Discovery of Novel Thiophene-Based Baloxavir Derivatives as Potent Cap-Dependent Endonuclease Inhibitors for Influenza Treatment

J Med Chem. 2024 Dec 26;67(24):22039-22054. doi: 10.1021/acs.jmedchem.4c01979. Epub 2024 Dec 10.

Abstract

The genetic recombination and antigenic variation of influenza viruses may decrease the efficacy of antiviral vaccines, highlighting the imperativeness of developing novel anti-influenza agents. Herein, a series of thiophene-based compounds were designed and synthesized as potent anti-influenza agents. Among them, ATV2301 exhibited an excellent anti-influenza activity (EC50, H1N1 = 1.88 nM, H3N2 = 4.77 nM), a higher safety index (SI, H1N1 = 18218, H3N2 = 7180), and a remarkably improved oral bioavailability (F = 71.60%). The prodrug ATV2301A demonstrated strong therapeutic efficacy and protection in H1N1-infected BALB/c mice, with low toxicity and broad tissue distribution. ATV2301 also exhibited high stability in both human and mouse liver microsomes. Mechanistic studies indicated that ATV2301's anti-influenza activity was due to its effects on polymerase acid protein (PA), nuclear protein (NP), and RNA-dependent RNA polymerase (RdRp). Additionally, ATV2301 showed potent activities against clinical isolates of anti-influenza A virus (IAV) and anti-influenza B virus (IBV), positioning it as a promising cap-dependent endonuclease inhibitor for further clinical research.

MeSH terms

  • Animals
  • Antiviral Agents* / chemistry
  • Antiviral Agents* / pharmacokinetics
  • Antiviral Agents* / pharmacology
  • Dibenzothiepins*
  • Dogs
  • Drug Discovery
  • Endonucleases* / antagonists & inhibitors
  • Endonucleases* / metabolism
  • Enzyme Inhibitors / chemical synthesis
  • Enzyme Inhibitors / chemistry
  • Enzyme Inhibitors / pharmacology
  • Humans
  • Influenza A Virus, H1N1 Subtype* / drug effects
  • Influenza A Virus, H3N2 Subtype / drug effects
  • Influenza B virus / drug effects
  • Influenza, Human / drug therapy
  • Influenza, Human / virology
  • Madin Darby Canine Kidney Cells
  • Mice
  • Mice, Inbred BALB C*
  • Microsomes, Liver / metabolism
  • Morpholines* / chemistry
  • Morpholines* / pharmacology
  • Orthomyxoviridae Infections / drug therapy
  • Orthomyxoviridae Infections / virology
  • Pyridones / chemical synthesis
  • Pyridones / chemistry
  • Pyridones / pharmacology
  • Structure-Activity Relationship
  • Thiophenes* / chemical synthesis
  • Thiophenes* / chemistry
  • Thiophenes* / pharmacokinetics
  • Thiophenes* / pharmacology
  • Triazines* / chemical synthesis
  • Triazines* / chemistry
  • Triazines* / pharmacokinetics
  • Triazines* / pharmacology

Substances

  • Antiviral Agents
  • Thiophenes
  • baloxavir
  • Dibenzothiepins
  • Triazines
  • Endonucleases
  • Morpholines
  • Pyridones
  • Enzyme Inhibitors