Diarylpyrimidines

From WikiMD.com Medical Encyclopedia

Diarylpyrimidines (DAPYs) are a class of chemical compounds characterized by the presence of two aryl groups attached to a pyrimidine ring. These compounds are of significant interest in medicinal chemistry due to their role as non-nucleoside reverse transcriptase inhibitors (NNRTIs) used in the treatment of HIV/AIDS.

Structure and Properties[edit | edit source]

Diarylpyrimidines are defined by their core pyrimidine structure, a six-membered ring containing two nitrogen atoms at positions 1 and 3. The aryl groups, which are aromatic rings, are typically attached at the 4 and 6 positions of the pyrimidine ring. This structural configuration is crucial for their biological activity.

The presence of the aryl groups allows for significant interactions with the HIV reverse transcriptase enzyme, enabling these compounds to inhibit the enzyme's activity effectively. The flexibility and conformational adaptability of the diarylpyrimidine structure contribute to their effectiveness against various strains of HIV, including those resistant to other NNRTIs.

Mechanism of Action[edit | edit source]

Diarylpyrimidines function as NNRTIs by binding to a specific site on the reverse transcriptase enzyme, distinct from the active site. This binding induces a conformational change in the enzyme, thereby inhibiting its ability to synthesize viral DNA from the RNA template. This mechanism is crucial in preventing the replication of the HIV virus within the host cells.

Etravirine[edit | edit source]

Etravirine is a prominent example of a diarylpyrimidine. It is used in combination with other antiretroviral agents for the treatment of HIV-1 infection. Etravirine is particularly noted for its activity against HIV strains that have developed resistance to first-generation NNRTIs.

The chemical structure of etravirine, as shown in the image, highlights the diarylpyrimidine core with its distinctive aryl substitutions. This structure is optimized to enhance binding affinity and specificity for the reverse transcriptase enzyme.

Clinical Use[edit | edit source]

Etravirine is administered orally and is typically used in patients who have experienced treatment failure with other antiretroviral regimens. Its ability to retain activity against resistant strains makes it a valuable option in salvage therapy.

Related Pages[edit | edit source]

WikiMD
Navigation: Wellness - Encyclopedia - Health topics - Disease Index‏‎ - Drugs - World Directory - Gray's Anatomy - Keto diet - Recipes

Search WikiMD

Ad.Tired of being Overweight? Try W8MD's physician weight loss program.
Semaglutide (Ozempic / Wegovy and Tirzepatide (Mounjaro / Zepbound) available.
Advertise on WikiMD

WikiMD's Wellness Encyclopedia

Let Food Be Thy Medicine
Medicine Thy Food - Hippocrates

Medical Disclaimer: WikiMD is not a substitute for professional medical advice. The information on WikiMD is provided as an information resource only, may be incorrect, outdated or misleading, and is not to be used or relied on for any diagnostic or treatment purposes. Please consult your health care provider before making any healthcare decisions or for guidance about a specific medical condition. WikiMD expressly disclaims responsibility, and shall have no liability, for any damages, loss, injury, or liability whatsoever suffered as a result of your reliance on the information contained in this site. By visiting this site you agree to the foregoing terms and conditions, which may from time to time be changed or supplemented by WikiMD. If you do not agree to the foregoing terms and conditions, you should not enter or use this site. See full disclaimer.
Credits:Most images are courtesy of Wikimedia commons, and templates, categories Wikipedia, licensed under CC BY SA or similar.

Contributors: Prab R. Tumpati, MD