Discovery of novel sulfonamide substituted indolylarylsulfones as potent HIV-1 inhibitors with better safety profiles

Indolylarylsulfones (IASs) are classical HIV-1 non-nucleoside reverse transcriptase inhibitors (NNRTIs) with a unique scaffold and possess potent antiviral activity. To address the high cytotoxicity and improve safety profiles of IASs, we introduced various sulfonamide groups linked by alkyl diamine chain to explore the entrance channel of non-nucleoside inhibitors binding pocket. 48 compounds were designed and synthesized to evaluate their anti-HIV-1 activities and reverse transcriptase inhibition activities. Especially, compound R(10)L(4) was endowed with significant inhibitory activity towards wild-type HIV-1 (EC(50(WT)) = 0.007 μmol/L, SI = 30,930) as well as a panel of single-mutant strains exemplified by L100I (EC(50) = 0.017 μmol/L, SI = 13,055), E138K (EC(50) = 0.017 μmol/L, SI = 13,123) and Y181C (EC(50) = 0.045 μmol/L, SI = 4753) which were superior to Nevirapine and Etravirine. Notably, R(10)L(4) was characterized with significantly reduced cytotoxicity (CC(50) = 216.51 μmol/L) and showed no remarkable in vivo toxic effects (acute and subacute toxicity). Moreover, the computer-based docking study was also employed to characterize the binding mode between R(10)L(4) and HIV-1 RT. Additionally, R(10)L(4) presented an acceptable pharmacokinetic profile. Collectively, these results deliver precious insights for next optimization and indicate that the sulfonamide IAS derivatives are promising NNRTIs for further development.