Identification
Name Vidarabine
Accession Number DB00194 (APRD00333, EXPT02753)
Type small molecule
Description A nucleoside antibiotic isolated from Streptomyces antibioticus. It has some antineoplastic properties and has broad spectrum activity against DNA viruses in cell cultures and significant antiviral activity against infections caused by a variety of viruses such as the herpes viruses, the vaccinia VIRUS and varicella zoster virus. [PubChem]
Structure
Categories (*)
Molecular Weight 267.2413
Groups approved
Monoisotopic Weight 267.096753929
Pharmacology
Indication For treatment of chickenpox - varicella, herpes zoster and herpes simplex
Mechanism of action Vidarabine stops replication of herpes viral DNA in 2 ways: 1) competitive inhibition of viral DNA polymerase, and consequently 2) incorporation into and termination of the growing viral DNA chain. This drug is a nucleoside analog and therefore has to be phosphorylated to be active. Vidarabine is sequentially phosphorylated by kinases to the triphosphate ara-ATP. This is the active form of vidarabine and is both an inhibitor and a substrate of viral DNA polymerase. When used as a substrate for viral DNA polymerase, ara-ATP competitively inhibits dATP leading to the formation of 'faulty' DNA. This is where ara-ATP is incorporated into the DNA strand replacing many of the adenosine bases. This results in the prevention of DNA synthesis, as phosphodiester bridges can longer to be built, destabilizing the strand
Absorption Systemetic absorption of vidarabine should not be expected to occur following ocular administration and swallowing lacrimal secretions.
Protein binding 24-38%
Biotransformation In laboratory animals, vidarabine is rapidly deaminated in the gastrointestinal tract to Ara-Hx.
Route of elimination Not Available
Toxicity Acute massive overdosage by oral ingestion of the ophthalmic ointment has not occurred. However, the rapid deamination to arabinosylhypoxanthine should preclude any difficulty. The oral LD50 for vidarabine is greater than 5020 mg/kg in mice and rats. No untoward effects should result from ingestion of the entire contents of the tube. Overdosage by ocular instillation is unlikely because any excess should be quickly expelled from the conjunctival sac.
Affected organisms
  • Human Herpes Virus
Interactions
Drug Interactions Not Available
Food Interactions Not Available
DNA polymerase
Name DNA polymerase
Gene Name BALF5
Pharmacological action yes
Actions inhibitor
References
  • Overington JP, Al-Lazikani B, Hopkins AL: How many drug targets are there? Nat Rev Drug Discov. 2006 Dec;5(12):993-6. - Pubmed
  • Imming P, Sinning C, Meyer A: Drugs, their targets and the nature and number of drug targets. Nat Rev Drug Discov. 2006 Oct;5(10):821-34. - Pubmed
  • Suzuki M, Okuda T, Shiraki K: Synergistic antiviral activity of acyclovir and vidarabine against herpes simplex virus types 1 and 2 and varicella-zoster virus. Antiviral Res. 2006 Nov;72(2):157-61. Epub 2006 May 30. - Pubmed
DTHybrid score 0.0464
DNA
Name DNA
Gene Name Not Available
Pharmacological action yes
Actions incorporation into and destabilization
References
  • Overington JP, Al-Lazikani B, Hopkins AL: How many drug targets are there? Nat Rev Drug Discov. 2006 Dec;5(12):993-6. - Pubmed
  • Imming P, Sinning C, Meyer A: Drugs, their targets and the nature and number of drug targets. Nat Rev Drug Discov. 2006 Oct;5(10):821-34. - Pubmed
DTHybrid score Not Available
Thymidine kinase
Name Thymidine kinase
Gene Name ORF36
Pharmacological action yes
Actions inducer
References
  • Overington JP, Al-Lazikani B, Hopkins AL: How many drug targets are there? Nat Rev Drug Discov. 2006 Dec;5(12):993-6. - Pubmed
  • Imming P, Sinning C, Meyer A: Drugs, their targets and the nature and number of drug targets. Nat Rev Drug Discov. 2006 Oct;5(10):821-34. - Pubmed
  • Suzuki M, Okuda T, Shiraki K: Synergistic antiviral activity of acyclovir and vidarabine against herpes simplex virus types 1 and 2 and varicella-zoster virus. Antiviral Res. 2006 Nov;72(2):157-61. Epub 2006 May 30. - Pubmed
  • Henrot A: [Mother-infant and indirect transmission of HSV infection: treatment and prevention] Ann Dermatol Venereol. 2002 Apr;129(4 Pt 2):533-49. - Pubmed
  • Berman HM, Westbrook J, Feng Z, Gilliland G, Bhat TN, Weissig H, Shindyalov IN, Bourne PE: The Protein Data Bank. Nucleic Acids Res. 2000 Jan 1;28(1):235-42. - Pubmed
DTHybrid score 1.2461
Thymidine kinase
Name Thymidine kinase
Gene Name TK
Pharmacological action yes
Actions inducer
References
  • Overington JP, Al-Lazikani B, Hopkins AL: How many drug targets are there? Nat Rev Drug Discov. 2006 Dec;5(12):993-6. - Pubmed
  • Imming P, Sinning C, Meyer A: Drugs, their targets and the nature and number of drug targets. Nat Rev Drug Discov. 2006 Oct;5(10):821-34. - Pubmed
  • Suzuki M, Okuda T, Shiraki K: Synergistic antiviral activity of acyclovir and vidarabine against herpes simplex virus types 1 and 2 and varicella-zoster virus. Antiviral Res. 2006 Nov;72(2):157-61. Epub 2006 May 30. - Pubmed
  • Henrot A: [Mother-infant and indirect transmission of HSV infection: treatment and prevention] Ann Dermatol Venereol. 2002 Apr;129(4 Pt 2):533-49. - Pubmed
DTHybrid score 1.2461
Adenosine deaminase
Name Adenosine deaminase
Gene Name ADA
Actions substrate
References
  • -
  • Agarwal RP, Blatt J, Miser J, Sallan S, Lipton JM, Reaman GH, Holcenberg J, Poplack DG: Clinical pharmacology of 9-beta-D-arabinofuranosyladenine in combination with 2'-deoxycoformycin. Cancer Res. 1982 Sep;42(9):3884-6. - Pubmed
  • Balzarini J, De Clercq E: The antiviral activity of 9-beta-D-arabinofuranosyladenine is enhanced by the 2',3'-dideoxyriboside, the 2',3'-didehydro-2',3'-dideoxyriboside and the 3'-azido-2',3'-dideoxyriboside of 2,6-diaminopurine. Biochem Biophys Res Commun. 1989 Feb 28;159(1):61-7. - Pubmed
  • Cristalli G, Franchetti P, Grifantini M, Vittori S, Lupidi G, Riva F, Bordoni T, Geroni C, Verini MA: Adenosine deaminase inhibitors. Synthesis and biological activity of deaza analogues of erythro-9-(2-hydroxy-3-nonyl)adenine. J Med Chem. 1988 Feb;31(2):390-3. - Pubmed
DTHybrid score 1.6421
Id Partner name Gene Name Score
570 Thymidine kinase TK 1.2461
2559 Thymidine kinase TK 1.2461
3430 Thymidine kinase tdk 1.2461
3518 Thymidine kinase TK 1.2461
5301 Thymidine kinase tdk 1.2461
5771 Thymidine kinase ORF36 1.2461
471 Sodium- and chloride-dependent neutral and basic amino acid transporter B(0+) SLC6A14 0.0481
338 DNA polymerase UL30 0.0464
379 DNA polymerase UL54 0.0464
697 DNA polymerase ORF28 0.0464
2482 DNA polymerase 43 0.0464
6140 Ileal sodium/bile acid cotransporter SLC10A2 0.0388
6083 Deoxyguanosine kinase, mitochondrial DGUOK 0.0278
1974 Oligopeptide transporter, kidney isoform SLC15A2 0.0261
1539 Oligopeptide transporter, small intestine isoform SLC15A1 0.025
6142 Solute carrier family 22 member 8 SLC22A8 0.0236
1729 Solute carrier family 22 member 6 SLC22A6 0.022
603 DNA polymerase alpha catalytic subunit POLA1 0.0209
6044 Serum paraoxonase/lactonase 3 PON3 0.0199
268 Adenosine A2b receptor ADORA2B 0.0175
4773 Deoxycytidine kinase DCK 0.0165
204 cGMP-specific 3',5'-cyclic phosphodiesterase PDE5A 0.0137
1178 Adenosine A2a receptor ADORA2A 0.0137
16 Adenosine A1 receptor ADORA1 0.0131
390 Adenosine A3 receptor ADORA3 0.013
1971 cAMP-specific 3',5'-cyclic phosphodiesterase 4A PDE4A 0.0128
3811 Cytochrome P450 19A1 CYP19A1 0.0119
6021 Adenosine kinase ADK 0.0117
695 cAMP and cAMP-inhibited cGMP 3',5'-cyclic phosphodiesterase 10A PDE10A 0.0113
6171 Solute carrier family 28 member 3 SLC28A3 0.0107
4200 Cytochrome P450 1A2 CYP1A2 0.0101
6136 Multidrug resistance-associated protein 5 ABCC5 0.0081
2164 Multidrug resistance-associated protein 4 ABCC4 0.0068
1588 Multidrug resistance protein 1 ABCB1 0.0046
4122 Histone deacetylase 2 HDAC2 0.0042
485 cGMP-inhibited 3',5'-cyclic phosphodiesterase A PDE3A 0.0036
541 cAMP-specific 3',5'-cyclic phosphodiesterase 4B PDE4B 0.0033
1898 Cytochrome P450 1B1 CYP1B1 0.0027
6143 Solute carrier family 22 member 7 SLC22A7 0.0026
6024 Cytochrome P450 1A1 CYP1A1 0.0022
6013 Cytochrome P450 2E1 CYP2E1 0.0021
4924 Cytochrome P450 2C8 CYP2C8 0.0019
4757 Cytochrome P450 2C9 CYP2C9 0.0018
4119 Cytochrome P450 2D6 CYP2D6 0.0017
4512 Cytochrome P450 3A4 CYP3A4 0.0016