HIV and AIDS Malignancy Branch, Center for Cancer Research, National Cancer Institute, NIH, Bethesda, Maryland, USA.
Antimicrob Agents Chemother. 2012 Jul;56(7):3620-8. doi: 10.1128/AAC.00055-12. Epub 2012 Apr 16.
Inhibitors of HIV protease have proven to be important drugs in combination anti-HIV therapy. These inhibitors were designed to target mature protease and prevent viral particle maturation by blocking Gag and Gag-Pol processing by mature protease. Currently there are few data assessing the ability of these protease inhibitors to block the initial step in autoproteolytic processing of Gag-Pol. This unique step involves the dimerization of two Gag-Pol polyproteins and autocleavage of the Gag-Pol polyprotein by the embedded dimeric protease. We developed a plasmid encoding a modified form of Gag-Pol that can undergo autoprocessing only at the initial cleavage site between p2 and nucleocapsid. Using an in vitro transcription/translation system, we assessed the ability of six different approved protease inhibitors (darunavir, indinavir, nelfinavir, ritonavir, saquinavir, and tipranavir) to block this initial autocleavage step. Of these inhibitors, darunavir and saquinavir were the most effective. Darunavir and saquinavir were also the most effective at blocking the initial autoprocessing of full-length Gag-Pol in HIV-1-infected T cells. Thus, we have identified at least two HIV-1 protease inhibitors that have activity against the primary autocatalytic step of the embedded HIV-1 protease in Gag-Pol at concentrations that may be attained in HIV-1-infected patients. Due to unique aspects of the initial processing step, it may be possible to develop inhibitors with greater potency against this step, thus halting viral maturation at the earliest stages. The transcription/translation assay could be used to develop more potent inhibitors of this essential first step in viral maturation.
HIV 蛋白酶抑制剂已被证明是联合抗 HIV 治疗中的重要药物。这些抑制剂旨在靶向成熟的蛋白酶,并通过阻止成熟蛋白酶对 Gag 和 Gag-Pol 的加工来阻止病毒颗粒成熟。目前,评估这些蛋白酶抑制剂阻断 Gag-Pol 自身蛋白水解加工初始步骤的能力的数据很少。这个独特的步骤涉及到两个 Gag-Pol 多聚蛋白的二聚化和嵌入的二聚体蛋白酶对 Gag-Pol 多聚蛋白的自身切割。我们开发了一种编码 Gag-Pol 修饰形式的质粒,该形式只能在 p2 和核衣壳之间的初始切割位点进行自身加工。使用体外转录/翻译系统,我们评估了六种不同批准的蛋白酶抑制剂(达芦那韦、茚地那韦、奈非那韦、利托那韦、沙奎那韦和替拉那韦)阻断这个初始自身切割步骤的能力。在这些抑制剂中,达芦那韦和沙奎那韦的效果最好。达芦那韦和沙奎那韦也最有效地阻断了 HIV-1 感染的 T 细胞中全长 Gag-Pol 的初始自身加工。因此,我们已经确定了至少两种 HIV-1 蛋白酶抑制剂,它们对 Gag-Pol 中嵌入的 HIV-1 蛋白酶的主要自身催化步骤具有活性,在可能达到的 HIV-1 感染患者浓度下。由于初始加工步骤的独特性,有可能开发出对该步骤具有更高活性的抑制剂,从而在最早阶段阻止病毒成熟。该转录/翻译测定可用于开发针对病毒成熟这一基本第一步的更有效抑制剂。