2018
DOI: 10.1002/med.21544
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Challenges and approaches in the discovery of human immunodeficiency virus type‐1 non‐nucleoside reverse transcriptase inhibitors

Abstract: The type I human immunodeficiency virus (HIV‐1) pandemic affecting over 37 million people worldwide continues, with 1.8 million people newly infected each year. Highly active antiretroviral therapy is efficient at reducing viral load and nearly one‐half of the infected population is on treatment. One of the most successful approaches for the treatment of HIV infections is the use of inhibitors for human immunodeficiency virus type‐1 reverse transcriptase (HIV‐1 RT). At present, there are six nonnucleoside reve… Show more

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Cited by 42 publications
(27 citation statements)
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References 144 publications
(261 reference statements)
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“…The flexibility allows these NNRTIs to tolerate these single-point mutations ( Wang et al, 2020 ). However, emergence of double mutations caused resistance to the second and the third generation NNRTIs ( Battini and Bollini, 2019 ). Therefore, new inhibitors with better structural adaptability are required to overcome this problem.…”
Section: Introductionmentioning
confidence: 99%
“…The flexibility allows these NNRTIs to tolerate these single-point mutations ( Wang et al, 2020 ). However, emergence of double mutations caused resistance to the second and the third generation NNRTIs ( Battini and Bollini, 2019 ). Therefore, new inhibitors with better structural adaptability are required to overcome this problem.…”
Section: Introductionmentioning
confidence: 99%
“…The main purpose of the design of HIV-1 inhibitors is to suppress the replication of HIV-1 in the long-term therapy and to maintain the function of the immune function [49]. Given that delavirdine [50] with indole 2-carboxamide skeletal is used to treat HIV-1, other indole 2-carboxamide derivatives have the potential to inhibit HIV-1 virus activity. It should be noted that many researchers have used nevirapine and efavirenz as the control to compare with indole 2-carboxamide derivatives (HIV-1 inhibition).…”
Section: Hiv-1 Entry Inhibitorsmentioning
confidence: 99%
“…The flexibility between the aromatic rings, allowing the DAPYs to adopt multiple conformations of RT, is accounted for the potent activity against many resistant virus strains 8 . However, growing drug‐resistant mutations are still unavoidable appeared in the clinical practice of these two drugs 9 . The adverse effects and poor physicochemical properties also disturbed their clinical applications.…”
Section: Introductionmentioning
confidence: 99%