Abstract

The persistence of the AIDS epidemic, and the life-long treatment required, indicate the constant need of novel HIV-1 inhibitors. In this scenario the HIV-1 Reverse Transcriptase (RT)-associated ribonuclease H (RNase H) function is a promising drug target. Here we report a series of compounds, developed on the 2-amino-6-(trifluoromethyl)nicotinic acid scaffold, studied as promising RNase H dual inhibitors. Among the 44 tested compounds, 34 inhibited HIV-1 RT-associated RNase H function in the low micromolar range, and seven of them showed also to inhibit viral replication in cell-based assays with a selectivity index up to 10. The most promising compound, 21, inhibited RNase H function with an IC50 of 14 µM and HIV-1 replication in cell-based assays with a selectivity index greater than 10. Mode of action studies revealed that compound 21 is an allosteric dual-site compound inhibiting both HIV-1 RT functions, blocking the polymerase function also in presence of mutations carried by circulating variants resistant to non-nucleoside inhibitors, and the RNase H function interacting with conserved regions within the RNase H domain. Proving compound 21 as a promising lead for the design of new allosteric RNase H inhibitors active against viral replication with not significant cytotoxic effects.

Highlights

  • The acquired immunodeficiency syndrome (AIDS) pandemic is still one of the major world health concerns

  • A15 (Figure 1), showed the same dual inhibitor profile, being active against viral replication [40], embracing the promising polypharmacology approach to develop effective drugs less susceptible to the selection of resistant variants [44]. Taking into account this information, we explored the 2-amino-6-trifluoromethyl-3pyridinecarboxylic acid as a central core to design new allosteric ribonuclease H (RNase H) inhibitors endowed with potential dual-target ability

  • In order to confirm our hypothesis of allosteric binding mode, we firstly examined the possible interaction between selected compounds and the magnesium, used as a cofactor by both the Reverse Transcriptase (RT)-associated enzymatic functions

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Summary

Introduction

The acquired immunodeficiency syndrome (AIDS) pandemic is still one of the major world health concerns. While the highly-active antiretroviral therapy (HAART) allows patients who receive optimum treatment a life-expectation comparable to that of the uninfected population [2,3], the sub-optimal adherence and coverage of seropositive people, coupled with life-long treatment, still cause emergence of drug-resistant variants, that could lead to therapy failure [4], and whose transmission to naïve patient is a major concern and requires an optimized treatment [5,6,7]. RT is a heterodimeric (p66/p51) multifunctional enzyme that acts at the early stage of viral infection by converting the viral single-stranded RNA genome into a double-stranded DNA, with the concerted and dynamic interplay of its enzymatic functions RNA- and DNA-dependent DNA polymerase (RDDP and DDDP, respectively), and RT- associated ribonuclease H (RNase H) [8,9]

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