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. Author manuscript; available in PMC: 2021 Sep 1.
Published in final edited form as: Curr Opin HIV AIDS. 2020 Sep;15(5):300–308. doi: 10.1097/COH.0000000000000637

Table 1:

Functional characteristics of lead/potent CD4 mimics

Class Compound Description Functional properties Therapeutic potential References
Immunoadhesins

CD4Ig (PRO542) D1D2 of CD4 fused to Fc portion of Ig
   i, ii
Prevention
Passive immunization

Jacobsen JM et al, 2000
Jacobsen JM et al, 2004
eCD4Ig CD4Ig fused with CoR mimic   i, ii, iii, iv, v Treatment
Antiviral
Davis-Gardner ME et al, 2017
Fellinger CH et al, 2019
Gardner MR et al, 2019
Cure
Kill part of ‘Shock and kill’

Miniproteins

M48U1 Select CD4 β-hairpin residues transplanted on scyllatoxin scaffold ii, iv, v Prevention
Topical microbicide
Acharya P et al, 2015
gp120-S-S-M46U1 M46U1 fused with gp120   i, ii, iii, iv, vi Treatment
Antiviral
Martin G et al, 2011
Dey AK et al, 2012
gp140-S-S-M46U1 M46U1 fused with gp140   i, ii, iii, iv, vi Cure
Kill part of ‘Shock and kill’

CD4mc

NBD Series
   NBD14110
Analog of NBD556 modified to contain bulky benzodioxole moiety in region I ii, iv, v Curelli F et al, 2018
DMJ-II-121 Analogs
   BNM-III-170
Analog of NBD556 modified in region III to an indane core with guanidinium moiety ii, iv, v, vi Prevention
As part of vaccination
Melillo B et al, 2016;
Madani N et al, 2018;
Prevost J et al, 2020
Treatment
Antiviral
YYA-021 Analogs
   YIR-821
Analog of NBD556 structurally modified in region III to consist of a mono-cyclohexy with long guanidino extension attached to piperidine core
ii
Cure
Kill part of ‘Shock and kill’
Ohashi N et al, 2016
MCG Series
   MCG-IV-210

Novel molecule containing a short amide linker between piperidine core and halogenated aromatic ring

ii, iv, v, vi

Ding S et al, 2019;
Grenier MC et al, 2018
Prevost J et al, 2020
i)

High avidity binding to gp120

ii)

Inactivates viral particle

iii)

Mediates ADCC of infected cells

iv)

Sensitizes infected cells to ADCC

v)

Sensitizes viral particle to neutralisation by nnAbs

vi)

Protects against bystander killing