The Sulfur Swap

How Thionucleosides Are Revolutionizing Cancer and Antiviral Therapies

Introduction: The Power of a Single Atom

Imagine swapping one atom in a molecule and unlocking unprecedented medical potential.

This isn't alchemy—it's the science of thionucleosides, where replacing oxygen with sulfur in nucleosides creates compounds with remarkable therapeutic properties. These molecular hybrids combine the blueprint of life with sulfur's unique chemistry, leading to drugs that resist degradation, evade cellular defenses, and target diseases with precision. From combatting chemotherapy-resistant cancers to outsmarting viral evolution, thionucleosides represent a frontier in medicinal chemistry where atomic-level changes yield life-saving results 1 4 .

The Sulfur Advantage: Why Swap Atoms?

1
Metabolic Fortitude

Natural nucleosides are easily dismantled by enzymes like phosphorylases. The C–S bond in thionucleosides resists enzymatic cleavage, significantly extending drug half-life.

Example: Thiarabine (4′-thioaraC) treats hematologic cancers with once-daily oral dosing 1 .

2
Conformational Control

Sulfur's larger atomic radius subtly distorts the sugar ring, altering how these molecules bind to enzymes. This "conformational twist" enhances specificity for viral polymerases 6 .

3
Anomeric Stability

The C–N anomeric bond in thionucleosides is exceptionally stable under physiological conditions, preventing premature hydrolysis 1 .

Crafting Thionucleosides: Synthetic Breakthroughs

The Britton Group's Scalable Synthesis

A landmark 2025 study by Britton et al. established a practical four-step route to 4′-thionucleosides on multigram scales 1 :

1
Ketone Reduction

Starting from α-fluorinated aldehyde 17, reduced using L-selectride.

2
Mesylate Activation

Alcohol protected as TBS ether, converted to mesylate leaving group.

3
Double Displacement

NaSH in DMSO at 100°C installs sulfur atom.

4
Scope Expansion

Accommodates pyrimidine and purine bases 1 .

Optimization of Key Cyclization Step
Entry Sulfur Source Solvent Temp (°C) Yield (%)
4 Na₂S·9H₂O DMF 90 0
5 Na₂S·9H₂O* DMF 90 50
6 NaSH DMSO 100 61
*Freshly recrystallized 1

Guindon's Acyclic Strategy

An alternative approach bypasses sugar-ring challenges entirely:

  • Linear dithioacetals (e.g., 9) are synthesized with predefined stereochemistry.
  • Intramolecular SN₂-like cyclization forms the thiofuranose ring 6 .

C2ʹ Quaternary Center Innovation

For structurally complex analogues:

  • A Mukaiyama aldol reaction builds the carbon backbone.
  • Radical-based vinyl transfer installs an all-carbon quaternary center at C2ʹ 6 .
Scalability of Britton's Thionucleoside Synthesis
Starting Material Product Scale Overall Yield (%)
22e (50.0 g) Mesylate 15 59.0 g 75% (3 steps)
22e ThNA 16 Multigram ~50% (4 steps)
1

Biological Impact: From Lab Bench to Clinic

Anticancer Powerhouses
Compound 33a
  • Inhibits HCT116 colon cancer cells (IC₅₀ = 0.27 μM)
  • Induces ROS-mediated DNA damage
  • Suppresses c-MYC oncoprotein

In vivo results: 6.8 hour plasma half-life in mice with significant tumor regression and no observable toxicity 8 .

Antiviral Applications
4ʹ-Thio-DMDC (3)

Blocks HIV replication by mimicking natural nucleotides, causing chain termination 1 .

C4ʹ-Alkyne thionucleosides (4)

Potent inhibitors of SARS-CoV-2 RNA-dependent RNA polymerase (RdRp) 1 .

Essential Reagents for Thionucleoside R&D

Reagent Function Example Use
Na₂S·9H₂O (cryst.) Sulfur source for ring closure Double displacement in Britton synthesis
Dithioacetals Acyclic precursors with fixed stereochemistry Guindon's cyclization approach
L-Selectride Stereoselective carbonyl reduction 1,3-anti diol formation
Triethylborane (Et₃B) Radical initiator for quaternary centers C2ʹ vinyl group transfer
TBS-Protecting Groups Alcohol protection for selective activation Prevents side reactions during cyclization
1 4 6

Beyond the Bench: Therapeutic Horizons

The future of thionucleosides is accelerating toward clinical translation:

Combatting Resistance

C2ʹ-quaternary thionucleosides overcome gemcitabine resistance in KRAS-mutant pancreatic cancers 6 .

Next-Gen Vaccines

5-Methylcytidine-modified thionucleosides enhance saRNA stability and efficacy .

Scalable Production

Enzymatic cascades enable sustainable synthesis of 2ʹ-functionalized thionucleosides 9 .

Conclusion: The Atomic Edge in Medicine

"Replacing oxygen with sulfur isn't just chemistry—it's giving nature a new toolkit to fight disease."

Dr. Robert Britton, Simon Fraser University 1

Thionucleosides exemplify how strategic atomic substitutions can transform molecular behavior. With enhanced metabolic stability, tunable conformation, and innovative synthetic routes, these compounds are poised to tackle enduring challenges in oncology and virology. As scalable methods mature and biological insights deepen, the sulfur swap—once a chemical curiosity—may soon yield therapies where conventional nucleosides fall short. In the atomic dance of drug design, sulfur has taken center stage.

Key Highlights
Metabolic Stability

C–S bond resists enzymatic cleavage, extending drug half-life 1 .

Cancer Therapy

Compound 33a shows IC₅₀ = 0.27 μM against colon cancer 8 .

Scalable Synthesis

Multigram production achieved in 4 steps 1 .

Molecular Visualization
Nucleoside structure

Comparison of oxygen (left) and sulfur (right) containing nucleosides

References