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The M-T hook structure increases the potency of HIV-1 fusion inhibitor sifuvirtide and overcomes drug resistance.

AbstractOBJECTIVES:
Peptides derived from the C-terminal heptad repeat (CHR) of HIV-1 gp41 are potent fusion inhibitors. We have recently demonstrated that the unique M-T hook structure preceding the pocket-binding motif of CHR peptide-based inhibitors can greatly improve their antiviral activity. In this study, we applied the M-T hook structure to optimize sifuvirtide (SFT), a potent CHR-derived inhibitor currently under Phase III clinical trials in China.
METHODS:
The peptide MT-SFT was generated by incorporating two M-T hook residues (Met-Thr) into the N-terminus of sifuvirtide. Multiple structural and functional approaches were used to determine the biophysical properties and antiviral activity of MT-SFT.
RESULTS:
The high-resolution crystal structure of MT-SFT reveals a highly conserved M-T hook conformation. Compared with sifuvirtide, MT-SFT exhibited a significant improvement in the ability to bind to the N-terminal heptad repeat, to block the formation of the six helix bundle and to inhibit HIV-1 Env-mediated cell fusion, viral entry and infection. Importantly, MT-SFT was fully active against sifuvirtide- and enfuvirtide (T20)-resistant HIV-1 variants and displayed a high genetic barrier to developing drug resistance.
CONCLUSIONS:
Our studies have verified that the M-T hook structure offers a general strategy for designing novel HIV-1 fusion inhibitors and provide new insights into viral entry and inhibition.
AuthorsHuihui Chong, Xue Yao, Zonglin Qiu, Jianping Sun, Yuanyuan Qiao, Meng Zhang, Meitian Wang, Sheng Cui, Yuxian He
JournalThe Journal of antimicrobial chemotherapy (J Antimicrob Chemother) Vol. 69 Issue 10 Pg. 2759-69 (Oct 2014) ISSN: 1460-2091 [Electronic] England
PMID24908047 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Copyright© The Author 2014. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For Permissions, please e-mail: [email protected].
Chemical References
  • HIV Envelope Protein gp41
  • HIV Fusion Inhibitors
  • Peptides
  • sifuvirtide
Topics
  • Amino Acid Sequence
  • Binding Sites
  • Dose-Response Relationship, Drug
  • Drug Resistance, Viral (genetics)
  • HIV Envelope Protein gp41 (chemistry, genetics, metabolism)
  • HIV Fusion Inhibitors (chemistry, pharmacology)
  • HIV-1 (drug effects)
  • Humans
  • Inhibitory Concentration 50
  • Models, Molecular
  • Molecular Sequence Data
  • Mutation
  • Peptides (chemistry, pharmacology)
  • Protein Binding
  • Protein Conformation
  • Protein Interaction Domains and Motifs
  • Structure-Activity Relationship
  • Thermodynamics
  • Virus Replication (drug effects)

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