Evidence map›Paper›PMID 41089487›Full record

ArticleACS medicinal chemistry letters2025

Delineating Structural Functionalities of Lenacapavir Amenable to Modifications for Targeting Emerging Drug-Resistant HIV‑1 Capsid Variants.

Daniel Adu-Ampratwum, Arun S Annamalai, Tung Dinh, Jeffrey R Lockwood, Ross H Bockbrader, Reed Haney, Mamuka Kvaratskhelia, James R Fuchs

Abstract read
In one paragraph

Article in ACS medicinal chemistry letters, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Daniel Adu-AmpratwumDivision of Medicinal Chemistry and Pharmacognosy, College of Pharmacy, The Ohio State University, Columbus, Ohio 43210, United States.ORCID https://orcid.org/0000-0001-9392-2431
Arun S AnnamalaiDivision of Infectious Diseases, Anschutz Medical Campus, University of Colorado School of Medicine, Aurora, Colorado 80045, United States.
Tung DinhDivision of Infectious Diseases, Anschutz Medical Campus, University of Colorado School of Medicine, Aurora, Colorado 80045, United States.
Jeffrey R LockwoodDivision of Medicinal Chemistry and Pharmacognosy, College of Pharmacy, The Ohio State University, Columbus, Ohio 43210, United States.ORCID https://orcid.org/0000-0003-0696-2705
Ross H BockbraderDivision of Medicinal Chemistry and Pharmacognosy, College of Pharmacy, The Ohio State University, Columbus, Ohio 43210, United States.
Reed HaneyDivision of Infectious Diseases, Anschutz Medical Campus, University of Colorado School of Medicine, Aurora, Colorado 80045, United States.
Mamuka KvaratskheliaDivision of Infectious Diseases, Anschutz Medical Campus, University of Colorado School of Medicine, Aurora, Colorado 80045, United States.
James R FuchsDivision of Medicinal Chemistry and Pharmacognosy, College of Pharmacy, The Ohio State University, Columbus, Ohio 43210, United States.ORCID https://orcid.org/0000-0002-8743-6389

Funding

Structural Biology CoreU54AI170855 · NIAID · SEATTLE CHILDREN'S HOSPITAL · PI Alan N. Engelman · 2022 to 2026
$36.7M
X-ray Crystallographic Fragment Screening CoreU54AI150472 · NIAID · SEATTLE CHILDREN'S HOSPITAL · PI OLSON, ARTHUR J. · 2019 to 2021
$15.7M
Ultra-potent HIV capsid inhibitorsR01AI157802 · NIAID · UNIVERSITY OF COLORADO DENVER · PI JAMES R FUCHS, Mamuka Kvaratskhelia · 2020 to 2026
$7.1M
Roles of HIV-1 capsid-binding FG-motif containing cellular cofactors in infectionR01AI162665 · NIAID · UNIVERSITY OF COLORADO DENVER · PI Mamuka Kvaratskhelia, Gregory B Melikian · 2022 to 2026
$3.9M
Role of HIV-1 integrase in virion morphogenesis and its targeting by allosteric integrase inhibitorsR01AI184419 · NIAID · UNIVERSITY OF COLORADO DENVER · PI JAMES R FUCHS, Sebla B. Kutluay · 2024 to 2026
$2.4M
Development of Improved HIV-1 Capsid InhibitorsR21AI174866 · NIAID · OHIO STATE UNIVERSITY · PI ADU-AMPRATWUM, DANIEL · 2023 to 2024
$446k
NIAID NIH HHS R01 AI157802NIAID NIH HHS R01 AI162665NIAID NIH HHS R01 AI184419NIAID NIH HHS R21 AI174866NIAID NIH HHS U54 AI150472NIAID NIH HHS U54 AI170855
6 · The paper itself

Abstract

Lenacapavir (LEN) is a new, first-in-class, long acting, HIV-1 capsid (CA)-targeting inhibitor for treating multidrug-resistant HIV-1 infections. LEN exhibits high potency against all major HIV-1 subtypes including variants resistant to current antiretroviral therapies providing a life-saving opportunity for heavily treatment-experienced adults with multidrug-resistant HIV-1. Despite this, LEN has a relatively low barrier to viral resistance. Clinical trials identified resistance-associated mutations near LEN binding site, with the M66I variant exhibiting highest level of resistance (>3200-fold). These findings necessitate continuing efforts to develop next-generation inhibitors against emerging LEN-resistant mutation. We focused on identifying LEN structural functionalities amenable to modifications and to develop LEN analogs with improved antiviral activity against the M66I mutant. Here, we report a new LEN analog, KFA-027, with substantially improved antiviral activity (EC

Indexed as

antiretroviral therapycapsiddrug-resistant mutationsfirst-in-classGS-6207HIV-1inhibitorLenacapavir (LEN)long-actingresistance-associated-mutations (RAMs)structure−activity relationship (SAR) study

Identifiers

PMID41089487
PMCPMC12516394

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.