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. 2023 May 17;67(5):e0169422.
doi: 10.1128/aac.01694-22. Epub 2023 Apr 11.

Antiviral Properties of HIV-1 Capsid Inhibitor GSK878

Affiliations

Antiviral Properties of HIV-1 Capsid Inhibitor GSK878

Chunfu Wang et al. Antimicrob Agents Chemother. .

Abstract

GSK878 is a newly described HIV-1 inhibitor that binds to the mature capsid (CA) hexamer in a pocket originally identified as the binding site of the well-studied CA inhibitor PF-74. Here, we show that GSK878 is highly potent, inhibiting an HIV-1 reporter virus in MT-2 cells with a mean 50% effective concentration (EC50) of 39 pM and inhibiting a panel of 48 chimeric viruses containing diverse CA sequences with a mean EC50 of 94 pM. CA mutations associated with reduced susceptibility to other inhibitors that bind to PF-74 binding site (L56I, M66I, Q67H, N74D, T107N, and Q67H/N74D) also reduced susceptibility to GSK878, with M66I, Q67H/N74D, and L56I having the greatest impact on antiviral activity. Amino acid substitutions in the CA cyclophilin A (CypA) binding loop (H87P and P90A), distal from the inhibitor binding site and associated with reduced CA-CypA binding, subtly, but reproducibly, also decreased GSK878 potency. Mechanism-of-action studies showed that GSK878 blocked both early (preintegration) and late (postintegration) steps in HIV-1 replication, with the early inhibition primarily determining the compound's antiviral activity. The early inhibition results from blocks to HIV-1 nuclear import and proviral integration and is associated with altered stability of the HIV-1 CA core.

Keywords: antiviral activity; capsid core stability; capsid inhibitor.

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Conflict of interest statement

The authors declare a conflict of interest. At the time of this study, all authors were employees of ViiV Healthcare and C.W., K.P., M.I.C., J.F.K., E.P.G., M.K., and R.A.F. are shareholders in GSK.

Figures

FIG 1
FIG 1
(A) Chemical structure of GSK878. (B) Susceptibility of chimeric reporter viruses to GSK878 and RAL. Shown is a plot of EC50 values calculated from antiviral assays performed in MT-2 cells with replication-competent reporter viruses (NLRepRluc) with the Gag-PR region derived from HIV-1 clinical isolates of the indicated strain and subtype. Values are means and SD from ≥4 experiments.
FIG 2
FIG 2
Effect of cyclophilin A on GSK878 antiviral activity. (A) Scatterplot of EC50 and EC90 values of GSK878 from antiviral assays with wild-type (WT) and CA H87P HIV-1 reporter viruses (NLRepRluc) in MT-2 cells (****, P < 0.0001; WT, n = 92; H87P, n = 72). (B and C) Comparison of GSK878 dose-response inhibition curves from antiviral assays in MT-2 cells with VSV-G-pseudotyped replication-defective HIV-1 (VSV-G:NLRepRlucΔENV) with the indicated CA missense mutations in the absence (B) or presence (C) of 0.8 μM CsA. Points are averages of two experiments, each performed in duplicate. (D) Dose-response curves with a reference NNRTI (EFV) under the same conditions as for panels B and C.
FIG 3
FIG 3
GSK878 antiviral activity. (A) Time-of-addition experiment. MT-2 cells were infected with a replication-defective virus pseudotyped with gp160 from HIV-1 strain LAI (LAI:NLRepRlucΔEnv). Inhibitors were added at 0, 2, 4, 5, 6, 7, and 8 h postinfection, and Renilla luciferase activity was measured after an additional 72 h. Percent inhibition relative to the value for DMSO-treated control cells is plotted for each time point (means and SD from 8 replicates). (B) Effect of GSK878 on HIV-1 replication intermediates. MT-2 cells infected with replication-defective VSV-G-pseudotyped HIV-1 (VSV-G:NLRepRlucΔENV) were treated with the indicated inhibitors and harvested at 12, 24, and 48 h for quantification of total reverse transcripts, 2-LTR circles, and integrated proviruses, respectively (means and SD from ≥3 experiments). (C) Quantification of 2-LTR circles from VSV-G:NLRepRlucΔENV-infected cells treated with the indicated concentration of GSK878 in the presence of 200 nM RAL.
FIG 4
FIG 4
GSK878 antiviral activity and CA core stability. (A) Susceptibility hyperstable (E45A) and hypostable (P38A) HIV-1 CA core mutants on GSK878 and EFV antiviral activity. Shown is a comparison of dose-response inhibition curves from antiviral assays in MT-2 cells with VSV-G-pseudotyped replication-defective HIV-1 (VSV-G:NLRepRlucΔENV), parental (WT) or with the indicated CA missense mutation (means ± SD from 3 experiments). (B) GSK878 stabilizes the CA core in infected cells. HeLa cells infected with VSV-G:NLRepRlucΔENV were treated with the indicated concentrations of GSK878 or DMSO. After 6 h, cells were harvested and analyzed by the fate-of-the-capsid assay as described in Materials and Methods. CA (p24) in the input, supernatant, and pellet was detected with the Simple Western system (Wes; Bio-Techne, Minneapolis, MN). Quantification of CA in the pellet is shown as the means ± SD from 4 experiments. The images on the left side of panel B were derived from the same blot and spliced for labeling purpose.

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