Structure-Activity Relationship Analysis of Benzotriazine Analogues as HIV-1 Latency-Reversing Agents

Eric S Sorensen1, Amanda B Macedo1, Rachel S Resop1

  • 1Department of Microbiology, Immunology, and Tropical Medicine, George Washington University, Washington, DC, USA.

Insights

New compounds targeting signal transducer and activator of transcription 5 (STAT5) SUMOylation show promise for HIV eradication. These latency-reversing agents (LRAs) reactivate latent HIV and enhance immune functions without toxicity, aiding in the development of novel HIV therapies.

Area of Science:

  • Virology
  • Immunology
  • Medicinal Chemistry

Background:

  • "Shock and kill" strategies aim for HIV eradication by reactivating latent virus and eliminating infected cells.
  • Latency-reversing agents (LRAs) are crucial for transcriptional activation of latent HIV.
  • Signal transducer and activator of transcription 5 (STAT5) SUMOylation is a novel target for LRA development.

Purpose of the Study:

  • To systematically analyze benzotriazole and benzotriazine analogues for HIV reactivation potential.
  • To identify key structural motifs responsible for the biological activity of these compounds.
  • To evaluate the efficacy and safety of promising analogues in preclinical models.

Main Methods:

  • Synthesis and characterization of over 40 benzotriazole and benzotriazine analogues.
  • Assay of compounds for their ability to inhibit STAT5 SUMOylation and promote STAT5 binding to the HIV long terminal repeat.
  • Evaluation of viral reactivation in primary cell models of latency and assessment of immune effector functions in vitro.
  • In vivo toxicity studies in mice.

Main Results:

  • Identification of essential structural motifs for biological activity in benzotriazole and benzotriazine analogues.
  • Three benzotriazine analogues demonstrated significant STAT5 phosphorylation and transcriptional activity.
  • Active analogues reactivated latent HIV and enhanced interleukin-15-mediated reactivation in cells from aviremic participants.
  • Compounds promoted in vitro immune effector functions without toxicity or global immune activation; initial in vivo studies showed no acute toxicity.

Conclusions:

  • Benzotriazole and benzotriazine analogues targeting STAT5 SUMOylation are effective LRAs.
  • These compounds represent a promising new class of agents for HIV eradication strategies.
  • Further understanding of these compounds will facilitate the design of improved LRAs for HIV therapy.

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