋ ࡞ ࠸ ࡓ ࡵ

DNA

ࡢ ఙ 㛗 ࡀ ೵ Ṇ ࡋ

,

㏫ ㌿ ෗ ࡀ 㜼 ᐖ ࡉ ࢀ ࡿ

.

[ 5 1 ] ࡇ ࡢ 㜼 ᐖ ᙧ ᘧ ࡣ

AZT

௨ 㝆 ࡢ

NAs

࡟ ࠾ ࠸ ࡚ ࡶ ⏝ ࠸

ࡽ ࢀ ࡚ ࠾ ࡾ

, ddI (10 )

ࡣ ࢖ ࣀ ࢩ ࣥ ࡢ

2′

఩ ࡜

3′఩ ࡢ Ỉ 㓟 ᇶ ࡀ Ỉ ⣲ ࡟ ⨨ ᥮ ࡉ ࢀ

NAs

࡛ ࠶ ࡿ

. ddI

ࡣ ⣽ ⬊ ෆ ࡟ ྲྀ ࡾ ㎸ ࡲ ࢀ ࡓ ᚋ

,

୕ ࣜ ࣥ 㓟 ໬ య ࡜ ࡞ ࡾ

,

ࡉ ࡽ

࡟ ⣽ ⬊ ෆ ࡢ 㓝 ⣲ ࡟ ࡼ ࡗ ࡚ ࣉ ࣜ ࣥ

6

఩ ࡀ ࢔ ࣑ ࣀ ᇶ ࡟ ⨨ ᥮ ࡉ ࢀ ࡚

ddATP

࡜ ࡞

. ddATP

dATP

࡜ ➇ ྜ ࡋ ࡚ ㏫ ㌿ ෗ 㓝 ⣲ ࡟ ྲྀ ࡾ ㎸ ࡲ ࢀ

, AZT

࡜ ྠ ᵝ ࡟

DNA

ࡢ ఙ 㛗 ࢆ ೵ Ṇ ࡋ ࡚ ㏫ ㌿ ෗ ࢆ 㜼 ᐖ ࡍ ࡿ

.

[ 5 2 ] ࡲ ࡓ

, ddC (11 )

ࡣ ࢹ ࢜ ࢟ ࢩ ࢩ ࢳ ࢪ

ࣥ ࡢ

3′఩ ࡢ Ỉ 㓟 ᇶ ࢆ Ỉ ⣲ ࡟ ⨨ ᥮ ࡋ ࡓ NAs

࡛ ࠶ ࡾ

,

ά ᛶ య ࡣ

dCTP

࡜ ➇ ྜ ࡋ

, DNA

ࡢ ఙ 㛗 ࢆ ೵ Ṇ ࡍ ࡿ

.

⥆ ࠸ ࡚ ౑ ⏝ ࡀ 㛤 ጞ ࡉ ࢀ ࡓ

2′,3 ′-endo-olefin

ᵓ 㐀 ࢆ

᭷ ࡍ ࡿ

d4T (12 )

TTP

࡜ ➇ ྜ ࡋ

, DNA

ఙ 㛗 ࢆ ೵ Ṇ ࡍ ࡿ

.

ࡲ ࡓ

,

ඛ ㏙ ࡋ ࡓ ࡼ ࠺ ࡟

HBV

࡟ ᑐ ࡋ ࡚ ౑ ⏝ ࡉ ࢀ ࡿ

NAs

࡛ ࠶ ࡿ

LAM

ADV, TDF, TAF

3′

఩ ࡟ ┦ ᙜ ࡍ ࡿ ఩ ⨨ ࡢ Ỉ 㓟 ᇶ ࢆ ᭷ ࡋ ࡚ ࠸ ࡞ ࠸ ࡓ ࡵ

, DNA

ఙ 㛗

ࢆ ᢚ ไ ࡋ

,

㏫ ㌿ ෗ 㜼 ᐖ స ⏝ ࢆ ♧ ࡍ

.

ࡋ ࠿ ࡋ

, ETV

3 ′఩ ࡟ ┦ ᙜ ࡍ ࡿ ఩ ⨨ ࡢ

Ỉ 㓟 ᇶ ࢆ ᭷ ࡋ ࡚ ࠸ ࡿ ࡟ ࡶ ࠿ ࠿ ࢃ ࡽ ࡎ ㏫ ㌿ ෗ 㜼 ᐖ స ⏝ ࢆ ᭷ ࡋ ࡚ ࠸ ࡿ

. ETV

㏫ ㌿ ෗ ࡟ ࡼ ࡗ ࡚

HBV

DNA

ෆ ࡟ ྲྀ ࡾ ㎸ ࡲ ࢀ ࡓ ᚋ

,

ᩘ ሷ ᇶ ఙ 㛗 ࡋ

, DNA

ఙ 㛗 ࡀ ೵ Ṇ ࡍ ࡿ

.

ࡇ ࡢ ࡇ ࡜ ࡣ

ETV

࡟ ࡼ ࡗ ࡚

DNA

ࡢ ❧ య 㓄 ᗙ ࡀ ኚ ໬ ࡋ

,

㌿ ෗ 㓝 ⣲ ࡀ ㄆ ㆑ ࡛ ࡁ ࡞ ࡃ ࡞ ࡿ ࡇ ࡜ ࡟ ㉳ ᅉ ࡍ ࡿ ࡜ ⪃ ࠼ ࡽ ࢀ ࡿ

.

[ 5 3 ] -[ 54 ]

(18)

11

ࡇ ࡢ

ETV

ࡢ ࡼ ࠺ ࡟

3 ′

఩ ࡢ Ỉ 㓟 ᇶ ࢆ ᭷ ࡍ ࡿ ࡟ ࡶ 㛵 ࢃ ࡽ ࡎ ㏫ ㌿ ෗ 㓝 ⣲ ࢆ 㜼 ᐖ ࡍ ࡿ

NAs

࡜ ࡋ ࡚

, 4 ′-

⨨ ᥮

NAs

ࡀ ▱ ࡽ ࢀ ࡚ ࠸ ࡿ

. 4′-

⨨ ᥮

NAs

,

ᙉ ࠸ ᢠ ࢘

࢖ ࣝ ࢫ స ⏝ ࢆ ♧ ࡋ

,

⸆ ๣ ⪏ ᛶ ᰴ ࡬ ࡢ ຠ ᯝ ࢆ ᭷ ࡋ ࡚ ࠸ ࡿ ໬ ྜ ≀ ࡀ ᩘ ከ ࡃ ሗ ࿌ ࡉ ࢀ ࡚ ࠸ ࡿ ࡇ ࡜ ࠿ ࡽ ὀ ┠ ࢆ 㞟 ࡵ ࡚ ࠸ ࡿ

.

2

4 ′-

⨨ ᥮

NAs

4 ′-⨨ ᥮ NAs

ࡣ ⢾ ࡢ

4 ′఩ ࡟ ࢚ ࢳ ࢽ ࣝ ᇶ ,

࢔ ࢪ ࢻ ᇶ ཬ ࡧ ࢩ ࢔ ࣀ ᇶ ࡞ ࡝ ࡢ ⨨ ᥮ ᇶ ࢆ ᑟ ධ ࡋ ࡓ ࢾ ࢡ ࣞ ࢜ ࢩ ࢻ ࡛ ࠶ ࡿ

. ( Fig.7)

⌧ ᅾ

,

Ḣ ⡿ ࡛ ᢠ

HIV

⸆ ࡜ ࡋ ࡚ ౑

⏝ ࡉ ࢀ ࡚ ࠸ ࡿ

Censavudine ( 13)

4′

఩ ࡟ ࢚ ࢳ ࢽ ࣝ ᇶ ࢆ ᣢ ࡘ

4′-

⨨ ᥮

NAs

࠶ ࡿ

.

ࡲ ࡓ

,

⌧ ᅾ

Phase2

ࡢ ⮫ ᗋ ヨ 㦂 ࡀ ⾜ ࢃ ࢀ ࡚ ࠸ ࡿ

Islatravir (14)

4′఩

࡟ ࢚ ࢳ ࢽ ࣝ ᇶ ࢆ ᭷ ࡍ ࡿ ࢾ ࢡ ࣞ ࢜ ࢩ ࢻ ࡛ ࠶ ࡾ

, 3′఩ ࡟ Ỉ 㓟 ᇶ ࢆ ᣢ ࡘ ࡟ ࡶ ࠿ ࠿

ࢃ ࡽ ࡎ

,

㏫ ㌿ ෗ 㓝 ⣲ 㜼 ᐖ స ⏝ ࢆ ♧ ࡍ

. 4′-

⨨ ᥮

NAs

◊ ✲ ࡢ Ṕ ྐ ࡣ

1956

ᖺ ࡟

Streptomyces calvus

࠿ ࡽ

Nucleocidin ( 15 )

ࡀ ༢ 㞳 ࡉ ࢀ ࡓ ࡇ ࡜ ࡟ ጞ ࡲ ࡿ

.

[ 5 5 ]

1971

ᖺ ࡟ ࡣ

Moffatt

ࡽ ࡟ ࡼ ࡗ ࡚

16

࠿ ࡽ

4′,5′- exo-olefin

ᵓ 㐀

17

ࢆ ⤒ ⏤ ࡋ

,

௜ ຍ ཯ ᛂ ࡟ ࡚

4 ′

఩ ࡟ ࣇ ࢵ ⣲ ࢆ ᑟ ධ ࡋ

18

࡜ ࡋ ࡓ ᚋ

,

ࡉ ࡽ ࡟ ᩘ ᕤ ⛬ ࢆ ⤒ ࡚

15

ࡢ ྜ ᡂ ࡀ 㐩 ᡂ ࡉ ࢀ ࡓ

. (Scheme 1)

[ 5 5 ]

(19)

12

ࡑ ࡢ ᚋ

, 1992

ᖺ ࡟ ࡣ

, Maag

ࡽ ࡟ ࡼ ࡗ ࡚

4 ′఩ ࡟ ࢔ ࢪ ࢻ ᇶ ࢆ ᑟ ධ ࡋ ࡓ 4 ′-

࢔ ࢪ

NAs (19 -22 )

ࡀ ྜ ᡂ ࡉ ࢀ

,

HIV

ά ᛶ ࡀ ぢ ฟ ࡉ ࢀ ࡓ

. (Table 2)

[ 5 6 ]

௨ 㝆

,

ᵝ ࠎ ࡞ ⨨ ᥮ ᇶ ࢆ ᣢ ࡘ

4′ -

⨨ ᥮

NAs

ࡢ ྜ ᡂ ཬ ࡧ

,

ᢠ ࢘ ࢖ ࣝ ࢫ ά ᛶ ࡢ ホ ౯ ࡀ ⾜ ࢃ ࢀ

, 4′

఩ ࡟ ࣇ ࣝ ࢜ ࣟ ࣓ ࢳ ࣝ ᇶ ࢆ ᭷ ࡍ ࡿ

23

ࡸ ࢺ ࣜ ࢔ ࢰ ࣮ ࣝ ᇶ ࢆ ᭷ ࡍ ࡿ

24 ,

࣓ ࢺ ࢟ ࢩ ᇶ ࢆ ᭷ ࡍ ࡿ

25,

ࢩ ࢔ ࣀ ᇶ ࢆ ᭷ ࡍ ࡿ

26 , 27

➼ ࡀ ᢠ

HIV

స ⏝ ࢆ ᣢ ࡘ ࡇ ࡜ ࡀ ሗ ࿌ ࡉ ࢀ ࡓ

. (Fig.8)

[ 5 6 ] -[ 6 1] ࡇ ࢀ ࡽ

4 ′-⨨ ᥮ NAs

3 ′఩ ࡟ Ỉ 㓟 ᇶ ࢆ

ᣢ ࡘ ࡟ ࡶ ࠿ ࠿ ࢃ ࡽ ࡎ

,

ᢠ ࢘ ࢖ ࣝ ࢫ ά ᛶ ࢆ ♧ ࡍ ᶵ ᗎ ࡣ

,

⢾ ࡢ ❧ య 㓄 ᗙ ࡢ ኚ ໬

࡟ ㉳ ᅉ ࡍ ࡿ ࡜ ⪃ ࠼ ࡽ ࢀ ࡿ

.

(20)

13

(21)

14

3

4 ′-

⨨ ᥮

NAs

ࡢ ❧ య 㓄 ᗙ

ࢾ ࢡ ࣞ ࢜ ࢩ ࢻ ࡟ ࠾ ࡅ ࡿ ⢾ ࡢ ❧ య 㓄 ᗙ ࡣ

C2 ′-endo/C3′- exo

(South

)

C2 ′- exo/C3 ′-endo

(North

)

ࡀ Ꮡ ᅾ ࡋ

,

❧ య 㞀 ᐖ ࡢ ኱ ࡁ ࠸ ሷ ᇶ 㒊 ࡀ ࢚ ࢡ

࢔ ࢺ ࣜ ࢔ ࣝ ఩ ࡜ ࡞ ࡿ

South

ᆺ ࡀ Ᏻ ᐃ ࡜ ࡞ ࡿ

.

ࡋ ࠿ ࡋ

, 4 ′

఩ ࡟ ࢔ ࢪ ࢻ ᇶ ࡸ ࢚ ࢳ ࢽ ࣝ ᇶ

,

ࢩ ࢔ ࣀ ᇶ ࢆ ᭷ ࡋ ࡚ ࠸ ࡿ ᵓ 㐀 ࡢ ሙ ྜ

, North

ᆺ ࡀ Ᏻ ᐃ ࡜ ࡞ ࡿ

. (Fig.9 )

4 ′-

⨨ ᥮

NAs

North

ᆺ 㓄 ᗙ ࢆ ࡜ ࡿ ሙ ྜ

,

ሷ ᇶ 㒊 ࡜

4 ′

఩ ࡢ ⨨ ᥮ ᇶ ࡀ ࡜ ࡶ ࡟

࢔ ࢟ ࢩ ࢔ ࣝ ఩ ࢆ ༨ ࡵ ࡿ ࡓ ࡵ

,

኱ ࡁ ࡞ ❧ య ཯ Ⓨ ࡀ ⏕ ࡌ

,

୙ Ᏻ ᐃ ࡜ ࡞ ࡿ

.

ࡋ ࠿ ࡋ ࡞ ࡀ ࡽ

North

ᆺ ࡀ Ᏻ ᐃ ࡜ ࡞ ࡿ ࡢ ࡣ ࢔ ࣀ ࣐ ࣮ ຠ ᯝ ࡀ 㛵 ୚ ࡋ ࡚ ࠸ ࡿ

.

[ 6 2 ] ࢔ ࣀ

࣐ ࣮ ຠ ᯝ ࡣ

,

஬ ဨ ⎔ ࢆ ᙧ ᡂ ࡍ ࡿ 㓟 ⣲ ࡢ 㠀 ඹ ᭷ 㟁 Ꮚ ᑐ ࡜

4′

఩ ࡢ 㟁 Ꮚ ồ ᘬ ᛶ ⨨

᥮ ᇶ ࡢ

σ*

⤖ ྜ ࡜ ࡢ ┦ ஫ స ⏝ ࡟ ࡼ ࡗ ࡚ 㠀 ඹ ᭷ 㟁 Ꮚ ᑐ ࡀ 㠀 ᒁ ᅾ ໬ ࡋ

,

Ᏻ ᐃ ໬ ࡍ

ࡿ ࡇ ࡜ ࡛ ⏕ ࡌ ࡿ

. (Fig.10 )

ࡋ ࡓ ࡀ ࡗ ࡚

, 4′఩ ࡟ ❅ ⣲ ཎ Ꮚ ࡸ 㓟 ⣲ ཎ Ꮚ ,

ࣁ ࣟ ࢤ

ࣥ ࡞ ࡝ ࡀ ⤖ ྜ ࡋ ࡚ ࠸ ࡿ ሙ ྜ

,

࢔ ࣀ ࣐ ࣮ ຠ ᯝ ࡟ ࡼ ࡗ ࡚

North

ᆺ 㓄 ᗙ ࡀ Ᏻ ᐃ ࡜

࡞ ࡿ

.

(22)

15

ࡋ ࠿ ࡋ

,

㟁 Ꮚ ồ ᘬ ᛶ ᇶ ࡛ ࡣ ࡞ ࠸ ࢚ ࢳ ࢽ ࣝ ᇶ ࡟ ࠾ ࠸ ࡚ ࡣ ྠ ᵝ ࡢ ࢔ ࣀ ࣐ ࣮ ຠ ᯝ ࡣ ᮇ ᚅ ࡛ ࡁ ࡞ ࠸

.

࡟ ࡶ ࠿ ࠿ ࢃ ࡽ ࡎ

, 4′

఩ ࡟ ࢚ ࢳ ࢽ ࣝ ᇶ ࢆ ᭷ ࡍ ࡿ

Islatravir

ࡢ ሙ ྜ ࡶ

North

ᆺ ࡀ Ᏻ ᐃ ࡛ ࠶ ࡿ ࡜

Kirby

ࡽ ࡟ ࡼ ࡗ ࡚ ሗ ࿌ ࡉ ࢀ ࡓ

.

[ 6 3 ] ࡑ ࡢ ⌮

⏤ ࡜ ࡋ ࡚ ࡣ ஬ ဨ ⎔ ࢆ ᙧ ᡂ ࡍ ࡿ 㓟 ⣲ ཬ ࡧ

, 3′఩ ࡢ 㓟 ⣲ ࡜ ࢚ ࢳ ࢽ ࣝ ᇶ ࡢ π*㌶ 㐨

ࡢ ┦ ஫ స ⏝ ࡟ ࡼ ࡿ ࡶ ࡢ ࡔ ࡜ ㄝ ᫂ ࡉ ࢀ ࡚ ࠸ ࡿ

. (Fig.11 )

ࡇ ࡢ ࡼ ࠺ ࡟

4′-

⨨ ᥮

NAs

ࡣ ❧ య 㓄 ᗙ ࡀ ㏻ ᖖ ࡢ ࢾ ࢡ ࣞ ࢜ ࢩ ࢻ ࡜ ␗ ࡞ ࡿ ࡇ ࡜ ࡛

DNA

ࡢ ఙ 㛗 ࢆ ೵ Ṇ ࡋ

,

࢘ ࢖ ࣝ ࢫ ࡢ ㏫ ㌿ ෗ ࢆ 㜼 ᐖ ࡍ ࡿ ࡜ ⪃ ࠼ ࡽ ࢀ ࡿ

.

4㡯 ᢠ

HBV

ά ᛶ ࢆ ᭷ ࡍ ࡿ

4′-

⨨ ᥮

NAs

๓ 㡯 ࡛ ㏙ ࡭ ࡓ ࡼ ࠺ ࡟

, 4′-

⨨ ᥮

NAs

ࡣ ᢠ

HIV

ά ᛶ ࢆ ♧ ࡋ

,

⮫ ᗋ ᒎ 㛤 ࡀ 㐍 ࢇ

࡛ ࠸ ࡿ ࡶ ࡢ ࡀ ࠶ ࡿ

.

ࡋ ࡓ ࡀ ࡗ ࡚

, HIV

࡜ ྠ ࡌ ࡃ ㏫ ㌿ ෗ 㓝 ⣲ ࢆ ᭷ ࡍ ࡿ

HBV

ᑐ ࡋ ࡚ ࡶ

4 ′-⨨ ᥮ NAs

ࡢ ᢠ ࢘ ࢖ ࣝ ࢫ ά ᛶ ࡀ ᮇ ᚅ ࡉ ࢀ ࡿ

.

ࡑ ࡇ ࡛

,

ඹ ྠ ◊ ✲ ඛ

࡛ ࠶ ࡿ ‶ ᒇ ᩍ ᤵ ࡢ ࢢ ࣝ ࣮ ࣉ ࡟ ࡼ ࡾ

,

ከ ᩘ ࡢ

4 ′-⨨ ᥮ NAs

ࡢ ᢠ

HBV

ά ᛶ ࡀ ホ ౯ ࡉ ࢀ ࡓ

.

HBV

ά ᛶ ࢆ ᭷ ࡍ ࡿ

4′-

⨨ ᥮

NAs

ࡢ ᵓ 㐀 ࢆ

Fig.12

࡟ ♧ ࡍ

.

(23)

16

ࣉ ࣜ ࣥ ࢾ ࢡ ࣞ ࢜ ࢩ ࢻ ࡢ

4 ′఩ ࡟ ࢩ ࢔ ࣀ ᇶ ࢆ ᑟ ධ ࡋ ࡓ CdG ( 28 )

CAdA (29 )

ࡣ 㠀 ᖖ ࡟ ᙉ ຊ ࡞ ᢠ

HBV

ά ᛶ

(EC

5 0HBV WT

= 0.0004 μ M)

ࢆ ᣢ ࡕ

, ETV

⪏ ᛶ ᰴ

࡟ ᑐ ࡋ ࡚ ࡶ ᙉ ࠸ ᢠ

HBV

స ⏝

(EC

5 0HBV ETV-R

= 0.04-0.07 μ M)

ࢆ ⥔ ᣢ ࡋ ࡚ ࠸

.

ࡉ ࡽ ࡟ ὀ ┠ ࡍ ࡭ ࡁ ࡣ

, ETV

4′఩ ࡟ ࢩ ࢔ ࣀ ᇶ ࢆ ᑟ ධ ࡋ ࡓ CMCdG ( 30 )

ETV

࡛ ࡣ ᢠ

HBV

ά ᛶ ࡀ ⴭ ࡋ ࡃ ప ୗ ࡋ ࡓ ⪏ ᛶ ᰴ ࡬ ࡢ ά ᛶ ࢆ ᭷ ࡋ ࡚ ࠸ ࡿ

(ETV:EC

5 0HBV E TV-R

= 64.037 μ M, CMCdG:EC

5 0HBV E TV-R

= 2.657 μ M)

ࡇ ࡜ ࡛

࠶ ࡿ

.

ࡋ ࠿ ࡋ ࡞ ࡀ ࡽ

,

ࡇ ࡢ ⣔ ⤫ ࡢ

NAs

ࡣ ⣽ ⬊ ẘ ᛶ ࢆ ᭷ ࡋ ࡚ ࠸ ࡿ

(CC

5 0H ep G2

= 2.6-89 μ M)

ࡇ ࡜ ࡀ ㄢ 㢟 ࡜ ࡞ ࡗ ࡚ ࠸ ࡿ

.

[ 6 4 ] [6 5 ]

ࡇ ࡢ ࡼ ࠺ ࡟

4 ′-⨨ ᥮ NAs

ࡣ ᙉ ຊ ࡞ ᢠ

HBV

ά ᛶ ࢆ ᣢ ࡕ

,

⸆ ๣ ⪏ ᛶ ᰴ ࡟ ᑐ ࡋ

࡚ ࡶ ຠ ᯝ ࡀ ࠶ ࡿ ࡇ ࡜ ࡀ ♧ ࡉ ࢀ ࡓ

.

HBV

ά ᛶ ࢆ ♧ ࡍ ⌮ ⏤ ࡜ ࡋ ࡚ ࡣ

,

⢾ ࡢ ❧ య 㓄 ᗙ ࡀ ኚ ໬ ࡍ ࡿ ࡇ ࡜ ࡟ ຍ ࠼

, HBV

㏫ ㌿ ෗ 㓝 ⣲ ࡜

CdG

୕ ࣜ ࣥ 㓟 ࡀ ⤖ ྜ ࡍ ࡿ

, A87, F88, P177, L180, M204, D205

࠿ ࡽ ࡞ ࡿ ␯ Ỉ ✵ 㛫 ࡟ ࢩ ࢔ ࣀ ᇶ ࡀ ධ ࡾ

㎸ ࡳ

,

ᙉ ࡃ ⤖ ྜ ࡍ ࡿ ࡓ ࡵ ࡜ ⪃ ࠼ ࡽ ࢀ ࡚ ࠸ ࡿ

.

[ 5 8 ]

4 ′-

⨨ ᥮

NAs

ࡣ ⌧ ᅾ

,

⮫ ᗋ ⌧ ሙ ࡛

HBV

ឤ ᰁ ⑕ ἞ ⒪ ⸆ ࡜ ࡋ ࡚ ⏝ ࠸ ࡽ ࢀ ࡚ ࠾

ࡽ ࡎ

,

࠿ ࡘ ᪤ Ꮡ ࡢ ⸆ ≀ ࡜ ࡣ ᵓ 㐀 ࡜ స ⏝ ᶵ ᗎ ࡀ ␗ ࡞ ࡿ

.

ࡑ ࡇ ࡛

,

⪏ ᛶ ᰴ ࡟ ᑐ ࡋ ࡚ ࡶ ᙉ ຊ ࡞ ᢠ

HBV

ά ᛶ ࢆ ♧ ࡋ

,

ẘ ᛶ ࡢ ప ࠸

NAs

ࡢ 㛤 Ⓨ ࢆ ┠ ᣦ ࡋ ࡚

,

4 ′-⨨ ᥮ NAs

ࢆ ྜ ᡂ ࡋ

,

ᵓ 㐀 ά ᛶ ┦ 㛵 ◊ ✲ ࢆ ⾜ ࠺ ࡇ ࡜ ࡜ ࡋ ࡓ

.

(24)

17

2

4 ′-

࢔ ࢪ ࢻ

-5-

࣓ ࢳ ࣝ

-4-

⨨ ᥮ ࣆ ࣜ ࣑ ࢪ ࣥ ࢾ ࢡ ࣞ ࢜ ࢩ ࢻ ࡟ 㛵 ࡍ ࡿ ᳨ ウ

1⠇ ᗎ

ඛ ㏙ ࡋ ࡓ ࡼ ࠺ ࡟

4 ′-

⨨ ᥮ ࢾ ࢡ ࣞ ࢜ ࢩ ࢻ ࡟ ࡣ ᢠ

HBV

ά ᛶ ࢆ ᭷ ࡍ ࡿ ࡶ ࡢ ࡀ ᩘ ከ ࡃ ሗ ࿌ ࡉ ࢀ ࡚ ࠸ ࡿ

.

ᡃ ࠎ ࡢ ᡤ ᒓ ࡍ ࡿ ◊ ✲ ᐊ ࡛ ࡶ

4 ′-

࢔ ࢪ ࢻ ࣉ ࣜ ࣥ ࢾ ࢡ ࣞ

࢜ ࢩ ࢻ ࡛ ࠶ ࡿ

AdG (31)

AAdA (32 )

ࡀ ᙉ ຊ ࡞ ᢠ

HBV

ά ᛶ ࢆ ᭷ ࡋ ࡚ ࠸ ࡿ ࡇ ࡜

(EC

5 0HBV

= 0.006-0.009 μ M)

ࢆ ሗ ࿌ ࡋ ࡓ

.

[ 6 6 ] ࡋ ࠿ ࡋ ࡞ ࡀ ࡽ

, AdG

AAdA

ࡣ ⣽ ⬊ ẘ ᛶ ࢆ ᭷ ࡋ ࡚ ࠾ ࡾ

(CC

5 0M T-4

= 4.6-4.9 μ M),

ẘ ᛶ ㍍ ῶ ࡢ ࡓ ࡵ

4 ′-

࢔ ࢪ ࢻ ࢾ ࢡ ࣞ ࢜ ࢩ ࢻ ࡢ ᵓ 㐀 ᭱ 㐺 ໬ ࡀ ᚲ せ ࡜ ⪃ ࠼ ࡓ

. (Fig.13 )

ࡑ ࡇ ࡛

,

ሷ ᇶ ᵓ 㐀 ࡜ ࡋ ࡚ ࣆ ࣜ ࣑ ࢪ ࣥ ࡟ ╔ ┠ ࡋ ࡓ

.

⌧ ᅾ Ḣ ⡿ ࡛

HBV

ឤ ᰁ ⑕

἞ ⒪ ⸆ ࡜ ࡋ ࡚ ౑ ⏝ ࡉ ࢀ ࡚ ࠸ ࡿ

Telbivudine (33)

ࡣ ሷ ᇶ 㒊 ࡜ ࡋ ࡚ ࢳ ࣑ ࣥ ࢆ ᭷ ࡋ ࡚ ࠸ ࡿ

.

ࡋ ࠿ ࡋ ࡞ ࡀ ࡽ

,

ሷ ᇶ 㒊 ࡀ ࢳ ࣑ ࣥ ࡢ

4′-

࢔ ࢪ ࢻ ࢳ ࣑ ࢪ ࣥ

(34 )

࡟ ࡘ

࠸ ࡚ ᢠ

HBV

ά ᛶ ࡣ ᮍ ☜ ㄆ ࡛ ࠶ ࡗ ࡓ

.

ࡉ ࡽ ࡟

,

ሷ ᇶ 㒊 ࡟

5-

࣓ ࢳ ࣝ ࢩ ࢺ ࢩ ࣥ ᵓ 㐀 ࢆ ᭷ ࡍ ࡿ

FddMeC (35 )

ࡀ ᢠ

HBV

ά ᛶ ࢆ ᭷ ࡍ ࡿ

(EC

5 0HBV

= 0.54 μ M)

࡜ ࡀ ሗ ࿌ ࡉ ࢀ ࡚ ࠸ ࡓ

. (Fig.14)

[ 6 7 ]

ࡲ ࡓ

,

HBV

ά ᛶ ࢆ ᭷ ࡋ ࡚ ࠸ ࡿ

FNC (36)

࡟ ࡘ ࠸ ࡚

, N

4࢔ ࣝ ࢟ ࣝ ໬ ࡋ ࡓ

NAs ( 37- 38)

ࡀ ᢠ

HBV

ά ᛶ ࢆ ⥔ ᣢ ࡋ ࡘ ࡘ ẘ ᛶ ࡀ ప ῶ ࡍ ࡿ ࡜ ሗ ࿌ ࡉ ࢀ ࡓ

.

( Fig.15)

[ 6 8 ] -[ 6 9]

(25)

18

௨ ୖ ࡢ ▱ ぢ ࢆ ࡩ ࡲ ࠼

,

ሷ ᇶ ࡜ ࡋ ࡚ ࢳ ࣑ ࣥ ࢆ ࡶ ࡘ

4′-

࢔ ࢪ ࢻ ࢳ ࣑ ࢪ ࣥ

( 34 )

ཬ ࡧ

, 5-

࣓ ࢳ ࣝ ࢩ ࢺ ࢩ ࣥ ࢆ ࡶ ࡘ

4′-

࢔ ࢪ ࢻ

-2 ′-

ࢹ ࢜ ࢟ ࢩ

-5-

࣓ ࢳ ࣝ ࢩ ࢳ ࢪ ࣥ

( 39)

ࡀ ᢠ

HBV

ά ᛶ ࢆ ᭷ ࡋ ࡘ ࡘ

,

ప ⣽ ⬊ ẘ ᛶ ࡢ ᢠ

HBV

⸆ ࣜ ࣮ ࢻ ᵓ 㐀 ࡟ ࡞ ࡿ

࡜ ⪃ ࠼ ࡓ

.

ࡲ ࡓ

, N

4

/ O

4 ࡢ ࢔ ࣝ ࢟ ࣝ ໬ ࡟ ࡼ ࡗ ࡚

,

ẘ ᛶ ࡀ ࡉ ࡽ ࡟ ప ῶ ࡍ ࡿ ࡇ ࡜

ࢆ ᮇ ᚅ ࡋ ࡚

, NAs 40 -44

ࢆ タ ィ ࡋ ࡓ

.

ࡍ ࡞ ࢃ ࡕ

, 4′-࢔ ࢪ ࢻ -5-࣓ ࢳ ࣝ -4-⨨ ᥮ ࣆ

ࣜ ࣑ ࢪ ࣥ ࢾ ࢡ ࣞ ࢜ ࢩ ࢻ

(34 , 39 -44 )

ࢆ ྜ ᡂ ࡋ ᢠ

HBV

ά ᛶ ཬ ࡧ ⣽ ⬊ ẘ ᛶ ࢆ ホ ౯ ࡍ ࡿ ࡇ ࡜ ࡜ ࡋ ࡓ

. (Fig.16 )

(26)

19

2

4 ′-

࢔ ࢪ ࢻ

- 5-

࣓ ࢳ ࣝ

-4-

⨨ ᥮ ࣆ ࣜ ࣑ ࢪ ࣥ ࢾ ࢡ ࣞ ࢜ ࢩ ࢻ ࡢ ྜ ᡂ

34

ࡢ ྜ ᡂ ࡣ

Maag

ࡽ ࡢ ሗ ࿌ ࡟ ๎ ࡗ ࡚ ⾜ ࡗ ࡓ

. (Scheme 2)

[ 5 6 ]

ࢳ ࣑ ࢪ ࣥ ࢆ ฟ Ⓨ ཎ ᩱ ࡜ ࡋ ࡚

,

࢔ ࢵ ࣌ ࣝ ཯ ᛂ ࡟ ࡚ 㑅 ᢥ ⓗ ࡟

5′఩ ࡢ Ỉ 㓟 ᇶ ࢆ

ࣚ ࢘ ⣲ ࡟ ⨨ ᥮ ࡋ ࡓ

45

ࢆ ྜ ᡂ ࡋ

, E2

⬺ 㞳 ࡟ ࡼ ࡗ ࡚

, 4 ′,5′-exo-olefin

46

ࢆ ྜ ᡂ ࡋ ࡓ

. 46

࡟ ᑐ ࡋ ࡚ ࢔ ࢪ ໬ ࣚ ࢘ ⣲ ࡢ ఩ ⨨ 㺃❧ య 㑅 ᢥ ⓗ ௜ ຍ ཯ ᛂ ࡟ ࡼ ࡾ

47

ㄏ ᑟ ࡋ ࡓ ᚋ

, 3 ′

఩ ࡢ Ỉ 㓟 ᇶ ࢆ

p-

࣓ ࢺ ࢟ ࢩ ࣋ ࣥ ࢰ ࢖ ࣝ ࡛ ಖ ㆤ ࡋ

48

࡜ ࡋ ࡓ

. 48

mCPBA

࡟ ࡼ ࡿ ㉸ ཎ Ꮚ ౯ ࣚ ࢘ ⣲ ࡢ ᙧ ᡂ ࡜

, p-

࣓ ࢺ ࢟ ࢩ ࣋ ࣥ ࢰ ࢖ ࣝ ࡢ ࢝ ࣝ ࣎ ࢽ ࣝ 㓟 ⣲ ࡟ ࡼ ࡿ ศ Ꮚ ෆ ồ ᰾ ⨨ ᥮ ཯ ᛂ ࡟ ࡚ ⎔ ≧ ᵓ 㐀 ࢆ ᙧ ᡂ ࡉ ࡏ

,

⥆ ࡃ

3-ࢡ ࣟ

ࣟ Ᏻ ᜥ 㤶 㓟 ࢔ ࢽ ࢜ ࣥ ࡢ ồ ᰾ ⨨ ᥮ ཯ ᛂ ࡟ ࡼ ࡾ

49

ࢆ ྜ ᡂ ࡋ ࡓ

.

ࡑ ࡢ ᚋ

, 49

7M

࢔ ࣥ ࣔ ࢽ ࢔ ᛶ ࣓ ࢱ ࣀ ࣮ ࣝ ࡛ ⬺ ಖ ㆤ ࡍ ࡿ ࡇ ࡜ ࡛ ┠ ⓗ ≀ ࡛ ࠶ ࡗ ࡓ

34

ࢆ ᚓ ࡓ

.

ࡉ ࡽ ࡟

,

ࣆ ࣜ ࣑ ࢪ ࣥ

4

఩ ࡢ ⨨ ᥮ ࢆ ⾜ ࠺ ࡓ ࡵ

, 49

ࡢ ࣆ ࣜ ࣑ ࢪ ࣥ

4

఩ ࢆ ά ᛶ

໬ ࡋ ࡓ 㘽 ୰ 㛫 య

50

ࢆ ྜ ᡂ ࡋ ࡓ

. (Scheme 3)

(27)

20

㘽 ୰ 㛫 య

50

ࡢ ࣆ ࣜ ࣑ ࢪ ࣥ

4

఩ ࢆ

DABCO

࡛ ά ᛶ ໬ ࡋ

,

ᑐ ᛂ ࡍ ࡿ ࢔ ࣝ ࢥ ࣮

ࣝ ࡟ ࡼ ࡿ

S

N

Ar

཯ ᛂ ࢆ ⾜ ࠸

,

⬺ ಖ ㆤ ࡍ ࡿ ࡇ ࡜ ࡛

40- 41

ࢆ ྜ ᡂ ࡋ ࡓ

. (Scheme 4 )

ࡲ ࡓ

,

㘽 ୰ 㛫 య

50

ࢆ ᑐ ᛂ ࡍ ࡿ ࢔ ࣑ ࣥ ࡛ ฎ ⌮ ࡍ ࡿ ࡇ ࡜ ࡛

, S

N

Ar

཯ ᛂ ࡟ ࡚

39 , 42 -43

ࢆ ྜ ᡂ ࡋ ࡓ

.

୍ ᪉

,

㘽 ୰ 㛫 య

50

ࡢ ࣆ ࣜ ࣑ ࢪ ࣥ

4

఩ ࢆ

DABCO

࡛ ά ᛶ ໬ ࡋ

,

ࢩ ࢡ ࣟ ࣉ ࣟ ࣆ ࣝ ࢔ ࣑ ࣥ ࡛ ฎ ⌮ ࡍ ࡿ ࡇ ࡜ ࡛

S

N

Ar

཯ ᛂ ࡟ ࡚ ໬ ྜ ≀

44

ࢆ ᚓ ࡓ

. (Scheme 5)

(28)

21

ḟ ⠇ ࡟ ࡚ ᢠ

HBV

ά ᛶ ホ ౯ ⤖ ᯝ ࢆ グ ㍕ ࡍ ࡿ

.

(29)

22

3

4 ′-

࢔ ࢪ ࢻ

- 5-

࣓ ࢳ ࣝ

-4-

⨨ ᥮ ࣆ ࣜ ࣑ ࢪ ࣥ ࢾ ࢡ ࣞ ࢜ ࢩ ࢻ ࡢ ᢠ

HBV

ά ᛶ

HBV

ά ᛶ ཬ ࡧ ⣽ ⬊ ẘ ᛶ ホ ౯ ࡣ

,

ඹ ྠ ◊ ✲ ඛ ࡛ ࠶ ࡿ ᅜ ❧ ᅜ 㝿 ་ ⒪ ࢭ ࣥ ࢱ ࣮ ࡢ ‶ ᒇ ᩍ ᤵ ࡢ ࢢ ࣝ ࣮ ࣉ ࡟ ౫ 㢗 ࡋ ࡓ

.

ྛ ໬ ྜ ≀ ࡢ ᢠ

HBV

ά ᛶ ࡢ ホ ౯ ࡣ

real-time PCR

ἲ ࢆ ⏝ ࠸ ࡓ

.

ࢥ ࣛ ࣮ ࢤ ࣥ ࢥ ࣮ ࢺ ࡉ ࢀ ࡓ

96 well plate

, HepG2 2.2.15

⣽ ⬊ ࢆ

1 well

࠶ ࡓ ࡾ

4

™

10

3 ࡎ ࡘ ᧛ ࡁ

,

ᵝ ࠎ ࡞ ⃰ ᗘ ࡟ ᕼ 㔘 ࡋ ࡓ ྛ ໬ ྜ ≀ ࢆ

200 μ L

ຍ ࠼ ࡓ

.

ࡲ ࡓ

,

ࢥ ࣥ ࢺ

ࣟ ࣮ ࣝ ࡜ ࡋ ࡚ ໬ ྜ ≀ ⁐ ᾮ ࢆ ຍ ࠼ ࡞ ࠸

well

ࢆ స ᡂ ࡋ ࡓ

. HepG2 2.2.15

⣽ ⬊ ࡣ

HBV

ࢆ ᣢ ⥆ ⏘ ⏕ ࡍ ࡿ ⣽ ⬊ ᰴ ࡛ ࠶ ࡾ

, in vitro

ࡢ ᢠ

HBV

ά ᛶ ࢆ ホ ౯ ࡍ ࡿ 㝿 ࡟ ỗ ⏝ ࡉ ࢀ ࡚ ࠸ ࡿ

.

ࡇ ࡢ

well plate

37

Υ ࡢ

CO

2 ࢖ ࣥ ࢟ ࣗ ࣋ ࣮ ࢱ ࣮ ࡛

14

㛫 ᇵ 㣴 ࡋ ࡓ

.

ࡑ ࡢ 㝿

, 3

᪥ ┠ ࡜

7

᪥ ┠ ࡟ ᇵ 㣴 ୖ Ύ ࢆ 㝖 ཤ ࡋ

,

෌ ࡧ ྛ ⃰ ᗘ ࡟ ㄪ

ᩚ ࡋ ࡓ ྛ ໬ ྜ ≀ ࢆ ྵ ࡴ ᾮ య ᇵ ᆅ ࡜ ஺ ᥮ ࡋ ࡓ

.

ᇵ 㣴 ᚋ

,

ᾮ య ᇵ ᆅ ୖ Ύ ࢆ ᅇ ཰

, HBV DNA

ࢆ ᢳ ฟ ࡋ ࡓ

.

ࡑ ࡢ ᚋ

,

ᐃ 㔞 ⓗ

PCR

࡟ ࡼ ࡗ ࡚ ྛ

well

࡟ ࠾ ࡅ ࡿ

HBV DNA

㔞 ࢆ   ᐃ ࡋ

,

ࢥ ࣥ ࢺ ࣟ ࣮ ࣝ ࡢ

DNA

㔞 ࡜ ẚ ㍑ ࡋ ࡚

EC

5 0HBV್ ࢆ ⟬ ฟ ࡋ ࡓ

.

୍ ᪉

,

⣽ ⬊ ẘ ᛶ ࡣ

96 well plate

MT-2

⣽ ⬊ ࢆ

1 well

࠶ ࡓ ࡾ

2

™

10

3ಶ ࡎ ࡘ ᧛ ࡁ

,ྛ well

࡟ ᵝ ࠎ ࡞ ⃰ ᗘ ࡟ ᕼ 㔘 ࡋ ࡓ ྛ ໬ ྜ ≀

200 μ L

ࢆ ຍ ࠼ ࡓ ≧ ែ ࡛ ᇵ 㣴 ࡋ ࡓ

.

ࡑ ࡢ ᚋ

, Cell Counting Kit-8

ࢆ ⏝ ࠸ ࡚

CC

5 0್ ࢆ ⟬ ฟ ࡋ ࡓ

ྜ ᡂ ࡋ ࡓ

34, 39 -44

ཬ ࡧ ࣏ ࢪ ࢸ ࢕ ࣈ ࢥ ࣥ ࢺ ࣟ ࣮ ࣝ ࡛ ࠶ ࡿ

ETV

ࡢ ᢠ

HBV

ᛶ ࡜ ⣽ ⬊ ẘ ᛶ ࡢ ホ ౯ ⤖ ᯝ ࢆ

Table 3

࡟ ࡲ ࡜ ࡵ ࡓ

.

᭱ ࡶ 㧗 ࠸ ᢠ

HBV

ά ᛶ ࢆ ♧ ࡋ ࡓ ໬ ྜ ≀ ࡣ

34

࡛ ࠶ ࡾ

, EC

5 0HBV

= 0.63s0.29

(30)

23

μ M

࡛ ࠶ ࡗ ࡓ

.

ࡲ ࡓ

, 39

࡟ ࡶ ୰ ⛬ ᗘ ࡢ ᢠ

HBV

ά ᛶ ࡀ ☜ ㄆ ࡉ ࢀ

, EC

5 0HBV

= 5.99

s5.54

μ M

࡛ ࠶ ࡗ ࡓ

.

ࡇ ࢀ ࡽ

34

ཬ ࡧ

39

࡟ ࡣ ⣽ ⬊ ẘ ᛶ ࡣ ☜ ㄆ ࡉ ࢀ ࡞ ࠿ ࡗ ࡓ

(CC

5 0M T-2

> 100 μM).

୍ ᪉

, N

4

/ O

4 ࢔ ࣝ ࢟ ࣝ య

40 -44

࡟ ࡣ ⣽ ⬊ ẘ ᛶ ࡣ ☜ ㄆ ࡉ ࢀ ࡞ ࠿ ࡗ ࡓ ࡶ ࡢ ࡢ

,

HBV

ά ᛶ ࡶ ☜ ㄆ ࡉ ࢀ ࡞ ࠿ ࡗ ࡓ

.

ḟ ⠇ ࡟ ࡚ ⤖ ᯝ ࡟ ࡘ ࠸ ࡚ ⪃ ᐹ ࡍ ࡿ

.

4⠇ ⪃

⪃ ᐹ

ᮏ ❶ ࡛ ࡣ

,

HBV

ά ᛶ ࢆ ᣢ ࡘ ᪂ つ

NAs

࡜ ࡋ ࡚

4′-

࢔ ࢪ ࢻ

-5-

࣓ ࢳ ࣝ

-4-

᥮ ࣆ ࣜ ࣑ ࢪ ࣥ ࢾ ࢡ ࣞ ࢜ ࢩ ࢻ ࢆ タ ィ ࡋ

,

ࡑ ࡢ ྜ ᡂ ࢆ 㐩 ᡂ ࡋ ࡓ

.

4 ′-࢔ ࢪ ࢻ ࢳ ࣑ ࢪ ࣥ ࡢ ྜ ᡂ ࢆ 6

ᕤ ⛬

,

㏻ ⟬ ཰ ⋡

22.0%࡛ 㐩 ᡂ ࡋ ࡓ .

ࡲ ࡓ

, 4′-

࢔ ࢪ ࢻ

-5-

࣓ ࢳ ࣝ

-4-⨨ ᥮ ࣆ ࣜ ࣑ ࢪ ࣥ ࢾ ࢡ ࣞ ࢜ ࢩ ࢻ ࡢ ྜ ᡂ ࡛ 㔜 せ ࡞ 㘽 ୰ 㛫 య 50

ࡢ ྜ ᡂ ࢆ

6

ᕤ ⛬

,

㏻ ⟬ ཰ ⋡

17.3%࡛ 㐩 ᡂ ࡋ ࡓ .

ࡑ ࡢ ᚋ

, S

N

Ar

཯ ᛂ ࡟ ࡼ ࡿ ሷ ᇶ 㒊

4

఩ ࡢ ⨨ ᥮ ࡟ ᡂ ຌ ࡋ

,

཰ ⋡ ࡣ

21.0-82.1%

࡛ ࠶ ࡗ ࡓ

.

ᮏ ❶ ࡛ タ ィ ࡋ ࡓ ໬ ྜ ≀ ࡛ ᭱ ࡶ 㧗 ࠸ ᢠ

HBV

ά ᛶ ࢆ ᭷ ࡋ ࡚ ࠸ ࡓ ࡢ ࡣ

34

࡛ ࠶

(EC

5 0HBV

= 0.63

s0.29

μ M), 39

ࡶ ᢠ

HBV

ά ᛶ ࢆ ᭷ ࡋ ࡚ ࠸ ࡓ

(EC

5 0HBV

= 5.99

s

5.54 μ M).

ࡲ ࡓ

, 34

ཬ ࡧ

39

࡟ ࡣ ⣽ ⬊ ẘ ᛶ ࡣ ☜ ㄆ ࡉ ࢀ ࡞ ࠿ ࡗ ࡓ

(CC

5 0M T-4

> 100 μM)

ࡇ ࡜ ࠿ ࡽ

34

ཬ ࡧ

39

ࡣ ᭷ ᮃ ࡞ ࣜ ࣮ ࢻ ໬ ྜ ≀ ࡛ ࠶ ࡿ ࡜ ⪃

࠼ ࡽ ࢀ ࡿ

.

ࡉ ࡽ ࡟ ⯆ ࿡ ῝ ࠸ ࡇ ࡜ ࡟

, 4′-

࢔ ࢪ ࢻ ࢹ ࢜ ࢟ ࢩ ࢩ ࢳ ࢪ ࣥ ࡣ 㧗 ࠸ ẘ ᛶ ࡀ ☜ ㄆ ࡉ ࢀ ࡚ ࠸ ࡓ

(CC

2 5M T-2

= 0.21 μ M)

[ 5 6 ]

,

ሷ ᇶ ࡀ

5-

࣓ ࢳ ࣝ ࢩ ࢺ ࢩ ࣥ ࡛

࠶ ࡿ

39

ࡢ ሙ ྜ

,

HBV

ά ᛶ ࢆ ⥔ ᣢ ࡋ ࡘ ࡘ ẘ ᛶ ࡀ ప ῶ ࡋ ࡓ

.

ࡋ ࡓ ࡀ ࡗ ࡚

,

ࣆ ࣜ ࣑ ࢪ ࣥ

5

఩ ࡟ ࣓ ࢳ ࣝ ᇶ ࢆ ᭷ ࡍ ࡿ ࡇ ࡜ ࡛ ẘ ᛶ ప ῶ ࡟ ࡘ ࡞ ࡀ ࡿ ࡇ ࡜ ࡀ ♧ ၀ ࡉ ࢀ ࡓ

.

ࡲ ࡓ

, FNC

N

4 ࢔ ࣝ ࢟ ࣝ ໬ ࡍ ࡿ ࡇ ࡜ ࡛ ⣽ ⬊ ẘ ᛶ ࢆ ప ῶ ࡋ ࡘ ࡘ

,

HBV

ά ᛶ ࢆ ⥔ ᣢ ࡋ ࡚ ࠸ ࡓ ࡀ

, 40- 44

࡟ ࡘ ࠸ ࡚ ࡣ ᢠ

HBV

ά ᛶ ࢆ ࿊ ࡉ ࡞ ࠿ ࡗ ࡓ

.

ࡇ ࡢ ࡇ ࡜ ࠿ ࡽ

,

ࣆ ࣜ ࣑ ࢪ ࣥ

5

఩ ࡟ ࣓ ࢳ ࣝ ᇶ ࢆ ᭷ ࡋ

,

ࡉ ࡽ ࡟

N

4

/ O

4 ࢆ ࢔ ࣝ ࢟

ࣝ ໬ ࡋ ࡓ ሙ ྜ

,

㏫ ㌿ ෗ 㓝 ⣲ ࡢ ᇶ ㉁ ࡜ ࡞ ࡽ ࡎ ᢠ

HBV

ά ᛶ ࡣ ⴭ ࡋ ࡃ ప ୗ ࡍ ࡿ ࡇ ࡜ ࡀ ♧ ၀ ࡉ ࢀ ࡓ

.

௨ ୖ ࡢ ࡇ ࡜ ࠿ ࡽ

,

HBV

ά ᛶ ࢆ ᭷ ࡍ ࡿ

4′-

⨨ ᥮

NAs

࠾ ࠸ ࡚

,

ሷ ᇶ 㦵 ᱁ ࡜ ࡋ ࡚ ࢳ ࣑ ࣥ ཬ ࡧ

5-

࣓ ࢳ ࣝ ࢩ ࢺ ࢩ ࣥ ࡀ ᭷ ᮃ ࡛ ࠶ ࡿ ࡜ ⪃ ࠼

ࡽ ࢀ ࡿ

.

ࡇ ࡢ ࡇ ࡜ ࡣ ௒ ᚋ

,

HBV

ά ᛶ ࢆ ᭷ ࡍ ࡿ ᪂ つ

4′-

⨨ ᥮

NAs

ࢆ タ ィ ࡋ ࡚ ࠸ ࡃ

ୖ ࡛ 㠀 ᖖ ࡟ ᭷ ┈ ࡞ ᝟ ሗ ࡛ ࠶ ࡿ

.

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