2014
DOI: 10.1039/c4mb00147h
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“Old Dogs with New Tricks”: exploiting alternative mechanisms of action and new drug design strategies for clinically validated HIV targets

Abstract: HIV-1 reverse transcriptase, protease and integrase have been recognized as clinically validated but still underexploited targets for antiretroviral treatment. Although a large number of inhibitors have been used in clinical trials, the rapid emergence of multiple drug-resistant strains requires the identification of not only novel classes of antiretroviral drugs that act via the unprecedented mechanism of action but also innovative drug discovery strategies towards these three important targets. This review s… Show more

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Cited by 25 publications
(12 citation statements)
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“…While HAART has proven to effectively suppress viral replication, the required long term HAART treatment can be plagued by adverse effects and drug resistance. This is precisely why even with a large number of FDA-approved drugs there is still a pressing need for improved antivirals, particularly those with novel and distinct mechanisms of action [3, 4] to combat drug resistance. Of all FDA-approved HIV drugs, inhibitors of RT comprise two distinct classes, nucleoside RT inhibitors (NRTIs) [5] and non-nucleoside RT inhibitors (NNRTIs) [6], and are of particular importance for HAART.…”
Section: Introductionmentioning
confidence: 99%
“…While HAART has proven to effectively suppress viral replication, the required long term HAART treatment can be plagued by adverse effects and drug resistance. This is precisely why even with a large number of FDA-approved drugs there is still a pressing need for improved antivirals, particularly those with novel and distinct mechanisms of action [3, 4] to combat drug resistance. Of all FDA-approved HIV drugs, inhibitors of RT comprise two distinct classes, nucleoside RT inhibitors (NRTIs) [5] and non-nucleoside RT inhibitors (NNRTIs) [6], and are of particular importance for HAART.…”
Section: Introductionmentioning
confidence: 99%
“…Based on these analysis and in connection with our previous endeavor to seek novel, potent, selective, and less toxic antiviral agents from fused heterocycles, we started to explore the privileged and synthetically feasible purine derivatives as more potent anti‐HIV agents via structure‐based bioisosteric replacement and molecular hybridization, in the hope that the new analogs may have somewhat better properties . Concretely, as shown in Figure S1, the bridgehead nitrogen‐containing bicyclic scaffolds were replaced by the purine ring, and the preferred N ‐(piperidin‐4‐yl)amine group was installed at the right‐wing portion of the purine core.…”
mentioning
confidence: 99%
“…Despite inhibiting the RT function only at a micromolar range, the two compounds can serve as scaffold for further development, e.g., in fragment-based ligand design [36], given the need of alternative NNRTIs in the increasing emergence of viral drug cross resistance mutations [34]. Our limited mice experiments (unpublished) showed no obvious toxicity effects at dosages up to 7 mg/kg for both the compounds, preliminarily showing them to be relatively safe.…”
Section: Discussionmentioning
confidence: 78%