Discovery of novel biphenyl-substituted pyridone derivatives as potent non-nucleoside reverse transcriptase inhibitors with promising oral bioavailability

Eur J Med Chem. 2022 Oct 5:240:114581. doi: 10.1016/j.ejmech.2022.114581. Epub 2022 Jun 30.

Abstract

Adding to past success in developing non-nucleoside reverse transcriptase inhibitors (NNRTIs), we report herein our efforts to optimize an FDA-approved NNRTI, doravirine, into a series of novel biphenyl-substituted pyridone derivatives. A strategy focused on harnessing the X-ray crystal structure of doravirine, coupled with computer simulations, to guide the design of conformationally constrained analogs led to the discovery of ZLM-66, which provided comparable inhibitory potency to doravirine against wild-type HIV-1 (EC50 = 13 nM) and various single/double mutant strains. ZLM-66 possessed acceptable cytotoxicity and selectivity index. In vivo profiling indicated that ZLM-66 exhibited excellent pharmacokinetics with significantly improved oral bioavailability (F = 140.24%) and a more favorable half-life (T1/2 = 8.45 h), compared to that of doravirine (F = 57%, T1/2 = 4.4 h). In addition, ZLM-66 did not cause significant inhibition of CYP and hERG (>200 μM), as well as acute toxicity and tissue damage at a dose of 1.2 g/kg. Therefore, ZLM-66 can be used as a lead compound to further guide the development of orally active biphenyl-containing doravirine analogs for HIV therapy.

Keywords: Doravirine; HIV-1; NNRTIs; Oral bioavailability.

MeSH terms

  • Anti-HIV Agents* / chemistry
  • Biological Availability
  • Biphenyl Compounds
  • HIV Reverse Transcriptase / metabolism
  • Pyridones / chemistry
  • Pyridones / pharmacology
  • Reverse Transcriptase Inhibitors* / chemistry
  • Reverse Transcriptase Inhibitors* / pharmacology
  • Structure-Activity Relationship

Substances

  • Anti-HIV Agents
  • Biphenyl Compounds
  • Pyridones
  • Reverse Transcriptase Inhibitors
  • diphenyl
  • HIV Reverse Transcriptase