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Drug Reprofiling to Identify Potential HIV-1 Protease Inhibitors
Sunday N Okafor1,2, Abigail Meyer1,3, Jay Gadsden1
1Center for Biomedical Research, Population Council, New York, NY 10065, USA.
Molecules (Basel, Switzerland)
|September 9, 2023
Summary
Researchers identified two drugs, CBR003PS and CBR013PS, as potential new treatments for human immunodeficiency virus type 1 (HIV-1). These drugs show promise as less toxic HIV-1 protease inhibitors, offering hope for improved patient outcomes.
Area of Science:
- Virology
- Drug Discovery
- Medicinal Chemistry
Background:
- Current human immunodeficiency virus type 1 (HIV-1) protease inhibitors have limitations due to adverse effects like metabolic complications.
- Developing novel, potent, and safer HIV-1 protease inhibitors is crucial for effective treatment.
- Drug repurposing offers an efficient strategy to accelerate the discovery of new therapeutic agents.
Purpose of the Study:
- To screen existing drugs for potential human immunodeficiency virus type 1 (HIV-1) protease inhibitory activity.
- To identify novel drug candidates with improved safety and efficacy profiles for HIV-1 treatment.
- To evaluate the binding affinity, stability, and therapeutic potential of repurposed drugs.
Main Methods:
- Screening of FDA-approved and investigational drugs from the DrugBank database.
- Utilizing molecular docking simulations to predict binding interactions with HIV-1 protease.
- Conducting in vitro anti-HIV-1 assays and XTT cell viability tests to assess efficacy and toxicity.
Main Results:
- CBR003PS and CBR013PS demonstrated significant binding affinity and stability with HIV-1 protease.
- Effective concentration (EC50) values were determined as 9.4 nM for CBR003PS and 36.6 nM for CBR013PS at 100% cell viability.
- Both compounds exhibited therapeutic indexes greater than 32, indicating a favorable safety profile.
Conclusions:
- CBR003PS and CBR013PS show significant potential for repurposing as novel HIV-1 protease inhibitors.
- These candidates offer a promising alternative to existing treatments due to their favorable therapeutic indexes.
- Further investigation into CBR003PS and CBR013PS could lead to the development of safer and more effective HIV-1 therapies.

