A class of betulinic acid derivatives was synthesized to target two critical steps in the human immunodeficiency virus type 1 (HIV-1) replication cycle, entry and maturation. Each mechanism of HIV-1 inhibition is distinct from clinically available anti-HIV therapeutics. The viral determinants of the antientry and antimaturation activities are the bridging sheet of HIV-1 gp120 and the P24/p2 cleavage site, respectively.Betulinic acid derivatives are a class of small molecules that exhibit anti-human immunodeficiency virus type 1 (anti-HIV-1) activity (6,7,11). The targets of betulinic acid derivatives are varied, depending primarily on the side chain structures of the compounds (6) (Fig. 1). For example, betuliniyl aminooctanoylamino-3R-hydroxy-6-methylheptanoic acid (IC9564), which has a side chain at position 28 of betulinic acid, is a potent HIV-1 entry inhibitor (5). In contrast, dimethyl-succinyl-betulinic acid (DSB), which has a side chain at position 3, exhibits potent anti-HIV activity by inhibiting the maturation of the viral progeny (4, 7). IC9564 and DSB share a five-membered betulinic acid ring structure. Based on the molecular targets and chemical structures of IC9564 and DSB, we synthesized a class of compounds possessing both of these structural features, which resulted in an anti-HIV-1 profile superior to those of leucine (LH15) and N- [3-O-(3Ј,3Ј-dimethylsuccinyl)-lup-20(29)-en-28-oyl]-11-aminoundecanoic acid (LH55) are two of these compounds with potent anti-HIV activity.Synthesis and anti-HIV-1 activity of bifunctional small molecules LH15 and LH55. The protocol used to synthesize LH15 and LH55 was modified from previously described procedures (4, 12). The antientry functional groups, leucine and aminoundecanoic acid methyl esters, were introduced into the backbone of betulinic acid at position 28. The resulting intermediates were refluxed with 2,2-dimethylsuccinic anhydride in the presence of pyridine and dimethylaminopyridine to introduce the antimaturation side chains at position 3. The final products were purified with high-performance liquid chromatography to yield LH15 and LH55.1 H nuclear magnetic resonance with signal assignment and mass spectrometry were performed to verify the structures.The anti-HIV activity of these compounds was evaluated with an HIV-1 infectivity assay described previously (5). A diluted HIV-1 stock at a multiplicity of infection of 0.001 50% tissue culture infective dose per cell was used to infect MT4 cells in the presence of various concentrations of the compounds. The compounds IC9564 and DSB (4, 5) inhibit various HIV-1 isolates at submicromolar concentrations but not the protease inhibitor-resistant strain PI-R, which is less sensitive to DSB (Table 1). LH15 and LH55, in general, are at least a log more potent than either IC9564 or DSB. The results shown in Table 1 also demonstrate that LH15 and LH55 are potent inhibitors of the multiple-protease-inhibitor-resistant strain PI-R (2) and the multiple-reverse transcriptase (RT)-inhibitorresistant strain RTI-R (...