2022
DOI: 10.1021/acs.jmedchem.1c01758
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Contemporary Medicinal Chemistry Strategies for the Discovery and Development of Novel HIV-1 Non-nucleoside Reverse Transcriptase Inhibitors

Abstract: Currently, HIV-1 non-nucleoside reverse transcriptase inhibitors (NNRTIs) are a major component of the highly active anti-retroviral therapy (HAART) regimen. However, the occurrence of drug-resistant strains and adverse reactions after long-term usage have inevitably compromised the clinical application of NNRTIs. Therefore, the development of novel inhibitors with distinct anti-resistance profiles and better pharmacological properties is still an enormous challenge. Herein, we summarize state-of-the-art medic… Show more

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Cited by 37 publications
(16 citation statements)
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References 197 publications
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“…The rapid spread of AIDS and its high mortality rate threaten human health and social development. HIV contains two species: HIV-1 is the predominant pathogenic pathogen, but the danger of HIV-2 infection is increasing and has been discovered globally [ 3 , 4 ]. Current combination antiretroviral therapy (cART) and, in light of frequent mutations within the retrovirus, available antivirals can delay disease progression and suppress viral load in patients; however, a cure is currently not possible due to latent viral pools induced by cART [ 5 , 6 , 7 ].…”
Section: Introductionmentioning
confidence: 99%
“…The rapid spread of AIDS and its high mortality rate threaten human health and social development. HIV contains two species: HIV-1 is the predominant pathogenic pathogen, but the danger of HIV-2 infection is increasing and has been discovered globally [ 3 , 4 ]. Current combination antiretroviral therapy (cART) and, in light of frequent mutations within the retrovirus, available antivirals can delay disease progression and suppress viral load in patients; however, a cure is currently not possible due to latent viral pools induced by cART [ 5 , 6 , 7 ].…”
Section: Introductionmentioning
confidence: 99%
“…Halogen atoms play an important role in improving the metabolic stability and optimizing the pharmacological parameters, such as lipophilicity and permeability [ 60 ]. A similar role can be envisioned for the aromatic fluorine atoms of cabotegravir.…”
Section: New Halogen-containing Drugsmentioning
confidence: 99%
“…However, in the absence of a viable vaccine, taking these antiviral drugs is a life-long commitment. With the time people are required to remain on their regimens, drug resistance and side effects caused by cART represent real challenges [ 5 ]. One way to circumvent the problem of drug resistance is to develop new anti-HIV drugs with new targets and modes of action [ 6 ].…”
Section: Introductionmentioning
confidence: 99%