How Thionucleosides Are Revolutionizing Cancer and Antiviral Therapies
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 .
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 .
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 .
The C–N anomeric bond in thionucleosides is exceptionally stable under physiological conditions, preventing premature hydrolysis 1 .
A landmark 2025 study by Britton et al. established a practical four-step route to 4′-thionucleosides on multigram scales 1 :
Starting from α-fluorinated aldehyde 17, reduced using L-selectride.
Alcohol protected as TBS ether, converted to mesylate leaving group.
NaSH in DMSO at 100°C installs sulfur atom.
| Entry | Sulfur Source | Solvent | Temp (°C) | Yield (%) |
|---|---|---|---|---|
| 4 | Na₂S·9H₂O | DMF | 90 | 0 |
| 5 | Na₂S·9H₂O* | DMF | 90 | 50 |
| 6 | NaSH | DMSO | 100 | 61 |
An alternative approach bypasses sugar-ring challenges entirely:
For structurally complex analogues:
| 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) |
In vivo results: 6.8 hour plasma half-life in mice with significant tumor regression and no observable toxicity 8 .
| 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 |
The future of thionucleosides is accelerating toward clinical translation:
C2ʹ-quaternary thionucleosides overcome gemcitabine resistance in KRAS-mutant pancreatic cancers 6 .
5-Methylcytidine-modified thionucleosides enhance saRNA stability and efficacy .
Enzymatic cascades enable sustainable synthesis of 2ʹ-functionalized thionucleosides 9 .
"Replacing oxygen with sulfur isn't just chemistry—it's giving nature a new toolkit to fight disease."
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.
Comparison of oxygen (left) and sulfur (right) containing nucleosides