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Journal of Virology, March 2003, p. 3281-3290, Vol. 77, No. 5
0022-538X/03/$08.00+0 DOI: 10.1128/JVI.77.5.3281-3290.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
The Biomedical Research Centre, Ninewells Hospital and Medical School, The University, Dundee DD1 9SY,1 Division of Biochemistry and Molecular Biology, Faculty of Biomedical and Life Sciences, University of Glasgow, Glasgow G12 8QQ, Scotland, United Kingdom2
Received 22 August 2002/ Accepted 3 December 2002
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Crystal structures of fusion proteins from a number of viruses (2, 6, 9, 14, 27, 28, 34, 42, 45), including human T-cell leukemia virus type 1 (HTLV-1) (24), have provided considerable insight into the mechanism of Env-catalyzed membrane fusion. A common feature of fusion protein structure is the formation of a trimer-of-hairpins motif. For HTLV-1 TM (gp21), the N-terminal helices from three gp21 ectodomains form a central triple-stranded coiled-coil. At the base of the coiled-coil, the peptide backbone of each monomer forms a disulfide-bonded 180° loop that reverses the chain direction; finally, the C-terminal sequences run antiparallel to the coiled-coil, fold into an extended structure that includes a short helical region, and pack into the grooves formed by the core coiled-coil to complete the trimer of hairpins (24). It is likely that the trimer of hairpins represents a postfusion TM conformation, suggesting a model for membrane fusion in which insertion of the N-terminal fusion peptide into the target cell membrane results in the formation of a transient prehairpin intermediate. In the prehairpin conformation, one end of TM is anchored in the viral membrane while the other is embedded within the target membrane. Ultimately, the prehairpin intermediate resolves to the trimer-of-hairpins structure, which draws the viral and cellular membranes together, facilitates their destabilization, and induces fusion (13).
Interestingly, synthetic peptides that potently inhibit HTLV-1Env-mediated membrane fusion and virus entry into cells have been identified (5, 22, 35). One of the inhibitory peptides, P-400, models amino acids 400 to 429 of HTLV-1 Env. These residues span the C-terminal region of the TM ectodomain that packs into the grooves formed by the core coiled-coil. Jinno et al. (22) have suggested that P-400 exerts its inhibitory effect by blocking the interaction of HTLV-1 Env with a cellular receptor, or alternatively, by disrupting the interaction of gp21 with a nonprotein membrane component that supports membrane fusion. In support of that interpretation, it was noted that the crystal structure of TM places amino acid residues 400 to 429 at the surface of the trimeric hairpin, thereby allowing amino acid residues within this region to interact with components on the target cell surface (22).
An alternative, and perhaps simpler, view is that P-400 inhibits Env-mediated membrane fusion by directly interacting with the core coiled-coil of TM, thereby disrupting the conformational transitions required for Env-mediated membrane fusion. Importantly, a precedent for this type of inhibitory activity has been extensively documented for peptide inhibitors of HIV-1 (8, 12, 15, 23, 25, 43, 44; S. Jiang, N. Strick, and A. R. Neurath, Letter, Nature 365:113, 1993). Since there is a pressing need for effective antiretroviral therapies to treat HTLV-1-associated disease, we have examined in detail the inhibitory properties of the TM-mimetic P-400. Specifically, we set out to test the hypothesis that the target for the inhibitory peptide is a fusion-active structure of HTLV-1 Env. Here, we demonstrate that P-400-related peptides with increased potency can be readily obtained, that these peptides interact directly with the core coiled-coil domain of HTLV-1 TM, and that the inhibitory properties of the peptides correlate directly with their ability to bind to the coiled-coil region of TM.
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Plasmids. The plasmid pHTE-1 has been previously described (11). The plasmid pMAL-gp21hairpin was constructed by PCR amplification of the HTLV-1 TM region, using pHTE-1 as the template and the primers FPgp21 M338 (5'-CGGAATTCATGTCCCTCGCCTCAGGAAAGAGC-3') and RPgp21T425 (5'-GCTCTAGAAAGCTTTCAAGTCAGGACTCGATTTTCAAGG-3'). The PCRfragment was cloned into the vector pMALc2 (New England Biolabs) using the EcoRI and HindIII sites introduced by the primers (indicated by underlined letters in the primer sequences). The resulting plasmid encodes amino acids Met338 to Thr425 of HTLV-1 TM fused in frame to maltose binding protein (MBP). Similarly, pMAL-gp21fishhook was made using the primer pair FPgp21 M338 and RPgp21C400 (5'-GCTCTAGAAAGCTTTCAGCACTGTTCTTGTAATGC-3'). In order to express the control MBP protein, a stop codon was introduced into the pMALc2 vector immediately after the EcoRI site by site-directed mutagenesis using the Quikchange method (Stratagene) to generate the plasmid pMAL-stop.
Peptides. The peptides used in this study were chemically synthesized using standard techniques and are listed in Table 1. P-80, derived from the amino-terminal region of HTLV-1 gp46, has been previously described (5). P-400 was modeled on amino acids 400 to 429 of gp21 (gp68 numbering starting at the initiation codon) based on the published sequence of HTLV-1 strain ATK (36). Pcr-400 and its derivative peptides were synthesized based on our sequence analyses of pHTE-1. All peptides were dissolved in dimethyl sulfoxide for use at the appropriate concentrations.
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TABLE 1. Amino acid sequences of synthetic peptides used in this study
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Gel filtration chromatography. The oligomerization states of our MBP-TM chimeras were assessed by Superdex 200 gel filtration chromatography in PBS. Gel filtration experiments were calibrated with thyroglobulin (669 kDa), ferritin (440 kDa), and catalase (232 kDa) from Pharmacia Biotech and gamma globulin (158 kDa) and ovalbumin (44 kDa) from Bio-Rad.
CD spectra and mass spectrometry analyses. The circular dichroism (CD) spectrum of each peptide was recorded in H2O and in 50% (vol/vol) trifluoroethanol (TFE) at 20°C on a JASCO J-600 spectropolarimeter. Peptide concentrations of 0.5 mg/ml were used in quartz cells with a path length of 0.02 cm. The results were analyzed by the SELCON procedure (39). Mass spectrometry experiments were conducted using matrix-assisted laser desorption ionization (MALDI) in a Voyager De-Pro MALDI-time of flight mass spectrometer (Applied Biosystems).
Gel shift assays. The oligomerization states of our MBP-TM chimeras were also investigated by native gel electrophoresis. Equivalent amounts of protein were added to sample buffer that lacked sodium dodecyl sulfate (SDS) and dithiothreitol or 2-mercaptoethanol. The samples were not heat treated prior to separation on an 8% polyacrylamide gel that did not contain SDS. Proteins were subsequently detected by Coomasie blue staining.
The in vitro interaction of the HTLV-1 TM-derived peptides with the MBP-TM chimeras was examined by gel shift on native polyacrylamide gels. Approximately 1.5 to 2.0 µg of MBP-TM fusion protein was incubated with various concentrations of peptide for 45 min at room temperature. The protein complexes formed were analyzed by electrophoresis as described above.
Biotinylation and pull-down assays.
Approximately 1.0 mg of Pcr-400 peptide was biotinylated using EZ-link PEO-Iodoacetyl biotin (Pierce) as directed by the manufacturer. Biotinylated peptide was separated from free biotin using a polyacrylamide gel desalting column (Pierce). Increasing amounts of biotinylated peptide were incubated with
20 to 30 µg of MBP-Fishhook or MBP in a reaction volume of 50 µl for 30 min at room temperature. Nine hundred microliters of RIPA buffer (PBS-0.25% Triton X-100) and 50 µl of streptavidin-agarose solution (Sigma) were added, and the reaction mixture was incubated at 4°C for 1 h with gentle rotation. The bound complexes were pelleted by centrifugation and washed five times with RIPA buffer. The proteins were heated in sample buffer and analyzed by SDS-polyacrylamide gel electrophoresis (PAGE).
Syncytium interference assay. Syncytium interference assays between target T cells (MOLT-4, SupT1, and Jurkat) and HTLV-1-infected MT2 cells has been described previously (5). Syncytium formation in non-T-cell lines was examined as described previously (5). Briefly, 0.5 x 106 to 1.0 x 106 HeLa cells, transfected with the envelope expression vector pHTE-1, were added to an equal number of untransfected target cells (HeLa, HOS, or Cos). Where appropriate, effector and target cells were incubated together in the presence of the P-400-related peptides at the concentrations specified. The cells were incubated for 12 to 15 h at 37°C, washed twice with phosphate-buffered saline (PBS), and then fixed in PBS-2% formaldehyde-0.2% glutaraldehyde. Assays were performed in triplicate, and the number of syncytia from 10 low-power fields per replicate was scored by light microscopy. The effect of preincubating Pcr-400 with MBP-Fishhook on syncytium formation was assayed in a similar manner. Pcr-400 was added to the target cells at a concentration of 1.5 µM. Following a 5-min incubation, up to twofold molar excess of either MBP or MBP-Fishhook was added and allowed to preincubate with the peptide for 40 min prior to the addition of the effector cells.
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Coculture of HTLV-1-infected MT2 cells with MOLT4, SupT1, or Jurkat T cells resulted in extensive cell-to-cell fusion and syncytium formation. In contrast, when these cells were cocultured in the presence of P-400 or P-197, a dramatic reduction in the number of syncytia was observed (Fig. 1A). These results were specific to P-400 and P-197, as the control peptide, P-80, which was derived from the N-terminal region of HTLV-1 SU, did not inhibit syncytium formation.
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FIG. 1. Peptide P-400 inhibits HTLV-1 envelope-mediated syncytium formation among diverse target cells. (A) MOLT-4, SupT1, and Jurkat T cells were cocultured with HTLV-1-infected MT2 cells in the presence of the indicated peptides (20 µg/ml) or the solvent (dimethyl sulfoxide) alone (None). The data are means and standard deviations from six independent assays. (B) HeLa, HOS, or Cos target cells were cocultured with HTLV-1 Env-expressing HeLa cells in the presence or absence of the indicated peptides. The data are means and standard deviations from three fields from three independent assays. LPF, low-power field.
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Substitutions within P-400 improve inhibitory activity. P-400 was originally modeled on the sequence of the prototypic HTLV-1 strain ATK (36). However, sequence analyses of the fusion-competent Env clone, pHTE-1 (HTLV-1 strain CR) (11), used in our studies revealed three strain-specific amino acid substitutions between residues 400 and 429 that differ from the ATK strain. Moreover, analysis of the crystal structure of HTLV-1 TM and molecular modeling of the synthetic peptide suggested to us that the stability of any putative interaction between P-400 and the core coiled-coil region of Env could be improved by optimizing the amino acid sequence of P-400 (see Discussion). To test these ideas, we synthesized an additional peptide based on P-400 but included the following substitutions: Arg401Cys, Pro403Leu, and Pro411Ser. These amino acid substitutions generate a peptide that is identical in sequence to amino acids 400 to 429 of Env from HTLV-1 strain CR (29) and is closer to the consensus amino acid sequence for this region of HTLV-1 Env. The new peptide was therefore designated Pcr-400.
The inhibitory properties of Pcr-400 and P-400 were directly compared in syncytium interference assays using HeLa cells as targets. Coculture of HeLa target cells with Env-expressing cells in the presence of P-400 or Pcr-400 resulted in a dramatic inhibition of syncytium formation (Fig. 2A). The 50% inhibitory concentration (IC50) calculated for P-400 (3.9 µM) was similar to that previously reported by Jinno et al. (22) and Sagara et al. (35) (2.5 and 6.0 µM, respectively). Although both peptides were inhibitory, the optimized Pcr-400 was dramatically and consistently more inhibitory than P-400 in these assays. Comparison of the IC50s for the peptides indicated that Pcr-400 (IC50, 0.28 µM) was 14-fold more active than P-400 (IC50, 3.9 µM). These data also suggest that there may be some strain-specific variability in the sensitivity of HTLV-1 to peptide inhibitors of virus entry.
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FIG. 2. Inhibitory activities of Pcr-400 and derivative peptides. (A) HeLa target cells were cocultured with Env-expressing HeLa cells in the presence of increasing amounts of peptide P-400 or Pcr-400. (B) HeLa target cells were cocultured with mock-transfected HeLa cells or Env-expressing HeLa cells in the absence or presence of Pcr-400 or its mutant derivatives, L/A, NS407YF, and W427A, as indicated. (C) The number of syncytia per low-power field was scored by light microscopy. The error bars indicate standard deviations.
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The abilities of the peptide derivatives to inhibit Env-dependent membrane fusion were examined in syncytium interference assays. Both the L/A and NS407YF mutations completely abolished the inhibitory activity of the Pcr-400 peptide (Fig. 2B and C). In contrast, the single-amino-acid substitution replacing Trp427 with Ala had little effect on the inhibitory properties of the peptide, as Pcr-W427A antagonized cell-to-cell fusion almost as efficiently as the parental peptide, Pcr-400 (Fig. 2B and C). These substitutions begin to define the amino acid residues that are important for the inhibitory properties of P-400-related peptides.
Pcr-400 peptides have the potential to form ordered secondary structures.
The crystal structure of the HTLV-1 TM core reveals that amino acids Cys400 to Thr425 adopt an extended structure that includes a short
-helical coil between amino acids 408 and 415 (24). To determine if the synthetic peptides have the ability to adopt helical structures, we examined the structure of Pcr-400 and its derivatives using far-UV CD spectroscopy. The inhibitory peptides Pcr-400 (Fig. 3A) and Pcr-W427A (Fig. 3B) have very similar CD properties. Both peptides show little tendency to form helices in aqueous solution but a significant tendency to form helical structures in TFE, which generally acts as a helix-promoting solvent (21). In the presence of TFE, the proportion of helical structure for both peptides increases by
20 to 25% (as determined by SELCON analysis [data not shown]). In contrast, the peptides that do not inhibit fusion, Pcr-NS407YF (Fig. 3C) and Pcr-400L/A (Fig. 3D), exhibit strikingly different properties. Notably, Pcr-400L/A has little propensity to adopt a helical structure in either aqueous solution or TFE. These observations suggest that the inhibitory properties of Pcr-400-related peptides can be correlated with their structures. Thus, the synthetic peptides appear to adopt a conformation that accurately models an important structural feature of HTLV-1 TM.
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FIG. 3. CD spectra are shown for 0.5-mg/ml concentrations of Pcr-400 (A), Pcr-W427A (B), Pcr-NS407YF (C), and Pcr-400L/A (D) in H2O (dotted lines) and 50% (vol/vol) TFE (solid lines). deg, degrees.
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-helical coiled-coil domain and including the region of chain reversal. We predicted that this recombinant gp21-derived structure would be trimeric and that the core
-helical coiled-coil structure would be exposed to solvent. The predicted monomeric structure for this chimera resembles a fishhook (Fig. 4C) and, for simplicity, is referred to as MBP-Fishhook. These MBP-TM fusion proteins were expressed in E. coli and purified using standard techniques.
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FIG. 4. Structures of the trimeric hairpin of HTLV-1 envelope and the MBP-TM chimeras. (A) The core coiled-coil (white) is shown as a space-filling model, while the C-terminal ectodomain (magenta) is illustrated as a ribbon showing the amino acid side chains. (B) Ribbon diagram of the MBP-Hairpin monomer with MBP (green), the N-terminal coiled-coil-forming helix (grey), the region of chain reversal (magenta), and the C-terminal sequences (blue). The short -helical segment within the C-terminal ectodomain is also shown (yellow). (C) Ribbon diagram of MBP-Fishhook monomer. The colors are as in panel B. All structures were modelled from coordinates provided by Kobe et al. (24) in the Protein Data Bank, Brookhaven National Laboratory, PDB ID c ode 1MG1.
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FIG. 5. Oligomerization states of MBP-TM-derived chimeras. (A) Gel filtration chromatography profiles of MBP, MBP-Hairpin, and MBP-Fishhook. OD, optical density; A, aggregate; TH, trimeric hairpin; TF, trimeric fishhook. Callibration markers are indicated in kilodaltons at the top of the panel. (B) MBP-TM chimeras analyzed by SDS-PAGE under denaturing conditions followed by staining with Coomasie blue. The predicted molecular mass of each protein is as follows: MBP, 43-kDa (lane 2); MBP-Hairpin, 53-kDa (lane 3); MBP-Fishhook, 50-kDa (lane 4). Lane M, molecular-mass markers. (C) Native-PAGE analysis of MBP (lane 2), MBP-Hairpin (lane 3), and MBP-Fishhook (lane 4). The mobilities of the aggregate, trimeric hairpin, and trimeric fishhook are indicated.
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Bioactive peptides bind directly to a trimeric coiled-coil domain of gp21. To examine the abilities of Pcr-400 and its derivative peptides to bind to the central coiled-coil of TM, we employed a novel assay that relies upon the ability of the synthetic peptide to bind the target protein and alter its electrophoretic mobility under nondenaturing PAGE conditions. The MBP and MBP-TM derivatives were incubated in the presence or absence of Pcr-400, and subsequently, the mobility of the target protein was examined by native PAGE. Pcr-400 had no effect on the mobility of the control MBP or MBP-Hairpin, indicating that Pcr-400 did not interact with these target proteins under the conditions used (Fig. 6A, lanes 2 to 5). In contrast, compared to controls lacking peptide (Fig. 6A, lane 6), a shift in the mobility of MBP-Fishhook was observed in the presence of Pcr-400 (Fig. 6A, lane 7). Moreover, Pcr-400 appears to drive a substantial fraction of the aggregated MBP-Fishhook into a complex that is likely a trimer; the mobility of this complex is equivalent to that of the trimeric MBP-Hairpin. Further analysis indicated that the shift in mobility of MBP-Fishhook induced by Pcr-400 is dependent on the amount of Pcr-400 used (Fig. 6B). These data indicate to us that Pcr-400 binds directly to the central coiled-coil structure of HTLV-1 TM and that binding of Pcr-400 alters the mobility of the trimeric MBP-Fishhook under native-PAGE conditions.
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FIG. 6. Pcr-400 interacts with the coiled-coil of MBP-Fishhook. (A) MBP (lanes 2 and 3), MBP-Hairpin (lanes 4 and 5), or MBP-Fishhook (lanes 6 and 7) was incubated without (-) or with (+) Pcr-400, and the complexes were analyzed by native PAGE and stained with Coomasie blue. Pcr-400 induces a shift in the electrophoretic mobility of the trimeric MBP-Fishhook (TF), causing it to migrate similarly to trimeric MBP-Hairpin (TH). A, aggregate. Lane M, molecular-mass markers. (B) Increasing amounts of Pcr-400 were incubated with MBP-Fishhook, and the complexes were analyzed by native PAGE. Lanes 2 and 3, MBP-Hairpin and MBP-Fishhook controls. The amount of MBP-Fishhook (TF) shifting to a complex that mimics MBP-Hairpin (TH) increases with the amount of Pcr-400 added (lanes 4 to 12). (C) Increasing amounts of biotinylated Pcr-400 were incubated with MBP-Fishhook (lanes 4 to 8). As a control, MBP was also incubated with biotinylated Pcr-400 (lane 9). Streptavidin-agarose was then added to the reaction mixture, and the bound complexes were precipitated, heat denatured, and analyzed by SDS-PAGE.
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To determine if binding of the P-400-related peptides to the coiled-coil domain correlates with the biological activity of the peptide, we examined the binding of Pcr-400 and its derivatives to MBP-Fishhook using the band shift assay. While the inhibitory peptides Pcr-400 and Pcr-W427A induced a change in mobility of MBP-Fishhook (Fig. 7, lanes 5 and 8), the biologically inactive peptides Pcr-400L/A and Pcr-NS427YF had no effect on the migration of the chimera (lanes 6 and 7). Taken together, our collected data are consistent with the notion that P-400-related peptides bind directly to the central coiled-coil domain of HTLV-1 TM and that binding to the central coiled-coil correlates directly with the antiviral properties of the synthetic peptides.
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FIG. 7. Inhibitory activity of P-400-related peptides correlates with binding to MBP-Fishhook. MBP-Fishhook was incubated with Pcr-400 (lane 5) and its derivative peptides L/A (lane 6), NS407YF (lane 7), and W427A (lane 8) or with solvent alone (lane 4). The complexes were analyzed by native PAGE and stained with Coomassie blue. The controls MBP-Hairpin (lane 2) and MBP-Fishhook (lane 3) are shown. The mobilities of the aggregate (A), trimeric hairpin (TH), and trimeric fishhook (TF) are indicated. Lane M, molecular-mass markers.
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FIG. 8. MBP-Fishhook reverses the effects of Pcr-400 in syncytium formation assays. Target HeLa cells were incubated in the absence or presence of Pcr-400 at a concentration of 1.5 µM. As indicated, MBP or MBP-Fishhook, at 1.5 and 3.0 µM concentrations, was preequilibrated with the peptide prior to the addition of the Env-bearing HeLa effector cells. The error bars indicate standard deviations.
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Taken together, our results are consistent with the view that P-400-related peptides target the core coiled-coil of HTLV-1 TM and most likely inhibit membrane fusion in a trans-dominant-negative manner by blocking the formation of the fusion-active trimer-of-hairpins structure. The trimeric-hairpin structure represents a highly stable conformation of TM (25), and once formed, it is unlikely to be disrupted by insertion of the inhibitory peptide. Indeed, Pcr-400 is unable to alter the mobility of the recombinant trimeric hairpin (MBP-Hairpin) in native gels, suggesting that it does not bind the hairpin. Instead, P-400-related inhibitory peptides likely act prior to the formation of the trimeric hairpin, binding to the transiently exposed prehairpin intermediate and blocking its subsequent resolution to the fusion-active state (Fig. 9). Thus, P-400-related peptides that antagonize HTLV-1 entry and membrane fusion appear to be functionally analogous to the C-peptide inhibitors of HIV infection.
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FIG. 9. Model of retroviral envelope-mediated membrane fusion. In its native conformation, HTLV-1 Env consists of a trimer of SU subunits noncovalently linked to a trimer of TM subunits. Binding of SU to its cellular receptor triggers conformational changes in Env that result in the insertion of the fusion peptide into the target cell membrane and the concomitant formation of the prehairpin intermediate. TM then resolves into the trimer-of-hairpins structure, drawing the cellular and viral membranes into apposition and inducing membrane fusion. C-peptides, such as P-400 and Pcr-400, are able to bind the grooves of the central coiled-coil, thereby blocking formation of the trimeric-hairpin structure and disrupting membrane fusion.
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-helical region in the C-terminal half of the TM ectodomain. In a surface-exposed position, it is difficult to rationalize the effect(s) of this substitution with respect to the loss or gain of interactions that may influence the stability of the peptide. While it is not yet possible to identify which of the three substitutions makes the greatest contribution to the increased activity of Pcr-400, we suspect that the Pro403-to-Leu and Arg401-to-Cys substitutions are largely responsible for the gain in potency.
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FIG. 10. Molecular interactions between P-400-related peptides and the core coiled-coil. (A) Pcr-400 is shown against the surface of the coiled-coil. The Leu residues are colored green. The buried residues Asn407 and Arg416 are shown in cyan. The colored regions of the coiled-coil represent polar and charged residues interacting with the peptide. The binding groove for Cys401 is shown in blue; residues contributing to the base and wall of the groove are colored cyan. Asn364, which interacts with the buried side chain of Asn407, is represented by the cyan region beneath Asn407, while the coiled-coil side chains involved in coordinating Arg416 are shown in red. (B) P-400 is illustrated using the same color coding as for Pcr-400. The three amino acid differences between P-400 and Pcr-400 are indicated. Most notable are the cavities generated by Pro403 and Arg401. Structures were modelled from coordinates provided by Kobe et al. (24) in the Protein Data Bank, Brookhaven National Laboratory, PDB ID code 1MG1.
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Notably, for TM, the interaction between the C-terminal extended ribbon and the core coiled-coil uses residues Asn407 and Arg416 to make polar and ionic contacts across the buried interface. The residues defining the environment into which the Asn407 side chain binds include His365, His409, and Val410 of one subunit and Ala360, Ile361, Lys363, Asn367, and Asn364 of an adjacent subunit. Interactions between the amino group of the amide side chain of Asn407 and the carbonyl group of the amide side chain of Asn364, located at the base of the cavity, as well as the His409 side chain located on the cavity wall, may aid the interaction of Asn407 with its environment. Modeling the Tyr substitution of Pcr-NS407YF suggests that the bulky aromatic side chain of Tyr cannot be accommodated within the cavity of the coiled-coil. A substantial conformational rearrangement of the peptide against the coiled-coil would be necessary in order to remove unfavorable steric interactions and to provide a hydrogen bond acceptor for the OH group of Tyr.
Implications for HTLV-1 therapy. Our results suggest that there is scope for the development of P-400-related peptides as therapeutic agents targeting HTLV-1. Worldwide, HTLV-1 infections have considerable clinical impact. HTLV-1 is the etiological agent of an aggressive adult T-cell leukemia and a chronic neurodegenerative disease, HTLV-1-associated myelopathy, or tropical spastic paraparesis. Despite considerable clinical effort, these virus-associated diseases remain difficult to treat, and therapeutic strategies specifically tailored to target HTLV-1 replication are unavailable. Nevertheless, the observations that viral replication persists in HTLV-associated disease (1, 17, 30, 46) and that a combined antiretroviral drug therapy shows promise in the treatment of HTLV-associated disease (3, 4, 16) indicate that novel antiretroviral compounds targeting HTLV entry may be of therapeutic value. Importantly, our study reveals that it is possible to identify synthetic peptides that specifically target the fusion-active structures of HTLV-1 Env and that more potent inhibitors of HTLV-1 entry can be readily obtained. Based upon these observations, we suggest that synthetic peptides that target the fusion-active structures of HTLV-1 Env represent promising leads in the search for pharmacologically relevant therapies to combat HTLV-1 infections. Further analysis of HTLV-1-induced membrane fusion will improve our understanding of Env function during virus entry into cells and will facilitate the rational design of low-molecular-weight antagonists of HTLV infection.
This work was generously supported by grants to D.W.B. from the Leukemia Research Fund (LRF 9827) and from the University of Glasgow.
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and zidovudine. N. Engl. J. Med. 332:1744-1748.
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