Entrance-channel design tames cytotoxicity of the JK-4b NNRTI lead

HIV-1NNRTIreverse transcriptasecytotoxicitystructure-guided design
  • JK-4b, a potent NNRTI active against wild-type and clinical HIV-1 variants, was shelved because of high cytotoxicity; the authors used it as a lead for new analogues.
  • Structure-guided designs addressing the NNRTI entrance channel gave a series with lower cytotoxicity and improved selectivity.
  • Lead compound 9n retained strong potency against common resistance mutants, including double mutants, at levels comparable to etravirine.
  • 9n also showed minimal cytochrome P450 inhibition and good human liver microsome stability, supporting further development.
💡 Points

Rescuing a shelved lead is always more interesting than starting cold: JK-4b already had the potency and resistance coverage, so the real question was whether entrance-channel contacts could decouple that from its cytotoxicity. If 9n's profile holds up, that suggests the toxicity was scaffold-tunable, not baked into the pharmacophore. Matching etravirine on double mutants while staying clean on P450 and microsome stability is what I'd want to see before making more.

Targeting the HIV-1 NNRTI Entrance Channel: Structure-Guided Optimization for Enhanced Safety and Selectivity ↗

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