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Discovery of Potent HIV-1 Capsid Assembly Inhibitors

Discovery of Potent HIV-1 Capsid Assembly Inhibitors

Discovery of Potent HIV-1 Capsid Assembly Inhibitors

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Summary<br />

• Identified two chemotypes that:<br />

• Inhibit capsid assembly in vitro<br />

• Bind to CA-NTD<br />

• Inhibit viral replication<br />

• Pr<strong>of</strong>ile consistent with distinct MoA<br />

• No cross resistance observed with mutations conferring resistance<br />

to NNRTI, NRTI, PI, INI<br />

• Late antiviral effect<br />

• Resistance mutations map to CA and affect inhibitor binding or<br />

assembly function<br />

• EM studies demonstrated inhibitors had pr<strong>of</strong>ound effects in virion<br />

production and morphology<br />

• Complex resistance genotype/pr<strong>of</strong>ile obtained with capsid<br />

assembly inhibitors<br />

• Most mutations in highly conserved residues resulting in reduced<br />

replication capacity<br />

Boehringer Ingelheim - CROI 2010 13

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