Enlightened by the available structural
biology information, a
novel series of dihydrothiopyrano[4,3-d]pyrimidine
derivatives were rationally designed via scaffold
hopping and molecular hybridization strategies. Notably, compound 20a yielded exceptionally potent antiviral activities (EC50 = 4.44–54.5 nM) against various HIV-1 strains and
improved resistance profiles (RF = 0.5–5.6) compared to etravirine
and rilpivirine. Meanwhile, 20a exhibited reduced cytotoxicity
(CC50 = 284 μM) and higher SI values (SI = 5210–63992).
Molecular dynamics simulations were performed to rationalize the distinct
resistance profiles. Besides, 20a displayed better solubility
(sol. = 12.8 μg/mL) and no significant inhibition of the main
CYP enzymes. Furthermore, 20a was characterized for prominent
metabolic stability and in vivo safety properties.
Most importantly, the hERG inhibition profile of 20a (IC50 = 19.84 μM) was a remarkable improvement. Overall, 20a possesses huge potential to serve as a promising drug
candidate due to its excellent potency, low toxicity, and favorable
drug-like properties.