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P a r t i c i p a n t s :<br />
Marino Artico, Roberto Di Santo, Roberta Costi, professors;<br />
Giuseppe La Regina, Rino Ragno, researchers;<br />
Gabriella De Martino, post-doc fellow; Antonio Coluccia,<br />
Francesco Piscitelli, PhD students.<br />
C o l l a b o r a t i o n s :<br />
Università di Roma Tor Vergata (Prof. Alberto Bergamini, Dr.<br />
Chiara Ciaprini, Dr. Anna Sinistro); <strong>Istituto</strong> di Genetica<br />
Molecolare, CNR, Pavia (Dr. Giovanni Maga, Dr. Emmanuele<br />
Crespan); NCI at Bethesda, NIH, USA (Prof. Yves Pommier);<br />
Rega Institute for Medical Research, K.U., Leuven, Belgium (Dr.<br />
Jean Balzarini); Welsh School of Pharmacy, Cardiff University,<br />
UK (Dr. Andrea Brancale, Dr. John Disson, Dr. Maria Chiara<br />
Barbera); NCI at Frederick, NIH, Maryland, USA (Prof. Ernest<br />
Hamel, Dr. Michael C. Edler).<br />
Report of activity<br />
Anti-HIV-1 Agents<br />
Human immunodeficiency virus (HIV) is the etiological<br />
agent of acquired immunodeficiency syndrome<br />
(AIDS). More than 20 antiretroviral drugs<br />
are available and fall into six classes: nucleoside and<br />
nucleotide reverse transcriptase inhibitors (NRTIs),<br />
non-nucleoside reverse transcriptase inhibitors<br />
(NNRTIs), protease inhibitors (PIs), fusion<br />
inhibitors (FIs), integrase inhibitors (INIs), and<br />
CCR5 coreceptor antagonist. Three (recommended)<br />
or four antiretroviral drugs are combined in the<br />
highly active antiretroviral therapy (HAART) that<br />
proved to be effective in reducing morbidity and<br />
mortality of HIV-infected people. However,<br />
HAART is unable to eradicate the viral infection;<br />
the needed long-term or permanent treatments<br />
favor the emergence of drug resistance, toxicity, and<br />
unwanted side effects.<br />
Principal investigator: Romano Silvestri<br />
Professor of Medicinal Chemistry<br />
Dipartimento di Chimica e Tecnologie del Farmaco<br />
Tel: (+39) 06 49913800; Fax: (+39) 06 491491<br />
romano.silvestri@uniroma1.it<br />
123<br />
New antimicrobial and antiviral agents - AREA 6<br />
Indole nucleus as a selected pharmacophore for the design of novel<br />
highly potent anti-viral agents active against HIV-1 (RT and IN<br />
inhibitors) and also capable to inhibit HCV and tumor cell replication<br />
Non-Nucleoside Reverse Transcriptase<br />
Inhibitors.<br />
NNRTIs have received a huge attention because of<br />
low toxicity and favorable pharmacokinetics properties,<br />
being four NNRTIs approved for AIDS<br />
treatment (nevirapine, delavirdine, efavirenz, and<br />
etravirine). However, the emergence of drug<br />
resistance remains a pressing problem. Our studies<br />
on sulfone NNRTIs led to the development of<br />
potent indolylarylsulfones (IASs). Continuing our<br />
efforts to develop IASs with improved activity<br />
against the viral mutants, we planned the synthesis<br />
of new derivatives bearing two halogen atoms at<br />
the indole ring. New IASs were obtained starting<br />
from the appropriate ethyl pyruvate phenylhydrazone,<br />
obtained according to the method of Japp-<br />
Klingemann, that was treated with polyphosphoric<br />
acid to furnish the corresponding ethyl 1H-indole-<br />
2-carboxylate (Fischer’s indole synthesis).<br />
Reaction of the indole ester with the appropriate<br />
phenylthiosuccinimide in the presence of boron<br />
trifluoride diethyl etherate afforded the corresponding<br />
ethyl 3-(phenylthio)-1H-indole-2-carboxylate,<br />
that was oxidated to sulfone and transformed<br />
into carboxamide by treating with 3-chloroperoxybenzoic<br />
acid and ammonium hydroxide, respectively.<br />
IASs bearing the 4,5-difluoro or 5-chloro-4-fluoro<br />
substitution pattern at the indole ring were<br />
potent inhibitors of HIV-1 WT and the NNRTIresistant<br />
strains Y181C and K103N-Y181C. These<br />
compounds were highly effective against the 112<br />
and the AB1 strains in lymphocytes and inhibited<br />
at nanomolar concentration the multiplication of<br />
the IIIBBa-L strain in macrophages. 5-Chloro-3-<br />
(3,5-dimethylphenylsulfonyl)-4-fluoro-1H-indole-<br />
2-carboxamide was exceptionally potent against<br />
RT WT and RTs carrying the K103N, Y181I, and<br />
L100I mutations. The synthesis of new derivatives<br />
characterized by natural and unnatural aminoacids<br />
at the 2-carboxamide and different electron-with-