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Design and Synthesis of Novel HIV-1 NNRTIs with Bicyclic Cores and with Improved Physicochemical Properties

Ladislav Prener, Ondřej Baszczyňski, Martin Kaiser, Martin Dračínský, George Stepan, Yu‐Jen Lee, Boris Brumshtein, Helen Yu, Petr Jansa, E.B. Lansdon, Zlatko Janeba

2023Journal of Medicinal Chemistry16 citationsDOIOpen Access PDF

Abstract

High Resolution Image Download MS PowerPoint Slide Non-nucleoside reverse transcriptase inhibitors (NNRTIs) represent cornerstones of current regimens for treatment of human immunodeficiency virus type 1 (HIV-1) infections. However, NNRTIs usually suffer from low aqueous solubility and the emergence of resistant viral strains. In the present work, novel bicyclic NNRTIs derived from etravirine (ETV) and rilpivirine (RPV), bearing modified purine, tetrahydropteridine, and pyrimidodiazepine cores, were designed and prepared. Compounds 2, 4, and 6 carrying the acrylonitrile moiety displayed single-digit nanomolar activities against the wild-type (WT) virus (EC 50 = 2.5, 2.7, and 3.0 nM, respectively), where the low nanomolar activity was retained against HXB2 (EC 50 = 2.2–2.8 nM) and the K103N and Y181C mutated strains (fold change, 1.2–6.7×). Most importantly, compound 2 exhibited significantly improved phosphate-buffered saline solubility (10.4 μM) compared to ETV and RPV (≪1 μM). Additionally, the binding modes of compounds 2, 4, and 6 to the reverse transcriptase were studied by X-ray crystallography.

Topics & Concepts

EtravirineChemistryRilpivirineMoietyBicyclic moleculeReverse transcriptaseStereochemistryReverse-transcriptase inhibitorEfavirenzQuinolineHuman immunodeficiency virus (HIV)VirologyOrganic chemistryBiochemistryRNAViral loadAntiretroviral therapyBiologyGeneHIV/AIDS drug development and treatmentHIV Research and TreatmentPneumocystis jirovecii pneumonia detection and treatment
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