PMID- 30932963 OWN - NLM STAT- MEDLINE DCOM- 20200728 LR - 20200728 IS - 1473-5571 (Electronic) IS - 0269-9370 (Linking) VI - 33 IP - 10 DP - 2019 Aug 1 TI - Revisiting the mechanism of enfuvirtide and designing an analog with improved fusion inhibitory activity by targeting triple sites in gp41. PG - 1545-1555 LID - 10.1097/QAD.0000000000002208 [doi] AB - OBJECTIVE: To revisit the mechanism of action of enfuvirtide (T20) and based on the newly defined mechanism, design an analogous peptide of T20 with improved antiviral activity. DESIGN: We compared the inhibitory activity of T20 with that of T1144 on six-helix bundle (6HB) formation at different time after coculture of HIV type 1 (HIV-1) envelope (Env)-expressing Chinese hamster ovary (CHO-Env) cells and CD4-expressing MT-2 cells at 31.5 degrees C and with that of T20-SF, an analogous peptide of T20 with an additional tryptophan-rich motif, on hemolysis mediated by FP-P, which contains fusion peptide and fusion peptide (FP) proximal region (FPPR), and HIV-1 infection. METHODS: Inhibitory activity of peptides on 6HB formation was tested in a temperature-controlled cell-cell fusion assay by flow cytometry using 6HB-specific mAb 2G8; on HIV-1 infection and fusion was assessed by p24 and cell-cell fusion assays. Interaction between different peptides or peptide and antibody was evaluated by ELISA. RESULTS: T20 could inhibit 6HB formation at early, but not late, stage of HIV-1 fusion, whereas T1144 was effective at both stages. T20-SF is much more effective than T20 in binding to FP-P and inhibiting infection of HIV-1, including T20-resistant strains, and FP-P-mediated hemolysis. CONCLUSION: Results suggest that T20 has a double-target mechanism, by which its N-terminal and C-terminal portions bind to N-terminal heptad repeat and FPPR, respectively. T20-SF designed based on this new mechanism exhibits significantly improved anti-HIV-1 activity because it targets the triple sites in gp41, including N-terminal heptad repeat, FPPR, and fusion peptide. Thus, this study provides clues for designing novel HIV fusion inhibitors with improved antiviral activity. FAU - Xu, Wei AU - Xu W AD - Key Laboratory of Medical Molecular Virology of MOE/MOH, School of Basic Medical Sciences and Shanghai Public Health Clinical Center, Fudan University, Shanghai, China. FAU - Pu, Jing AU - Pu J AD - Key Laboratory of Medical Molecular Virology of MOE/MOH, School of Basic Medical Sciences and Shanghai Public Health Clinical Center, Fudan University, Shanghai, China. FAU - Su, Shan AU - Su S AD - Key Laboratory of Medical Molecular Virology of MOE/MOH, School of Basic Medical Sciences and Shanghai Public Health Clinical Center, Fudan University, Shanghai, China. FAU - Hua, Chen AU - Hua C AD - Key Laboratory of Medical Molecular Virology of MOE/MOH, School of Basic Medical Sciences and Shanghai Public Health Clinical Center, Fudan University, Shanghai, China. FAU - Su, Xiaojie AU - Su X AD - Key Laboratory of Medical Molecular Virology of MOE/MOH, School of Basic Medical Sciences and Shanghai Public Health Clinical Center, Fudan University, Shanghai, China. FAU - Wang, Qian AU - Wang Q AD - Key Laboratory of Medical Molecular Virology of MOE/MOH, School of Basic Medical Sciences and Shanghai Public Health Clinical Center, Fudan University, Shanghai, China. FAU - Jiang, Shibo AU - Jiang S AD - Key Laboratory of Medical Molecular Virology of MOE/MOH, School of Basic Medical Sciences and Shanghai Public Health Clinical Center, Fudan University, Shanghai, China. AD - Lindsley F. Kimball Research Institute, New York Blood Center, New York, New York, USA. FAU - Lu, Lu AU - Lu L AD - Key Laboratory of Medical Molecular Virology of MOE/MOH, School of Basic Medical Sciences and Shanghai Public Health Clinical Center, Fudan University, Shanghai, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - AIDS JT - AIDS (London, England) JID - 8710219 RN - 0 (HIV Core Protein p24) RN - 0 (HIV Envelope Protein gp41) RN - 0 (HIV Fusion Inhibitors) RN - 0 (Recombinant Proteins) RN - 0 (gp41 protein, Human immunodeficiency virus 1) RN - 19OWO1T3ZE (Enfuvirtide) SB - IM MH - Animals MH - Binding Sites MH - Cell Fusion MH - Cell Line MH - Drug Discovery/*methods MH - Enfuvirtide/chemical synthesis/*chemistry/*pharmacology MH - HIV Core Protein p24/metabolism MH - HIV Envelope Protein gp41/*chemistry/*metabolism MH - HIV Fusion Inhibitors/chemical synthesis/*chemistry/*pharmacology MH - Humans MH - Protein Binding MH - Recombinant Proteins/chemistry/metabolism MH - Temperature EDAT- 2019/04/02 06:00 MHDA- 2020/07/29 06:00 CRDT- 2019/04/02 06:00 PHST- 2019/04/02 06:00 [pubmed] PHST- 2020/07/29 06:00 [medline] PHST- 2019/04/02 06:00 [entrez] AID - 10.1097/QAD.0000000000002208 [doi] PST - ppublish SO - AIDS. 2019 Aug 1;33(10):1545-1555. doi: 10.1097/QAD.0000000000002208.