2014
DOI: 10.1128/jvi.02688-13
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GS-8374, a Prototype Phosphonate-Containing Inhibitor of HIV-1 Protease, Effectively Inhibits Protease Mutants with Amino Acid Insertions

Abstract: e Insertions in the protease (PR) region of human immunodeficiency virus (HIV) represent an interesting mechanism of antiviral resistance against HIV PR inhibitors (PIs). Here, we demonstrate the improved ability of a phosphonate-containing experimental HIV PI, GS-8374, relative to that of other PIs, to effectively inhibit patient-derived recombinant HIV strains bearing PR insertions and numerous other mutations. We correlate enzyme inhibition with the catalytic activities of corresponding recombinant PRs in v… Show more

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Cited by 9 publications
(3 citation statements)
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“…This phosphonate ‘solvent anchor’ may be responsible for the retention of antiviral activity against resistant variants as measured by ITC. Recently, the structure of GS-8374 was reported in complex with an unusual variant bearing 12 substitutions and a Glu-Glu insertion after Glu35 that is resistant to many drugs [68]. Their analysis suggests that retention of antiviral activity against this mutant is due to the ability of the P1 aromatic phosphonate to rearrange within the expanded cavity walls while remaining anchored to the solvent.…”
Section: Investigational Antiviral Inhibitorsmentioning
confidence: 99%
“…This phosphonate ‘solvent anchor’ may be responsible for the retention of antiviral activity against resistant variants as measured by ITC. Recently, the structure of GS-8374 was reported in complex with an unusual variant bearing 12 substitutions and a Glu-Glu insertion after Glu35 that is resistant to many drugs [68]. Their analysis suggests that retention of antiviral activity against this mutant is due to the ability of the P1 aromatic phosphonate to rearrange within the expanded cavity walls while remaining anchored to the solvent.…”
Section: Investigational Antiviral Inhibitorsmentioning
confidence: 99%
“…So far ten protease inhibitors have been approved by Food and Drug Administration (FDA), including squinavir (SQV), ritonavir (RTV), lopnavir (LPV), atazanavir (ATV), nelfinavir (NFV), indinavir (IDV), tipranavir (TPV), amprenavir (APV), fosamprenavir (FPV, prodrug of amprenavir), and darunavir (DRV or named as TMC114) 19 20 21 22 . These inhibitors bind to the active site of HIV-1 PR, block gag-pol, and thereby prevent the formation of mature virus particles in vitro .…”
mentioning
confidence: 99%
“…Currently, there are ten PR inhibitors approved by the Food and Drug (FDA). They are saquinavir (SQV), ritonavir (RTV), indinavir (IDV), nelfinavir (NFV), amprenavir (APV), lopinavir (LPV), atazanavir (ATV), tipranavir (TPV), fosamprenavir (FPV, prodrug of amprenavir) and darunavir (DRV) 8 9 10 11 12 . Several more inhibitors are in late stages of clinical development.…”
mentioning
confidence: 99%