Fragment based drug discovery (FBDD) has been applied to two protease drug targets, MMP-12 and HIV-1 protease. The primary screening and characterization of hit fragments were performed with surface plasmon resonance -technology. Further evaluation of the interaction was done by inhibition studies and in one case with X-ray crystallography. The focus of the two projects was different. Many MMP inhibitors contain a strong zinc chelating group, hydroxamate, interacting with the catalytic zinc atom. This strategy may be the cause for the low specificity of MMP inhibitors. Using FBDD we found a fragment with an unusual strong affinity for MMP-12. An inhibition assay confirmed that it was an inhibitor but indicated a stoichiometry of 2:1. Crystallography data revealed that an adduct of the fragment was bound in the active site, with interactions both with the catalytic zinc and the S1’ pocket. This may present a new scaffold for MMP-12 inhibitors. For HIV-1 protease the focus was on identifying inhibitors not sensitive to current resistance mutations. A fragment library for screening with SPR-technology was designed and used for screening against wild type enzyme and three variants with resistance mutations. Many of the hits were promiscuous but a number of fragments with possible allosteric inhibition mechanism were identified. The temperature dependency of the dissociation rate and reported resistance mutations was studied with thermodynamics. A good, but not perfect correlation was found between resistance and both the dissociation data and the free energy for dissociation compared to data from wild type enzyme. However, the type of mutation also influenced the results. The flap mutation G48V displayed thermodynamic profiles not completely correlating with resistance. It was found that dissociation rate and thermodynamics may complement each other when studying resistance, but only one of them may not be enough.

Um dos maiores problemas encontrados em terapias anti-retrovirais contra AIDS é a emergência de variantes virais que exibem resistência aos fármacos disponíveis e subtiposvirais naturalmente mais suscetíveis ao desenvolvimento de falha terapêutica. Neste trabalho nós resolvemos as estruturas cristalográficas de quatro proteases de HIV-1 complexadas com o inibidor universal C2 simétrico TL-3. As proteases utilizadas foram extraídas de pacientes com AIDS, uma do subtipo B selvagem (Bwt), uma do subtipo F selvagem (Fwt), e um mutante de cada um dos subtipos (Bmut e Fmut), esses dois últimos de pacientes apresentando falha terapêutica. As proteínas foram produzidas por expressão heteróloga em bactérias Escherichia coli, purificadas à partir das proteínas dos corpos de inclusão, e reenoveladas. Os dados coletados foram processados à uma resolução de 2.1 A para o complexo Bwt:TL-3, 1.75 A para Bmut:TL-3, 2.1 A para Fwt:TL-3 e 2.8 A para Fmut:TL-3. Esses dados foram inicialmente processados em P6122 e, posteriormente, reprocessados em P6i. As estruturas foram resolvidas por substituição molecular utilizando a estrutura de uma protease de HIV-1 publicada como modelo. A análise dessas quatro estruturas mostrou que o inibidor TL-3 liga-se de maneira muito próxima em todas elas. Nas proteases Bmut e Fmut a mutação V82A causa um reempacotamento do bolsão SI\', que se reflete num rearranjo da cadeia lateral do inibidor em Pl\'. Nossas análises indicaram, ainda, que algumas substituições polimórficas entre os subtipos B e F podem levar à maior estabilização de regiões naturalmente flexíveis nas proteases do subtipo F, originando uma enzima intrinsicamente menos ativa e resistente à alguns inibidores. Nas proteases Fwt e Fmut, a substituição polimorfica M36I causa um deslocamento do loop entre os resíduos 35-41, que levaria à perda de flexibilidade dos fiaps e do loop 76-83 no sítio ativo. Nossas comparações indicaram também que a substituição L89M nos subtipos não B pode ser equivalente à mutação de resistência L90M em subtipos B. Por fim, esses dados estruturais nos permitiram sugerir modificações na estrutura do inibidor TL-3 que poderiam levar à um aumento da sua potência. Nesta tese também apresentamos os dados de resolução e análise estruturais da L-asparaginase de Escherichia coli, resolvida à uma resolução de 1.95 A no grupo espacial C2. Baseados em dados estruturais e cinéticos propusemos um mecanísmo de reação geral para as amidohidrolases, que incluem as L-asparaginases, através da formação de duas tríades catalíticas Thr-Tyr-Glu e Thr-Lys-Asp, envolvendo as duas treoninas no sítio ativo. Nossas análises do volume da cavidade catalítica de três amidohidrolases também indicam que o aumento da atividade L-glutaminase em algumas enzimas é diretamente proporcional ao aumento do volume dessa cavidade. / One of the major problems faced in antiviral therapy against AIDS is the emergence of viral variants that exhibit drug resistance, as well as viral subtypes naturally more liable to development of therapeutic failure. In this work we solved the crystal structure of four HIV-1 proteases complexed with the universal C2 symmetry-based inhibitor TL-3. These proteases where obtained from patients with AIDS: one of the subtype B wild type (Bwt), one of the subtype F wild type (Fwt), and a mutant of each subtype (Bmut and Fmut), these last two out of patients showing therapeutic failure. The proteins were produced by Escherichia coli bacteria heterologous expression, purified out of the inclusion bodies, and refolded. The collected diffraction data were processed to 2.1 A resolution for the Bwt:TL-3 complex, 1.75 A for Bmut:TL-3, 2.1 A for Fwt:TL-3 and 2.8 A for Fmut:TL-3. These data were initially processed in the P6122 space group and latter reprocessed in P6i. The four structures were solved by molecular replacement using a published HIV-1 protease structure as a model. The structural analysis shown that the TL-3 inhibitor binds in a similar fashion in the active site of all four structures. On the proteases Bmut and Fmut the mutation V82A causes a repacking of the SI\' pocket which rerranges the inhibitor\'s side chain at P1\' subsite. Our analysis further indicate that some polymorphic substitutions between subtypes B and F could lead to a stabilization of naturally flexible regions on subtype F proteases, creating a intrinsically less active resistant enzyme. On the proteases Fwt and Fmut the polymorphic substitution M36I leads to the displacement of the loop between residues 35-41, which would cause a flexibility loss of the flaps and of the loop 76-83 in the active site. Our comparisons further indicate that the polymorphic substitution L89M on non-B subtypes could be equivalent to the L90M resistance mutation on subtype B proteases. Lastly, based on these structural data we were able to suggest a few structural modifications on the TL-3 inhibitor that could furnish a more potent inhibitor. On this thesis we also present the data of structural solution and analysis of the Escherichia coli L-asparaginase solved at 1.95 A resolution in C2 space group. Based on structural and kinetical data we proposed a general reaction mechanism for amidohidrolases, which include L-asparaginases, involving the formation of two catalytic triads Thr-Tyr-Glu and Thr-Lys-Asp, which acounts for the two threonines in the active site. Our cavity volume analysis of three amidohidrolases also indicate that the increasing in the L-glutaminase activity in some enzimes is directly proportional to the increase in the cavity volume.

The employment of HIV-1 protease (PR) inhibitors (PIs) in antiviral therapy has been successful in reducing mortality of HIV/AIDS patients. However, the long-term efficacy of PIs is challenged by the rapid emergence of drug-resistant mutants of PR. To understand the underlying mechanism of drug resistance, structures and activities of HIV-1 PR and its drug resistant mutants have been extensively studied. Here, PR mutants PRR8Q, PRD30N, PRI47V, PRI50V, PRI54M, PRV82A, and PRN88D/S bearing single substitutions have been investigated by crystallography and kinetics. GRL-0519 is a potent new antiviral inhibitor of HIV-1 PR that possesses tris-tetrahydrofuran (tris-THF) as the P2 ligand. The crystal structures of GRL-0519 were determined at resolutions of 1.06-1.49 Å in complex with the mutants PRR8Q, PRD30N, PRI50V, PRI54M, and PRV82A. I50V lost its interaction with inhibitor while V82Aand I54M compensated for the mutation through the main chain shift and flexibility of 80’s loop (residues 78-82), respectively. The structural changes may account for the worst inhibition of GRL-0519 for PRI50V (60-fold decrease relative to wild-type enzyme)and moderate inhibition for PRI54M and PRV82A (6-7-fold decrease). The large tris-THF group at P2 provides a good fit in the S2 subsite and may be effective against resistant virus with mutations of residues in this subsite. SQV and DRV are two clinical inhibitors that were designed to target the wild type PR and its drug resistant mutants, respectively. The crystal structures of PR mutants PRI47V, PRN88D/s in complex with DRV and mutants PRI47V and PRN88D in complex with SQV with resolutions of 1.13-1.72 Å were also analyzed. Mutation I47V gained more hydrophobic interactions with DRV and SQV. Interestingly, the structural changes did not affect the inhibition of both inhibitors for PRI47V (relative Ki is 0.7 and 1 for DRV and SQV, respectively). DRV and SQV showed 8-fold increase in Ki for PRN88D and only very subtle local changes have been observed on the structures. DRV induced 0.3 fold reduction in Ki for PRN88S and the distal structural changes have been transferred to the active site. This study provided fundamental information for understanding drug resistance and future design of potential antiviral drugs.

Um dos maiores problemas encontrados em terapias anti-retrovirais contra AIDS é a emergência de variantes virais que exibem resistência aos fármacos disponíveis e subtiposvirais naturalmente mais suscetíveis ao desenvolvimento de falha terapêutica. Neste trabalho nós resolvemos as estruturas cristalográficas de quatro proteases de HIV-1 complexadas com o inibidor universal C2 simétrico TL-3. As proteases utilizadas foram extraídas de pacientes com AIDS, uma do subtipo B selvagem (Bwt), uma do subtipo F selvagem (Fwt), e um mutante de cada um dos subtipos (Bmut e Fmut), esses dois últimos de pacientes apresentando falha terapêutica. As proteínas foram produzidas por expressão heteróloga em bactérias Escherichia coli, purificadas à partir das proteínas dos corpos de inclusão, e reenoveladas. Os dados coletados foram processados à uma resolução de 2.1 A para o complexo Bwt:TL-3, 1.75 A para Bmut:TL-3, 2.1 A para Fwt:TL-3 e 2.8 A para Fmut:TL-3. Esses dados foram inicialmente processados em P6122 e, posteriormente, reprocessados em P6i. As estruturas foram resolvidas por substituição molecular utilizando a estrutura de uma protease de HIV-1 publicada como modelo. A análise dessas quatro estruturas mostrou que o inibidor TL-3 liga-se de maneira muito próxima em todas elas. Nas proteases Bmut e Fmut a mutação V82A causa um reempacotamento do bolsão SI\', que se reflete num rearranjo da cadeia lateral do inibidor em Pl\'. Nossas análises indicaram, ainda, que algumas substituições polimórficas entre os subtipos B e F podem levar à maior estabilização de regiões naturalmente flexíveis nas proteases do subtipo F, originando uma enzima intrinsicamente menos ativa e resistente à alguns inibidores. Nas proteases Fwt e Fmut, a substituição polimorfica M36I causa um deslocamento do loop entre os resíduos 35-41, que levaria à perda de flexibilidade dos fiaps e do loop 76-83 no sítio ativo. Nossas comparações indicaram também que a substituição L89M nos subtipos não B pode ser equivalente à mutação de resistência L90M em subtipos B. Por fim, esses dados estruturais nos permitiram sugerir modificações na estrutura do inibidor TL-3 que poderiam levar à um aumento da sua potência. Nesta tese também apresentamos os dados de resolução e análise estruturais da L-asparaginase de Escherichia coli, resolvida à uma resolução de 1.95 A no grupo espacial C2. Baseados em dados estruturais e cinéticos propusemos um mecanísmo de reação geral para as amidohidrolases, que incluem as L-asparaginases, através da formação de duas tríades catalíticas Thr-Tyr-Glu e Thr-Lys-Asp, envolvendo as duas treoninas no sítio ativo. Nossas análises do volume da cavidade catalítica de três amidohidrolases também indicam que o aumento da atividade L-glutaminase em algumas enzimas é diretamente proporcional ao aumento do volume dessa cavidade. / One of the major problems faced in antiviral therapy against AIDS is the emergence of viral variants that exhibit drug resistance, as well as viral subtypes naturally more liable to development of therapeutic failure. In this work we solved the crystal structure of four HIV-1 proteases complexed with the universal C2 symmetry-based inhibitor TL-3. These proteases where obtained from patients with AIDS: one of the subtype B wild type (Bwt), one of the subtype F wild type (Fwt), and a mutant of each subtype (Bmut and Fmut), these last two out of patients showing therapeutic failure. The proteins were produced by Escherichia coli bacteria heterologous expression, purified out of the inclusion bodies, and refolded. The collected diffraction data were processed to 2.1 A resolution for the Bwt:TL-3 complex, 1.75 A for Bmut:TL-3, 2.1 A for Fwt:TL-3 and 2.8 A for Fmut:TL-3. These data were initially processed in the P6122 space group and latter reprocessed in P6i. The four structures were solved by molecular replacement using a published HIV-1 protease structure as a model. The structural analysis shown that the TL-3 inhibitor binds in a similar fashion in the active site of all four structures. On the proteases Bmut and Fmut the mutation V82A causes a repacking of the SI\' pocket which rerranges the inhibitor\'s side chain at P1\' subsite. Our analysis further indicate that some polymorphic substitutions between subtypes B and F could lead to a stabilization of naturally flexible regions on subtype F proteases, creating a intrinsically less active resistant enzyme. On the proteases Fwt and Fmut the polymorphic substitution M36I leads to the displacement of the loop between residues 35-41, which would cause a flexibility loss of the flaps and of the loop 76-83 in the active site. Our comparisons further indicate that the polymorphic substitution L89M on non-B subtypes could be equivalent to the L90M resistance mutation on subtype B proteases. Lastly, based on these structural data we were able to suggest a few structural modifications on the TL-3 inhibitor that could furnish a more potent inhibitor. On this thesis we also present the data of structural solution and analysis of the Escherichia coli L-asparaginase solved at 1.95 A resolution in C2 space group. Based on structural and kinetical data we proposed a general reaction mechanism for amidohidrolases, which include L-asparaginases, involving the formation of two catalytic triads Thr-Tyr-Glu and Thr-Lys-Asp, which acounts for the two threonines in the active site. Our cavity volume analysis of three amidohidrolases also indicate that the increasing in the L-glutaminase activity in some enzimes is directly proportional to the increase in the cavity volume.

<p>Since 1981, HIV/AIDS has affected over 70 million individuals worldwide. Due to the incorporation of Combination Antiretroviral Therapy (cART), this deadly virus has now become a manageable chronic illness with a reduction in mortality and morbidity rates. Combination therapy targets multiple stages of the HIV replication cycle including fusion, entry, reverse transcription, integration, and maturation. The HIV-1 protease enzyme is responsible for cleavage and processing of viral polyproteins into mature enzymes and is a common therapeutic target for inhibition of HIV. To date, there have been many protease inhibitors approved by the FDA and introduced into the market. However, mutations within the protease enzyme has rendered some of these inhibitors ineffective. This has led to an ever-growing need to develop novel protease inhibitors to combat drug resistance through mutations. Described herein is the design, synthesis, and biological evaluation of HIV-1 protease inhibitors featuring a novel hexahydropyrrolofuran (HPF) bicyclic scaffold as a P₂ ligand to target binding interactions with Asp29 and Asp30. The HPF ligand provides a molecular handle that allows for further structure-activity discoveries within the enzyme. The HIV-1 protease inhibitors discussed feature carbamate, carboxamide, and sulfonamide derivatives which displayed good to excellent activity.</p>

Indiana University-Purdue University Indianapolis (IUPUI) / Misregulation of protein signaling pathways is the basis for many human diseases, and thus 95% of Food and Drug Administration approved drugs target proteins. Proteins are dynamic entities which can undergo transitions to reach different conformational states. The conformational state of a protein, or its three-dimensional shape, is intricately linked to functions, such as association with endogenous or exogenous binding partners, or catalysis. Thus, it is of interest to the pharmacological community to understand the mechanisms of protein conformational state transitions in order to better target and control protein functions. In two case studies, I show the importance of understanding protein dynamics in protein function and drug design. In the case of human immunodeficiency virus-1 (HIV-1) protease, a tremendous “open-and-closed” conformational transition is revealed by Molecular Dynamics Simulations (MDS). Through observing the dramatic difference in effectiveness of two Darunavir inhibitor derivatives differentiated by a single atom at locking the protease in the closed conformation, we discovered the residues and mechanism that lead to the protease’s conformational transition. This mechanism also explained the significant difference in the binding conformation and binding affinity of these two inhibitors. This study provides insight on how to improve the potency and anti-viral capacity of these compounds. In the second case study, MDS enabled us to observe the conformational transitions of a family of seven isoforms known as the 14-3-3 proteins. Many vital cellular processes involve all or select 14-3-3 isoforms, making this family very difficult to target. Through MDS, I discovered different conformational samplings among these 14-3-3 isoforms which were then validated by SAXS. Subsequently, a FRET-based ligand binding assay was developed which can screen for preferential 14-3-3 isoform binding of endogenous ligands, giving hope that using conformations unique to a 14-3-3 isoform of interest can provide a method for selective drug design. / 2022-03-09

<p> Over 40 years since the emergence of the AIDS epidemic and still no cure exists for AIDS or its causative HIV-1 infection. Protease inhibitors are an integral part of the most effective treatment regimen for HIV-1 infected patients known as combination antiretroviral therapy (cART), which is extremely effective at decreasing viral loads to nearly undetectable levels. One of the most alarming issues with current treatments is the emergence of multi-drug resistant strains. Even darunavir, which has shown exceptional activity against drug resistant strains, has experienced this issue. Herein we designed a novel series of heterocyclic based P2 ligand HIV-1 protease inhibitors based on kinase inhibitors such as imatinib and dasatinib. These inhibitors were designed to promote hydrogen bonding with the peptide backbone atoms of HIV-1 protease. Compounds were synthesized, biologically evaluated, and underwent X-ray structural studies. Inhibitors displayed activity as low as sub-nanomolar potency and low nanomolar antiviral activity. Important ligand-binding site interactions were determined through two X-ray crystal structures.</p> <p>Emergence of SARS-CoV-2 at the end of 2019 resulted in a global pandemic that has affected millions. Researchers all over the world turned their attention to developing drug therapies aimed at preventing and treating the viral infection. One such target became the main viral protease, or 3-chymotrypsin like protease (3CLpro). 3CLpro is an essential viral enzyme responsible for polypeptide cleavage during the viral replication cycle to produce 16 nonstructural proteins (nsps). Thus, it has been a highly researched area for effective SARS-CoV-2 drug therapies. Therefore, we designed, synthesized, and biologically evaluated a series of competitive reversible SARS-CoV-2 3CLpro inhibitors. </p>

Referat: Background: Human African Trypanosomiasis (HAT) also called sleeping sickness is an infectious disease of humans caused by an extracellular protozoan parasite. The disease, if left untreated, results in 100% mortality. However, the available drugs are full of severe drawbacks and fail to escape the fast development of trypanosoma resistance. Due to the probable similarities in cell metabolism among tumor and trypanosoma cells, some of the current registered drugs against HAT were derived from cancer chemotherapeutic research. Here too, for the first time, we have demonstrated that the simple ester, ethyl pyruvate, comprises such properties. On the other hand initial studies have confirmed the efficacy of protease inhibitors in treatment of Trypanosoma cruzi, Plasmodium falciparum and Leishmania major. However, studies on efficacy and specific proteases inhibition using HIV-1 protease inhibitors on T. brucei cells remain untouched. Methodology/Principal findings: The current study covers efficacy and corresponding target evaluation of ethyl pyruvate and HIV-1 protease inhibitors (ritonavir and saquinavir) on T. brucei cell lines using a combination of biochemical techniques including cell proliferation assays, enzyme kinetics, zymography, phase contrast microscopic video imaging and ex vivo drug toxicity tests. We have shown that ethyl pyruvate effectively kills trypanosomes most probably by net ATP depletion through inhibition of pyruvate kinase (Ki=3.0±0.29 mM). The potential of this compound as an anti-trypanosomal drug is also strengthened by its fast acting property, killing cells within three hours post exposure. This was demonstrated using video imaging of live cells as well as concentration and time dependency experiments. Most importantly, this drug produced minimal side effects in human erythrocytes and is known to easily cross the blood-brain-barrier (BBB) which makes it a promising candidate for effective treatment of the two clinical stages of sleeping sickness. Trypanosome drug resistance tests indicate irreversible killing of cells and a low chance of drug resistance development under applied experimental conditions. In addition to ethyl pyruvate our experimental study on HIV-1 protease inhibitors showed that both ritonavir (RTV) (IC50=12.23 µM) and saquinavir (SQV) (IC50=11.49 µM) effectively inhibited T. brucei cells proliferation. The major proteases identified in these cells were the cysteine- (~29kDa Mr) and metallo- (~66kDa Mr) proteases. Their proteolytic activity was, however, not hampered by either of these two protease inhibitors. Conclusion/Significance: Our results present ethyl pyruvate as a safe and fast acting drug. Hence, because of its predefined property to easily cross the BBB, it can probably be a new candidate agent to treat the heamolymphatic as well as neurological stages of sleeping sickness. Similarly, HIV-1 protease inhibitors, SQV and RTV, exhibited their antitrypanosomal potential but require further anlysis to identify their specific targets.

Referat: Background: Human African Trypanosomiasis (HAT) also called sleeping sickness is an infectious disease of humans caused by an extracellular protozoan parasite. The disease, if left untreated, results in 100% mortality. However, the available drugs are full of severe drawbacks and fail to escape the fast development of trypanosoma resistance. Due to the probable similarities in cell metabolism among tumor and trypanosoma cells, some of the current registered drugs against HAT were derived from cancer chemotherapeutic research. Here too, for the first time, we have demonstrated that the simple ester, ethyl pyruvate, comprises such properties. On the other hand initial studies have confirmed the efficacy of protease inhibitors in treatment of Trypanosoma cruzi, Plasmodium falciparum and Leishmania major. However, studies on efficacy and specific proteases inhibition using HIV-1 protease inhibitors on T. brucei cells remain untouched. Methodology/Principal findings: The current study covers efficacy and corresponding target evaluation of ethyl pyruvate and HIV-1 protease inhibitors (ritonavir and saquinavir) on T. brucei cell lines using a combination of biochemical techniques including cell proliferation assays, enzyme kinetics, zymography, phase contrast microscopic video imaging and ex vivo drug toxicity tests. We have shown that ethyl pyruvate effectively kills trypanosomes most probably by net ATP depletion through inhibition of pyruvate kinase (Ki=3.0±0.29 mM). The potential of this compound as an anti-trypanosomal drug is also strengthened by its fast acting property, killing cells within three hours post exposure. This was demonstrated using video imaging of live cells as well as concentration and time dependency experiments. Most importantly, this drug produced minimal side effects in human erythrocytes and is known to easily cross the blood-brain-barrier (BBB) which makes it a promising candidate for effective treatment of the two clinical stages of sleeping sickness. Trypanosome drug resistance tests indicate irreversible killing of cells and a low chance of drug resistance development under applied experimental conditions. In addition to ethyl pyruvate our experimental study on HIV-1 protease inhibitors showed that both ritonavir (RTV) (IC50=12.23 µM) and saquinavir (SQV) (IC50=11.49 µM) effectively inhibited T. brucei cells proliferation. The major proteases identified in these cells were the cysteine- (~29kDa Mr) and metallo- (~66kDa Mr) proteases. Their proteolytic activity was, however, not hampered by either of these two protease inhibitors. Conclusion/Significance: Our results present ethyl pyruvate as a safe and fast acting drug. Hence, because of its predefined property to easily cross the BBB, it can probably be a new candidate agent to treat the heamolymphatic as well as neurological stages of sleeping sickness. Similarly, HIV-1 protease inhibitors, SQV and RTV, exhibited their antitrypanosomal potential but require further anlysis to identify their specific targets.:Bibliographic description ii Acronyms iii 1. Introduction 1 1.1. Disease background 1 1.2. Epidemiological distribution and disease transmission dynamics 1 1.3. Biology and life cycle of the trypanosomatidea 3 1.4. Public health significance 4 1.5. Clinical stages and disease progression 5 1.6. Current challenges of disease control 6 1.7. Current drugs and their clinical applications 9 1.8. Targets for drug discovery 12 1.8.1. Energy metabolism 12 1.8.2. Proteolysis 17 1.9. Ethyl pyruvate 18 1.10. HIV-1 Protease Inhibitors 21 2. Aim of the study 22 3. Materials and Methods 24 4. Results 31 5. Discussion 45 6. Conclusion 53 7. Supporting information 54 8. Summary 56 9. References 62 Erklärung über die eigenständige Abfassung der Arbeit 77 Curriculum vitae 78 Publications and Presentations 81 Acknowledgement 83

<p>HIV-1 protease inhibitors are important in the most frequently used regimen for the treatment of HIV/AIDS, the highly active antiretroviral therapy (HAART). For patients with access to this treatment, an HIV infection is no longer lethal, but rather a manageable, chronic infection. However, the HIV-1 protease inhibitors are generally associated with serious shortcomings such as adverse events, development of drug resistance and poor pharmacokinetic properties. Most of the approved inhibitors suffer from high protein binding, rapid metabolism and/or low membrane permeability. </p><p>In this project, novel HIV-1 protease inhibitors comprising a rarely used tertiary alcohol in the transition-state mimic were designed, synthesized and evaluated. The rationale behind the design was to achieve ‘masking’ of the tertiary alcohol by for example, intramolecular hydrogen bonding, which was believed could enhance transcellular transport. </p><p>A reliable synthetic protocol was developed and a series of highly potent inhibitors was obtained exhibiting excellent membrane permeation properties in a Caco-2 cell assay. However, the cellular antiviral potencies of these compounds were low. In an attempt to improve the anti-HIV activity, microwave-accelerated, palladium-catalyzed cross-coupling reactions and aminocarbonylation of aryl bromide precursors were employed to produce P1'-extended test compounds. Inhibitors demonstrating up to six times higher antiviral effect were obtained, the best derivatives having para 3- or 4-pyridyl elongations in P1'.</p><p>Fast metabolic degradation was observed in liver microsome homogenate, which is believed, at least partly, to be attributable to benzylic oxidation of the indanol P2 group of the inhibitors. To enable facile variation of the P2 side chain a new synthetic route was developed using an enantiomerically pure, benzyl-substituted epoxy carboxylic acid as the key intermediate. Cyclic and amino-acid-residue-derived P2 groups were evaluated, and inhibitors equipotent to the series containing an indanol moiety were produced.</p>