J.J. Swidorski et al.
Bioorganic & Medicinal Chemistry Letters 36 (2021) 127823
over 3 and is subject to a similar potency shift in the presence of 10%
FBS, 40% HS and 27 mg/mL HSA. In 13, the spatial disposition of the
carboxylic acid is conserved when compared to 3 and there is only a
modest change in the acidity of the carboxylic acid; a cyclohexane
carboxylic acid has a pKa of 4.90 compared to a pKa of 4.20 for benzoic
acid which is lower because of conjugation of the acid moiety to the
benzene ring.20,21 Rat PK studies with 13 showed a similar AUCtotal
(15.8 µM∙h), Cmax and C24 with an improved oral bioavailability (F) of
58% when compared to 3 after doses of 5 mg/kg PO (Table 2). When
isolated individually, both diastereoisomers 13a and 13b showed
similar potency, although rat PK studies were not repeated with the
individual isomers. The modified C-17 substituent in the ethyl-linked
methylsulfonyl piperidine moiety in 14a and 14b was also evaluated
because the corresponding benzoic acid 4 showed nearly identical in
vitro potency to 3 while conferring additional structural differentiation
from the clinical candidate. While WT and ΔV370 virus inhibition for
14a and 14b were similar to 3, inhibition of V362I/V370A virus was
improved ~10 fold while activity toward the A364V variant was com-
parable. Consistent with the structure-activity relationships (SARs) of
the other C-3 alkyl compounds, the bis-carboxylic acid 15 was less
potent.
isolated by crystallization from an acidic solution at room temperature.
Isomer 17 confers additional rigidification to the ring structure that
constrains the placement of the two carboxylic acid moieties while
isomer 18 is less rigid and allows for more movement of the carboxylic
acid moieties. However, the difference in mutant virus inhibition be-
tween the two isomers was only modest. Consistent with the other series
discussed above, the mono-carboxylic acid derivative of the spiro[3.3]
hept-5-ene substituent provides improved inhibitory activity toward
all of the viruses in the screening tier. In fact, as a mixture of di-
astereomers 19 displayed equivalent inhibitory potency toward the
V370A and ΔV370 mutant viruses to the clinical candidate 3 even
though the carboxylic acid in 19 extends 1.3 Å further from the core
than in the benzoic acid-based prototype. Adding further to its potential
to function as an effective bioisostere of a benzoic acid, in a rat PK study
19 exhibited similar oral exposure (AUCtotal of 13.5 µM∙h, a tmax of 6.3
h, a C24 of 240 nM and F = 32%) to 3 (AUCtotal of 14.2 µM∙h, a tmax of 6
h, a C24 of 128 nM and F = 26%) following doses of 5 mg/kg (Table 2).
The mode of action of betulinic acid-derived HIV-1 maturation in-
hibitors is beginning to emerge along with a more complete picture of
the HIV-1 maturation process as the result of recent structural stud-
ies.23–31 X-Ray crystallography,23 cryogenic electron tomography (Cryo-
ET),24,25 cryogenic electron microscopy (Cryo-EM),26 solid-state NMR
(ssNMR)27–29 and computational modeling30,31 studies have individu-
ally and collectively provided a more detailed understanding of the
mechanisms of the proteolytic processing and assembly of the hexameric
capsid protein lattice. Proteolytic cleavage of the CA-SP1 peptide is a
carefully choreographed process that depends upon access of HIV-1
protease to the cleavage site. The assembly of the hexameric core ap-
pears to be catalyzed by inositol hexakisphosphate (IP6) which convenes
the immature lattice bundle by engaging in electrostatic interactions
with the basic residues Lys290 and Lys359 that are contributed by each
monomer of the CA-SP1 peptide.32–34 In cryo-EM studies, IP6 is located
at the center of the hexameric structure between the two rings of lysine
residues acting as a nidus for bundle assembly.32 How IP6 modulates the
availability of the CA-SP1 cleavage site in a conformation for proteolytic
processing is not clear but in the absence of cleavage the lattice forms
with the SP1 peptide still attached with the cleavage site on the inner
surface of the hexameric bundle and inaccessible to the protease. After
proteolytic removal of the SP1 peptide, IP6 appears to stabilize the
mature capsid protein by engaging with Arg18 residues from each of the
CA peptide monomers; presumably, IP6 removal is an important element
of the capsid disassembly process during infection. Thus, IP6 promotes
both the assembly, maturation and stabilization of the HIV-1 capsid
while also playing a role in capsid dissolution.33,34 Micro electron
diffraction (microED) mapping of frozen, hydrated 3D microcrystals of
the CA-SP1 with and without 1 bound revealed that the maturation
inhibitor binds close to the IP6 binding site. However, while the precise
orientation of 1 in the hexameric bundle was not discernible at the
resolution of the experiment, modeling studies suggested that the suc-
cinic carboxylic acid moiety engaged with Lys359 across the hexamer
interface.35 These observations suggest that maturation inhibitors
compete with IP6 to modulate hexamer bundle formation in a fashion
that usurps the normal choreography of protease-mediated CA-SP1
cleavage. While this scenario explains the preservation of antiviral ac-
tivity observed with some bis-carboxylic acid derivatives, additional
insights into the SARs associated with the C-3 substituent and the precise
relationship between the carboxylic acid moiety and the triterpenoid
core will require the combination of higher resolution structures and a
more detailed understanding of the biochemical and kinetic aspects of
hexameric bundle formation and processing.
To further expand the SARs, a novel spiro[3.3]hept-5-ene was
conceived as a rigid building block that could place the carboxylic acid
(s) further from the triterpenoid core while retaining the geometry that
appears consequential to mutant virus inhibition. In an effort to quickly
probe inhibitory effectiveness of this modification, the spiro[3.3]hept-5-
ene-2,2-dicarboxylic acid moiety was appended to the C-3 position in
the background of a free carboxylic acid substituent at C-17, providing
16. Intriguingly, while 16 exhibited a several-fold reduction in inhibi-
tory potency toward WT virus compared to 1 and 2, the only other
compounds compiled in Table 1 that are not modified at C-17, inhibition
of the V370A mutant virus was improved several-fold while the ΔV370
virus, which was insensitive to 1 and 2, was inhibited with an EC50 of
437 nM. Molecular models of 17 indicate that one of the carboxylic acid
moieties extends 6.4 Å from the core while the second carboxylic acid
moiety extends further at a distance of 7.1 Å. The less distant carboxylic
acid moiety projects at a downward angle, placing it adjacent to the
second ring of the spirocycle rather than extending it further from the
triterpenoid core.
In an effort to further improve the virological profile and the physical
properties of the molecule, introduction of the (2-aminoethyl)thio-
morpholine 1,1-dioxide moiety to the C-17 position was explored.
Interestingly, during the synthesis of this molecule, an isomerization
occurred at the diene-based junction of the C-3 spirocycle and the tri-
terpenoid core to give a mixture of the ester precursors to 17 and 18. The
1H NMR chemical shift and the coupling pattern of the diene at the ring
junction in 17 and 18 clearly differentiated the two isomers. Using
deuterated acetic acid as the solvent, the 1H NMR spectrum of isomer 17
was associated with two doublets with chemical shifts of 5.92 and 5.81
ppm and coupling constants of 9.8–9.9 Hz, consistent with the C-1–C-2
alkene moiety. Using the same solvent, the C-2–C-3 vinyl proton of
isomer 18 resonated as a doublet of doublets with a chemical shift of
5.61 ppm and coupling constants of 6.0 and 1.6 Hz, a signal that is
distinctive for compounds in this series. A singlet resonating at 5.98 ppm
is consistent with the C-1′–C-2′ alkene present in the spirocycle. The
same alkene chemical shifts and coupling constants were observed in the
1H NMR of the mixture of isomers that gave 20, a closely related analog
that is missing the C-17 (2-aminoethyl)thiomorpholine 1,1-dioxide
moiety. In addition to the 1H NMR data for 20, a single crystal X-ray
determination of 20 confirmed the chemical structure of this isomer.
The X-ray structure showed an elongated C-1′–C-2′ bond length (1.468
Å) and a shortened C-3–C-1′ bond length (1.366 Å). Additionally,
conjugation was apparent based on the C-1–C-2 (1.406 Å) and C-2–C-3
(1.401 Å) bond lengths. The isomerization to give 20 was observed
following an alternate route which heated the spirocycle with HCl
overnight; however, both 17 and 18 were sufficiently stable to be
With substantial effort to develop therapeutic treatments for HIV-1
infections, patient outcomes have improved since the introduction of
antiretroviral therapy. Between 1987 and 2014, more than 28 new
molecular entities were developed to treat HIV/AIDS infections.36
Although the pace of new discoveries in the field has slowed somewhat,
new classes and combination therapies are important to treat the
5