Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 39
Filter
Add more filters










Publication year range
1.
Dalton Trans ; 52(4): 877-891, 2023 Jan 24.
Article in English | MEDLINE | ID: mdl-36464989

ABSTRACT

A dinickel(II)porphyrin dimer has been used here in which the redox-active pyrrole-moiety, similar to the tryptophan residue in diheme enzymes such as MauG and bCcP, has been placed between two Ni(II)porphyrin centers connected via a flexible, but unconjugated methylene bridge. This arrangement provides a large physical separation between the two metal centers and thus displays almost no communication between them through the bridge. Upon treatment with DDQ as an oxidant, the dinickel(II) porphyrin dimer slowly gets converted into an indolizinium-fused chlorin-porphyrin heterodimer. However, oxidations of the dinickel(II) porphyrin dimer up to two oxidizing equivalents using oxidants such as AgSbF6 and FeCl3 resulted in the formation of a dication diradical complex. Interestingly, in order to stabilize such a highly oxidized dication diradical, two non-conjugated methylene spacers undergo facile 2e-/-2H+ oxidation to make the bridge fully π-conjugated for promoting through-bond communication. Through the oxidized and conjugated bridge, two porphyrin π-cation radicals display considerable communications leading to an efficient intramolecular spin coupling to form a singlet state. Interestingly, the redox-active nature of the bridge controls the electronic communication just by simple oxidation or reduction, and thereby, acts as a molecular switch for efficient magnetic relay.


Subject(s)
Porphyrins , Porphyrins/chemistry , Oxidation-Reduction , Pyrroles , Oxidants , Polymers
2.
Virus Res ; 315: 198768, 2022 07 02.
Article in English | MEDLINE | ID: mdl-35398454

ABSTRACT

COVID-19 caused by SARS-CoV-2 virus has had profound impact on the world in the past two years. Intense research is going on to find effective drugs to combat the disease. Over the past year several vaccines were approved for immunization. But SARS-CoV-2 being an RNA virus is continuously mutating to generate new variants, some of which develop features of immune escape. This raised serious doubts over the long-term efficacy of the vaccines. We have identified a unique mannose binding plant lectin from Narcissus tazetta bulb, NTL-125, which effectively inhibits SARS-CoV-2 replication in Vero-E6 cell line. In silico docking studies revealed that NTL-125 has strong affinity to viral Spike RBD protein, preventing it from attaching to hACE2 receptor, the gateway to cellular entry. Binding analyses revealed that all the mutant variants of Spike protein also have stronger affinity for NTL-125 than hACE2. The unique α-helical tail of NTL-125 plays most important role in binding to RBD of Spike. NTL-125 also interacts effectively with some glycan moieties of S-protein in addition to amino acid residues adding to the binding strength. Thus, NTL-125 is a highly potential antiviral compound of natural origin against SARS-CoV-2 and may serve as an important therapeutic for management of COVID-19.


Subject(s)
Angiotensin-Converting Enzyme 2 , Plant Lectins , SARS-CoV-2 , Spike Glycoprotein, Coronavirus , COVID-19 , Humans , Narcissus/chemistry , Plant Lectins/pharmacology , Protein Binding , SARS-CoV-2/drug effects , Spike Glycoprotein, Coronavirus/antagonists & inhibitors , Spike Glycoprotein, Coronavirus/chemistry
3.
Rapid Commun Mass Spectrom ; 36(9): e9263, 2022 May 15.
Article in English | MEDLINE | ID: mdl-35106833

ABSTRACT

RATIONALE: The stable isotopic compositions of biogenic carbonates like fish otoliths (ear bones) are widely used for palaeoclimatic reconstruction. The conventional method using acid-digestion of micro-milled samples is a multi-step time-consuming process. Here we report a fast method based on laser heating of otolith carbonates to obtain accurate and high-resolution stable isotopic compositions. METHOD: Otoliths of catfish from the Gulf of Kutch were analysed to check the precision, accuracy and time-resolution of the isotope ratios. The CO2 , generated by heating otoliths with a 50 W CO2 laser, was analysed for its oxygen and carbon isotope ratio [δ18 O and δ13 C, with precision: 0.12 and 0.17‰ (1σ), accuracy: 0.13 and 0.25‰, respectively] using a continuous-flow isotope ratio mass spectrometer. The effect of laser power (0.7-2 W) was assessed for reproducible data. Samples were roasted and analysed to account for the effect of the inherent organic matter on the isotopic values. RESULTS: Roasting did not alter the δ18 O of the otoliths but increased the δ13 C slightly. High-resolution (125 µm) analysis of the right and left otolith of a fish yielded similar δ18 O and δ13 C values, suggesting the suitability of either of them for deriving the climate signal. An increase in δ18 O values from ~ -2‰ to ~ -1‰, observed across the ontogeny, is consistent with the known migratory behaviour of the catfish between freshwater and the sea. CONCLUSIONS: The otolith δ18 O value of an adult fish records the sea surface temperature (with ~3°C uncertainty) on a monthly scale. The otolith δ13 C values, with the knowledge of dietary δ13 C, provide the mean annual δ13 C value of dissolved inorganic carbon. The study provides a rapid method for retrieving high-resolution seasonal climate data from otoliths found aplenty in geological/archaeological records.


Subject(s)
Carbon Dioxide , Otolithic Membrane , Animals , Carbonates , Fishes , Heating , Lasers , Otolithic Membrane/chemistry , Oxygen Isotopes/analysis
4.
Expert Opin Biol Ther ; 22(2): 299-311, 2022 Feb.
Article in English | MEDLINE | ID: mdl-33896318

ABSTRACT

BACKGROUND: MYL-1401O; trastuzumab-dkst (Ogivri™; Mylan Inc.) is a biosimilar to the trastuzumab reference product (Herceptin®; Genentech, USA). Assessment of physicochemical stability and biological activity for the non-reconstituted, reconstituted, and infused solution over an extended, clinically relevant duration is critical for ensuring optimal patient outcomes and health resource utilization. METHODS: The physicochemical and biological stability of MYL-1401O was assessed in non-reconstituted vials stored at 25 °C ± 2 °C/60% ± 5% relative humidity (RH) for 6 months, reconstituted 21 mg/mL solution in vials stored at 2 °C to 8 °C for 10 days, and diluted in 0.9% saline-containing infusion bags at 0.3 mg/mL and 4.0 mg/mL stored for 77 days at 2 °C to 8 °C, plus an additional 2 days at 25 °C ± 2 °C/60% ± 5% RH. RESULTS: At all storage conditions tested, MYL-1401O was physicochemically and biologically stable for extended duration and under various temperature and humidity conditions. CONCLUSIONS: MYL-1401O retained its physicochemical and biological stability under different storage conditions, which supports advanced preparation of MYL-1401O, better efficiency, less wastage, and cost-savings for better patient management.


Subject(s)
Biosimilar Pharmaceuticals , Saline Solution , Biosimilar Pharmaceuticals/chemistry , Drug Stability , Drug Storage , Humans , Trastuzumab/chemistry
5.
J Am Chem Soc ; 144(1): 495-502, 2022 01 12.
Article in English | MEDLINE | ID: mdl-34963278

ABSTRACT

A powerful tris(4-bromophenyl)aminium hexachloroantimonate (BAHA) mediated regioselective intermolecular coupling reaction of vindoline with a wide range of substrates that include ß-ketoesters, ß-diketones, ß-ketoaldehydes, ß-ketonitriles, ß-ketolactones, ß-ketolactams, ß-cyanoesters, and malononitriles is detailed. The BAHA-promoted intermolecular sp3/sp2 coupling, representing a special class of selective C-H functionalization reactions with direct carbon-carbon bond formation, proceeds with generation of a quaternary center bound to the aryl C15 center of vindoline capable of accommodating of the vinblastine C16' methyl ester and functionalized for subsequent divergent heterocycle introduction. A comprehensive examination of the reaction scope, optimization of subtle reaction parameters, and key insights into the reaction mechanism are described. Contrary to what might be prevailing expectations, studies suggest the plausible mechanism entails initial single-electron oxidation of the substrate enolate, not vindoline, and subsequent regiospecific addition of the resulting electrophilic radical to vindoline. As such and beyond the new arylation reaction with vindoline, the studies define a host of new, previously unrecognized, applications of BAHA and related triarylaminium radical cations that arises from their ability to generate stabilized electrophilic radicals from ß-ketoesters and related substrates under nonreducing and metal-free conditions. Those exemplified herein include mediating stabilized enolate free radical arylation, dimerization, allylation, alkene addition, and α-oxidation reactions.


Subject(s)
Vinblastine/analogs & derivatives
6.
Med Chem Res ; 30(7): 1377-1385, 2021 Jul.
Article in English | MEDLINE | ID: mdl-34421287

ABSTRACT

A comprehensive SAR study of a putative TLR 3/8/9 agonist was conducted. Despite the excitement surrounding the potential of the first small molecule TLR3 agonist with a compound that additionally displayed agonist activity for TLR8 and TLR9, compound 1 displayed disappointing activity in our hands, failing to match the potency (EC50) reported and displaying only a low efficacy for the extent of stimulated NF-κB activation and release. The evaluation of >75 analogs of 1, many of which constitute minor modifications in the structure, failed to identify any that displayed significant activity and none that exceeded the modest activity found for 1.

8.
Org Lett ; 22(21): 8714-8719, 2020 11 06.
Article in English | MEDLINE | ID: mdl-33074680

ABSTRACT

A short, scalable total synthesis of meayamycin is described by an approach that entails a longest linear sequence of 12 steps (22 steps overall) from commercially available chiral pool materials (ethyl l-lactate, BocNH-Thr-OH, and d-ribose) and introduces the most straightforward preparation of the right-hand subunit detailed to date. The use of the approach in the divergent synthesis of a representative series of O-acyl analogues is exemplified.


Subject(s)
Epoxy Compounds/chemistry , Epoxy Compounds/chemical synthesis , Oxygen/chemistry , Pyrans/chemistry , Pyrans/chemical synthesis , Acylation , Chemistry Techniques, Synthetic , Ribose/chemistry , Stereoisomerism
9.
Rapid Commun Mass Spectrom ; 34(18): e8833, 2020 Sep 30.
Article in English | MEDLINE | ID: mdl-32430975

ABSTRACT

RATIONALE: Oxygen isotopic ratios of silicates are excellent tools to reconstruct paleotemperature and isotopic composition of the precipitating fluid. However, the measurement of 17 O/16 O is difficult due to the low abundance of 17 O. The present study reports a simplified high-precision analytical technique for measuring the two oxygen isotope ratios, 17 O/16 O and 18 O/16 O, in silicates. METHODS: Silicate samples were ablated by a CO2 laser in a BrF5 environment. The released oxygen (O2 ) was then cryogenically trapped in a molecular sieve zeolite (MSZ). Associated contaminants such as BrF5 , F2 , NF3 etc. were cleaned by passing the gas through a NaCl trap followed by a cooled (-25°C) MSZ-packed U-tube trap. The purified O2 was analysed in a MAT 253 isotope ratio mass spectrometer for oxygen isotope ratios. RESULTS: The δδ17 O and δ18 O values of the working gas were calibrated by NBS-28 and crosschecked by inter-laboratory references UWG-2, SCO and IMAU-O2 . The average analytical precisions (using aliquots of NBS-28, UWG-2, SCO, and laboratory internal standards IIT-KGP-SQ quartz and IIT-KGP-NQ quartz) of the δ17 O, δ18 O and ∆'17 O values were 0.04‰, 0.08‰ and 4 per meg, respectively. CONCLUSIONS: A new cryogenic cleaning technique was developed that does not require GC but efficiently removes NF3 -contaminants from oxygen gas produced by laser fluorination of silicates. The technique is simple, quick and cost-effective and provides highly precise and accurate δ17 O, δ18 O and ∆'17 O values.

10.
Bioconjug Chem ; 30(1): 134-147, 2019 01 16.
Article in English | MEDLINE | ID: mdl-30566331

ABSTRACT

Urease has been covalently immobilized on a 3-D networking silica gel (SG) using dimethyldichlorosilane (DMDCS) as second generation silane coupling reagent and m-nitroaniline as linker component in a robust methodology and subsequently characterized as [{Si(OSi)4(H2O)0.05}205.2] n=4{OSi(CH3)2-NH-C6H4-N═N-urease}·282.5H2O (molecular mass 263 445 g or 263.4 kDa). Selective coupling of tyrosine residue with an identifiable m-nitroaniline modified SG unit prevents enzyme-enzyme cross-linking leading to enhancement of enzymatic activity. The material worked at room temperature and its activity (luminescent and ammonia releasing efficiency) was enhanced by 3-fold (for both synthetic and real sample) compared to native enzyme values at neutral pH. Up to 30 days and 30 cycles, this 3-fold activity remains as such but reduces gradually to native enzyme level after 60 days and 60 cycles of reuse.


Subject(s)
Enzymes, Immobilized/metabolism , Silicon Dioxide/chemistry , Urease/metabolism , Enzyme Stability , Enzymes, Immobilized/chemistry , Hydrogen-Ion Concentration , Inorganic Chemicals/chemistry , Kinetics , Temperature , Urease/chemistry
11.
Article in English | MEDLINE | ID: mdl-31997849

ABSTRACT

Histologic assessment of stromal tumor infiltrating lymphocytes (sTIL) as a surrogate of the host immune response has been shown to be prognostic and potentially chemo-predictive in triple-negative and HER2-positive breast cancers. The current practice of manual assessment is prone to intra- and inter-observer variability. Furthermore, the inter-play of sTILs, tumor cells, other microenvironment mediators, their spatial relationships, quantity, and other image-based features have yet to be determined exhaustively and systemically. Towards analysis of these aspects, we developed a deep learning based method for joint region-level and nucleus-level segmentation and classification of breast cancer H&E tissue whole slide images. Our proposed method simultaneously identifies tumor, fibroblast, and lymphocyte nuclei, along with key histologic region compartments including tumor and stroma. We also show how the resultant segmentation masks can be combined with seeding approaches to yield accurate nucleus classifications. Furthermore, we outline a simple workflow for calibrating computational scores to human scores for consistency. The pipeline identifies key compartments with high accuracy (Dice= overall: 0.78, tumor: 0.83, and fibroblasts: 0.77). ROC AUC for nucleus classification is high at 0.89 (micro-average), 0.89 (lymphocytes), 0.90 (tumor), and 0.78 (fibroblasts). Spearman correlation between computational sTIL and pathologist consensus is high (R=0.73, p<0.001) and is higher than inter-pathologist correlation (R=0.66, p<0.001). Both manual and computational sTIL scores successfully stratify patients by clinical progression outcomes.

12.
ChemMedChem ; 13(22): 2351-2373, 2018 11 20.
Article in English | MEDLINE | ID: mdl-30187672

ABSTRACT

The Curtius rearrangement is the thermal decomposition of an acyl azide derived from carboxylic acid to produce an isocyanate as the initial product. The isocyanate can undergo further reactions to provide amines and their derivatives. Due to its tolerance for a large variety of functional groups and complete retention of stereochemistry during rearrangement, the Curtius rearrangement has been used in the synthesis of a wide variety of medicinal agents with amines and amine-derived functional groups such as ureas and urethanes. The current review outlines various applications of the Curtius rearrangement in drug discovery and medicinal chemistry. In particular, the review highlights some widely used rearrangement methods, syntheses of some key agents for popular drug targets and FDA-approved drugs. In addition, the review highlights applications of the Curtius rearrangement in continuous-flow protocols for the scale-up of active pharmaceutical ingredients.


Subject(s)
Amides/chemical synthesis , Amines/chemical synthesis , Chemistry, Pharmaceutical/methods , Drug Discovery , Urea/analogs & derivatives , Amides/pharmacology , Amines/pharmacology , Animals , Humans , Isocyanates/chemical synthesis , Isocyanates/pharmacology , Ligands , Receptors, Cell Surface/agonists , Receptors, Cell Surface/antagonists & inhibitors , Urea/chemical synthesis , Urea/pharmacology
13.
Org Biomol Chem ; 16(12): 2006-2027, 2018 03 28.
Article in English | MEDLINE | ID: mdl-29479624

ABSTRACT

The Curtius rearrangement is a versatile reaction in which a carboxylic acid can be converted to an isocyanate through an acyl azide intermediate under mild conditions. The resulting stable isocyanate can then be readily transformed into a variety of amines and amine derivatives including urethanes and ureas. There have been wide-ranging applications of the Curtius rearrangement in the synthesis of natural products and their derivatives. Also, this reaction has been extensively utilized in the synthesis and application of a variety of biomolecules. In this review, we present mechanistic studies, chemical methodologies and reagents for the synthesis of isocyanates from carboxylic acids, the conversion of isocyanates to amines and amine derivatives, and their applications in the synthesis of bioactive natural products and their congeners.


Subject(s)
Biological Products/chemical synthesis , Carboxylic Acids/chemistry , Indicators and Reagents/chemistry , Isocyanates/chemical synthesis , Photochemical Processes
15.
Tetrahedron Lett ; 58(33): 3230-3233, 2017 08 16.
Article in English | MEDLINE | ID: mdl-29200514

ABSTRACT

An enantioselective synthesis of (3aS,4S,7aR)-hexahydro-4H-furo[2,3-b]pyran-4-ol, a high-affinity nonpeptide ligand for a variety of potent HIV-1 protease inhibitors is described. The key steps involved a highly enantioselective enzymatic desymmetrization of meso-diacetate, an efficient transacetalization, and a highly diastereoselective reduction of a ketone. This route is amenable to large-scale synthesis using readily available starting materials.

16.
Rapid Commun Mass Spectrom ; 31(24): 2109-2117, 2017 Dec 30.
Article in English | MEDLINE | ID: mdl-28913910

ABSTRACT

RATIONALE: The elaborate sampling and analytical protocol associated with conventional dual-inlet isotope ratio mass spectrometry has long hindered high-resolution climate studies from biogenic accretionary carbonates. Laser-based on-line systems, in comparison, produce rapid data, but suffer from unresolvable matrix effects. It is, therefore, necessary to resolve these matrix effects to take advantage of the automated laser-based method. METHODS: Two marine bivalve shells (one aragonite and one calcite) and one fish otolith (aragonite) were first analysed using a CO2 laser ablation system attached to a continuous flow isotope ratio mass spectrometer under different experimental conditions (different laser power, sample untreated vs vacuum roasted). The shells and the otolith were then micro-drilled and the isotopic compositions of the powders were measured in a dual-inlet isotope ratio mass spectrometer following the conventional acid digestion method. RESULTS: The vacuum-roasted samples (both aragonite and calcite) produced mean isotopic ratios (with a reproducibility of ±0.2 ‰ for both δ18 O and δ13 C values) almost identical to the values obtained using the conventional acid digestion method. As the isotopic ratio of the acid digested samples fall within the analytical precision (±0.2 ‰) of the laser ablation system, this suggests the usefulness of the method for studying the biogenic accretionary carbonate matrix. CONCLUSIONS: When using laser-based continuous flow isotope ratio mass spectrometry for the high-resolution isotopic measurements of biogenic carbonates, the employment of a vacuum-roasting step will reduce the matrix effect. This method will be of immense help to geologists and sclerochronologists in exploring short-term changes in climatic parameters (e.g. seasonality) in geological times.

17.
Lab Invest ; 97(12): 1508-1515, 2017 12.
Article in English | MEDLINE | ID: mdl-28805805

ABSTRACT

Pathologists have had increasing responsibility for quantitating immunohistochemistry (IHC) biomarkers with the expectation of high between-reader reproducibility due to clinical decision-making especially for patient therapy. Digital imaging-based quantitation of IHC clinical slides offers a potential aid for improvement; however, its clinical adoption is limited potentially due to a conventional field-of-view annotation approach. In this study, we implemented a novel solely morphology-based whole tumor section annotation strategy to maximize image analysis quantitation results between readers. We first compare the field-of-view image analysis annotation approach to digital and manual-based modalities across multiple clinical studies (~120 cases per study) and biomarkers (ER, PR, HER2, Ki-67, and p53 IHC) and then compare a subset of the same cases (~40 cases each from the ER, PR, HER2, and Ki-67 studies) using whole tumor section annotation approach to understand incremental value of all modalities. Between-reader results for each biomarker in relation to conventional scoring modalities showed similar concordance as manual read: ER field-of-view image analysis: 95.3% (95% CI 92.0-98.2%) vs digital read: 92.0% (87.8-95.8%) vs manual read: 94.9% (91.4-97.8%); PR field-of-view image analysis: 94.1% (90.3-97.2%) vs digital read: 94.0% (90.2-97.1%) vs manual read: 94.4% (90.9-97.2%); Ki-67 field-of-view image analysis: 86.8% (82.1-91.4%) vs digital read: 76.6% (70.9-82.2%) vs manual read: 85.6% (80.4-90.4%); p53 field-of-view image analysis: 81.7% (76.4-86.8%) vs digital read: 80.6% (75.0-86.0%) vs manual read: 78.8% (72.2-83.3%); and HER2 field-of-view image analysis: 93.8% (90.0-97.2%) vs digital read: 91.0 (86.6-94.9%) vs manual read: 87.2% (82.1-91.9%). Subset implementation and analysis on the same cases using whole tumor section image analysis approach showed significant improvement between pathologists over field-of-view image analysis and manual read (HER2 100% (97-100%), P=0.013 field-of-view image analysis and 0.013 manual read; Ki-67 100% (96.9-100%), P=0.040 and 0.012; ER 98.3% (94.1-99.5%), p=0.232 and 0.181; and PR 96.6% (91.5-98.7%), p=0.012 and 0.257). Overall, whole tumor section image analysis significantly improves between-pathologist's reproducibility and is the optimal approach for clinical-based image analysis algorithms.


Subject(s)
Biomarkers, Tumor/analysis , Breast Neoplasms/chemistry , Breast Neoplasms/diagnostic imaging , Image Interpretation, Computer-Assisted/methods , Immunohistochemistry/methods , Biomarkers, Tumor/chemistry , Female , Humans , Ki-67 Antigen/analysis , Ki-67 Antigen/chemistry , Tumor Suppressor Protein p53/analysis , Tumor Suppressor Protein p53/chemistry
19.
Cell Biosci ; 7: 5, 2017.
Article in English | MEDLINE | ID: mdl-28096973

ABSTRACT

BACKGROUND: HIV-1 protease (PR) is an essential enzyme for viral production. Thus, PR inhibitors (PIs) are the most effective class of anti-HIV drugs. However, the main challenge to the successful use of PI drugs in patient treatment is the emergence of multidrug resistant PRs (mdrPRs). This study aimed to develop a fission yeast cell-based system for rapid testing of new PIs that combat mdrPRs. RESULTS: Three mdrPRs were isolated from HIV-infected patients that carried seven (M7PR), ten (M10PR) and eleven (M11PR) PR gene mutations, respectively. They were cloned and expressed in fission yeast under an inducible promoter to allow the measurement of PR-specific proteolysis and drug resistance. The results showed that all three mdrPRs maintained their abilities to proteolyze HIV viral substrates (MA↓CA and p6) and to confer drug resistance. Production of these proteins in the fission yeast caused cell growth inhibition, oxidative stress and altered mitochondrial morphologies that led to cell death. Five investigational PIs were used to test the utility of the established yeast system with an FDA-approved PI drug Darunavir (DRV) as control. All six compounds suppressed the wildtype PR (wtPR) and the M7PR-mediated activities. However, none of them were able to suppress the M10PR or the M11PR. CONCLUSIONS: The three clinically isolated mdrPRs maintained their viral proteolytic activities and drug resistance in the fission yeast. Furthermore, those viral mdrPR activities were coupled with the induction of growth inhibition and cell death, which could be used to test the PI activities. Indeed, the five investigational PIs and DRV suppressed the wtPR in fission yeast as they did in mammalian cells. Significantly, two of the high level mdrPRs (M10PR and M11PR) were resistant to all of the existing PI drugs including DRV. This observation underscores the importance of continued searching for new PIs against mdrPRs.

20.
Med Res Arch ; 5(4)2017 Apr.
Article in English | MEDLINE | ID: mdl-29984302

ABSTRACT

The advent of combined active antiretroviral therapy (cART) dramatically improved HIV management and patient care of HIV-infected individuals. This treatment regimen resulted in a significant reduction of HIV/AIDS-related mortality and greatly improved life expectancies of those patients with access to cART. However, among many HIV-related complications, neurocognitive dysfunction, known as HIV-associated neurocognitive disorder (HAND) has been a major issue. While the cART regimen has been effective in reduction of HAND in many patients, the prevalence of HAND is increasing as HIV/AIDS patients live longer. HIV infection and its subsequent manifestation of HAND is complex. It is evident that the brain can serve as a sanctuary for HIV replication and HAND can remain in patients even with cART treatment due to poor blood-brain barrier permeability of the majority of current antiretroviral agents. Conceivably, cART needs to have improved CNS penetration properties for effective treatment and possible prevention of HAND. Therefore, design and development of new antiretroviral agents that can penetrate into the CNS effectively, could block HIV replication and significantly reduce the viral load in cerebrospinal fluid. This may prevent HAND and related symptoms. HIV protease inhibitors (PIs) are a critical component of cART. Over the years, we have designed and synthesized a range of highly potent and novel PIs including the FDA approved drug, darunavir, which is used as a first-line treatment. In an effort to improve CNS penetration, we have been involved in the design and development of potent PIs with improved in vitro brain penetration properties. Herein we provide a brief review that cover insights and discussion of HAND and our work on PI development to ameliorate HIV-associated neurocognitive disorders.

SELECTION OF CITATIONS
SEARCH DETAIL
...