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. 2019 Oct 29;93(22):e01177-19.
doi: 10.1128/JVI.01177-19. Print 2019 Nov 15.

A Membrane-Anchored Short-Peptide Fusion Inhibitor Fully Protects Target Cells from Infections of Human Immunodeficiency Virus Type 1 (HIV-1), HIV-2, and Simian Immunodeficiency Virus

Affiliations

A Membrane-Anchored Short-Peptide Fusion Inhibitor Fully Protects Target Cells from Infections of Human Immunodeficiency Virus Type 1 (HIV-1), HIV-2, and Simian Immunodeficiency Virus

Xiaoran Tang et al. J Virol. .

Abstract

Emerging studies demonstrate that the antiviral activity of viral fusion inhibitor peptides can be dramatically improved when being chemically or genetically anchored to the cell membrane, where viral entry occurs. We previously reported that the short-peptide fusion inhibitor 2P23 and its lipid derivative possess highly potent antiviral activities against human immunodeficiency virus type 1 (HIV-1), HIV-2, and simian immunodeficiency virus (SIV). To develop a sterilizing or functional-cure strategy, here we genetically linked 2P23 and two control peptides (HIV-1 fusion inhibitor C34 and hepatitis B virus [HBV] entry inhibitor 4B10) with a glycosylphosphatidylinositol (GPI) attachment signal. As expected, GPI-anchored inhibitors were efficiently expressed on the plasma membrane of transduced TZM-bl cells and primarily directed to the lipid raft site without interfering with the expression of CD4, CCR5, and CXCR4. GPI-anchored 2P23 (GPI-2P23) completely protected TZM-bl cells from infections of divergent HIV-1, HIV-2, and SIV isolates as well as a panel of enfuvirtide (T20)-resistant mutants. GPI-2P23 also rendered the cells resistant to viral envelope-mediated cell-cell fusion and cell-associated virion-mediated cell-cell transmission. Moreover, GPI-2P23-modified human CD4+ T cells (CEMss-CCR5) fully blocked both R5- and X4-tropic HIV-1 isolates and displayed a robust survival advantage over unmodified cells during HIV-1 infection. In contrast, it was found that GPI-anchored C34 was much less effective in inhibiting HIV-2, SIV, and T20-resistant HIV-1 mutants. Therefore, our studies have demonstrated that genetically anchoring a short-peptide fusion inhibitor to the target cell membrane is a viable strategy for gene therapy of both HIV-1 and HIV-2 infections.IMPORTANCE Antiretroviral therapy with multiple drugs in combination can efficiently suppress HIV replication and dramatically reduce the morbidity and mortality associated with AIDS-related illness; however, antiretroviral therapy cannot eradiate the HIV reservoirs, and lifelong treatment is required, which often results in cumulative toxicities, drug resistance, and a multitude of complications, thus necessitating the development of sterilizing-cure or functional-cure strategies. Here, we report that genetically anchoring the short-peptide fusion inhibitor 2P23 to the cell membrane can fully prevent infections from divergent HIV-1, HIV-2, and SIV isolates as well as a panel of enfuvirtide-resistant mutants. Membrane-bound 2P23 also effectively blocks HIV-1 Env-mediated cell-cell fusion and cell-associated virion-mediated cell-cell transmission, renders CD4+ T cells nonpermissive to infection, and confers a robust survival advantage over unmodified cells. Thus, our studies verify a powerful strategy to generate resistant cells for gene therapy of both the HIV-1 and HIV-2 infections.

Keywords: HIV-1; HIV-2; fusion inhibitor; gene therapy; glycosylphosphatidylinositol.

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Figures

FIG 1
FIG 1
Diagram of HIV fusion protein gp41 and design strategy for membrane-anchored fusion inhibitors. (A) Functional domains of gp41 and fusion inhibitor peptides. The sequences of the M-T hook structure, pocket-binding domain (PBD), and tryptophan-rich motif (TRM) in the CHR or CHR-derived fusion inhibitor peptides are marked in green, red, and purple, respectively. PEG8 indicates a flexible linker of 8-unit polyethylene glycol; C16 in parentheses indicates palmitic acid. FP, fusion peptide; NHR, N-terminal heptad repeat; CHR, C-terminal heptad repeat; TM, transmembrane domain; CT, cytoplasmic tail; T20RS, T20-resistant site; DP, deep-pocket site. (B) Illustration of membrane-anchored fusion inhibitors. T20 is fused with the membrane-spanning domain (MSD) of low-affinity nerve growth factor receptor (LNGFR), C46 is fused with the MSD of human tCD34, C34 is fused with the coreceptor CXCR4 or attached to glycosylphosphatidylinositol (GPI), and 2P23 is attached to GPI. (C) Lentiviral vector expressing a GPI-anchored fusion inhibitor and its mechanism of action. The encoding sequence of a fusion inhibitor peptide was genetically linked with the sequences encoding the IgG3 hinge region, a His tag, and the GPI attachment signal of DAF. When 2P23 is expressed on the cell surface via a GPI anchor, it binds to the NHR target during the prehairpin state of gp41 and blocks 6-HB formation. LTR, long terminal repeat. RRE, Rev response element; cPPT, central polypurine track; WPRE, woodchuck hepatitits virus posttranscription regulatory element.
FIG 2
FIG 2
Expression of GPI-anchored peptides in transduced TZM-bl cells and their effects on CD4, CCR5, and CXCR4. (A) FACS analysis of cell surface expression of GPI-anchored peptides in transduced TZM-bl cells with or without PI-PLC treatment detected by an anti-His tag antibody. (B) Confocal analysis of GPI-anchored peptides in transduced TZM-bl cells. Alexa555-CtxB, cells stained with the Alexa 555-conjugated cholera toxin B subunit; Alexa488-Anti-His, cells stained with mouse anti-His tag antibody followed by Alexa 488-conjugated goat anti-mouse IgG antibody. (C) Expression levels of CD4, CCR5, and CXCR4 on the surface of TZM-bl cells transduced with GPI-anchored peptides as judged by the fluorescence intensity.
FIG 3
FIG 3
Inhibitory activity of GPI-anchored peptides in transduced TZM-bl cells against HIV-1, HIV-2, and SIV isolates. The inhibition of GPI-2P23, GPI-C34, and GPI-4B10 on two HIV-1 pseudoviruses (NL4-3 and JRCSF), two replicative HIV-2 isolates (ROD and ST), two SIV pseudoviruses (mac239 and smmPBj), and VSV-G was determined. The transduced cells were sorted so as to express the cognate GPI-anchored peptide in close to 100% of the cells. Error bars represent the means ± standard errors of the means (SEM) from three independent experiments with triplicate samples. Mock, parental TZM-bl cells; GPI-2P23, GPI-2P23-transduced TZM-bl cells; GPI-C34, GPI-C34-transduced TZM-bl cells; GPI-4B10, GPI-4B10-transduced TZM-bl cells.
FIG 4
FIG 4
Expression of GPI-anchored peptides in transduced 293FT target cells expressing CCR5/CXCR4/DSP8–11 and their effects on CD4, CCR5, and CXCR4. (A) FACS analysis of the expression of GPI-anchored peptides on the surface of transduced 293FT cells that express CCR5/CXCR4/DSP8–11. (B) Expression levels of CD4, CCR5, and CXCR4 on the surface of transduced cells as judged by the fluorescence intensity.
FIG 5
FIG 5
Inhibitory activity of GPI-anchored peptides during cell-cell transmission of replication-competent HIV-1 isolates. (A) Replicative infections of the R5-tropic HIV-1 isolates MJ4, THRO.c/2626, and RHPA.c/2635 in TZM-bl cells depend on the presence of DEAE-dextran as cell-free viruses. RLU, relative luciferase units; T/F, transmitted/founder. (B) Infections by cell-associated MJ4, THRO.c/2626, and RHPA.c/2635 viruses in TZM-bl cells are independent of DEAE-dextran during cell-cell transmission. (C) Inhibition of GPI-anchored peptides during cell-cell HIV-1 transmission. TZM-bl cells expressing GPI-anchored peptides were used as a target and cocultured for 36 h with donor CEMss-CCR5 cells that were preinfected with one of the three R5-tropic viruses. Percent infection of TZM-bl cells was monitored by quantifying the production of the reporter luciferase. Error bars represent the means ± SEM from 3 independent experiments with triplicate samples.
FIG 6
FIG 6
Inhibitory activity of GPI-anchored peptides during cell-cell transmission of HIV-1 pseudoviruses. (A) Single-cycle infections of TZM-bl cells by a panel of cell-free HIV-1 pseudoviruses are dependent on DEAE-dextran. (B) Single-cycle infections of TZM-bl cells by the cell-associated HIV-1 pseudoviruses are independent of DEAE-dextran. (C) Inhibition of GPI-anchored peptides during cell-cell transmission mediated by the HIV-1 pseudoviruses. Transduced TZM-bl cells were used as a target and cocultured for 36 h with donor HEK293T cells that were preinfected by pseudoviruses, and percent infection of TZM-bl cells was monitored by quantifying the production of the reporter luciferase. Error bars represent the means ± SEM from three independent experiments with triplicate samples.
FIG 7
FIG 7
Expression of GPI-anchored peptides in transduced CD4+ T cells and their effects on CD4, CCR5, and CXCR4. (A) Schematic view of the lentiviral vector expressing a GPI-anchored fusion inhibitor peptide linked to GFP-encoding sequences via a 2A signal. (B) Expression of GPI-anchored peptides along with GFP in transduced CEMss-CCR5 cells analyzed by FACS analysis. (C) Expression of CD4, CCR5, and CXCR4 on the surface of transduced CEMss-CCR5 cells as judged by the fluorescence intensity.
FIG 8
FIG 8
Inhibitory activity of GPI-anchored peptides in transduced human T cells against an X4-tropic HIV-1 isolate. CEMss-CCR5 cells transduced with GPI-2P23/GFP, GPI-C34/GFP, or GPI-4B10/GFP were infected with 1,000 TCID50 of the X4-tropic NL4-3 isolate and monitored by intracellular HIV-1 P24 Gag and GFP expression by flow cytometry. Data from a representative experiment of three independent experiments are shown.
FIG 9
FIG 9
Inhibitory activity of GPI-anchored peptides in transduced human T cells against an R5-tropic HIV-1 isolate. CEMss-CCR5 cells transduced with GPI-2P23/GFP, GPI-C34/GFP, or GPI-4B10/GFP were infected with 1,000 TCID50 of the R5-tropic transmitted/founder virus RHPA.c/2635 and monitored by intracellular HIV-1 P24 Gag and GFP expression by flow cytometry. Data from a representative experiment of three independent experiments are shown.
FIG 10
FIG 10
Selective survival and expansion of CEMss-CCR5 cells expressing GPI-anchored fusion inhibitors during X4-tropic HIV-1 infection. (A) CEMss-CCR5 T cells were transduced with GPI-2P23/GFP or GPI-C34/GFP and mixed with untransduced cells at a ratio of approximately 20% GFP-positive cells. The mixed population was inoculated with 1,000 TCID50 of the X4-tropic virus NL4-3, and the proportion of transgene-expressing cells was monitored over time by flow cytometry. (B) Survival curve of transduced CEMss-CCR5 T cells. Data from a representative experiment of three independent experiments are shown.
FIG 11
FIG 11
Selective survival and expansion of CEMss-CCR5 cells expressing GPI-anchored fusion inhibitors during R5-tropic HIV-1 infection. (A) CEMss-CCR5 T cells were transduced with GPI-2P23/GFP or GPI-C34/GFP and mixed with untransduced cells at a ratio of approximately 15% GFP-positive cells. The mixed population was inoculated with 1,000 TCID50 of the X5-tropic virus RHPA.c/2635, and the proportions of transgene-expressing cells was monitored over time by flow cytometry. (B) Survival curve of transduced CEMss-CCR5 T cells. Data from a representative experiment of three independent experiments are shown.

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