Discovery of a Potent HIV Integrase Inhibitor that Leads to a Prodrug with Significant anti-HIV Activity.

ACS Medicinal Chemistry Letters
Byung I SeoV Nair

Abstract

Worldwide research efforts in drug discovery involving HIV integrase have produced only one compound, raltegravir, that has been approved for clinical use in HIV/AIDS. As resistance, toxicity and drug-drug interactions are recurring issues with all classes of anti-HIV drugs, the discovery of novel integrase inhibitors remains a significant scientific challenge. We have designed a lead HIV-1 strand transfer (ST) inhibitor (IC(50) 70 nM), strategically assembled on a pyridinone scaffold. A focused structure-activity investigation of this parent compound led to a significantly more potent ST inhibitor, 2 (IC(50) 6 ± 3 nM). Compound 2 exhibits good stability in pooled human liver microsomes. It also displays a notably favorable profile with respect to key human cytochrome P450 (CYP) isozymes and human UDP glucuronosyl transferases (UGTs). The prodrug of inhibitor 2, i.e., compound 10, was found to possess remarkable anti-HIV-1 activity in cell culture (EC(50) 9 ± 4 nM, CC(50) 135 ± 7 μM, therapeutic index = 15,000).

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Citations

Jul 18, 2015·Molecules : a Journal of Synthetic Chemistry and Natural Product Chemistry·Vasu Nair, Maurice Okello
Oct 10, 2015·European Journal of Medicinal Chemistry·Ozkan SariLuigi A Agrofoglio
Oct 17, 2017·Molecules : a Journal of Synthetic Chemistry and Natural Product Chemistry·Hanadi SinokrotRafik Karaman
Oct 30, 2014·Chemistry : a European Journal·Tomoya MizumoriHirokazu Urabe
Mar 6, 2013·Acta Crystallographica. Section C, Crystal Structure Communications·John BacsaVasu Nair

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