Design of helical, oligomeric HIV-1 fusion inhibitor peptides with potent activity against enfuvirtide-resistant virus

Proc Natl Acad Sci U S A. 2007 Jul 31;104(31):12772-7. doi: 10.1073/pnas.0701478104. Epub 2007 Jul 19.

Abstract

Enfuvirtide (ENF), the first approved fusion inhibitor (FI) for HIV, is a 36-aa peptide that acts by binding to the heptad repeat 1 (HR1) region of gp41 and preventing the interaction of the HR1 and HR2 domains, which is required for virus-cell fusion. Treatment-acquired resistance to ENF highlights the need to create FI therapeutics with activity against ENF-resistant viruses and improved durability. Using rational design, we have made a series of oligomeric HR2 peptides with increased helical structure and with exceptionally high HR1/HR2 bundle stability. The engineered peptides are found to be as much as 3,600-fold more active than ENF against viruses that are resistant to the HR2 peptides ENF, T-1249, or T-651. Passaging experiments using one of these peptides could not generate virus with decreased sensitivity, even after >70 days in culture, suggesting superior durability as compared with ENF. In addition, the pharmacokinetic properties of the engineered peptides were improved up to 100-fold. The potent antiviral activity against resistant viruses, the difficulty in generating resistant virus, and the extended half-life in vivo make this class of fusion inhibitor peptide attractive for further development.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amino Acid Sequence
  • Animals
  • Biophysical Phenomena
  • Biophysics
  • Drug Design*
  • Drug Resistance, Viral / drug effects*
  • Enfuvirtide
  • HIV Envelope Protein gp41 / pharmacology
  • HIV Fusion Inhibitors / chemistry*
  • HIV Fusion Inhibitors / metabolism
  • HIV Fusion Inhibitors / pharmacokinetics
  • HIV Fusion Inhibitors / therapeutic use*
  • HIV Infections / drug therapy
  • HIV Infections / pathology
  • HIV Infections / virology
  • HIV-1 / drug effects*
  • Macaca fascicularis
  • Molecular Sequence Data
  • Peptide Fragments / pharmacology
  • Peptides / chemistry*
  • Peptides / metabolism
  • Peptides / pharmacokinetics
  • Peptides / therapeutic use*
  • Protein Denaturation
  • Protein Folding
  • Protein Structure, Secondary
  • Temperature

Substances

  • HIV Envelope Protein gp41
  • HIV Fusion Inhibitors
  • Peptide Fragments
  • Peptides
  • T2635 peptide
  • Enfuvirtide