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Review
. 2016 Jun 10;2(6):382-92.
doi: 10.1021/acsinfecdis.6b00041. Epub 2016 May 5.

Therapeutic Potential of Spirooxindoles as Antiviral Agents

Affiliations
Review

Therapeutic Potential of Spirooxindoles as Antiviral Agents

Na Ye et al. ACS Infect Dis. .

Abstract

Antiviral therapeutics with profiles of high potency, low resistance, panserotype, and low toxicity remain challenging, and obtaining such agents continues to be an active area of therapeutic development. Due to their unique three-dimensional structural features, spirooxindoles have been identified as privileged chemotypes for antiviral drug development. Among them, spiro-pyrazolopyridone oxindoles have been recently reported as potent inhibitors of dengue virus NS4B, leading to the discovery of an orally bioavailable preclinical candidate (R)-44 with excellent in vivo efficacy in a dengue viremia mouse model. This review highlights recent advances in the development of biologically active spirooxindoles for their antiviral potential, primarily focusing on the structure-activity relationships (SARs) and modes of action, as well as future directions to achieve more potent analogues toward a viable antiviral therapy.

Keywords: DENV; HIV; RSV; antiviral agents; influenza virus; spirooxindoles.

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Conflict of interest statement

Notes

The authors declare no competing financial interest.

Figures

Figure 1
Figure 1
Selected examples of natural products and pharmaceutical drugs or lead compounds with spirooxindole scaffold, which is depicted with red and blue representing two key moieties.
Figure 2
Figure 2
Selected examples of HIV protease inhibitors with spirooxindole scaffold and the cocrystal structure of 11 and HIV protease (PDB code 2IEN).
Figure 3
Figure 3
Selected examples of HIV non-nucleoside reverse transcriptase inhibitors with spirooxindole scaffold.
Figure 4
Figure 4
Structure of BMS433771 (21) and the cocrystal structure of 21 and 3-fold-symmetric cavity in prefusion RSV fusion protein (PDB code 5EA7).
Figure 5
Figure 5
Selected examples of RSV fusion inhibitors with spirooxindole scaffold.
Figure 6
Figure 6
(A) Selected examples of DENV NS4B inhibitors with spirooxindole scaffold. (B) Membrane topology and sequence alignment of the DENV NS4B protein. Reprinted with permission from ref 72. Copyright 2015 American Society for Microbiology Limited. (C) DENV-2 in vivo mouse efficacy of compound (R)-44. Reprinted with permission from ref 73.
Figure 7
Figure 7
Selected examples of other antiviral inhibitors with the spirooxindole scaffold.

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