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Updating the use of synthetic peptides as inhibitors of HIV-1 entry.

Abstract
The use of synthetic peptides as HIV-1 inhibitors has been the object of research over recent years. A large number of peptides that affect different stages of the HIV-1 life cycle have been and continue to be studied due to their possible clinical application in the fight against HIV-1 infection. The main advantages of synthetic peptides as therapeutic agents are their low systemic toxicity, the fact that structural modifications can be made to them and their resulting capacity to mimic certain substrates or epitopes. HIV-1-inhibiting peptides have been identified and/or developed using different methods. Some therapeutic peptides such as enfuvirtide-already approved for clinical use-are derived from HIV-1 itself. Others are natural peptides such as chemokines, defensins or the "virus inhibitory peptide"; while still others have been designed and synthesized based on crystallographic data on HIV-1 proteins or from peptide libraries. Initial attempts at therapeutic applications focused on HIV-coded enzymes (reverse transcriptase, protease and, more recently, integrase). However, structural HIV proteins and, more specifically, the mechanisms that involve the virus in cell infection and replication are now also considered therapeutic targets. Several chemical strategies to improve both the stability of peptides and their pharmacokinetics, including prolonging their half-life, have recently been described in the literature. There is growing an interest in inhibitors that prevent HIV entry into the host cell (fusion inhibitors) which could lead to the development of new antiviral agents. Knowledge of the mechanism of action of fusion inhibitors is essential not only for the development of future generations of entry inhibitors, but also to gain an understanding of the form and kinetics of membrane fusion induced by the virus. The physico-chemical processes involved at the interface between the lipid surface of cells and enveloped viruses (such as HIV-1) are essential to the action of peptides that prevent HIV-1 entry into the host cell. The interaction of these peptides with biological membranes may be related to their inhibition efficiency and to their mechanism of action, as the HIV-1 gp41 glycoprotein is bound and confined between the cellular membrane and the viral envelope.
AuthorsMaría José Gómara, Isabel Haro
JournalCurrent medicinal chemistry (Curr Med Chem) Vol. 21 Issue 10 Pg. 1188-200 (Apr 2014) ISSN: 1875-533X [Electronic] United Arab Emirates
PMID23931277 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Review)
Chemical References
  • HIV Envelope Protein gp41
  • HIV Fusion Inhibitors
  • Peptide Fragments
  • Peptide Library
  • Enfuvirtide
Topics
  • Amino Acid Sequence
  • Clinical Trials as Topic
  • Enfuvirtide
  • HIV Envelope Protein gp41 (antagonists & inhibitors, chemistry, therapeutic use)
  • HIV Fusion Inhibitors (chemical synthesis, pharmacology)
  • HIV Infections (drug therapy, virology)
  • HIV-1 (chemistry, drug effects, physiology)
  • Half-Life
  • Humans
  • Models, Molecular
  • Molecular Sequence Data
  • Peptide Fragments (chemistry, therapeutic use)
  • Peptide Library
  • Protein Structure, Tertiary
  • Structure-Activity Relationship
  • Virus Internalization (drug effects)

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