Chemometrics as a valuable tool for evaluating interactions between antiretroviral drugs and food

Author:

Wiesner Agnieszka12ORCID,Zagrodzki Paweł2ORCID,Jamrozik Marek3ORCID,Korchowiec Jacek4ORCID,Marcinkowska Monika3ORCID,Paśko Paweł2ORCID

Affiliation:

1. Doctoral School of Medical and Health Sciences Jagiellonian University Medical College Krakow Poland

2. Department of Food Chemistry and Nutrition, Faculty of Pharmacy Jagiellonian University Medical College Krakow Poland

3. Department of Medicinal Chemistry, Faculty of Pharmacy Jagiellonian University Medical College Krakow Poland

4. Department of Theoretical Chemistry, Faculty of Chemistry Jagiellonian University Krakow Poland

Abstract

AimsClinically significant interactions with food occur for more than half of antiretroviral drugs. Different physiochemical properties deriving from the chemical structures of antiretroviral drugs may contribute to the variable food effect. Chemometric methods allow analysing a large number of interrelated variables concomitantly and visualizing correlations between them. We used a chemometric approach to determine the types of correlations among different features of antiretroviral drugs and food that may influence interactions.MethodsThirty‐three antiretroviral drugs were analysed: ten nucleoside reverse transcriptase inhibitors, six non‐nucleoside reverse transcriptase inhibitors, five integrase strand transfer inhibitors, ten protease inhibitors, one fusion inhibitor and one HIV maturation inhibitor. Input data for the analysis were collected from already published clinical studies, chemical records and calculations. We constructed a hierarchical partial least squares (PLS) model with three response parameters: postprandial change of time to reach maximum drug concentration (ΔTmax), albumin binding (%) and logarithm of partition coefficient (logP). Predictor parameters were the first two principal components of principal component analysis (PCA) models for six groups of molecular descriptors.ResultsPCA models explained 64.4% to 83.4% of the variance of the original parameters (average: 76.9%), whereas the PLS model had four significant components and explained 86.2% and 71.4% of the variance in the sets of predictor and response parameters, respectively. We observed 58 significant correlations between ΔTmax, albumin binding (%), logP and constitutional, topological, hydrogen bonding and charge‐based molecular descriptors.ConclusionsChemometrics is a useful and valuable tool for analysing interactions between antiretroviral drugs and food.

Publisher

Wiley

Subject

Pharmacology (medical),Pharmacology

Reference92 articles.

1. Current challenges in the treatment of HIV

2. Patient-Reported Barriers to Adherence to Antiretroviral Therapy: A Systematic Review and Meta-Analysis

3. World Health Organization.HIV Drug Resistance Report 2019.2019. Accessed May 26 2023.https://www.who.int/publications/i/item/WHO-CDS-HIV-19.21

4. Safety and tolerability: current challenges to antiretroviral therapy for the long‐term management of HIV infection;Troya J;AIDS Rev,2016

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