Comparative Pharmacokinetics of a Dual Inhibitor of HIV-1, NBD-14189, in Rats and Dogs with a Proof-of-Concept Evaluation of Antiviral Potency in SCID-hu Mouse Model.

Comparative Pharmacokinetics of a Dual Inhibitor of HIV-1, NBD-14189, in Rats and Dogs with a Proof-of-Concept Evaluation of Antiviral Potency in SCID-hu Mouse Model.
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DOI:
10.3390/v14102268
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发表时间:
2022-10-16
期刊:
Viruses
影响因子:
--
通讯作者:
Debnath AK
Debnath AK
中科院分区:
其他
文献类型:
--
作者:
Stoddart CA;Curreli F;Horrigan S;Altieri A;Kurkin AV;Debnath AK

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我们之前报道了gp120拮抗剂的设计取得了实质性进展。值得注意的是,我们发现NBD-14189不仅是最活跃的gp120拮抗剂,而且对HIV-1逆转录酶(RT)具有抗病毒活性。我们还通过x射线晶体学证实了它与HIV-1 RT的结合。这种双重抑制是非常重要的,因为有趣的是,这种化合物连接了dNTP和nnrti结合位点,并在酶分析中抑制了分离RT的聚合酶活性。这一新发现有望为设计新型HIV-1双重抑制剂开辟新的途径。因此,我们需要将这种抑制剂推进到临床前评估。为此,我们报道了NBD-14189在大鼠和狗体内的药代动力学(PK)研究。随后,我们在SCID-hu Thy/Liv小鼠模型中评估了其体内毒性和治疗效果。PK数据显示其具有良好的半衰期(t1/2)和良好的口服生物利用度(%F = 61%)。NBD-14189在小鼠中没有显示出任何可测量的毒性,并且在没有明确证据表明对HIV介导的人类胸腺细胞耗损有保护作用的情况下,每天300 mg/kg的治疗减少了HIV复制。这些数据表明这种抑制剂作为抗hiv -1药物的潜力,需要在非人灵长类动物(NHP)模型中进行评估。
We earlier reported substantial progress in designing gp120 antagonists. Notably, we discovered that NBD-14189 is not only the most active gp120 antagonist but also shows antiviral activity against HIV-1 Reverse Transcriptase (RT). We also confirmed its binding to HIV-1 RT by X-ray crystallography. The dual inhibition is highly significant because, intriguingly, this compound bridges the dNTP and NNRTI-binding sites and inhibits the polymerase activity of isolated RT in the enzymatic assay. This novel finding is expected to lead to new avenues in designing a novel class of HIV-1 dual inhibitors. Therefore, we needed to advance this inhibitor to preclinical assessment. To this end, we report the pharmacokinetics (PK) study of NBD-14189 in rats and dogs. Subsequently, we assessed the toxicity and therapeutic efficacy in vivo in the SCID-hu Thy/Liv mouse model. The PK data indicated a favorable half-life (t1/2) and excellent oral bioavailability (%F = 61%). NBD-14189 did not show any measurable toxicity in the mice, and treatment reduced HIV replication at 300 mg/kg per day in the absence of clear evidence of protection from HIV-mediated human thymocyte depletion. The data indicated the potential of this inhibitor as an anti-HIV-1 agent and needs to be assessed in a non-human primate (NHP) model.
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