Molecular
hybridization is a powerful strategy in drug discovery.
A series of novel diarylbenzopyrimidine (DABP) analogues were developed
by the hybridization of FDA-approved drugs etravirine (ETR) and efavirenz
(EFV) as potential HIV-1 nonnucleoside reverse transcriptase inhibitors
(NNRTIs). Substituent modifications resulted in the identification
of new DABPs with the combination of the strengths of the two drugs,
especially compound 12d, which showed promising activity
toward the EFV-resistant K103N mutant. 12d also had a
favorable pharmacokinetic (PK) profile with liver microsome clearances
of 14.4 μL/min/mg (human) and 33.2 μL/min/mg (rat) and
an oral bioavailability of 15.5% in rat. However, its activity against
the E138K mutant was still unsatisfactory; E138K is the most prevalent
NNRTI resistance-associated mutant in ETR treatment. Further optimizations
resulted in a highly potent compound (12z) with no substituents
on the phenyl ring and a 2-methyl-6-nitro substitution pattern on
the 4-cyanovinyl-2,6-disubstitued phenyl motif. The antiviral activity
of this compound was much higher than those of ETR and EFV against
the WT, E138K, and K103N variants (EC50 = 3.4, 4.3, and
3.6 nM, respectively), and the cytotoxicity was decreased while the
selectivity index (SI) was increased. In particular, this compound
exhibited acceptable intrinsic liver microsome stability (human, 34.5
μL/min/mg; rat, 33.2 μL/min/mg) and maintained the good
PK profile of its parent compound EFV and showed an oral bioavailability
of 16.5% in rat. Molecular docking and structure–activity relationship
(SAR) analysis provided further insights into the binding of the DABPs
with HIV-1 reverse transcriptase and provided a deeper understanding
of the key structural features responsible for their interactions.