针对对T-20耐药的1型人类免疫缺陷病毒株的基于肽的抑制剂的设计
Design of peptide-based inhibitors for human immunodeficiency virus type 1 strains resistant to T-20.
作者信息
Izumi Kazuki, Kodama Eiichi, Shimura Kazuya, Sakagami Yasuko, Watanabe Kentaro, Ito Saori, Watabe Tsuyoshi, Terakawa Yukihiro, Nishikawa Hiroki, Sarafianos Stefan G, Kitaura Kazuo, Oishi Shinya, Fujii Nobutaka, Matsuoka Masao
机构信息
Institute for Virus Research, Kyoto University, 53 Kawaramachi, Shogoin, Kyoto 606-8507, Japan.
出版信息
J Biol Chem. 2009 Feb 20;284(8):4914-20. doi: 10.1074/jbc.M807169200. Epub 2008 Dec 10.
Enfuvirtide (T-20) is a fusion inhibitor that suppresses replication of human immunodeficiency virus (HIV) variants with multi-drug resistance to reverse transcriptase and protease inhibitors. It is a peptide derived from the C-terminal heptad repeat (C-HR) of HIV-1 gp41, and it prevents interactions between the C-HR and the N-terminal HR (N-HR) of gp41, thus interfering with conformational changes that are required for viral fusion. However, prolonged therapies with T-20 result in the emergence of T-20-resistant strains that contain primary mutations such as N43D in the N-HR of gp41 (where T-20 and C-HR bind) that help the virus escape at a fitness cost. Such variants often go on to acquire a secondary mutation, S138A, in the C-HR of gp41 region that corresponds to the sequence of T-20. We demonstrate here that the role of S138A is to compensate for the impaired fusion kinetics of HIV-1s carrying primary mutations that abrogate binding of T-20. To preempt this escape strategy, we designed a modified T-20 variant containing the S138A substitution and showed that it is a potent inhibitor of both T-20-sensitive and T-20-resistant viruses. Circular dichroism analysis revealed that the S138A provided increased stability of the 6-helix bundle. We validated our approach on another fusion inhibitor, C34. In this case, we designed a variant of C34 with the secondary escape mutation N126K and showed that it can effectively inhibit replication of C34-resistant HIV-1. These results prove that it is possible to design improved peptide-based fusion inhibitors that are efficient against a major mechanism of drug resistance.
恩夫韦肽(T-20)是一种融合抑制剂,可抑制对逆转录酶和蛋白酶抑制剂具有多药耐药性的人类免疫缺陷病毒(HIV)变体的复制。它是一种源自HIV-1 gp41 C末端七肽重复序列(C-HR)的肽,可阻止gp41的C-HR与N末端HR(N-HR)之间的相互作用,从而干扰病毒融合所需的构象变化。然而,长期使用T-20治疗会导致出现T-20耐药菌株,这些菌株在gp41的N-HR(T-20和C-HR结合的部位)含有诸如N43D等主要突变,这有助于病毒以适应性代价逃逸。此类变体通常会在gp41区域的C-HR中获得对应于T-20序列的二级突变S138A。我们在此证明,S138A的作用是补偿携带消除T-20结合的主要突变的HIV-1融合动力学受损。为了预先阻止这种逃逸策略,我们设计了一种含有S138A替代的改良T-20变体,并表明它是T-20敏感和T-20耐药病毒的有效抑制剂。圆二色性分析表明,S138A提高了6螺旋束的稳定性。我们在另一种融合抑制剂C34上验证了我们的方法。在这种情况下,我们设计了具有二级逃逸突变N126K的C34变体,并表明它可以有效抑制C34耐药HIV-1的复制。这些结果证明,有可能设计出改进的基于肽的融合抑制剂,它们对主要的耐药机制有效。