An Amazing 30-Year Journey around the DABO Family: A Medicinal Chemistry Lesson on a Versatile Class of Non-nucleoside HIV-1 Reverse Transcriptase Inhibitors

J Med Chem. 2025 Mar 27;68(6):5993-6026. doi: 10.1021/acs.jmedchem.4c02848. Epub 2025 Mar 7.

Abstract

Since the emergence of AIDS, the non-nucleoside HIV-1 RT inhibitors (NNRTIs) have attracted the attention of scientists and clinicians due to their high potency and specificity combined with low toxicity. 3,4-Dihydro-2-alkoxy-6-benzyl-4-oxopyrimidines (DABOs) are a family of NNRTIs described since 1992, and the best members among S-, NH-, and N,N-DABOs showed high anti-HIV-1 potency in both cellular and enzymatic assays. During 30 years of research, the central 4-(3H)-pyrimidinone nucleus has been decorated with 2,6-dihaloaryl or cyclohexyl groups at the methylene at C6, alkyl- or (arylalkyl/aroylalkyl)thio/amino chains at C2, and hydrogen or a small alkyl group at C5. The further introduction of small (i.e., methoxy) groups at the C6 α-benzylic position furnished potency at the sub-nanomolar level against wild-type HIV-1 and at the nanomolar level against HIV-1 mutant strains. Importantly, some compounds of the DABO family exhibited preventative microbicidal activity, valuable in clinical settings where oral adherence rates are low.

Publication types

  • Review

MeSH terms

  • Anti-HIV Agents* / chemical synthesis
  • Anti-HIV Agents* / chemistry
  • Anti-HIV Agents* / pharmacology
  • Chemistry, Pharmaceutical
  • HIV Reverse Transcriptase* / antagonists & inhibitors
  • HIV Reverse Transcriptase* / metabolism
  • HIV-1* / drug effects
  • Humans
  • Pyrimidines / chemistry
  • Pyrimidines / pharmacology
  • Reverse Transcriptase Inhibitors* / chemical synthesis
  • Reverse Transcriptase Inhibitors* / chemistry
  • Reverse Transcriptase Inhibitors* / pharmacology
  • Structure-Activity Relationship

Substances

  • Reverse Transcriptase Inhibitors
  • HIV Reverse Transcriptase
  • Anti-HIV Agents
  • Pyrimidines
  • reverse transcriptase, Human immunodeficiency virus 1