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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-

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