Young Megan A, Lane Thomas R, Raman Renuka, Nelson Julie A E, Riabova Olga, Kazakova Elena, Monakhova Natalia, Tsedilin Andrey, Rees Steven D, Quinnell Daniel, Makarov Vadim, Chang Geoffrey, Ekins Sean
Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California at San Diego, La Jolla, San Diego, California 92093, United States.
Collaborations Pharmaceuticals Inc., 840 Main Campus Drive, Lab, 3510, Raleigh, North Carolina 27606, United States.
ACS Infect Dis. 2025 May 9;11(5):1257-1267. doi: 10.1021/acsinfecdis.5c00189. Epub 2025 Apr 30.
The use of highly active antiretroviral therapy (HAART) has made the human immunodeficiency virus (HIV) a chronic disease rather than a terminal disease. Non-nucleoside reverse transcriptase inhibitors (NNRTIs) are an important component of HAART, although we are seeing clinically relevant drug-resistant mutants such that there is a need to develop new molecules. We recently identified a new class of -phenyl-1-(phenylsulfonyl)-1-1,2,4-triazol-3-amine HIV-1 NNRTI, with one known as compound 12126065, with sub nanomolar (nM) potency in TZM-bl cells (HeLa cells expressing CD4, CCR5, and CXCR4) with no in vivo acute or subacute toxicity. We now describe the cryo-EM structure of this molecule (resolution of 3.53 Å) and compare it to analogues and other known NNRTIs. We also describe the synthesis and activity of five additional analogues of this class of compounds, some of which have promising activity against a K103N/Y181C (A17) double mutant, which will enable the design of future molecules.
高效抗逆转录病毒疗法(HAART)的应用已使人类免疫缺陷病毒(HIV)感染成为一种慢性病而非绝症。非核苷类逆转录酶抑制剂(NNRTIs)是HAART的重要组成部分,尽管我们发现临床上出现了具有耐药性的突变体,因此有必要研发新的分子。我们最近鉴定出一类新型的 -苯基-1-(苯基磺酰基)-1-1,2,4-三唑-3-胺HIV-1 NNRTI,其中一种名为化合物12126065,在TZM-bl细胞(表达CD4、CCR5和CXCR4的HeLa细胞)中具有亚纳摩尔(nM)级别的效力,且无体内急性或亚急性毒性。我们现在描述该分子的冷冻电镜结构(分辨率为3.53 Å),并将其与类似物及其他已知的NNRTIs进行比较。我们还描述了该类化合物另外五种类似物的合成及活性,其中一些对K103N/Y181C(A17)双突变体具有有前景的活性,这将有助于未来分子的设计。