Tenofovir alafenamide hemifumarate (GS-7340 hemifumarate) is a prodrug of the HIV-1 nucleotide reverse transcriptase (RT)[1]. Tenofovir alafenamide hemifumarate is converted into the active metabolite tenofovir-diphosphate (TFV-DP) in vivo by carboxylate esterase-1 (CES1) in hepatocytes and subsequent phosphorylation[2]. TFV-DP competitively inhibits viral RT and acts as a chain terminator by incorporating into nascent viral DNA, thereby blocking HIV-1 replication[3]. Tenofovir alafenamide hemifumarate is commonly used in antiviral research against HIV-1 and HBV[4].
In vitro, treatment of MT-2 cells with Tenofovir alafenamide hemifumarate(0.01nM-1µM; 5 days)showed potent antiviral activity in vitro with EC50 values of 5nM[5].
In vivo, Tenofovir alafenamide hemifumarate (10μg/kg/day; subcutaneous implant; 12 weeks) induced severe local inflammation and necrosis in the peri-implant tissue of rhesus macaques[6]. Tenofovir alafenamide hemifumarate (0-1000mg/kg/day; 28 days; subcutaneous infusion) resulted in increased incidence and severity of fibrosis and mononuclear cell inflammation at the infusion site in male rats[7].
References:
[1] Gibson AK, Shah BM, Nambiar PH, Schafer JJ. Tenofovir Alafenamide. Ann Pharmacother. 2016;50(11):942-952.
[2] Birkus G, Bam RA, Willkom M, et al. Intracellular Activation of Tenofovir Alafenamide and the Effect of Viral and Host Protease Inhibitors. Antimicrob Agents Chemother. 2015;60(1):316-322.
[3] Uglietti A, Zanaboni D, Gnarini M, Maserati R. Emtricitabine/tenofovir in the treatment of HIV infection: current PK/PD evaluation. Expert Opin Drug Metab Toxicol. 2012;8(10):1305-1314.
[4] Hong X, Cai Z, Zhou F, et al. Improved pharmacokinetics of tenofovir ester prodrugs strengthened the inhibition of HBV replication and the rebalance of hepatocellular metabolism in preclinical models. Front Pharmacol. 2022;13:932934.
[5] Callebaut C, Stepan G, Tian Y, Miller MD. In Vitro Virology Profile of Tenofovir Alafenamide, a Novel Oral Prodrug of Tenofovir with Improved Antiviral Activity Compared to That of Tenofovir Disoproxil Fumarate. Antimicrob Agents Chemother. 2015;59(10):5909-5916.
[6] Su JT, Simpson SM, Sung S, et al. A Subcutaneous Implant of Tenofovir Alafenamide Fumarate Causes Local Inflammation and Tissue Necrosis in Rabbits and Macaques. Antimicrob Agents Chemother. 2020;64(3):e01893-19.
[7] Zane D, Roller S, Shelton J, et al. A 28-Day Toxicity Study of Tenofovir Alafenamide Hemifumarate by Subcutaneous Infusion in Rats and Dogs. Microbiol Spectr. 2021;9(1):e0033921.
Tenofovir alafenamide hemifumarate是HIV-1核苷酸逆转录酶(RT)的前药[1]。 Tenofovir alafenamide hemifumarate在体内经肝细胞羧酸酯酶-1(CES1)及后续磷酸化转化为活性代谢物tenofovir-diphosphate(TFV-DP)[2]。TFV-DP通过竞争性抑制病毒RT并作为链终止剂嵌入新生病毒DNA,阻断HIV-1复制[3]。 Tenofovir alafenamide hemifumarate常用于HIV-1和HBV的抗病毒研究[4]。
体外实验中,Tenofovir alafenamide hemifumarate(0.01nM-1µM;5天)在MT-2细胞中显示出强效的抗病毒活性,EC50为5nM[5]。
体内实验中,Tenofovir alafenamide hemifumarate(10µg/kg/天;皮下植入;12周)在恒河猴植入部位周围组织中引起严重的局部炎症和坏死[6]。Tenofovir alafenamide hemifumarate(0-1000mg/kg/天;皮下输注;28天)在雄性大鼠输注部位导致纤维化和单核细胞炎症的发生率和严重程度增加[7]。
















