Prodrug strategies in developing antiviral nucleoside analogs (original) (raw)

Tuniyazi Abuduani,a Mahesh Kasthuri,a Zhe Chen,a Zahira Tber,a Mohammed Loubidi,a HongWang Zhang,a Longhu Zhou,a Shaoman Zhou,a Chenwei Li,a Amita Kumari,a Sijia Tao,a John M. Wiseman,a Selwyn J. Hurwitz,a Franck Amblard*a and Raymond F. Schinazi ORCID logo*a

Author affiliations

* Corresponding authors

a Center for ViroScience and Cure, Laboratory of Biochemical Pharmacology, Department of Pediatrics, Emory University School of Medicine and Children's Healthcare of Atlanta, 1760 Haygood Drive, Atlanta, GA 30322, USA
E-mail: famblar@emory.edu, rschina@emory.edu

Abstract

Prodrug strategies are used to enhance the physicochemical and pharmaceutical properties of drug candidates that may not be suitable for specific delivery or are limited by formulation options. A prodrug derivative is converted into its active pharmaceutical ingredient (drug) through enzymatic or chemical reactions within the body. Antiviral nucleoside prodrugs have garnered considerable interest in drug discovery, leading to the approval of key drugs such as remdesivir (SARS-CoV-2), Sovaldi (hepatitis C virus, HCV), and tenofovir disoproxil fumarate [hepatitis B virus (HBV) and human immunodeficiency viruses (HIV)]. Their success lies in improving the oral bioavailability and delivering the parent drug to the targeted tissues. This review focuses on the prodrugs of antiviral nucleosides evaluated in humans (approved, in development or terminated), providing an overview of the different approaches utilized and discussing their in vitro and in vivo benefits.

Graphical abstract: Prodrug strategies in developing antiviral nucleoside analogs

This article is Open Access

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Article information

DOI

https://doi.org/10.1039/D5MD00810G

Article type

Review Article

Submitted

11 Sep 2025

Accepted

06 Dec 2025

First published

02 Jan 2026

This article is Open Access

Creative Commons BY-NC license

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RSC Med. Chem., 2026,17, 105-131

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Prodrug strategies in developing antiviral nucleoside analogs

R. R. Suresh, T. Abuduani, M. Kasthuri, Z. Chen, Z. Tber, M. Loubidi, H. Zhang, L. Zhou, S. Zhou, C. Li, A. Kumari, S. Tao, J. M. Wiseman, S. J. Hurwitz, F. Amblard and R. F. Schinazi,RSC Med. Chem., 2026, 17, 105DOI: 10.1039/D5MD00810G

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