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Document<br />

Page 106<br />

on the same ring or can potentially be positioned close together in three-dimensional space if rings stack<br />

on top of each other. More recently it was shown that cosalane (II), a steroid-substituted derivative of<br />

(I), was no better in inhibiting integrase in vitro than the parent compound, but showed promise in HIV<br />

cytopathicity cell-culture assays [45]. Although cosalane and a number of related analogues inhibit both<br />

HIV protease and integrase in vitro, the primary site of action is believed to be inhibition of gp120<br />

binding to CD4 receptors.<br />

In 1993, the effects of selected topoisomerase II inhibitors, antimalarial agents, DNA binders,<br />

naphthoquinones, and various other agents on integrase activity in vitro were investigated [46].<br />

Although certain effective topoisomerase inhibitors are also good HIV integrase inhibitors, this is not a<br />

generalizable correlation. Since many topoisomerase inhibitors also bind DNA, it is difficult to assess<br />

whether the observed in vitro effects result from specific interaction with integrase or from the<br />

sequestering or distorting of the DNA substrate. However, several compounds were identified that are<br />

not known to be DNA binders but that inhibited integrase with reasonable IC 50 values. These included<br />

dihydroxynaphthoquinone (III), primaquine (IV), caffeic acid phenethyl ester (CAPE, V), and quercetin<br />

(VI).<br />

Motivated <strong>by</strong> the structural similarities between compounds III–VI, a more intensive structure-function<br />

study of flavones was undertaken in which approximately 50 related compounds were screened for<br />

inhibition of in vitro integrase activity [47]. Flavones are planar compounds containing three aromatic<br />

rings substituted with various polar groups such as hydroxy substituents. General trends were observed<br />

relating structure to inhibitory effectiveness; for example, inhibition required at least three hydroxy<br />

groups, the most favorable arrangement being when they were located ortho to one another. The most<br />

effective compound, quercetagetin (VII), is a potent topoisomerase II inhibitor and a known DNA<br />

intercalator. It was noted <strong>by</strong> the authors that many flavones are not integrase-specific; rather, they inhibit<br />

a broad range of enzymes including DNA polymerases, ATPases, and NAPDH-monooxygenases. They<br />

are also, in general, capable of DNA intercalation. It has not been established that their inhibitory effects<br />

are due to direct interactions with integrase.<br />

A subsequent detailed structure-activity relationship study of CAPE (V) revealed that while the ortho<br />

hydroxys were important for in vitro integrase inhibition, both the caffeic acid and phenethyl moieties<br />

could be substantially modified [48]. Ortho hydroxyl groups in the context of other classes of<br />

compounds also confer anti-integrase potency. For example, several semisynthetic compounds derived<br />

from arctigenin, a topoisomerase I inhibitor that itself is not active against integrase, have been shown to<br />

inhibit HIV integrase [49]. More compelling evidence of the importance of ortho hydroxyl groups was<br />

provided <strong>by</strong> the tyrphostins, a group of synthetic compounds that are tyrosine kinase inhibitors. Several<br />

of these also inhibit integrase in the submicromolar range<br />

http://legacy.netlibrary.com/nlreader/nlReader.dll?bookid=12640&filename=Page_106.html [4/5/2004 4:52:16 PM]

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