<!DOCTYPE article
PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Archiving and Interchange DTD with MathML3 v1.3 20210610//EN" "JATS-archivearticle1-3-mathml3.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="1.3" xml:lang="en" article-type="research-article"><?properties manuscript?><processing-meta base-tagset="archiving" mathml-version="3.0" table-model="xhtml" tagset-family="jats"><restricted-by>pmc</restricted-by></processing-meta><front><journal-meta><journal-id journal-id-type="nlm-journal-id">9107377</journal-id><journal-id journal-id-type="pubmed-jr-id">20409</journal-id><journal-id journal-id-type="nlm-ta">Bioorg Med Chem Lett</journal-id><journal-id journal-id-type="iso-abbrev">Bioorg Med Chem Lett</journal-id><journal-title-group><journal-title>Bioorganic &#x00026; medicinal chemistry letters</journal-title></journal-title-group><issn pub-type="ppub">0960-894X</issn><issn pub-type="epub">1464-3405</issn></journal-meta><article-meta><article-id pub-id-type="pmid">32247736</article-id><article-id pub-id-type="pmc">8848308</article-id><article-id pub-id-type="doi">10.1016/j.bmcl.2020.127162</article-id><article-id pub-id-type="manuscript">NIHMS1581701</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Design, synthesis and biological evaluation of spiropyrazolopyridone derivatives as potent dengue virus inhibitors</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Xu</surname><given-names>Jimin</given-names></name><xref rid="A1" ref-type="aff">a</xref><xref rid="FN1" ref-type="author-notes">&#x02020;</xref></contrib><contrib contrib-type="author"><name><surname>Xie</surname><given-names>Xuping</given-names></name><xref rid="A2" ref-type="aff">b</xref><xref rid="FN1" ref-type="author-notes">&#x02020;</xref></contrib><contrib contrib-type="author"><name><surname>Chen</surname><given-names>Haiying</given-names></name><xref rid="A1" ref-type="aff">a</xref></contrib><contrib contrib-type="author"><name><surname>Zou</surname><given-names>Jing</given-names></name><xref rid="A2" ref-type="aff">b</xref></contrib><contrib contrib-type="author"><name><surname>Xue</surname><given-names>Yu</given-names></name><xref rid="A1" ref-type="aff">a</xref></contrib><contrib contrib-type="author"><name><surname>Ye</surname><given-names>Na</given-names></name><xref rid="A1" ref-type="aff">a</xref></contrib><contrib contrib-type="author"><name><surname>Shi</surname><given-names>Pei-Yong</given-names></name><xref rid="A2" ref-type="aff">b</xref><xref rid="A3" ref-type="aff">c</xref><xref rid="CR1" ref-type="corresp">*</xref></contrib><contrib contrib-type="author"><name><surname>Zhou</surname><given-names>Jia</given-names></name><xref rid="A1" ref-type="aff">a</xref><xref rid="A3" ref-type="aff">c</xref><xref rid="CR1" ref-type="corresp">*</xref></contrib></contrib-group><aff id="A1"><label>a</label>Chemical Biology Program, Department of Pharmacology and Toxicology, University of Texas Medical Branch, Galveston, Texas 77555, United States</aff><aff id="A2"><label>b</label>Department of Biochemistry and Molecular Biology, University of Texas Medical Branch, Galveston, Texas 77555, United States</aff><aff id="A3"><label>c</label>Sealy Center for Structural Biology and Molecular Biophysics, University of Texas Medical Branch, Galveston, Texas 77555, United States</aff><author-notes><fn fn-type="equal" id="FN1"><label>&#x02020;</label><p id="P1">These authors contributed equally to the manuscript.</p></fn><corresp id="CR1"><label>*</label>Corresponding authors. Jia Zhou, Tel.: +1-409-772-9748; fax: +1-409-772-9648; <email>jizhou@utmb.edu</email>. Pei-Yong Shi, Tel.: +1-409-772-6370; fax: +1-409-772-4298; <email>peshi@utmb.edu</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>9</day><month>2</month><year>2022</year></pub-date><pub-date pub-type="ppub"><day>01</day><month>6</month><year>2020</year></pub-date><pub-date pub-type="epub"><day>30</day><month>3</month><year>2020</year></pub-date><pub-date pub-type="pmc-release"><day>16</day><month>2</month><year>2022</year></pub-date><volume>30</volume><issue>11</issue><fpage>127162</fpage><lpage>127162</lpage><abstract id="ABS1"><p id="P2">The effective treatment for dengue virus infection continues to be a challenge. We herein reported our continued SAR exploration on the spiropyrazolopyridone scaffold. Introducing different substituents at the 3&#x000b4;- or 5&#x000b4;-site of the pyrazolopyridone core or moving the benzyl chain to the adjacent nitrogen led to a significant loss of potency on DENV-2. While a narrow range of substitutions were tolerated at the <italic toggle="yes">para</italic>-position of the phenyl ring, di-substitution on the phenyl ring is beneficial for DENV-2 potency and has variable influences on DENV-3 potency depending on the exact compound. Among these molecules, compounds <bold>22</bold> (<bold>JMX0376</bold>) with 4-chloro-3-fluorobenzyl and <bold>24</bold> (<bold>JMX0395</bold>) with 2,4-bis(trifluoromethyl)benzyl showed the most potent and broadest inhibitory activities against DENV-1 to -3 with nanomolar to low micromolar EC<sub>50</sub> values.</p></abstract><abstract id="ABS2" abstract-type="graphical"><title>Graphical Abstract</title><p id="P3">
<graphic xlink:href="nihms-1581701-f0001.jpg" position="anchor"/>
</p></abstract><kwd-group><kwd>Dengue virus</kwd><kwd>Spiropyrazolopyridone</kwd><kwd>NS4B inhibitors</kwd><kwd>Antiviral agents</kwd><kwd>Structure-activity relationship (SAR)</kwd></kwd-group></article-meta></front><body><p id="P4">Dengue is a febrile disease that is caused by any one of the four closely related serotypes of dengue viruses (DENV-1, -2, -3 and -4) with asymptomatic, mild or severe symptoms. Common symptoms are flu-like with patients experiencing high fever, headaches, retro-orbital pain, joint/bone/muscle pain, vomiting, rash and fatigue. In most cases, DENV infection is self-limiting, but sometimes it can develop into life-threatening illnesses, dengue hemorrhagic fever (DHF) or dengue shock syndrome (DSS).<sup><xref rid="R1" ref-type="bibr">1</xref></sup> Dengue has become a major public health threat throughout tropical and sub-tropical regions of the world, putting about 3.9 billion people in 128 countries at risk.<sup><xref rid="R2" ref-type="bibr">2</xref>, <xref rid="R3" ref-type="bibr">3</xref></sup> Over the past 50 years, there is an unprecedented increase in the incidence of dengue and 390 million people are estimated to get infected with dengue annually, 96 million of which experience clinical symptoms (with any severity of disease), including 500,000 cases of severe dengue and 22,000 deaths worldwide.<sup><xref rid="R4" ref-type="bibr">4</xref>&#x02013;<xref rid="R6" ref-type="bibr">6</xref></sup> Infection confers life-long immunity to that particular serotype while cross-immunity against other serotypes is only partial and temporary.<sup><xref rid="R7" ref-type="bibr">7</xref>, <xref rid="R8" ref-type="bibr">8</xref></sup> However, a second infection with a different DENV increases the probability of severe dengue through a process known as antibody-dependent enhancement (ADE).<sup><xref rid="R9" ref-type="bibr">9</xref>&#x02013;<xref rid="R12" ref-type="bibr">12</xref></sup> As a result, an ideal dengue antiviral or vaccine should be equally effective against all four DENV serotypes. Recently, the first dengue vaccine (CYD-TDV from Sanofi Pasteur) has been approved by regulatory authorities in about 20 countries with limited efficacy and safety issues.<sup><xref rid="R13" ref-type="bibr">13</xref>&#x02013;<xref rid="R15" ref-type="bibr">15</xref></sup> It requires a three-dose regimen and is targeted for persons aged 9&#x02013;45 years old who were previously infected by DENV. Moreover, according to the recommendations of World Health Organization (WHO) regarding the use of CYD-TDV in September 2018, seronegative vaccine recipients suffer an excess risk of hospitalized and severe dengue compared to seronegative unvaccinated individuals.<sup><xref rid="R16" ref-type="bibr">16</xref></sup> While numerous efforts were made towards anti-dengue drug discovery by different research groups, there remains no specific therapy for dengue illness.<sup><xref rid="R17" ref-type="bibr">17</xref></sup> Therefore, there remains an urgent need to develop effective and safe antiviral agents for the treatment of dengue infections.</p><p id="P5">Through a DENV-2 high-throughput phenotypic screening, spiropyrazolopyridone <bold>1</bold> (<xref rid="F1" ref-type="fig">Figure 1</xref>) was identified as a novel potent DENV inhibitor.<sup><xref rid="R18" ref-type="bibr">18</xref>&#x02013;<xref rid="R20" ref-type="bibr">20</xref></sup> The <italic toggle="yes">R</italic> enantiomer <bold>1a</bold> was then separated by chiral high-performance liquid chromatography (HPLC) and confirmed to be far more potent than the corresponding <italic toggle="yes">S</italic> enantiomer of racemate <bold>1</bold>. Genetic analysis showed that mutations in DENV-2 NS4B conferred resistance to compound <bold>1a</bold> inhibition, suggesting that this class of compounds likely targets viral NS4B protein. To improve the physicochemical properties, compound <bold>2</bold> with 3-pyridyl was discovered with good <italic toggle="yes">in vivo</italic> pharmacokinetic profiles and efficacy in DENV-2 infected AG129 mice. However, this class of compounds lacks potency against DENV-1 and DNEV-4. Our group previously directed the structure-activity relationship (SAR) exploration mainly on the amide of the indolone moiety of this series and found that a wide range of substitutions were well tolerated at this position. Compound <bold>3</bold> with an isopentyl chain showed the most potent and broadest inhibitory activities, effective against DENV-1 to -3 with nanomolar to submicromolar EC<sub>50</sub> values, while exhibiting promising efficacy in the A129 mouse models.<sup><xref rid="R21" ref-type="bibr">21</xref></sup> These good <italic toggle="yes">in vivo</italic> results suggest that this spiropyrazolopyridone scaffold is worthy of further optimization efforts to elucidate the chemical space for the potential to identify pan-serotype DENV inhibitors. As part of our ongoing antiviral drug discovery and development program,<sup><xref rid="R21" ref-type="bibr">21</xref>&#x02013;<xref rid="R26" ref-type="bibr">26</xref></sup> we herein report our continued SAR investigation of this series, mainly focused on the pyrazolopyridone moiety.</p><p id="P6">Previous studies showed a narrow range of <italic toggle="yes">para</italic>-substitutions were tolerated on the phenyl ring while <italic toggle="yes">meta-</italic> or <italic toggle="yes">ortho</italic>-substitutions resulted in a significant loss of potency on DENV-2.<sup><xref rid="R18" ref-type="bibr">18</xref></sup> Based on these results, we first attempted to introduce different functional groups at the <italic toggle="yes">para</italic>-position and investigated the effect of di-substitutions on the phenyl ring as well. Compounds <bold>16-24</bold> were prepared as outlined in <xref rid="F2" ref-type="fig">Scheme 1</xref>. Substitution of 3-aminopyrazole with different substituted benzyl bromide or benzyl chloride afforded the final products as two isomers, which were then successfully separated by column chromatography to give 1-benzyl-5-aminopyrazole derivatives <bold>5a-13a</bold>. The subsequent three component condensation of aminopyrazoles <bold>5a-13a</bold>, 5-chloroisatin and Meldrum&#x02019;s acid provided a series of spiropyrazolopyridone analogues <bold>16-19</bold> and <bold>21-24</bold>.<sup><xref rid="R27" ref-type="bibr">27</xref></sup> Acid analogue <bold>20</bold> was accessed from ester <bold>19</bold> via hydrolysis. As shown in <xref rid="T1" ref-type="table">Table 1</xref>, 4-flurobenzyl substitution (<bold>16</bold>) resulted in a significant loss of potency against DENV-2 (EC<sub>50</sub> = 4.2 &#x003bc;M), while functional groups cyano (<bold>17</bold>), sulfonyl (<bold>18</bold>), ester (<bold>19</bold>) and acid (<bold>20</bold>) on the para-position of the phenyl ring were all unfavorable for potency, not effective against DENV-2 up to 5 &#x003bc;M.<sup><xref rid="R28" ref-type="bibr">28</xref></sup> These results are consistent with the trend observed before. Interestingly, di-substitutions analogues <bold>21&#x02013;24</bold> displayed similar or improved potency against DNEV-2 compared to mono-substitution analogue <bold>1</bold>. Compound <bold>21</bold> with 3,4-dichlorobenzyl exhibited improved potency against DENV-1 and DENV-2 (EC<sub>50</sub> = 1.8 &#x003bc;M and 0.062 &#x003bc;M, respectively) meanwhile displaying a dramatic loss of potency against DENV-3 (EC<sub>50</sub> &#x0003e; 5 &#x003bc;M). Remarkably, replacing 3-Cl with 3-F (<bold>22</bold>) maintained the same level of potency against DENV-1 (EC<sub>50</sub> = 1.8 &#x003bc;M) and DENV-2 (EC<sub>50</sub> = 0.019 &#x003bc;M), while it regained potent activity against DENV-3 with an EC<sub>50</sub> value of 0.019 &#x003bc;M as compared with compound <bold>21</bold>. Moving the 3-F group to the ortho position (<bold>22</bold>) resulted in a 20-fold loss of potency against DENV-3 (EC<sub>50</sub> = 0.39 &#x003bc;M) and slightly decreased activities against DENV-1 (EC<sub>50</sub> = 2.3 &#x003bc;M) and DENV-2 (EC<sub>50</sub> = 0.14 &#x003bc;M). Notably, compound <bold>24</bold> with 2,4-bis(trifluoromethyl)benzyl showed the most potent and broad inhibitory activities against DENV-1 to -3 with EC<sub>50</sub> values of 1.6 &#x003bc;M, 0.038 &#x003bc;M and 0.017 &#x003bc;M, respectively. Unfortunately, all these compounds did not show obvious inhibitory activities against DENV-4 at the concentration up to 5 &#x003bc;M.</p><p id="P7">Next, we turned to explore the SAR around the pyrazolopyridone core. These modifications, as shown in <xref rid="F2" ref-type="fig">Scheme 1</xref>&#x02013;<xref rid="F4" ref-type="fig">3</xref>, yielded compounds <bold>25-32</bold> (<xref rid="T2" ref-type="table">Table 2</xref>). To this end, compounds <bold>25-28</bold> were prepared in a similar manner to that described above for compounds <bold>16-24</bold>. Benzylation of aminopyrazole derivatives <bold>4a-c</bold> was followed by a three-component condensation to afford derivatives <bold>25&#x02013;28</bold> (<xref rid="F2" ref-type="fig">Scheme 1</xref>). Cyclization of succinonitrile, ethyl formate and 4-chlorobenzylamine provided aminopyrrole <bold>34</bold> via multiple procedures, which was then treated with 5-chloroisatin and Meldrum&#x02019;s acid to produce spiropyrrolopyridone <bold>29</bold> (<xref rid="F3" ref-type="fig">Scheme 2</xref>). Substitution of 4-chlorobenzyl chloride with hydrazine provided substituted hydrazine <bold>36</bold>, which was condensed with (<italic toggle="yes">E</italic>)-ethyl 2-cyano-3-ethoxyacrylate to give aminocarboxylate <bold>37</bold>. Hydrolysis of ester <bold>37</bold> gave the sodium salt, which was directly used for the subsequent three component reaction with Meldrum&#x02019;s and ethyl acetoacetate or methyl cyanoacetate or methyl malonamate to yield derivatives <bold>30-32</bold>, respectively (<xref rid="F4" ref-type="fig">Scheme 3</xref>). The structures and purity of all synthesized compounds were confirmed by <sup>1</sup>H and <sup>13</sup>C NMR, HR-MS and HPLC analysis.<sup><xref rid="R29" ref-type="bibr">29</xref></sup></p><p id="P8">As shown in <xref rid="T2" ref-type="table">Table 2</xref>, moving the benzyl chains to the adjacent nitrogen position (<bold>25</bold> and <bold>26</bold>) led to a sharp decrease in activity against DENV-2 in comparison with compounds <bold>1</bold> and <bold>21</bold>, respectively. Interestingly, introduction of one methyl group at the 3&#x000b4;-site of the pyrazolopyridone core (<bold>27</bold>) retained the same level of potency against DENV-1 (EC<sub>50</sub> = 2.5 &#x003bc;M) and DENV-3 (EC<sub>50</sub> = 0.025 &#x003bc;M) while diminishing the antiviral activity against DENV-2 (EC<sub>50</sub> = 1.8 &#x003bc;M) in contrast to compound <bold>1</bold>. Substitution of 3&#x000b4;-methyl of compound <bold>27</bold> with 3&#x000b4;-cyclopropyl produced compound <bold>28</bold> with similar potency against DENV-2 (EC<sub>50</sub> = 1.9 &#x003bc;M). Compound <bold>29</bold> with 3&#x000b4;-cyano pyrrolopyridone core were inactive against DENV-2 up to 5 &#x003bc;M. The 5&#x000b4;-position of the pyrazolopyridone core (&#x003b1;-carbonyl carbon) was also investigated and introduction of different substituents yielded compounds <bold>30-32.</bold> These changes resulted in a dramatic loss in activities against DENV-2, and only compound <bold>32</bold> with carbamoyl moiety exhibited low micromolar potency against DENV-2 with an EC<sub>50</sub> value of 3.2 &#x003bc;M.</p><p id="P9">In summary, a series of spiropyrazolopyridone derivatives was synthesized to explore the SAR around the pyrazolopyridone core. Introducing different substituents at the 3&#x000b4;- or 5&#x000b4;-site or moving the benzyl chain to the adjacent nitrogen led to a significant loss of potency on DENV-2. While a narrow range of substitutions were tolerated at the <italic toggle="yes">para</italic>-position of the phenyl ring, di-substitution on the phenyl ring is beneficial for DENV-2 potency and has variable influences on DENV-3 potency depending on the exact compound. Among these molecules, while compounds <bold>22</bold> (<bold>JMX0376</bold>) and <bold>24</bold> (<bold>JMX0395</bold>) displayed similar potency profiles, compound <bold>24</bold> with 2,4-bis(trifluoromethyl)benzyl showed the most potent and broadest inhibitory activities against DENV-1 to -3 with EC<sub>50</sub> values of 1.6 &#x003bc;M, 0.038 &#x003bc;M and 0.017 &#x003bc;M, respectively.</p></body><back><ack id="S1"><title>Acknowledgments</title><p id="P10">This work was supported by the John S. Dunn Foundation, the Amon G. Carter Foundation, the Kleberg Foundation, the Gilson Longenbaugh Foundation, the Summerfield Robert Foundation, CDC grant U01CK0000512, NIH grants U19AI142759, 1R41AI136126, and R01AI127744, John Sealy Memorial Endowment Fund, John D. Stobo, M.D. Distinguished Chair Endowment Fund, and Institute for Translational Sciences (ITS) at UTMB.</p></ack><fn-group><fn id="FN2"><p id="P11" content-type="publisher-disclaimer">This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.</p></fn></fn-group><ref-list><title>References and notes</title><ref id="R1"><label>1.</label><mixed-citation publication-type="book"><source>Dengue Guidelines for Diagnosis, Treatment, Prevention and Control : New Edition</source>. <publisher-name>World Health Organization</publisher-name>: <publisher-loc>Geneva</publisher-loc>. <year>2009</year>.</mixed-citation></ref><ref id="R2"><label>2.</label><mixed-citation publication-type="journal"><name><surname>Brady</surname><given-names>OJ</given-names></name>; <name><surname>Gething</surname><given-names>PW</given-names></name>; <name><surname>Bhatt</surname><given-names>S</given-names></name>, <etal/>
<article-title>Refining the global spatial limits of dengue virus transmission by evidence-based consensus</article-title>. <source>PLoS Negl Trop Dis</source>. <year>2012</year>; <volume>6</volume>(<issue>8</issue>): <fpage>e1760</fpage>.<pub-id pub-id-type="pmid">22880140</pub-id></mixed-citation></ref><ref id="R3"><label>3.</label><mixed-citation publication-type="journal"><name><surname>Jentes</surname><given-names>ES</given-names></name>; <name><surname>Lash</surname><given-names>RR</given-names></name>; <name><surname>Johansson</surname><given-names>MA</given-names></name>, <etal/>
<article-title>Evidence-based risk assessment and communication: a new global dengue-risk map for travellers and clinicians</article-title>. <source>J Travel Med</source>. <year>2016</year>; <volume>23</volume>(<issue>6</issue>): <fpage>taw062</fpage>.<pub-id pub-id-type="pmid">27625400</pub-id></mixed-citation></ref><ref id="R4"><label>4.</label><mixed-citation publication-type="book"><source>Global Strategy for Dengue Prevention and Control, 2012&#x02013;2020</source>. <publisher-name>World Health Organization</publisher-name>: <publisher-loc>Geneva</publisher-loc>. <year>2012</year>.</mixed-citation></ref><ref id="R5"><label>5.</label><mixed-citation publication-type="journal"><name><surname>Bhatt</surname><given-names>S</given-names></name>; <name><surname>Gething</surname><given-names>PW</given-names></name>; <name><surname>Brady</surname><given-names>OJ</given-names></name>, <etal/>
<article-title>The global distribution and burden of dengue</article-title>. <source>Nature</source>. <year>2013</year>; <volume>496</volume>(<issue>7446</issue>): <fpage>504</fpage>.<pub-id pub-id-type="pmid">23563266</pub-id></mixed-citation></ref><ref id="R6"><label>6.</label><mixed-citation publication-type="journal"><name><surname>Stanaway</surname><given-names>JD</given-names></name>; <name><surname>Shepard</surname><given-names>DS</given-names></name>; <name><surname>Undurraga</surname><given-names>EA</given-names></name>, <etal/>
<article-title>The global burden of dengue: an analysis from the Global Burden of Disease Study 2013</article-title>. <source>Lancet Infect Dis</source>. <year>2016</year>; <volume>16</volume>(<issue>6</issue>): <fpage>712</fpage>.<pub-id pub-id-type="pmid">26874619</pub-id></mixed-citation></ref><ref id="R7"><label>7.</label><mixed-citation publication-type="journal"><name><surname>Montoya</surname><given-names>M</given-names></name>; <name><surname>Gresh</surname><given-names>L</given-names></name>; <name><surname>Mercado</surname><given-names>JC</given-names></name>, <etal/>
<article-title>Symptomatic versus inapparent outcome in repeat dengue virus infections is influenced by the time interval between infections and study year</article-title>. <source>PLoS Negl Trop Dis</source>. <year>2013</year>; <volume>7</volume>(<issue>8</issue>): <fpage>e2357</fpage>.<pub-id pub-id-type="pmid">23951377</pub-id></mixed-citation></ref><ref id="R8"><label>8.</label><mixed-citation publication-type="journal"><name><surname>Reich</surname><given-names>NG</given-names></name>; <name><surname>Shrestha</surname><given-names>S</given-names></name>; <name><surname>King</surname><given-names>AA</given-names></name>, <etal/>
<article-title>Interactions between serotypes of dengue highlight epidemiological impact of cross-immunity</article-title>. <source>J R Soc Interface</source>. <year>2013</year>; <volume>10</volume>(<issue>86</issue>): <fpage>20130414</fpage>.<pub-id pub-id-type="pmid">23825116</pub-id></mixed-citation></ref><ref id="R9"><label>9.</label><mixed-citation publication-type="journal"><name><surname>Gubler</surname><given-names>DJ</given-names></name>
<article-title>Dengue and dengue hemorrhagic fever</article-title>. <source>Clin Microbiol Rev</source>. <year>1998</year>; <volume>11</volume>(<issue>3</issue>): <fpage>480</fpage>.<pub-id pub-id-type="pmid">9665979</pub-id></mixed-citation></ref><ref id="R10"><label>10.</label><mixed-citation publication-type="journal"><name><surname>Halstead</surname><given-names>SB</given-names></name>, <name><surname>O&#x02019;Rourke</surname><given-names>EJ</given-names></name>
<article-title>Antibody-enhanced dengue virus infection in primate leukocytes</article-title>. <source>Nature</source>. <year>1977</year>; <volume>265</volume>(<issue>5596</issue>): <fpage>739</fpage>.<pub-id pub-id-type="pmid">404559</pub-id></mixed-citation></ref><ref id="R11"><label>11.</label><mixed-citation publication-type="journal"><name><surname>Guzman</surname><given-names>MG</given-names></name>; <name><surname>Alvarez</surname><given-names>M</given-names></name>, <name><surname>Halstead</surname><given-names>SB</given-names></name>
<article-title>Secondary infection as a risk factor for dengue hemorrhagic fever/dengue shock syndrome: an historical perspective and role of antibody-dependent enhancement of infection</article-title>. <source>Arch Virol</source>. <year>2013</year>; <volume>158</volume>(<issue>7</issue>): <fpage>1445</fpage>.<pub-id pub-id-type="pmid">23471635</pub-id></mixed-citation></ref><ref id="R12"><label>12.</label><mixed-citation publication-type="journal"><name><surname>Endy</surname><given-names>TP</given-names></name>; <name><surname>Yoon</surname><given-names>IK</given-names></name>, <name><surname>Mammen</surname><given-names>MP</given-names></name>
<article-title>Prospective cohort studies of dengue viral transmission and severity of disease</article-title>. <source>Curr Top Microbiol Immunol</source>. <year>2010</year>; <volume>338</volume>: <fpage>1</fpage>.<pub-id pub-id-type="pmid">19802574</pub-id></mixed-citation></ref><ref id="R13"><label>13.</label><mixed-citation publication-type="journal"><name><surname>Vannice</surname><given-names>KS</given-names></name>; <name><surname>Wilder-Smith</surname><given-names>A</given-names></name>; <name><surname>Barrett</surname><given-names>ADT</given-names></name>, <etal/>
<article-title>Clinical development and regulatory points for consideration for second-generation live attenuated dengue vaccines</article-title>. <source>Vaccine</source>. <year>2018</year>; <volume>36</volume>(<issue>24</issue>): <fpage>3411</fpage>.<pub-id pub-id-type="pmid">29525283</pub-id></mixed-citation></ref><ref id="R14"><label>14.</label><mixed-citation publication-type="book"><part-title>Global Advisory Committee on Vaccine Safety, 6&#x02013;7 June 2018</part-title>. <source>Weekly Epidemiological Record</source>. <publisher-name>World Heathl Organization</publisher-name>: <publisher-loc>Geneva</publisher-loc>. <year>2018</year>; Vol. <volume>93</volume> (<comment>29/30</comment>): pp <fpage>388</fpage>&#x02013;<lpage>396</lpage>.</mixed-citation></ref><ref id="R15"><label>15.</label><mixed-citation publication-type="journal"><name><surname>Villar</surname><given-names>L</given-names></name>; <name><surname>Dayan</surname><given-names>GH</given-names></name>; <name><surname>Arredondo-Garc&#x000ed;a</surname><given-names>JL</given-names></name>, <etal/>
<article-title>Efficacy of a Tetravalent Dengue Vaccine in Children in Latin America</article-title>. <source>N Engl J Med</source>. <year>2014</year>; <volume>372</volume>(<issue>2</issue>): <fpage>113</fpage>.<pub-id pub-id-type="pmid">25365753</pub-id></mixed-citation></ref><ref id="R16"><label>16.</label><mixed-citation publication-type="book"><part-title>Dengue Vaccine: WHO Position Paper-September 2018</part-title>. <source>Weekly Epidemiological Record</source>. <publisher-name>World Health Organization</publisher-name>: <publisher-loc>Geneva</publisher-loc>. <year>2018</year>; Vol. <volume>93</volume>: pp <fpage>457</fpage>&#x02013;<lpage>476</lpage>.</mixed-citation></ref><ref id="R17"><label>17.</label><mixed-citation publication-type="journal"><name><surname>Behnam</surname><given-names>MAM</given-names></name>; <name><surname>Nitsche</surname><given-names>C</given-names></name>; <name><surname>Boldescu</surname><given-names>V</given-names></name>, <name><surname>Klein</surname><given-names>CD</given-names></name>
<article-title>The medicinal chemistry of dengue virus</article-title>. <source>J Med Chem</source>. <year>2016</year>; <volume>59</volume>(<issue>12</issue>): <fpage>5622</fpage>.<pub-id pub-id-type="pmid">26771861</pub-id></mixed-citation></ref><ref id="R18"><label>18.</label><mixed-citation publication-type="journal"><name><surname>Zou</surname><given-names>B</given-names></name>; <name><surname>Chan</surname><given-names>WL</given-names></name>; <name><surname>Ding</surname><given-names>M</given-names></name>, <etal/>
<article-title>Lead optimization of spiropyrazolopyridones: a new and potent class of dengue virus inhibitors</article-title>. <source>ACS Med Chem Lett</source>. <year>2015</year>; <volume>6</volume>(<issue>3</issue>): <fpage>344</fpage>.<pub-id pub-id-type="pmid">25878766</pub-id></mixed-citation></ref><ref id="R19"><label>19.</label><mixed-citation publication-type="journal"><name><surname>Wang</surname><given-names>Q-Y</given-names></name>; <name><surname>Dong</surname><given-names>H</given-names></name>; <name><surname>Zou</surname><given-names>B</given-names></name>, <etal/>
<article-title>Discovery of dengue virus NS4B inhibitors</article-title>. <source>J Virol</source>. <year>2015</year>; <volume>89</volume>(<issue>16</issue>): <fpage>8233</fpage>.<pub-id pub-id-type="pmid">26018165</pub-id></mixed-citation></ref><ref id="R20"><label>20.</label><mixed-citation publication-type="journal"><name><surname>Ye</surname><given-names>N</given-names></name>; <name><surname>Chen</surname><given-names>H</given-names></name>; <name><surname>Wold</surname><given-names>EA</given-names></name>; <name><surname>Shi</surname><given-names>P-Y</given-names></name>, <name><surname>Zhou</surname><given-names>J</given-names></name>
<article-title>Therapeutic potential of spirooxindoles as antiviral agents</article-title>. <source>ACS Infect Dis</source>. <year>2016</year>; <volume>2</volume>(<issue>6</issue>): <fpage>382</fpage>.<pub-id pub-id-type="pmid">27627626</pub-id></mixed-citation></ref><ref id="R21"><label>21.</label><mixed-citation publication-type="journal"><name><surname>Xu</surname><given-names>J</given-names></name>; <name><surname>Xie</surname><given-names>X</given-names></name>; <name><surname>Ye</surname><given-names>N</given-names></name>, <etal/>
<article-title>Design, synthesis, and biological evaluation of substituted 4,6-dihydrospiro[[1,2,3]triazolo[4,5-b]pyridine-7,3&#x02019;-indoline]-2&#x02019;,5(3H)-dione analogues as potent NS4B inhibitors for the treatment of dengue virus infection</article-title>. <source>J Med Chem</source>. <year>2019</year>; <volume>62</volume>(<issue>17</issue>): <fpage>7941</fpage>.<pub-id pub-id-type="pmid">31403780</pub-id></mixed-citation></ref><ref id="R22"><label>22.</label><mixed-citation publication-type="journal"><name><surname>Fan</surname><given-names>X</given-names></name>; <name><surname>Xu</surname><given-names>J</given-names></name>; <name><surname>Files</surname><given-names>M</given-names></name>, <etal/>
<article-title>Dual activity of niclosamide to suppress replication of integrated HIV-1 and Mycobacterium tuberculosis (Beijing)</article-title>. <source>Tuberculosis (Edinb)</source>. <year>2019</year>; <volume>116</volume>: <fpage>28</fpage>.</mixed-citation></ref><ref id="R23"><label>23.</label><mixed-citation publication-type="journal"><name><surname>Niu</surname><given-names>Q</given-names></name>; <name><surname>Liu</surname><given-names>Z</given-names></name>; <name><surname>Alamer</surname><given-names>E</given-names></name>, <etal/>
<article-title>Structure-guided drug design identifies a BRD4-selective small molecule that suppresses HIV</article-title>. <source>J Clin Invest</source>. <year>2019</year>; <volume>129</volume>(<issue>8</issue>): <fpage>3361</fpage>.<pub-id pub-id-type="pmid">31329163</pub-id></mixed-citation></ref><ref id="R24"><label>24.</label><mixed-citation publication-type="journal"><name><surname>Xu</surname><given-names>J</given-names></name>; <name><surname>Berastegui-Cabrera</surname><given-names>J</given-names></name>; <name><surname>Chen</surname><given-names>H</given-names></name>; <name><surname>Pach&#x000f3;n</surname><given-names>J</given-names></name>; <name><surname>Zhou</surname><given-names>J</given-names></name>, <name><surname>Sanchez-Cespedes</surname><given-names>J</given-names></name>
<article-title>Structure-activity relationship studies on diversified salicylamide derivatives as potent inhibitors of human adenovirus infection</article-title>. <source>J Med Chem</source>. <year>2020</year>; <volume>63</volume>(<issue>6</issue>): <fpage>3142</fpage>.<pub-id pub-id-type="pmid">32045239</pub-id></mixed-citation></ref><ref id="R25"><label>25.</label><mixed-citation publication-type="journal"><name><surname>Li</surname><given-names>Z</given-names></name>; <name><surname>Brecher</surname><given-names>M</given-names></name>; <name><surname>Deng</surname><given-names>Y-Q</given-names></name>, <etal/>
<article-title>Existing drugs as broad-spectrum and potent inhibitors for Zika virus by targeting NS2B-NS3 interaction</article-title>. <source>Cell Res</source>. <year>2017</year>; <volume>27</volume>(<issue>8</issue>): <fpage>1046</fpage>.<pub-id pub-id-type="pmid">28685770</pub-id></mixed-citation></ref><ref id="R26"><label>26.</label><mixed-citation publication-type="journal"><name><surname>Xu</surname><given-names>J</given-names></name>; <name><surname>Shi</surname><given-names>P-Y</given-names></name>; <name><surname>Li</surname><given-names>H</given-names></name>, <name><surname>Zhou</surname><given-names>J</given-names></name>
<article-title>Broad spectrum antiviral agent niclosamide and its therapeutic potential</article-title>. <source>ACS Infect Dis</source>. <year>2020</year>: <pub-id pub-id-type="doi">10.1021/acsinfecdis.0c00052</pub-id>.</mixed-citation></ref><ref id="R27"><label>27.</label><note><p id="P12">General procedures for synthesizing the final products (exemplified by compound 21). To a solution of 3-aminopyrazole (330 mg, 3.97 mmol) in 8 mL of DMF was added NaH (238 mg, 5.96 mmol, 60% dispersion in mineral oil) at 0 &#x000b0;C. After addition, the mixture was stirred at 50 &#x000b0;C for 1 h. Then the mixture was cooled to r.t. and 4-(bromomethyl)-1,2-dichlorobenzene (1.43 g, 5.96 mmol) was added. The resulting mixture was stirred at r.t. for 2 h. Then the mixture was diluted with 120 mL of EtOAc, washed with water (2 &#x000d7; 30 mL) and brine (30 mL), dried (Na<sub>2</sub>SO<sub>4</sub>) and concentrated. The residual was purified by column chromatography (Hex/EtOAc = 2/1 to 1/1) to give the amino intermediate 1-(3,4-dichlorobenzyl)-1<italic toggle="yes">H</italic>-pyrazol-5-amine <bold>9a</bold> (105 mg, 11%) as yellow oil. <sup>1</sup>H NMR (300 MHz, CDCl<sub>3</sub>) &#x003b4; 7.39 (d, <italic toggle="yes">J</italic> = 8.1, 1H), 7.33 (d, <italic toggle="yes">J</italic> = 1.8 Hz, 1H), 7.24 (d, <italic toggle="yes">J</italic> = 1.8 Hz, 1H), 6.99 (dd, <italic toggle="yes">J</italic> = 8.4, 2.1 Hz, 1H), 5.61 (d, <italic toggle="yes">J</italic> = 1.8 Hz, 1H), 5.15 (s, 2H), 3.38 (s, 2H). A solution of aminopyrazole <bold>9a</bold> (105 mg, 0.43 mmol), 5-chloroisatin (86 mg, 0.48 mmol) and Meldrum&#x02019;s acid (94 mg, 0.65 mmol) in 2 mL of AcOH was stirred at 100 &#x000b0;C for 12 h. The reaction mixture was cooled to r.t. and concentrated <italic toggle="yes">in vacuo</italic>. The residue was stirred with water (10 mL) for 15 min. And the solid precipitate was filtered and further purified by column chromatography (DCM/MeOH = 30/1 to 20/1) to give 5-chloro-1&#x02019;-(3,4-dichlorobenzyl)-5&#x02019;,7&#x02019;-dihydrospiro[indoline-3,4&#x02019;-pyrazolo[3,4-b]pyridine]-2,6&#x02019;(1&#x02019;<italic toggle="yes">H</italic>)-dione (<bold>21</bold>) as a yellow solid (90 mg, 46%). HPLC purity 99.7% (<italic toggle="yes">t</italic><sub>R</sub> = 16.91 min). <sup>1</sup>H NMR (300 MHz, DMSO-<italic toggle="yes">d</italic><sub>6</sub>) &#x003b4; 11.08 (s, 1H), 10.60 (s, 1H), 7.64 (d, <italic toggle="yes">J</italic> = 8.4 Hz, 1H), 7.51 (d, <italic toggle="yes">J</italic> = 1.8 Hz, 1H), 7.35 &#x02013; 7.27 (m, 2H), 7.21 (dd, <italic toggle="yes">J</italic> = 8.4, 1.8 Hz, 1H), 6.91 (d, <italic toggle="yes">J</italic> = 8.4 Hz, 1H), 6.83 (s, 1H), 5.32 (d, <italic toggle="yes">J</italic> = 15.9 Hz, 1H), 5.25 (d, <italic toggle="yes">J</italic> = 15.9 Hz, 1H), 3.13 (d, <italic toggle="yes">J</italic> = 15.9 Hz, 1H), 2.57 &#x02013; 2.51 (m, 1H). 13C NMR (75 MHz, DMSO-<italic toggle="yes">d</italic><sub>6</sub>) &#x003b4; 178.4, 168.8, 140.8, 140.5, 137.9, 134.6, 133.7, 131.0, 130.8, 130.3, 129.6, 128.7, 128.0, 126.1, 124.0, 111.3, 100.4, 49.5, 45.8. HRMS (ESI) calcd for C<sub>20</sub>H<sub>14</sub>Cl<sub>3</sub>N<sub>4</sub>O<sub>2</sub>, 447.0182 (M + H)<sup>+</sup>; found, 447.0180.</p></note></ref><ref id="R28"><label>28.</label><note><p id="P13">
<mixed-citation publication-type="journal"><article-title>Luciferase Reporter Replicon-Based Screening. Huh7 cells containing a luciferase reporter replicon of DENV-1 (strain WestPac), DENV-2 (New Guinea C strain, NGC), DENV-3 (strain D3MY05-34640) and DENV-4 (strain D4MY01-22713) were used in this study. The replicon cells containing the Renilla luciferase and neomycin-resistance genes were generated using a similar strategy as described previously</article-title> (<source>EBioMedicine</source>. <year>2016</year>, <volume>12</volume>, <fpage>156</fpage>&#x02013;<lpage>160</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.ebiom.2016.09.013</pub-id>). Briefly, Huh7 DENV-1 to -4 replicon cells were seeded at a density of 10k per well in a 96-well microplate. After incubation at 37 &#x000b0;C with 5% CO<sub>2</sub> overnight, the cells were treated with 2-fold serial dilutions of compounds. Experiments were performed in duplicates. After 48 h of incubation, luciferase activities were measured using the EnduRen live-cell substrate (Promega) by following the manufacture&#x02019;s instructions. Following luciferase activity measurement, the CellTiter-Glo reagent (Promega) was added to each well to determine the cytotoxicity of the compounds. The dose-dependent curve was plotted and EC<sub>50</sub> values were calculated using four parameter logistic regression in GraphPad software Prism 8.0.<pub-id pub-id-type="pmid">27658737</pub-id></mixed-citation>
</p></note></ref><ref id="R29"><label>29.</label><note><p id="P14">Spectra data of other representative compounds: 5-Chloro-1&#x02019;-(4-chloro-3-fluorobenzyl)-5&#x02019;,7&#x02019;-dihydrospiro[indoline-3,4&#x02019;-pyrazolo[3,4-<italic toggle="yes">b</italic>]pyridine]-2,6&#x02019;(1&#x02019;<italic toggle="yes">H</italic>)-dione (<bold>22</bold>). Yellow solid. HPLC purity 98.9% (<italic toggle="yes">t</italic><sub>R</sub> = 16.41 min). <sup>1</sup>H NMR (300 MHz, DMSO-<italic toggle="yes">d</italic><sub>6</sub>) &#x003b4; 11.07 (s, 1H), 10.60 (s, 1H), 7.59 (t, <italic toggle="yes">J</italic> = 8.1 Hz, 1H), 7.34 &#x02013; 7.27 (m, 2H), 7.24 (dd, <italic toggle="yes">J</italic> = 10.2, 1.8 Hz, 1H), 7.08 (dd, <italic toggle="yes">J</italic> = 8.4, 1.5 Hz, 1H), 6.91 (d, <italic toggle="yes">J</italic> = 8.1 Hz, 1H), 6.82 (s, 1H), 5.34 (d, <italic toggle="yes">J</italic> = 16.2 Hz, 1H), 5.27 (d, <italic toggle="yes">J</italic> = 15.9 Hz, 1H), 3.13 (d, <italic toggle="yes">J</italic> = 15.9 Hz, 1H), 2.57 &#x02013; 2.50 (m, 1H). <sup>13</sup>C NMR (75 MHz, DMSO-<italic toggle="yes">d</italic><sub>6</sub>) &#x003b4; 178.4, 168.8, 157.0 (d, <italic toggle="yes">J</italic> = 245.3 Hz), 140.8, 140.5, 138.6 (d, <italic toggle="yes">J</italic> = 6.6 Hz), 134.5, 133.7, 130.8, 128.6, 126.1, 124.8 (d, <italic toggle="yes">J</italic> = 3.5 Hz), 124.0, 118.6 (d, <italic toggle="yes">J</italic> = 17.3 Hz), 115.9 (d, <italic toggle="yes">J</italic> = 21.4 Hz), 111.3, 100.4, 49.7, 45.8. HRMS (ESI) calcd for C<sub>20</sub>H<sub>14</sub>Cl<sub>2</sub>FN<sub>4</sub>O<sub>2</sub>, 431.0478 (M + H)<sup>+</sup>; found, 431.0476. 5-Chloro-1&#x02019;-(4-chloro-2-fluorobenzyl)-5&#x02019;,7&#x02019;-dihydrospiro[indoline-3,4&#x02019;-pyrazolo[3,4-<italic toggle="yes">b</italic>]pyridine]-2,6&#x02019;(1&#x02019;<italic toggle="yes">H</italic>)-dione (<bold>23</bold>). Yellow solid. HPLC purity 95.9% (<italic toggle="yes">t</italic><sub>R</sub> = 17.26 min). <sup>1</sup>H NMR (300 MHz, DMSO-<italic toggle="yes">d</italic><sub>6</sub>) &#x003b4; 11.07 (s, 1H), 10.59 (s, 1H), 7.47 (dd, <italic toggle="yes">J</italic> = 9.9, 1.8 Hz, 1H), 7.37 &#x02013; 7.24 (m, 3H), 7.07 (t, <italic toggle="yes">J</italic> = 8.1 Hz, 1H), 6.91 (d, <italic toggle="yes">J</italic> = 7.8 Hz, 1H), 6.80 (s, 1H), 5.38 (d, <italic toggle="yes">J</italic> = 15.9 Hz, 1H), 5.29 (d, <italic toggle="yes">J</italic> = 15.9 Hz, 1H), 3.12 (d, <italic toggle="yes">J</italic> = 15.9 Hz, 1H), 2.54 (d, <italic toggle="yes">J</italic> = 15.9 Hz, 1H). <sup>13</sup>C NMR (75 MHz, DMSO-<italic toggle="yes">d</italic><sub>6</sub>) &#x003b4; 178.4, 168.7, 159.7 (d, <italic toggle="yes">J</italic> = 248.5 Hz), 140.8, 140.7, 134.5, 133.7, 133.2 (d, <italic toggle="yes">J</italic> = 10.3 Hz), 130.8 (d, <italic toggle="yes">J</italic> = 5.1 Hz), 128.6, 126.1, 124.8 (d, <italic toggle="yes">J</italic> = 3.6 Hz), 124.0, 123.2 (d, <italic toggle="yes">J</italic> = 14.9 Hz), 116.0 (d, <italic toggle="yes">J</italic> = 24.8 Hz), 111.3, 100.3, 45.8, 44.7. HRMS (ESI) calcd for C<sub>20</sub>H<sub>14</sub>Cl<sub>2</sub>FN<sub>4</sub>O<sub>2</sub>, 431.0478 (M + H)<sup>+</sup>; found, 431.0474. 1&#x02019;-(2,4-Bis(trifluoromethyl)benzyl)-5-chloro-5&#x02019;,7&#x02019;-dihydrospiro[indoline-3,4&#x02019;-pyrazolo[3,4-<italic toggle="yes">b</italic>]pyridine]-2,6&#x02019;(1&#x02019;<italic toggle="yes">H</italic>)-dione (<bold>24</bold>). Yellow solid. HPLC purity 97.9% (<italic toggle="yes">t</italic><sub>R</sub> = 18.63 min). 1H NMR (300 MHz, CD<sub>3</sub>OD + CDCl<sub>3</sub>) &#x003b4; 7.94 (s, 1H), 7.80 (d, <italic toggle="yes">J</italic> = 8.1 Hz, 1H), 7.26 (dd, <italic toggle="yes">J</italic> = 8.4, 2.1 Hz, 1H), 7.20 (d, <italic toggle="yes">J</italic> = 1.8 Hz, 1H), 6.99 (s, 1H), 6.92 (d, <italic toggle="yes">J</italic> = 8.4 Hz, 1H), 6.84 (d, <italic toggle="yes">J</italic> = 8.4 Hz, 1H), 5.64 (d, <italic toggle="yes">J</italic> = 17.7 Hz, 1H), 5.56 (d, <italic toggle="yes">J</italic> = 17.7 Hz, 1H), 2.96 (d, <italic toggle="yes">J</italic> = 16.2 Hz, 1H), 2.80 (d, <italic toggle="yes">J</italic> = 16.2 Hz, 1H). <sup>13</sup>C NMR (75 MHz, CD<sub>3</sub>OD + CDCl<sub>3</sub>) &#x003b4; 180.0, 170.3, 142.5, 140.6, 139.9, 136.5, 133.7, 130.9 (q, <italic toggle="yes">J</italic> = 33.5 Hz), 130.1 &#x02013; 129.9 (m), 129.9, 129.0, 128.9, 128.6 (q, <italic toggle="yes">J</italic> = 32.0 Hz), 124.5, 124.1 (q, <italic toggle="yes">J</italic> = 272.2 Hz), 124.0 &#x02013; 123.6 (m), 123.8 (q, <italic toggle="yes">J</italic> = 270.4 Hz), 112.2, 101.9, 48.5 (q, <italic toggle="yes">J</italic> = 3.9 Hz), 47.0, 41.1. HRMS (ESI) calcd for C<sub>22</sub>H<sub>14</sub>ClF<sub>6</sub>N<sub>4</sub>O<sub>2</sub>, 515.0709 (M + H)<sup>+</sup>; found, 515.0707. 5-Chloro-1&#x02019;-(4-chlorobenzyl)-3&#x02019;-methyl-5&#x02019;,7&#x02019;-dihydrospiro[indoline-3,4&#x02019;-pyrazolo[3,4-<italic toggle="yes">b</italic>]pyridine]-2,6&#x02019;(1&#x02019;<italic toggle="yes">H</italic>)-dione (<bold>27</bold>). Yellow solid. HPLC purity 96.7% (<italic toggle="yes">t</italic><sub>R</sub> = 17.19 min). 1H NMR (300 MHz, DMSO-<italic toggle="yes">d</italic><sub>6</sub>) &#x003b4; 11.02 (s, 1H), 10.66 (s, 1H), 7.46 &#x02013; 7.38 (m, 2H), 7.33 &#x02013; 7.28 (m, 2H), 7.27 &#x02013; 7.21 (m, 2H), 6.95 &#x02013; 6.89 (m, 1H), 5.23 (d, <italic toggle="yes">J</italic> = 15.9 Hz, 1H), 5.16 (d, <italic toggle="yes">J</italic> = 15.9 Hz, 1H), 3.05 (d, <italic toggle="yes">J</italic> = 15.9 Hz, 1H), 2.59 (d, <italic toggle="yes">J</italic> = 15.9 Hz, 1H), 1.42 (s, 3H). 13C NMR (75 MHz, DMSO-<italic toggle="yes">d</italic><sub>6</sub>) &#x003b4; 178.2, 168.6, 142.6, 140.6, 140.6, 136.1, 133.5, 132.1, 129.4 (2C), 128.6, 128.5 (2C), 126.0, 124.0, 111.3, 97.1, 49.6, 46.1, 11.8. HRMS (ESI) calcd for C<sub>21</sub>H<sub>17</sub>Cl<sub>2</sub>N<sub>4</sub>O<sub>2</sub>, 427.0729 (M + H)<sup>+</sup>; found, 427.0725.</p></note></ref></ref-list></back><floats-group><fig position="float" id="F1"><label>Figure 1.</label><caption><p id="P15">The previously reported spiropyrazolopyridone derivatives as potent dengue virus inhibitors.</p></caption><graphic xlink:href="nihms-1581701-f0002" position="float"/></fig><fig position="float" id="F2"><label>Scheme 1.</label><caption><p id="P16">Synthetic route of compounds <bold>16-28</bold>. Reagents and conditions: (a) NaH, various substituted benzyl bromide or benzyl chloride, DMF, 0 &#x000b0;C to r.t., 12 h, <bold>5a-14a</bold>, <bold>5b</bold> and <bold>9b</bold>. (b) K<sub>2</sub>CO<sub>3</sub>, 4-chlorobenzyl chloride, CH<sub>3</sub>CN, 60 &#x000b0;C, 12 h, <bold>15a</bold>. (c) 5-chloroisatin, Meldrum&#x02019;s acid, AcOH, 100 &#x000b0;C, 12 h. (d) NaOH, MeOH/H<sub>2</sub>O, r.t., 2 h.</p></caption><graphic xlink:href="nihms-1581701-f0003" position="float"/></fig><fig position="float" id="F3"><label>Scheme 2.</label><caption><p id="P17">Synthetic route of compound <bold>29</bold>. Reagents and conditions: (a) i. <italic toggle="yes">t</italic>-KOBu, THF, 0 &#x000b0;C to r.t., 30 min; ii. H<sub>2</sub>O, r.t.; iii. AcOH, 100 &#x000b0;C, 10 min; iv. NaOEt, EtOH, r.t., 60 min. (b) 5-chloroisatin, Meldrum&#x02019;s acid, NH<sub>4</sub>OAc, AcOH, 100 &#x000b0;C, 12 h.</p></caption><graphic xlink:href="nihms-1581701-f0004" position="float"/></fig><fig position="float" id="F4"><label>Scheme 3.</label><caption><p id="P18">Synthetic route of compounds <bold>30&#x02013;32</bold>. Reagents and conditions: (a) N<sub>2</sub>H<sub>4</sub>&#x000b7;H<sub>2</sub>O, EtOH, r.t., 48 h. (b) (<italic toggle="yes">E</italic>)-ethyl 2-cyano-3-ethoxyacrylate, EtOH, 80 &#x000b0;C, 8 h. (c) i. NaOH, EtOH/H<sub>2</sub>O, reflux, overnight; ii. 5-chloroisatin, ethyl acetoacetate or methyl cyanoacetate or methyl malonamate, AcOH, 100 &#x000b0;C, 6 h.</p></caption><graphic xlink:href="nihms-1581701-f0005" position="float"/></fig><table-wrap position="float" id="T1"><label>Table 1.</label><caption><p id="P19">Antiviral Activity and Cytotoxicity of Compounds <xref rid="R16" ref-type="bibr">16</xref>&#x02013;<xref rid="R24" ref-type="bibr">24</xref><sup><xref rid="TFN1" ref-type="table-fn">a</xref></sup></p></caption><table frame="below" rules="none"><colgroup span="1"><col align="center" valign="middle" span="1"/><col align="center" valign="middle" span="1"/><col align="center" valign="middle" span="1"/><col align="center" valign="middle" span="1"/><col align="center" valign="middle" span="1"/><col align="center" valign="middle" span="1"/><col align="center" valign="middle" span="1"/></colgroup><thead><tr><th colspan="7" align="center" valign="top" rowspan="1">
<graphic xlink:href="nihms-1581701-t0006" position="float"/>
<hr/>
</th></tr><tr><th rowspan="2" align="center" valign="middle" colspan="1">Compd</th><th rowspan="2" align="center" valign="middle" colspan="1">R<sup>1</sup></th><th colspan="4" align="center" valign="middle" rowspan="1">EC<sub>50</sub> (&#x003bc;M)<hr/></th><th rowspan="2" align="center" valign="middle" colspan="1">CC<sub>50</sub>(&#x003bc;M)</th></tr><tr><th align="center" valign="middle" rowspan="1" colspan="1">D-1</th><th align="center" valign="middle" rowspan="1" colspan="1">D-2</th><th align="center" valign="middle" rowspan="1" colspan="1">D-3</th><th align="center" valign="middle" rowspan="1" colspan="1">D-4</th></tr></thead><tbody><tr><td colspan="7" align="center" valign="middle" rowspan="1">
<hr/>
</td></tr><tr><td align="center" valign="middle" rowspan="1" colspan="1">
<bold>1</bold>
</td><td align="center" valign="middle" rowspan="1" colspan="1">
<graphic xlink:href="nihms-1581701-t0007" position="float"/>
</td><td align="center" valign="middle" rowspan="1" colspan="1">2.4</td><td align="center" valign="middle" rowspan="1" colspan="1">0.11</td><td align="center" valign="middle" rowspan="1" colspan="1">0.006</td><td align="center" valign="middle" rowspan="1" colspan="1">&#x0003e;10</td><td align="center" valign="middle" rowspan="1" colspan="1">&#x0003e;10</td></tr><tr><td align="center" valign="middle" rowspan="1" colspan="1">
<bold>16</bold>
</td><td align="center" valign="middle" rowspan="1" colspan="1">
<graphic xlink:href="nihms-1581701-t0008" position="float"/>
</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">4.2</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td></tr><tr><td align="center" valign="middle" rowspan="1" colspan="1">
<bold>17</bold>
</td><td align="center" valign="middle" rowspan="1" colspan="1">
<graphic xlink:href="nihms-1581701-t0009" position="float"/>
</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">&#x0003e;5</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td></tr><tr><td align="center" valign="middle" rowspan="1" colspan="1">
<bold>18</bold>
</td><td align="center" valign="middle" rowspan="1" colspan="1">
<graphic xlink:href="nihms-1581701-t0010" position="float"/>
</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">&#x0003e;5</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td></tr><tr><td align="center" valign="middle" rowspan="1" colspan="1">
<bold>19</bold>
</td><td align="center" valign="middle" rowspan="1" colspan="1">
<graphic xlink:href="nihms-1581701-t0011" position="float"/>
</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">&#x0003e;5</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td></tr><tr><td align="center" valign="middle" rowspan="1" colspan="1">
<bold>20</bold>
</td><td align="center" valign="middle" rowspan="1" colspan="1">
<graphic xlink:href="nihms-1581701-t0012" position="float"/>
</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">&#x0003e;5</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td></tr><tr><td align="center" valign="middle" rowspan="1" colspan="1">
<bold>21</bold>
</td><td align="center" valign="middle" rowspan="1" colspan="1">
<graphic xlink:href="nihms-1581701-t0013" position="float"/>
</td><td align="center" valign="middle" rowspan="1" colspan="1">1.8</td><td align="center" valign="middle" rowspan="1" colspan="1">0.062</td><td align="center" valign="middle" rowspan="1" colspan="1">&#x0003e;5</td><td align="center" valign="middle" rowspan="1" colspan="1">&#x0003e;5</td><td align="center" valign="middle" rowspan="1" colspan="1">&#x0003e;10</td></tr><tr><td align="center" valign="middle" rowspan="1" colspan="1">
<bold>22</bold>
</td><td align="center" valign="middle" rowspan="1" colspan="1">
<graphic xlink:href="nihms-1581701-t0014" position="float"/>
</td><td align="center" valign="middle" rowspan="1" colspan="1">1.8</td><td align="center" valign="middle" rowspan="1" colspan="1">0.050</td><td align="center" valign="middle" rowspan="1" colspan="1">0.019</td><td align="center" valign="middle" rowspan="1" colspan="1">&#x0003e;5</td><td align="center" valign="middle" rowspan="1" colspan="1">&#x0003e;10</td></tr><tr><td align="center" valign="middle" rowspan="1" colspan="1">
<bold>23</bold>
</td><td align="center" valign="middle" rowspan="1" colspan="1">
<graphic xlink:href="nihms-1581701-t0015" position="float"/>
</td><td align="center" valign="middle" rowspan="1" colspan="1">2.3</td><td align="center" valign="middle" rowspan="1" colspan="1">0.14</td><td align="center" valign="middle" rowspan="1" colspan="1">0.39</td><td align="center" valign="middle" rowspan="1" colspan="1">&#x0003e;5</td><td align="center" valign="middle" rowspan="1" colspan="1">&#x0003e;10</td></tr><tr><td align="center" valign="middle" rowspan="1" colspan="1">
<bold>24</bold>
</td><td align="center" valign="middle" rowspan="1" colspan="1">
<graphic xlink:href="nihms-1581701-t0016" position="float"/>
</td><td align="center" valign="middle" rowspan="1" colspan="1">1.6</td><td align="center" valign="middle" rowspan="1" colspan="1">0.038</td><td align="center" valign="middle" rowspan="1" colspan="1">0.017</td><td align="center" valign="middle" rowspan="1" colspan="1">&#x0003e;5</td><td align="center" valign="middle" rowspan="1" colspan="1">&#x0003e;10</td></tr></tbody></table><table-wrap-foot><fn id="TFN1"><label>a</label><p id="P20">EC<sub>50</sub> values were determined on Huh7 cells stably expressing DENV-1 to -4 replicon; CC<sub>50</sub> values were measured using Huh7 cells stably expressing DENV-2 replicon; D-1: DENV-1; D-2: DENV-2; D-3: DENV-3; D-4: DENV-4; NT: not tested.</p></fn></table-wrap-foot></table-wrap><table-wrap position="float" id="T2"><label>Table 2.</label><caption><p id="P21">Antiviral Activity and Cytotoxicity of Compounds <bold>25</bold>&#x02013;<bold>32</bold><sup><xref rid="TFN2" ref-type="table-fn">a</xref></sup></p></caption><table frame="below" rules="none"><colgroup span="1"><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/><col align="left" valign="middle" span="1"/></colgroup><thead><tr><th colspan="8" align="center" valign="top" rowspan="1">
<graphic xlink:href="nihms-1581701-t0017" position="float"/>
<hr/>
</th></tr><tr><th rowspan="2" align="center" valign="middle" colspan="1">Compd</th><th rowspan="2" align="center" valign="middle" colspan="1">R<sup>2</sup></th><th rowspan="2" align="center" valign="middle" colspan="1">R<sup>3</sup></th><th colspan="4" align="center" valign="middle" rowspan="1">EC<sub>50</sub> (&#x003bc;M)<hr/></th><th rowspan="2" align="center" valign="middle" colspan="1">CC<sub>50</sub>(&#x003bc;M)</th></tr><tr><th align="center" valign="middle" rowspan="1" colspan="1">D-1</th><th align="center" valign="middle" rowspan="1" colspan="1">D-2</th><th align="center" valign="middle" rowspan="1" colspan="1">D-3</th><th align="center" valign="middle" rowspan="1" colspan="1">D-4</th></tr></thead><tbody><tr><td colspan="8" align="center" valign="middle" rowspan="1">
<hr/>
</td></tr><tr><td align="center" valign="middle" rowspan="1" colspan="1">
<bold>25</bold>
</td><td align="center" valign="middle" rowspan="1" colspan="1"/><td align="center" valign="middle" rowspan="1" colspan="1"/><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">4.4</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">&#x0003e;10</td></tr><tr><td align="center" valign="middle" rowspan="1" colspan="1">
<bold>26</bold>
</td><td align="center" valign="middle" rowspan="1" colspan="1"/><td align="center" valign="middle" rowspan="1" colspan="1"/><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">1.1</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">&#x0003e;10</td></tr><tr><td align="center" valign="middle" rowspan="1" colspan="1">
<bold>27</bold>
</td><td align="center" valign="middle" rowspan="1" colspan="1">CH<sub>3</sub></td><td align="center" valign="middle" rowspan="1" colspan="1">H</td><td align="center" valign="middle" rowspan="1" colspan="1">2.5</td><td align="center" valign="middle" rowspan="1" colspan="1">1.8</td><td align="center" valign="middle" rowspan="1" colspan="1">0.025</td><td align="center" valign="middle" rowspan="1" colspan="1">&#x0003e;5</td><td align="center" valign="middle" rowspan="1" colspan="1">&#x0003e;10</td></tr><tr><td align="center" valign="middle" rowspan="1" colspan="1">
<bold>28</bold>
</td><td align="center" valign="middle" rowspan="1" colspan="1">
<graphic xlink:href="nihms-1581701-t0018" position="float"/>
</td><td align="center" valign="middle" rowspan="1" colspan="1">H</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">1.9</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">&#x0003e;10</td></tr><tr><td align="center" valign="middle" rowspan="1" colspan="1">
<bold>29</bold>
</td><td align="center" valign="middle" rowspan="1" colspan="1"/><td align="center" valign="middle" rowspan="1" colspan="1"/><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">&#x0003e;5</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td></tr><tr><td align="center" valign="middle" rowspan="1" colspan="1">
<bold>30</bold>
</td><td align="center" valign="middle" rowspan="1" colspan="1">H</td><td align="center" valign="middle" rowspan="1" colspan="1">
<graphic xlink:href="nihms-1581701-t0019" position="float"/>
</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">&#x0003e;10</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">&#x0003e;20</td></tr><tr><td align="center" valign="middle" rowspan="1" colspan="1">
<bold>31</bold>
</td><td align="center" valign="middle" rowspan="1" colspan="1">H</td><td align="center" valign="middle" rowspan="1" colspan="1">CN</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">8.6</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">50</td></tr><tr><td align="center" valign="middle" rowspan="1" colspan="1">
<bold>32</bold>
</td><td align="center" valign="middle" rowspan="1" colspan="1">H</td><td align="center" valign="middle" rowspan="1" colspan="1">
<graphic xlink:href="nihms-1581701-t0020" position="float"/>
</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">3.2</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">NT</td><td align="center" valign="middle" rowspan="1" colspan="1">50</td></tr></tbody></table><table-wrap-foot><fn id="TFN2"><label>a</label><p id="P22">EC<sub>50</sub> values were determined on Huh7 cells stably expressing DENV-1 to -4 replicon; CC<sub>50</sub> values were measured using Huh7 cells stably expressing DENV-2 replicon; D-1: DENV-1; D-2: DENV-2; D-3: DENV-3; D-4: DENV-4; NT: not tested.</p></fn></table-wrap-foot></table-wrap></floats-group></article>