Currently, HIV-1 non-nucleoside reverse
transcriptase inhibitors
(NNRTIs) are a major component of the highly active anti-retroviral
therapy (HAART) regimen. However, the occurrence of drug-resistant
strains and adverse reactions after long-term usage have inevitably
compromised the clinical application of NNRTIs. Therefore, the development
of novel inhibitors with distinct anti-resistance profiles and better
pharmacological properties is still an enormous challenge. Herein,
we summarize state-of-the-art medicinal chemistry strategies for the
discovery of potent NNRTIs, such as structure-based design strategies,
contemporary computer-aided drug design, covalent-binding strategies,
and the application of multi-target-directed ligands. The strategies
described here will facilitate the identification of promising HIV-1
NNRTIs.