CA2250829A1 - Method for preventing hiv-1 infection of cd4+ cells - Google Patents

Abstract

This invention provides methods for inhibiting fusion of HIV-1 to CD4+ cells which comprise contacting CD4+ cells with a non-chemokine agent capable of binding to a chemokine receptor in an amount and under conditions such that fusion of HIV-1 to the CD4+ cells is inhibited. This invention also provides methods for inhibiting HIV-1 infection of CD4+ cells which comprise contacting CD4+ cells with a non-chemokine agent capable of binding to a chemokine receptor in an amount and under conditions such that fusion of HIV-1 to the CD4+ cells is inhibited, thereby inhibiting the HIV-1 infection. This invention provides non-chemokine agents capable of binding to the chemokine receptor and inhibiting fusion of HIV-1 to CD4+ cells. This invention also provides pharmaceutical compositions comprising an amount of the non-chemokine agent capable of binding to the chemokine receptor and inhibiting fusion of HIV-1 to CD4+ cells effective to prevent fusion of HIV-1 to CD4+ cells and a pharmaceutically acceptable carrier.

Description

CA 022~0829 1998-10-01 W097/37005 PCT~S97/05597 ~s~. ~n~ FOR PPPVE~T~NG RTV--l TNF~TTON OF CD4+ ~T-T-~

This application is a continuation-in-part of U.S. Serial No.
08/673,682, filed June 25, 1996, which is a continuation-in-part of U.S. Serial No. 08/663,616, filed June 14, 1996, which is a continuation-in-part of U.S. Serial No.
08/627,684, filed April 2, 1996, the content of which are incorporated by reference into this application.

Throughout this application, various references are referred to within parentheses. Disclosures of these publications in their entireties are hereby incorporated by reference into this application to more fully describe the state of the art to which this invention pertains. Full bibliographic citation for these references may be found at the end of each series of experiments.
Ra~qro--n~ of the TnVAntio~
Chemokines are a family of related soluble proteins of molecular weight between 8 and 10KDa, secreted by lymphocytes and other cells, which bind receptors on target cell surfaces resulting in the activation and mobilization of leukocytes, for example in the inflammatory process. Recently, Cocchi et al. demonstrated that the chemokines RANTES, MIP-l~ and MIP-l~ are factors produced by CD8~ T lymphocytes which inhibit infection by macrophage-tropic primary isolates of HIV-l, but not infection by laboratory-adapted strains of the virus (1). These chemokines are members of the C-C group of chemokines, so named because they have adjacent cysteine residues, unlike the C-X-C group which has a single amino acid separating these residues (2). While Cocchi et al.
found that expression of HIV-l RNA was suppressed by treatment with the chemokines, they did not identify the site of action of these molecules.

SUBSTlTUrE SHE~ (RULE 26~

CA 022~0829 1998-10-01 W O 97/37005 PCT~US97/05~97 A resonance energy transfer (RET) assay of HIV-1 envelope glycoprotein-mediated membrane fusion was used to determine whether fusion mediated by the envelope glycoprotein from the primary macrophage-tropic isolate of HIV-lJRFL would be specifically inhibited by chemokines, when compared with fusion mediated by the envelope glycoprotein from the laboratory-adapted T lymphotropic strain HIV-l~I. As described below, it was demonstrated that this is indeed the case. This demonstrates that some chemokine receptors are fusion accessory molecules required for HIV-1 infection.
Previous studies have indicated that unidentified cell surface molecules are required for virus entry in addition to the HIV-1 receptor, CD4. While CD4 is required for HIV-1 attachment, the accessory molecules are required for the membrane fusion step of entry. These accessory molecules are generally expressed only on human cells, so HIV-1 does not infect non-human CD4+ cells (3-6). Moreover it is possible to complement non-human CD4+ cells by fusing them (using polyethylene glycol) with CD4- human cells, resulting in a heterokaryon which is a competent target for HIV-l envelope-mediated membrane fusion (7,8). These studies have been performed using laboratory-adapted T lymphotropic strains of the virus.

In some cases, it appears that fusion accessory molecules are found on a subset of human CD4+ cells and are required for infection by HIV-1 isolates with particular tropisms.
For example, macrophage-tropic primary strains of HIV-1 such as HIV-lJRFL may have different requirements for accessory molecules compared with laboratory-adapted T lymphotropic strains such as HIV- 1LAI ~ This phenomenon may explain differences in tropism between HIV-1 strains.

The current invention comprises a series of new therapeutics for HIV-1 infection. It was demonstrated for the first time CA 022~0829 1998-10-01 W O 97/3700S PCTrUS97/05597 that chemokines act at the fusion step of HIV-1 entry and specifically inhibit membrane fusion mediated by the envelope glycoprotein of primary macrophage-tropic primary viral isolates, not laboratory-adapted T lymphotrophic strains of the virus. Primary macrophage-tropic isolates of the virus are of particular importance since they are the strains usually involved in virus transmission, and may have particular importance in the pathogenesis of HIV-1 infection.
These results were obtained using a resonance energy transfer (RET) assay of HIV-1 envelope-mediated membrane fusion. Moreover, this assay is used to identify non-chemokines, including fragments of chemokines and modified chemokines, that inhibit HIV-1 envelope glycoprotein-mediated membrane fusion and thereby neutralize the virus, yet do not induce an inflammatory response.

CA 022~0829 1998-10-01 W 097137005 PCTrUS97/05597 Sulunary of the Invention This invention provides a method for inhibiting fusion of HIV-l to CD4t cells which comprises contacting CD4t cells with a non-chemokine agent capable of binding to a chemokine receptor in an amount and under conditions such that fusion of HIV-1 to the CD4+ cells is inhibited.

This invention also provides a method for inhibiting HIV-1 infection of CD4tcells which comprises contacting CD4+ cells with a non-chemokine agent capable of binding to a chemokine receptor in an amount and under conditions such that fusion of HIV-1 to the CD4+ cells is inhibited, thereby inhibiting the HIV-1 infection.

This invention further provides non-chemokine agents capable of binding to the chemokine receptor and inhibiting fusion of HIV-1 to CD4~ cells.

This invention provides an agent which is capable of binding to fusin and inhibiting infection. In an embodiment, the agent is an oligopeptide. In another embodiment, the agent is an polypeptide. In still another embodiment, the agent is an antibody or a portion of an antibody. In a separate embodiment, the agent is a nonypeptidyl agent.
In addition, this invention provides pharmaceutical compositions comprising an amount of the above non-chemokine agents or agents capable of binding to fusin effective to inhibit fusion of HIV-1 to CD4~ cells and a pharmaceutically acceptable carrier.

This invention provides a composition of matter capable of binding to the chemokine receptor and inhibiting fusion of HIV-1 to CD4t cells comprising a non-chemokine agent linked to a ligand capable of binding to a cell surface receptor of CA 022~0829 1998-10-01 W O 97/37005 PCT~US97/05~97 the CD4+ cells other than the chemokine receptor such that the binding of the non-chemokine agent to the chemokine receptor does not prevent the binding of the ligand to the other receptor.

This invention also provides a pharmaceutical composition comprising an amount of the above-described composition of matter effective to inhibit fusion of HIV-1 to CD4+ cells and a pharmaceutically acceptable carrier.
This invention provides a composition of matter capable of binding to the chemokine receptor and inhibiting fusion of HIV-1 to CD4- cells comprising a non-chemokine agent linked to a compound capable of increasing the in vivo half-life of the non-chemokine agent.

This invention also provides a pharmaceutical composition comprising an amount of a composition of matter comprising a non-chemokine agent linked to a compound capable of increasing the in vivo half-life of the non-chemokine agent effective to inhibit fusion of HIV-1 to CD4+ cells and a pharmaceutically acceptable carrier.

This invention provide methods for reducing the likelihood of HIV-1 infection in a subject comprising administering an above-described pharmaceutical composition to the subject.
This invention also provides methods for treating HIV-1 infection in a subject comprising administering an above-described pharmaceutical composition to the subject.
This invention also provides methods for determining whether a non-chemokine agent is capable of inhibiting the fusion of HIV-1 to a CD4+ cell which comprise: (a) contacting (i) a CD4~ cell which is labeled with a first dye and ~ii) a cell expressing the HIV-1 envelope glycoprotein on its surface CA 022~0829 1998-10-01 W O 97/37005 PCT~US97/05597 which is labeled with a second dye, in the presence of an excess of the agent under conditions permitting the fusion of the CD4t cell to the cell expressing the HIV-1 envelope glycoprotein on its surface in the absence of the agent, the first and second dyes being selected so as to allow resonance energy transfer between the dyes; (b) exposing the product of step (a) to conditions which would result in resonance energy transfer if fusion has occurred; and (c) determining whether there is a reduction of resonance energy transfer, when compared with the resonance energy transfer in the absence of the agent, a decrease in transfer indicating that the agent is capable of inhibiting fusion of HIV-1 to CD4+ cells.

CA 022~0829 1998-10-01 W O 97/3700~ PCTrUS97/0~597 Brief Description of the Fiqures Figure 1. Membrane fusion mediated by the HIV- 1~ FL envelope glycoprotein is inhibited by RANTES, MIP-1~ and MIP-l~.

~RET resulting from the fusion of PM1 cells and HeLa-env~RFL t-) or HeLa-envLAI (-) was measured in the presence and absence of recombinant human chemokines at a range of concentrations: RANTES
(80 - 2.5 ng/ml), MIP-1~ (400 - 12.5 ng/ml) and MIP-1~ (200 - 6.25 ng/ml), as indicated.
Chemokines were added simultaneously with the cells at the initiation of a four hour incubation. Data are representative of more than three independent experiments which were run in duplicate. The percent inhibition of RET is defined as follows:

% Inhibition = 100 . [(Max RET - Min RET) - (Exp RET- Min RET)]/(Max RET - Min RET) where Max RET is the ~RET value obtained at four hours with HeLa-env cells and CD4-expressing cells in the absence of an inhibitory compound;
Exp RET is the ~RET value obtained for the same cell combination in the presence of an inhibitory compound and Min RET is the background ~RET value obtained using HeLa cells in place of HeLa envelope-expressing cells.

Figure 2. CD4:HIV-1 gpl20 binding in the pre~ence of human chemokines.

The binding of soluble human CD4 to HIV- 1~AI and CA 022~0829 1998-10-01 W 097/37005 PCTrUS97/05597 HIV-lJ,,FL gpl20 was determined in an ELISA assay in the presence and absence of the monoclonal antibody OKT4A or recombinant human chemokines at a range of concentrations, identical to those used in the R~T inhibition studies of Figure 1:
OKT4A (62 - 0.3 nM), RANTES (10.3 - 0.3 nM), MIP-lc~ (53.3 - 2.9 nM), and MIP-1~ (25.6 - 0.8 nM). Inhibitors were added simultaneously with biotinylated HIV-1 gpl20 to soluble CD4 coated microtiter plates (Dynatech Laboratories, Inc., Chantilly, VA). Following a two hour incubation at room temperature and extensive washing, an incubation with streptavidin-horseradish peroxidase was performed for one hour at room temperature. Following additional washes, substrate was added and the OD at 492 nm determined in an ELISA plate reader. Data are representative of two independent experiments which were run in quadruplicate.
Figure 3. Specificity. time course and stage of ~-chemokine inhibition of HIV-l replication.

(a) PM1 cells (1 x106) were preincubated with RANTES + MIP- 1~ + MIP-1~ (R/M~/M~; 100ng/ml of each) for 24h (-24h) or 2h (-2h), then washed twice with phosphate buffered saline (PBS). HIV-1 (BaL env-complemented) virus (50ng of p24; see legend to Table 1) was added for 2h, then the cells were washed and incubated for 48h before measurement of luciferase activity in cell lysates as described previously (10,11).
Alternatively, virus and R/M~/M~ were added simultaneously to cells, and at the indicated time points (lh, 3h, etc) the cells were washed CA 022~0829 1998-10-01 twice in PBS, resuspended in culture medium and incubated for 48h prior to luciferase assay.
Time 0 represents the positive control, to which no i~-chemokines were added. +2h represents the mixture of virus with cells fo~r 2h prior to washing twice in PBS, addition of R/Mo~/Mi~ and continuation of the culture for a further 48h before luciferase assay.

(b) PM1 cells (lx106) were infected with HIV-1 (500pg p24) grown in CEM cells (NL4/3; lanes 1-4) or macrophages (ADA; lanes 5-8), in the presence of 500ng/ml of RANTES (lanes 1 and 5) or MIP~
(lanes 2 and 6), or with no ~-chemokine (lanes 4 and 8). Lanes 3 and 7 are negative controls (no virus). All viral stocks used for the PCR assay were treated with DNAse for 30 min at 37~C, and tested for DNA contamination before use. After 2h, the cells were washed and resuspended in medium containing the same i~-chemokines for a further 8h. DNA was then extracted from infected cells using a DNA/RNA isolation kit (US
Biochemicals). First round nested PCR was p e r f o rme d w i t h p r i me r s: U 3 +, 5'-CAAGGCTACTTCCCTGATTGGCAGAACTACACACCAGG-3'(SEQ
ID NO:1) preGag, 5'-AGCAAGCCGAGTCCTGCGTCGAGAG-3' (SEQ ID NO:2) and the second round with primers: LTR-test, 5'-GGGACTTTCCGCTGGGGACTTTC 3'(SEQ ID NO :3) LRC2, 5'-CCTGTTCGGGCGCCACTGCTAGAGATTTTCCAC 3' ~SEQ ID
NO:4) in a Perkin Elmer 2400 cycler with the following amplification cycles: 94~C for 5 min, 35 cycles of 94~C for 30s, 55~C for 30s, 72~C for 30s, 72'C for 7 min. M indicates lkb DNA ladder; 1, 10, 100, 1000 indicate number of reference CA 022~0829 l998-lO-Ol W O 97/37005 PCTrUS97/05597 plasmid (pAD8) copies. The assay can detect 100 copies of reverse transcripts.

Figure 4: HIV-1 env-mediated membrane fusion of cells transiently expressing C-C CXR-5.

Membrane fusion mediated by ~-chemokine receptors expressed in HeLa cells was demonstrated as follows: Cells were transfected with control plasmid pcDNA3.1 or plasmid pcDNA3.1 -CKR
constructs using lipofectin (Gibco BRL~. The pcDNA3.1 plasmid carries a T7-polymerase promoter and transient expression of ~-chemokine receptors was boosted by infecting cells with lx107 pfu of vaccinia encoding the T7-polymerase (vFT7.3) 4h post-lipofection (9). Cells were then cultured overnight in R18-containing media and were tested for their ability to fuse with HeLa-JR-FL cells (filled columns) or HeLa-BRU cells (hatched column) in the RET assay. The %RET with control HeLa cells was between 3% and 4~ irrespective of the transfected plasmid.

Figure 5 Membrane fusion mediated by the HIV~I envelope glycoprotein is inhibited by SDF-1.

% RET resulting from the fusion of PM1 cells and HeLa-env~RFL or HeLa-envL~I cells (as indicated on the graph) was measured in the presence of recombinant SDF-l~(Gryphon Science, San Francisco) at the indicated concentrations.
Experimental method as described in the legend to Fig. 1.

CA 022~0829 1998-10-01 W097/3700S PCT~US97/05597 Detailed DescriPtion of the Invention This invention provides a method for inhibiting fusion of HIV-1 to CD4+ cells which comprises contacting CD4~ cells with a non-chemokine agent capable of binding to a chemokine receptor in an amount and under conditions such that fusion of HIV-1 to the CD4+ cells is inhibited.

This invention also provides a method for inhibiting HIV-l infection of CD4+cells which comprises contacting CD4+ cells with a non-chemokine agent capable of binding to a chemokine receptor in an amount and under conditions such that fusion of HIV-1 to the CD4+ cells is inhibited, thereby inhibiting the HIV-1 infection.

In this invention, a chemokine means RANTES, MIP~ , MIP-1-~ or another chemokine which blocks HIV-1 infection. A
chemokine receptor means a receptor capable of binding RANTES, MIP-1-~, MIP-1-~ or another chemokine which blocks HIV-l infection.
Throughout this application, the receptor "fusin" is also named CXCR4 and the chemokine receptor C-C CKR5 is also named CCR5.

The HIV-1 used in this application unless specified will mean clinical or primary or field isolates or HIV-1 viruses which maintain their clinical characteristics. The HIV-l clinical isolates may be passaged in primary peripheral blood mononuclear cells. The HIV-l clinical isolates may be macrophage-trophic.

The non-chemokine agents of this invention are capable of binding to chemokine receptors and inhibiting fusion of HIV-l to CD4+ cells. The non-chemokine agents include, but are not limited to, chemokine fragments and chemokine CA 022~0829 1998-10-01 W097l37005 PCT~S97/05597 derivatives and analogues, but do not include naturally occurring chemokines. The non-chemokine agents include multimeric forms of the chemokine fragments and chemokine derivatives and analogues or fusion molecules which contain chemokine fragments, derivatives and analogues linked to other molecules.

In an embodiment of this invention, the non-chemokine agent is an oligopeptide. In another embodiment, the non-chemokine agent is a polypeptide. In still anotherembodiment, the non-chemokine agent is an antibody or a portion thereof. Antibodies against the chemokine receptor may easily be generated by routine experiments. It is also within the level of ordinary skill to synthesize fragments of the antibody capable of binding to the chemokine receptor. In a further embodiment, the non-chemokine agent is a nonpeptidyl agent.

Non-chemokine agents which are purely peptidyl in composition can be either chemically synthesized by solid-phase methods (Merrifield, 1966) or produced using recombinant technology in either prokaryotic or eukaryotic systems. The synthetic and recombinant methods are well known in the art.
Non-chemokine agents which contain biotin or other nonpeptidyl groups can be prepared by chemical modification of synthetic or recombinant chemokines or non-chemokine agents. One chemical modification method involves periodate oxidation of the 2-amino alcohol present on chemokines or non-chemokine agents possessing serine or threonine as their N-terminal amino acld (Geophegan and Stroh, 1992). The resulting aldehyde group can be used to link peptidyl or non-peptidyl groups to the oxidized chemokine or non-chemokine agent by reductive amination, hydrazine, or other CA 022~0829 1998-10-01 WO97l37005 PCT~S97/05597 chemistries well known to those skilled in the art.

As used herein, a N-terminus of a protein should mean the terminus of the protein after it has been processed. In case of a secretory protein which contains a cleavable signal sequence, the N-terminus of a secretory protein should be the terminus after the cleavage of a signal peptide.

This invention provides a method of identifying these non-chemokine agents. One way of identifying such agents, including non-peptidyl agents, that bind to a chemokine receptor and inhibit fusion of HIV-1 to CD4~ cells is to use the following assay: 1) Incubate soluble CD4 with biotinylated gpl20 from HIV-lJRFL or HIV-lLAI; 2) Incubate this complex with CCR5 or CXCR4 -expressing cells (for HIV-1JR-FL or HIV-lLAI gpl20s, respectively) that do not express CD4, in the presence of absence of a candidate inhibitor; 3) Wash and then incubate with streptavidin-phycoerythrin; and 4) Wash and then measure the amount of bound gpl20 using a flow cytometer or fluorometer and calculate the degree of inhibition of binding by the inhibitor.

Alternative methods to detect bound gpl20 can also be used in place of the biotinylated gpl20-streptavidin-phycoerythrin method described above. For example, peroxidase-conjugated gpl20 could be used in place of the biotinylated gpl20 and binding detected using an appropriate colorimetric substrate for peroxidase, with a spectrometric readout.

This invention further provides the non-chemokine agents identified by the above methods.

CA 022~0829 1998-10-01 W097l37005 PCT~S97/05597 This invention provides a non-chemokine agent capable of binding to the chemokine receptor and inhibiting fusion of HIV-1 to CD4+ cells. In an embodiment, the non-chemokine is a polypeptide. In a further embodiment, this polypeptide is a fragment of the chemokine RANTES (Gong et al., 1996). In a still further embodiment, the polypeptide may also comprise the RANTES sequence with deletion of the N-terminal amino acids of said sequence. The deletion may be the first eight N-terminal amino acids of the RANTES sequence (SEQ ID
NO:5).

In a separate embodiment, the polypeptide may comprise the MIP-1~ sequence with deletion of the N-terminal amino acids of said sequence. The deletlon may be the first seven, eight, nine or ten N-terminal amino acids of the MIP-1 sequence.

In another embodiment of non-chemokine agent, the polypeptide comprises the MIP-1~ sequence with the N-terminal sequence modified by addition of an amino acid oroligopeptide. In a separate embodiment, the polypeptide comprises the MIP-1~ sequence with the N-terminal sequence modified by removing the N-terminal alanine and replaced it by serine or threonine and additional amino acid or oligopeptide or nonpeptidyl moiety. In a further embodiment, the additional amino acid is methionine.

As described infra in the section of Experimental Details, a cofactor for HIV-1 fusion and entry was identified and designated "fusin" ~Feng et al., 1996). This invention provides an agent which is capable of binding to fusin and inhibiting infection. In an embodiment, the agent is an oligopeptide. In another embodiment, the agent is an polypeptide.

CA 022~0829 1998-10-01 In a further embodiment, the polypeptide comprises SDF-1 with deletion of the N-terminal amino acids of said sequence. The deletion may be the first six, seven, eight, or nine N-terminal amino acids of the SDF-l sequence.

This invention also provides the above non-chemokine agent, wherein the polypeptide comprises SDF-1 sequence with the N-terminal sequence modified to produce antagonistic effect to SDF-1. One modification is to replace the N-terminal glycine of SDF-1 by serine and derivatized with biotin.
Another modification is to replace the N-terminal glycine of SDF-1 by serine and derivatized with methionine. A further modification is to add the N-terminus of SDF-1 with a methionine before the terminal glycine.
In still another embodiment, the agent is an antibody or a portion of an antibody. In a separate embodiment, the agent is a nonpeptidyl agent.

The agents capable of binding to fusin may be identified by screening different compounds for their capability to bind to fusin in vitro.

A suitable method has been described by Fowlkes, et al.
(1994), international application number: PCT/US94/03143, international publication number: WO 94/23025, the content of which is incorporated by reference into this application.
Briefly, yeast cells having a pheromone system are engineered to express a heterologous surrogate of a yeast pheromone system protein. The surrogate incorporates fusin and under some conditions performs in the pheromone system of the yeast cell a function naturally performed by the corresponding yeast pheromone system protein. Such yeast cells are also engineered to express a library of peptides whereby a yeast cell containing a peptide which binds fusin CA 022~0829 1998-10-01 W097/37005 PCT~S97/05S97 exhibits modulation of the interaction of surrogate yeast pheromone system protein wlth the yeast pheromone system and this modulation is a selectable or screenable event.
Similar approaches may be used to identify agents capable of binding to both fusin and the chemokine receptor C-C CKR-5.

This invention also provides pharmaceutical compositions comprising an amount of such non-chemokine agents or agents capable of binding to fusin effective to inhibit fusion of HIV-1 to CD4t cells and a pharmaceutically acceptable carrier.

Pharmaceutically acceptable carriers are well known to those skilled in the art. Such pharmaceutically acceptable carriers may be aqueous or non-aqueous solutions, suspensions, and emulsions. Examples of non-aqueous solvents are propylene glycol, polyethylene glycol, vegetable oils such as olive oil, and injectable organic esters such as ethyl oleate. Aqueous carriers include water, alcoholic/aqueous solutions, emulsions or suspensions, saline and buffered media. Parenteral vehicles include sodium chloride solution, Ringer's dextrose, dextrose and sodium chloride, lactated Ringer's or fixed oils. Intravenous vehicles include fluid and nutrient replenishers, electrolyte replenishers such as those based on Ringer's dextrose, and the like. Preservatives and other additives may also be present, such as, for example, antimicrobials, antioxidants, chelating agents, inert gases and the like.
This invention provides a composition of matter capable of binding to the chemokine receptor and inhibiting fusion of HIV-1 to CD4+ cells comprising a non-chemokine agent linked to a ligand capable of binding to a cell surface receptor of the CD4t cells other than the chemokine receptor such that CA 022~0829 1998-10-01 W097/37005 PCT~S97/0~597 the binding of the non-chemokine agent to the chemokine receptor does not prevent the binding of the ligand to the other receptor. In an embodiment, the cell surface receptor is CD4. In another embodiment, the ligand is an antibody or a portion of an antibody.

This invention also provides a pharmaceutical composition comprising an amount of an above-described composition of matter effective to inhibit fusion of HIV-1 to CD4+ cells and a pharmaceutically acceptable carrier.

This invention provides a composition of matter capable of binding to the chemokine receptor and inhibiting fusion of HIV-1 to CD4- cells comprising a non-chemokine agent linked to a compound capable of increasing the in vivo half-life of the non-chemokine agent. In an embodiment, the compound is polyethylene glycol.

This invention also provides a pharmaceutical composition comprising an amount of a composition of matter comprising a non-chemokine agent linked to a compound capable of increasing the in vivo half-life of the non-chemokine agent effective to inhibit fusion of HIV-1 to CD4+ cells and a pharmaceutically acceptable carrier.
This invention provide methods for reducing likelihood of HIV-1 infection in a subject comprising administering the above-described pharmaceutical compositions to the subject.
This invention also provides methods for treating HIV-1 infection in a subject comprising administering the above-described pharmaceutical compositions to the subject.

This invention also provides methods for determining whether a non-chemokine agent is capable of inhibiting the fusion of HIV-1 to a CD4t cell which comprise: (a) contacting (i) a CA 022~0829 1998-10-01 WO97/37005 PCT~S97/05597 CD4+ cell which is labeled with a first dye and (ii) a cell expressing the HIV-1 envelope glycoprotein on its surface which is labeled with a second dye, in the presence of an excess of the agent under conditions permitting the fusion of the CD4+ cell to the cell expressing the HIV-1 envelope glycoprotein on its surface in the absence of the agent, the first and second dyes being selected so as to allow resonance energy transfer between the dyes; (b) exposing the product of step (a) to conditions which would result in resonance energy transfer if fusion has occurred; and (c) determining whether there is a reduction of resonance energy transfer, when compared with the resonance energy transfer in the absence of the agent, a decrease in transfer indicating that the agent is capable of inhibiting fusion of HIV-1 to CD4- cells.

HIV-l only fuses with appropriate CD4+ cells. For example, laboratory-adapted T lymphotropic HIV-1 strains fuse with most CD4+ human cells. Clinical HIV-1 isolates do not fuse with most transformed CD4+ human cell lines but do fuse with human primary CD4+ cells such as CD4+ T lymphocytes and macrophages. Routine experiments may be easily performed to determine whether the CD4+ cell is appropriate for the above fusion assay.
As described in this invention, HIV-1 membrane fusion is monitored by a resonance energy transfer assay. The assay was described in the International Application Number, PCT/US94/14561, filed December 16, 1994 with International Publication Number WO 95/16789. This assay is further elaborated in a United States co-pending application no.
08/475,515, filed June 7, 1995. The contents of these applications are hereby incorporated by reference into this application.

CA 022~0829 1998-10-01 W O 97/37005 PCT~US97105597 In an embodiment of the above method, the non-chemokine agent is an oligopeptide. In another embodiment, the non-chemokine agent is a polypeptide. In still another embodiment, the agent is an antibody or a portion thereof.
In a further embodiment, the non-chemokine agent is a nonpeptidyl agent.

In a separate embodiment, the CD4+ cell is a PM1 cell. In another embodiment, the cell expressing the HIV-1 envelope glycoprotein is a HeLa cell expressing HIV-l~RFL gpl20/gp41.

This invention will be better understood by reference to the Experimental Details which follow, but those skilled in the art will readily appreciate that the specific experiments detailed are only illustrative of the invention as described more fully in the claims which follow thereafter.

CA 022~0829 1998-10-01 W O 97/37005 PCTrUS97/05597 Experimental Details FIRST SERIES OF EXP~TM~TS
1) Chemokines inhibit fusion mediated by the envelope qlyco~rotein from a macrophaqe-tropic Primary isolate of HIV-1 but not from a laboratory-adapted T-lymphotrophic strain of the virus The chemokines RANTES, MIP-1~ and MIP-1~ were obtained from R & D systems (Minneapolis, MN). They were tested in the RET assay for ability to inhibit fusion between HeLa-env~RFL
cells (expressing gpl20/gp41 from the macrophage tropic isolate HIV-lJRFL) and PM1 cells, or for inhibition of fusion between HeLa-env~I cells (expressing gpl20/gp41 from the laboratory-adapted strain HIV-l~I) and various CD4+ T
lymphocyte cell lines. As shown in Figure 1, all three chemokines inhibited fusion mediated by the macrophage tropic virus envelope glycoprotein, but not that mediated by the laboratory-adapted strain envelope glycoprotein.

The ability of the chemokines to block the interaction between CD4 and HIV-1 gpl20 which occurs at virus attachment was then tested. It was found that the chemokines did not inhibit this interaction ~Figure 2), demonstrating that their blockade of HIV-1 envelope glycoprotein-mediated membrane fusion occurs at the membrane fusion event itself, rather than the initial CD4-gpl20 interaction which precedes fusion.

2) Non-chemokine pe~tides and derivatives that inhibit HIV-1 fusion The non-chemokines include chemokine fragments and chemokine derivatives that are tested in the RET assay to determine which are active in inhibiting HIV-1 membrane fusion.
Particular attention is focused on fragments or derivatives CA 022~0829 1998-10-01 WO97/37005 PCT~S97/05597 that inhibit HIV-1 fusion but do not activate leukocyte responses. These non-chemokines include:

a) N-terminal derivatives of the chemokines. Addition of residues to the N-terminus of chemokines inhibits the function of these proteins without significantly reducing their ability to bind chemokine receptors. For example, Met-RANTES (RANTES with an N-terminal methionine) has been shown to be a powerful antagonist of native RANTES and is unable to induce chemotaxis or calcium mobilization in certain systems. The mechanism of antagonism appears to be competition for receptor binding t9). Similar results were found using other derivatives of the N terminus of RANTES(9) and also by N-terminal modification of other chemokines, such as IL-8 (a member of the C-X-C chemokines) ~10). The current invention includes Met-RANTES and other chemokines derivatised by the addition of methionine, or other residues, to the N-terminus so that they inhibit fusion mediated by the envelope glycoprotein of HIV-l~FL, and inhibit infection by many isolates of HIV-1, yet do not activate the inflammatory response.

b) Chemokines with N-terminal amino acids deleted:
Chemokine antagonists have been generated by deleting amino acids in the N-terminal region. For example, deletion of up to 8 amino acids at the N-terminus of the chemokine MCP-1 (a member of the C-C chemokine group), ablated the bioactivity of the protein while allowing it to retain chemokine receptor binding and the ability to inhibit activity of native MCP-1 (11,12).

The current invention includes N-terminal deletants of RANTES, MIP-1~ and MIP-1~, lacking the biological activity of the native proteins, which inhibit HIV-1 fusion and HIV-1 infection.

CA 022~0829 1998-10-01 WO97/3700S PCT~S97/05597 c) Other peptides: A series of overlapping peptides (e.g. of 20-67 residues) from all regions of RANTES, MIP-l~ and MIP-l~ are screened by the same approaches to identify peptides which inhibit HIV-l fusion most potently without activating leukocytes. Activation of leukocyte responses is measured following routine procedures (9, 10, 11, 12).

3) Cloninq the chemokine receptors Chemokine receptors required for HIV-l fusion are cloned by the following strategy. First a cDNA library is made in a mammalian expression vector (e.g. pcDNA3.1 from Invitrogen Corp. San Diego, CA) using mRNA prepared from the PMl cell line or CD4+ T-lymphocytes or macrophages. Degenerate oligonucleotide probes are used to identify members of the cDNA library encoding members of the chemokine receptor family, for example following previously published methods (2). The vectors containing chemokine receptor cDNAs are then individually expressed in one of several mammalian cell lines which express human CD4 but do not fuse with HeLa-env~FL cells (e.g. HeLa-CD4, CHO-CD4 or COS-CD4) or HeLa-envLAI cells (e.g. CHO-CD4 or COS-CD4). Following analysis in the RET assay, clones which gain the ability to fuse with HeLa-env~FL or HeLa-env~I are identified and the coding sequences recovered, for example by PCR
amplification, following procedures well known to those skilled in the art. DNA sequencing is then performed to determine whether the cDNA recovered encodes a known chemokine receptor. Following expression of the receptor, monoclonal and polyclonal antibodies are prepared and tested for ability to inhibit infection by a panel of HIV-l isolates.

CA 022~0829 1998-10-01 W097/37005 PCT~S97/05597 References of the ~irst Series of ExPeriments 1. Cocchi, F., DeVico, A. L., Garzino-Demo, A., Arya, S.
K., Gallo, R. C., Lusso, P. 1995. Science. 270:1811-1815.

2. Raport, C. J., Schweickart, V. L., Chantry, D., Eddy Jr., R. L., Shows, T. B., Godiska, R., Gray, P. W.
1996. Journal of Leukocyte Biology. 59: 18-23.
3. Maddon PJ., Dalgleish AG., McDougal JS., Clapham PR., Weiss RA., Axel R. 1986. Cell. 47:333-348.

4. Ashorn PA., Berger EA., Moss B. 1990. J. Virol.
64:2149-2156.

5. Clapham PR., Blanc D., Weiss RA. 1991. Virology.
181:703-715.

6. Harrington RD., Geballe AP. 1993. J. Virol.
67:5939-5947.

7. Broder CC., Dimitrov DS., Blumenthal R., Berger EA.
1993. Virology. 193:483-491.

8. Dragic T., Charneau P., Clavel F., Alizon M. 1992. J.
Virol. 66:4794-4802.

9. Wells, T. N., Power, C. A., Lusti-Narasimhan, M., Hoogewerf, A. J., Cooke, R. M., Chung, C. W., Peitsch, M. C., Proudfoot, A. E. 1996. Journal of Leukocyte Biology. 59:53-60.

. 10. Moser, B., Dewald, B., Barella, L., Schumacher, C., Baggiolini, M., Clark-Lewis, I. 1993. Journal of W097l37005 PCT~S97/OS597 Biological Chemistry. 268:7125-7128.

11. Gong, J. H., Clark-Lewis, I. 1995. J. Exp. Med.
181:631-640.

12. Zhang, Y. J., Rutledge, B. J., Rollins, B. J. 1994.
Journal of Biological Chemistry. 269:15918-15924.

13. Merrifield, R.B.(1963) ~. Am. Chem. Soc. 85: 2149-2154.
14. Goeghegan, K.F. Stroh, J.F. (1992) Bioconjugate Chem.
3: 138-146.

CA 022~0829 1998-10-01 W O 97/37005 PCTAUS97/0~597 SECOND SERIES OF EXP~TM~TS
The replication of primary, non-syncytium-inducing (NSI) HIV-1 isolates in CD4+ T-cells is inhibited by the C-C
$-chemokines MIP-1~, MIP-1$ and RANTES (1,2), but T-cell line-adapted (TCLA) or syncytium-inducing (SI) primary strains are insensitive (2,3). The $-chemokines are small (8kDa), related proteins active on cells of the lymphoid and monocyte lineage (4-8). Their receptors are members of the 7-membrane-spanning, G-protein-linked superfamily, one of which (the LESTR orphan receptor) has been identified as the second receptor for TCLA HIV-l strains, and is now designated fusin (9). Fusin is not known to be a $-chemokine receptor (7-9).

To study how $-chemokines inhibit HIV-1 replication, a virus entry assay based on single-cycle infection by an env-deficient virus, NL4/3~env (which also carries the luciferase reporter gene), complemented by envelope glycoproteins expressed in trans was used (10,11). Various env-complemented viruses were tested in PM1 cells, a variant of HUT-78 that has the unique ability to support replication of primary and TCLA HIV-1 strains, allowing comparison of envelope glycoprotein functions against a common cellular background (2,12). MIP-1~, MIP-1$ and RANTES are most active against HIV-1 in combination (2,3), and strongly inhibited infection of PM1 cells by complemented viruses whose envelopes are derived from the NSI primary strains ADA and BaL (Table la).

CA 022~0829 1998-10-01 W097/37005 PCT~S97/05597 Table 1: Inhibition of HIV-l entry in PMl cells and CD4' T-cells ~y $-chemokine % luciferase activity BaL ADA NL4/3 HxB2 MuLV
a) PM1 cells control without virus 2 2 2 5 3 control with virus 100 100 100 lOO 100 +R/M~/M~ (50/50/50) 2 3 92 117 100 +RANTES (100) 1 1 nd nd nd +MIP-1~(100) 54 54 nd nd nd +MIP-lg (100) 1 6 nd nd nd +MCP-1 (100) 46 50 nd nd nd +MCP-2 (100) 28 26 nd nd nd +MCP-3 (100) 58 46 nd nd nd b ) JR - FL HxB2 MuLV
LW4 CD4~ T-cells control without virus control with virus 100 100 100 +R/M~/M~ (200/200/200) 14 68 nd LW5 CD4t T-cells control wlthout virus control with virus 100 100 100 +R/M~/M~ (200/200/200) 15 73 nd Table 1 legend:
PMl cells were cultured as described by Lusso et al (12).
Ficoll/hypa~ue-isolated PBMC from laboratory workers (LW) stimulated with PHA for 72h before depletion of CD8+
Lymphocytes with anti-CD8 immunomagnetic beads (DYNAL, Great 5 Neck, NY). CD4+ Lymphocytes were maintained in culture medium containing interleukin-2 (loou/mli Hofmann LaRoche, Nutley, N~), as described previously (3). Target cells (1-2x105) were infected with supernatants (10-50ng of HIV-1 p24) from 293-cells co-transfected with an NL4/3~env-luciferase vector and a HIV-l env-expressing vector (10,11). ~-Chemokines (R & D Systems, Minneapolis) were added to the target cells simultaneously with virus, at the final concentrations (ng/ml) indicated in parentheses in the first column. The ~-chemokine concentration range was CA 022~0829 1998-10-01 W O 9713700~ PCTrUS97/05597 selected based on prior studies (2,3). After 2h, the cells were washed twice with PBS, resuspended in ~-chemokine-containing media and maintained for 48-96h.
~uciferase activity in cell lysates was measured as described previously (10,11). The values indicated represent luciferase activity (cpm)/ng p24/mg protein, expressed relative to that in virus-control cultures lacking ~-chemokines (100~), and are the means of duplicate or sextuplicate determinations. nd, not done. R/M~/M~, RANTES
+ MIP-lo~ + MIP-1$.

RANTES and MIP-1~ were strongly active when added individually, while other ~-chemokines - MlP-1~, MCP-1, MCP-2 and MCP-3 (refs. 13-15) - were weaker inhibitors (Table la). However, MIP-1~, MIP-1~ and RANTES, in combination, did not inhibit infection of PM1 cells by the TCLA strains NL4/3 and HxB2, or by the amphotropic murine leukemia virus (MuLV-Ampho) pseudotype (Table la). Thus, phenotypic characteristics of the HIV-1 envelope glycoproteins influence their sensitivity to ~-chemokines in a virus entry assay.

The env-complementation assay was used to assess HIV-1 entry intc CD4+ T-cells from two control individuals (LW4 and LW5). MIP-1~, MIP-1~ and RANTES strongly inhibited infection by the NSI primary strain JR-FL infection of LW4's and LW5's CD4+ T-cells, and weakly reduced HxB2 infection of LW cells ~Table lb), suggesting that there may be some overlap in receptor usage on activated CD4+ T-cells by dif_erent virus strains. BaL env-mediated replication in normal PBL was also inhibited by MIP-1~, MIP-1~ and RANTES, albeit with significant inter-donor variation in sensitivity (da.a not shown).

It was determined when ~-chemokines inhibited HIV-1 CA 022~0829 1998-10-01 replication by showing that complete inhibition of infection of PM1 cells required the continuous presence of ~-chemokines for up to 5h after addition of ADA or BaL
env-complemented virus (Fig.3a). Pre-treatment of the cells with ~-chemokines for 2h or 24h prior to infection had no inhibitory effect if the cells were subsequently washed before virus addition. Furthermore, adding ~-chemokines 2h after virus only minimally affected virus entry (Fig.3a). A
PCR-based assay was next used to detect HIV-1 early DNA
0 reverse transcripts in PM1 cells after 10h of infection;
reverse transcription of ADA, but not of NL4/3, could not be detected in the presence of MIP-1~ and RANTES (Fig.3b).
Thus, inhibition by ~-chemokines requires their presence during at least one of the early stages of HIV-1 replication: virus attachment, fusion and early reverse transcription.

As described in part in the First Series of Experiments, these sites of action were discriminated, first by testing whether ~-chemokines inhibited binding of JR-FL or BRU (LAI) gpl20 to soluble CD4, or of tetrameric CD4-IgG2 binding to HeLa-JR-FL cells expressing oligomeric envelope glycoproteins (17). No inhibition by any of the ~-chemokines was found in either assay, whereas the OKT4a CD4-MAb was strongly inhibitory in both (Fig. 2 and data not shown). Thus, ~-chemokines inhibit a step after CD4 binding, when conformational changes in the envelope glycoproteins lead to fusion of the viral and cellular membranes (18).
Cell-cell membrane fusion is also induced by the gpl20-CD4 interaction, and can be monitored directly by resonance energy transfer (RET) between fluorescent dyes incorporated into cell membranes (17). In the RET assay, OKT4a completely inhibits membrane fusion of PM1 cells with HeLa cells expressing the envelope glycoproteins of either JR-FL
(HeLa-JR-FL, the same cell line referred to above as HeLa-CA 022~0829 1998-10-01 envJRFL) or BRU (HeLa-BRU, the same cell line referred to above as HeLa-env~I), con~irming the specificity of the process (17). RANTES, MIP-1~ (and to a lesser extent, MIP-1~) strongly inhibited membrane fusion of HeLa-JR-FL
cells with PM1 cells, whereas fusion between PM1 cells and HeLa-BRU cells was insensitive to these ~-chemokines (Fig.
1 and Table 2a).
Table 2:Effect of ~-chemokines on HIV-l envelope glycoprotein-mediated membrane fusion measured using the RET assay % Fusion HeLa-JR-FL HeLa-BRU
a)PM1 cells no chemokines 100 100 +R/M~/M~ (80/400/100) 1 95 +RANTES (80) 8 100 +MIP-1~ (400) 39 100 +MIP-1~ (100) 13 93 +MCP-1 (100) 99 98 +MCP-2 (100) 72 93 +MCP-3 (100) 98 99 b) LW5 CD4+ cells no chemokines 100 100 +R/M~/M~(106/533/133) 39 100 +RANTES (106) 65 95 +MIP-1~ (533) 72 100 +MIP-1~ (133) 44 92 +OKT4A (3ug/ml) 0 0 Table 2 legend:
CD4+ target cells (mitogen-activated CD4+ lymphocytes or PM1 cells) were labeled with octadecyl rhodamine (Molecular Probes, Eugene, OR), and HeLa-~R-FL cells, HeLa-BRU cells (or control HeLa cells, not shown) were labeled with octadecyl fluorescein (Molecular Probes), overnight at 37~C.
Equal numbers of labeled target cells and env-expressing cells were mixed in 96-well plates and $-chemokines (or CD4 MAb OKT4a) were added at the final concentrations (ng/ml) indicated in parentheses in the first column. ~luorescence emission values were determined 4h after cell mixing (17).

CA 022~0829 1998-10-01 W097l37005 PCT~S97/05597 If cell fuslon occurs, the dyes are closely associated in the conjoined membrane such that excitation of fluorescein at 450nm results in resonance energy transfer (~ET) and emission by rhodamine at 590nm. Percentage fusion is defined as equal to lO0 x [(Exp RET - Min RET) / (Max RET - Min RET)], where Max RET = ~RET obtained when HeLa-~nv and CD4+
cells are mixed, Exp ~ET = ~RET obtained when HeLa-Env and CD4+ cells are mixed in the presence of fusion-inhibitory compounds, and Min RET = ~RET obtained w~en HeLa cells (lacking HIV-1 envelope glycoproteins) and CD4+ cells are mixed. The ~RET value is defined by a calculation described elsewhere(17i, and each is the mean of triplicate determinations. These values were, for HeLa-JR-FL and HeLa-BRU cells respectively: PM1 cells 11.5~, 10.5~; LW5 CD4~ cells, 6.0~, 10.5~; R/M~/M~, RANTES + MIP-1~ + MIP-1$.

Similar results were obtained with primary CD4+ T-cells from LW5 (Table 2b), although higher concentrations of ~-chemokines were required to inhibit membrane fusion in the primary cells than in PMl cells. Thus, the actions of the ~-chemokines are not restricted to the PM1 cell line. The RET assay demonstrates that ~-chemokines interfere with env-mediated membrane fusion.

The simples_ explanation of these results is that the binding of certain ~-chemokines to their receptor(s) prevents, directly or otherwise, the fusion of HIV-1 with CD4+ T-cells. It has been known for a decade that HIV-1 requires a second receptor for entry into CD41 cells (19-21). This function is supplied, for TCLA strains, by fusin (9). Several receptors for MIP-l~, MIP-1~ and RANTES
have been identified (6,7), and ~-chemokines exhibit considerable cross-reactivity in receptor usage (4-8).
However, C-C CKR-l and, especially, C-C CKR-5 were identified GS the most likely candidates, based on tissue CA 022~0829 1998-10-01 W097/37005 PCT~S97/05597 expression patterns and their abilities to bind MIP~
MIP-l~ and RANTES (4,7,8,15,22). C-C CKR-l, C-C CKR-5 and LESTR are each expressed at the mRNA level in PMl cells and primary macrophages (data not shown). These and other ~-chemokine receptors were therefore PCR-amplified, cloned and expressed.

The expression of C-C CKR-5 in HeLa-CD4 (human), COS-CD4 (simian) and 3T3-CD4 (murine) cells rendered each of them 10 readily infectible by the primary, NSI strains ADA and BaL
in the env-complementation assay of HIV-l entry (Table 3).

Table 3: C-C CKR-5 expression penmits infection of CD4-expressing 0 cells by primary, NSI HIV-l strains R/Ma/M~
pcDNA3.1 LESTR CKR-1 CKR-2a CKR-3 C~R-4 CKR-5 CKR-5 COS-CD4 BaL 660 378 600 636 516 618 58800 756 HxB2 5800 96700 5240 5070 5470 5620 4850 5000 HeLa-CD4 ~aL 630 738 1800 654 516 636 104000 750 O
HxB2 337000 nd nd nd nd nd nd 356000 u 3T3-CD4 ~aL 606 738 660 738 534 558 11700 756 Q HxB2 456 24800 618 672 732 606 618 606 O

~n I

c m CA 022~0829 1998-10-01 W O 97/3700S PCTrUS97tO5~97 Table 3 legend:
Chemokine receptor genes C-C CKR-l, C-C CKR-2a, C-C CKR-3, C-C CKR-4 and C-C CKR-5 have no introns (4-8,1~,22) and were isolated by PCR performed directly on a human genomic DNA
pool derived from the PBMC of seven healthy donors.
Oligonucleotides overlapping the ATG and the stop codons and containing Bam~I and Xhol restriction sites for directional cloning into the pcDNA3.1 expression vector (Invitrogen Inc.) were used. LESTR (also known as fusin or H~MSTR) (4,9,24) was cloned by PCR performed directly on cDNA
derived from PMl cells, using se~uences derived from the NIH
database. Listed below are the 5'and 3' primer pairs used in first (5-1 and 3-1) and second (5-2 and 3-2) round PCR
amplification of the CKR genes directly from human genomic DNA, and of LESTR from PMl cDNA. Only a single set of primers was used to amplify CKR-5.
LESTR: L/5-1 = AAG CTT GGA GAA CCA GCG GTT ACC ATG GAG GGG
ATC (SEQ ID NO: 6);
L/5-2 = GTC TGA GTC TGA GTC AAG CTT GGA GAA CCA (SEQ ID NO:
7);
L/3-1 = CTC GAG CAT CTG TGT TAG CTG GAG TGA AAA CTT GAA GAC
TC (SEQ ID NO: 3);
L/3-2 = GTC TGA GTC TGA GTC CTC GAG CAT CTG TGT (SEQ ID NO:
9)i CKR-l:Cl/5-1 = AAG CTT CAG AGA GAA GCC GGG ATG GAA ACT CC
(SEQ ID NO: 10);
Cl/5-2 = GTC TGA GTC TGA GTC AAG CTT CAG AGA GAA (SEQ ID NO:

11);
Cl/3-1 = CTC GAG CTG AGT CAG AAC CCA GCA GAG AGT TC (SEQ ID
NO: 12);
Cl/3-2 = GTC TGA GTC TGA GTC CTC GAG CTG AGT CAG (SEQ ID NO:
13);
CK~-2a:C2/5-1 = AAG CTT CAG TAC ATC CAC AAC ATG CTG TCC AC
(SEQ ID NO: 14);

CA 022~0829 1998-10-01 W O 97/37005 PCTrUS97/05597 C2/5-2= GTC TGA GTC TGA GTC AAG CTT CAG TAC ATC (SEQ ID NO:
15);
C2/3-1 = CTC GAG CCT CGT TTT ATA AAC CAG CCG AGA C (SEQ ID
NO: 16);
C2/3-2 = GTC TGA GTC TGA GTC CTC GAG CCT CGT TTT (SEQ ID NO:
17);
CKR-3: C3/5-1 = AAG CTT CAG GGA GAA GTG AAA TGA CAA CC (SEQ
ID NO: 18);
C3/5-2= GTC TGA GTC TGA GTC AAG CTT CAG GGA GAA (SEQ ID NO:
1 0 19);
C3/3-1 = CTC GAG CAG ACC TAA AAC ACA ATA GAG AGT TCC (SEQ ID
NO: 20);
C3/3-2 = GTC TGA GTC TGA GTC CTC GAG CAG ACC TAA (SEQ ID NO:
21);
CKR-4: C4/5-1 = AAG CTT CTG TAG AGT TAA AAA ATG AAC CCC ACG
G (SEQ ID NO: 22);
C4/5-2 = GTC TGA GTC TGA GTC AAG CTT CTG TAG AGT (SEQ ID NO:
23);
C4/3-1 = CTC GAG CCA TTT CAT TTT TCT ACA GGA CAG CAT C (SEQ
ID NO: 24);
C4/3-2 = GTC TGA GTC TGA GTC CTC GAG CCA TTT CAT (SEQ ID NO:
25);
CKR-5: C5/5-12 = GTC TGA GTC TGA GTC AAG CTT AAC AAG ATG GAT
TAT CAA (SEQ ID NO: 26);
C5/3-12 = GTC TGA GTC TGA GTC CTC GAG TCC GTG TCA CAA GCC
CAC (SEQ ID NO: 37).
The human CD4-expressing cell lines HeLa-CD4 (P42), 3T3-CD4 (sc6) and COS-CD4 (Z28T1) (23) were transfected with the different pcDNA3.1-CKR constructs by the calcium phosphate method, then infected 48h later with different reporter viruses (200ng of HIV-1 p24/106 cells) in the presence or absence of ~-chemokines (400ng/ml each of RANTES, MIP-1~ and MIP-1~). Luciferase activity in cell lysates was measured 48h later (10,11J. ~-Chemokine blocking data is only shown for C-C CKR-5, as infection mediated by the other C-C CKR

CA 022~0829 1998-10-01 W097/37005 PCT~S97/05597 genes was too weak for inhibition to be quantifiab7e. ~n PCR-based assays of HIV-1 entry, a low level of entry of NL4/3 and ADA into C-C CKR-l expressing cells (data not shown) was consistently observed.

Neither LESTR nor C-C CKR-1, -2a, -3 or -4 could substitute for C-C CKR-5 in this assay. The expression of LESTR in COS-CD4 and 3T3-CD4 cells permitted HxB2 entry, and HxB2 readily entered untransfected (or control plasmid-transfected) HeLa-CD4 cells (Table 3). Entry of BAL
and ADA into all three C-C CKR-5-expressing cell lines was almost completely inhibited by the combination of MIP-1~, MIP-1~ and RANTES, whereas HxB2 entry into LESTR-expressing cells was insensitive to ~ chemokines (Table 3). These results suggest that C-C CKR-5 functions as a ~-chemokine-sensitive second receptor for primary, NSI HIV-1 strains.

The second receptor function of C-C CKR-5 was confirmed in assays of env-mediated membrane fusion. When C-C CKR-5 was transiently expressed in COS and HeLa cell lines that permanently expressed human CD4, both cell lines fused strongly with HeLa cells expressing the JR-FL envelope glycoproteins, whereas no fusion occurred when control plasmids were used (data not shown). Expression of LESTR
instead of C-C CKR-5 did not permit either COS-CD4 or HeLa-CD4 cells to fuse with HeLa-JR-FL cells, but did allow fusion between COS-CD4 cells and HeLa-BRU cells (data not shown).
The fusion capacity of ~-chemokine receptors was also tested in the RET assay. The expression of C-C CKR-5, but not of C-C CKR-1, -2a, -3 or -4, permitted strong fusion between HeLa-CD4 cells and HeLa-JR-FL cells. The extent of fusion between HeLa-JR-FL cells and C-C CKR-5-expressing HeLa-CD4 CA 022~0829 1998-10-01 W O 97/37005 PCTrUS97/05597 cells was greater than the constitutive level of fusion between HeLa-BRU cells and HeLa-CD4 cells (Fig.4). The fusion-conferrlng function of C-C CKR-5 for primary, NSI
HIV-1 strains has therefore been confirmed in two independent fusion assays.

ExPerimental Discussion Together, the above results establish that MlP-1~, MIP-1~
10 and RANTES inhibit HIV-l infection at the entry stage, by interfering with the virus-cell fusion reaction subsequent to CD4 binding. It was also shown that C-C CKR-5 can serve as a second receptor for entry of primary NSI strains of HIV-1 into CD4+ T-cells, and that the interaction of ~-chemokines with C-C CKR-5 inhibits the HIV-1 fusion reaction.

CA 022~0829 1998-10-01 W O 97/37005 PCTrUS97/05597 References of the Second Series of Experiments 1. Levy,J.A., Mackewicz,C.E. & Barker,E. Immunol. Today 17, 217-224 (1996).
2. Cocchi,F. et al. Science 270, 1811 -1815 (1995).
3. Paxton,W.A. et al. Nat. Med. 2, 412-417 (1996).
4. Neote,K., DiGregorio,D., Mak,J.Y., Horuk,R., &
Schall,T.J. Cell 72, 415-425 (1993).
5. Gao,J.-L. et al. J . Exp. Med.177, 1421 -1427 (1993).
6. Bacon,K.B., Premack,B.A., Gardner,P. & Schall,T.J.
Science 269, 1727-1729 (1995).
7. Raport,C.J. etal. J. Leukoc. Biol. 59,18-23 (1996).
8. Wells,T.N.C. et al. J. Leukoc. Biol. 59, 53-60 (1996).
9. Feng,Y., Broder,C.C., Kennedy,P.E. & Berger,E.A.
Science 272, 872-877 (1996).
10. Chen,B.K., Saksela,K., Andino,R. & Baltimore,D. J.
Virol. 68, 654-660 (1994).
11. Connor,R.I., Chen,B.K., Choe,S., & Landau,N.R. Virology 206, 935-944 (1995).

12. Lusso,P. etal. J. Virol. 69, 3712-3720 (1995).

13. Charo,l.F. et al. Proc. Natl. Acad. Sci. USA 91, 2752-2756 (1994).

14. Ben-Baruch,A. et al. J. Biol. Chem. 270, 22123-22128 (1995).

15. Combadiere,C etal. J. Biol. Chem. 270, 29671-29675 (1995).

16. Lip,J.P., D'Andrea,A.D., Lodish,H.F. & Baltimore,D.
Nature 343, 762-764 (1990).

17. Litwin,V. et al. J. Virol. (submitted for publication).

18. Moore,J.P., Jameson,B.A., Weiss,R.A. & Sattentau,Q.J.
in Viral Fusion Mechanisms (ed Bentz,J.) 233-289 (CRC
Press Inc, Boca Raton, ~SA,1993).

19. Maddon,P.J. et al. Cell 47, 333-348 (1986).

20. Ashorn,P.A., Berger,E.A. & Moss,B. J.Virol. 64, 2149-2156 (1990).

CA 022~0829 1998-10-01 W097/3700S PCT~S97/OS597 21. Clapham,P.R., Blanc,D. & Weiss,R.A. Virology 181, 703-715 (1991).

22. Samson,M., Labbe,O., Mollereau,C., Vassart,G. &
Parmentier,M. Biochemistry 11, 3362-3367 (1996).

23. Dragic,T., Charneau,P., Clavel,F. & Alizon,M. J.Virol.
66, 4794-4802 (1992) 24. Loetscher,M. et al. J.Biol.Chem. 269, 232-237 (1994).

25. Moore,J.P. & Ho,D.D. AIDS 9 (6uppl A), S117-S136 (1995).
10 26. Trkola,A. & Moore,J.P. (unpublished data).
27. Chaudhuri,A., et al. l9g4. J.Biol.Chem. 269, 7835-7838 (1994).
28. Neote,K., Mak,J.Y., Kolakowski Jr.,L.F. & Schall,T.J.
Blood 84, 44-52 (1994).
29. Dragic,T., Picard,L. & Alizon,M. J.Virol. 69, 1013-1018 (1995).
30. Puri,A., Morris,S.J., Jones,P., Ryan,M. & Blumenthal,R.
Virology 219, 262-267 (1996).31 WO97/37005 PCT~S97/05597 THIRD SERIES OF EXP~RTM~NTS
The chemokine SDF-l (stromal cell-derived factor 1) is the natural ligand for Fusin/CXCR4 and blocks infection by laboratory-adapted strains of HIV-l ~Ref. 1 and 2). SDF-l exists as at least two forms, SDF-l~ and SDF-l~ based on variable splicing of the SDF-l gene (Ref. 1 and 3) In the RET assay, this chemokine specifically inhibits membrane fusion mediated by gpl20/gp41 form the laboratory-adapted strain HIVL~I but not by gpl20/gp41 from the macrophage-10 tropic isolate HIV-l~RFL as shown in Figure 5.

References of the Third Series of Experiments 1. Bleul, C.C., et al. (1996) Nature 382:829-833 2. Oberlin, E., et al. (1996) Nature 382:833-835 3. Shirozu, M., et al. (1995) Genomics 28:495-500 CA 022~0829 l998-l0-0l SEQUENCE LISTING
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(A) TELEPHONE: 212-278-0400 (B) TELEFAX: 212-391-0525 (2) INFORMATION FOR SEQ ID NO:1:
(i) SEQUENCE CHARACTERISTICS:
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Pro Cys Cys Phe Ala Tyr Ile Ala Arg Pro Leu Pro Arg Ala His Ile Lys Glu Tyr Phe Tyr Thr Ser Gly Lys Cys Ser Asn Pro Ala Val Val Phe Val Thr Arg Lys Asn Arg Gln Val Cys Ala Asn Pro Glu Lys Lys Trp Val Arg Glu Tyr Ile Asn Ser Leu Glu Met Ser CA 022~0829 l998-l0-0l (2) INFORMATION FOR SEQ ID NO:6:
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GTCTGAGTCT GAGTCCTCGA GCAl~l~l~l 30 (2) INFORMATION FOR SEQ ID NO:10:

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(i) SEQUENCE CHARACTERISTICS:
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(i) SEQUENCE CHARACTERISTICS:
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CA 022~0829 l998-l0-0l W O 97~7005 PCTrUS97/05597 (2) INFORMATION FOR SEQ ID NO:15:
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Claims (50)

What is claimed is:

1. A method for inhibiting fusion of HIV-1 to CD4+ cells which comprises contacting CD4+ cells with a non-chemokine agent capable of binding to a chemokine receptor in an amount and under conditions such that fusion of HIV-1 to the CD4+ cells is inhibited.

2. A method for inhibiting HIV-1 infection of CD4+ cells which comprises contacting CD4+ cells with a non-chemokine agent capable of binding to a chemokine receptor in an amount and under conditions such that fusion of HIV-1 to the CD4+ cells is inhibited, thereby inhibiting HIV-1 infection.

3. The method of claim 1 or 2, wherein the non-chemokine agent is an oligopeptide.

4. The method of claim 1 or 2, wherein the non-chemokine agent is a polypeptide.

5. The method of claim 1 or 2, wherein the non-chemokine agent is an antibody or a portion of an antibody.

6. The method of claim 1 or 2, wherein the non-chemokine agent is a nonpeptidyl agent.

7. A non-chemokine agent capable of binding to a chemokine receptor and inhibiting fusion of HIV-1 to CD4+ cells.

8. The non-chemokine agent of claim 7, wherein the non-chemokine agent is a oligopeptide.

9. The non-chemokine agent of claim 7, wherein the non-chemokine agent is a nonpeptidyl agent.

10. The non-chemokine agent of claim 7, wherein the non-chemokine agent is a polypeptide.

11. The non-chemokine agent of claim 10, wherein the polypeptide is an antibody or a portion of an antibody.

12. The non-chemokine agent of claim 10, wherein the polypeptide comprises amino acid sequence as set forth in SEQ ID NO:5.

13. The non-chemokine agent of claim 10, wherein the polypeptide comprises the MIP-1.beta. sequence with the deletion of the first seven N-terminal amino acids of said sequence.

14. The non-chemokine agent of claim 10, wherein the polypeptide comprises the MIP-1.beta. sequence with the deletion of the first eight N-terminal amino acids of said sequence.

15. The non-chemokine agent of claim 10, wherein the polypeptide comprises the MIP-1.beta. sequence with the deletion of the first nine N-terminal amino acids of said sequence.

16. The non-chemokine agent of claim 10, wherein the polypeptide comprises the MIP-1.beta. sequence with the deletion of the first ten N-terminal amino acids of said sequence.

17. The non-chemokine agent of claim 10, wherein the polypeptide comprises the MIP-1.beta. sequence with the N-terminal sequence modified by addition of an amino acid or oligopeptide.

18. The non-chemokine agent of claim 10, wherein the polypeptide comprises the MIP-1.beta. sequence with the N-terminal sequence modified by removing the N-terminal alanine and replacing it by serine or threonine and an additional amino acid or oligopeptide or nonpeptidyl moiety.

19. The non-chemokine agent of claim 17 or 18, wherein the additional amino acid is methionine.

20. An agent capable of binding to CXCR4 and inhibiting HIV-1 infection.

21. The agent of claim 20, wherein the agent is an oligopeptide.

22. The agent of claim 20, wherein the agent is a polypeptide.

23. The non-chemokine agent of claim 22, wherein the polypeptide comprises the SDF-1 sequence with the deletion of the first six N-terminal amino acids of said sequence.

24. The non-chemokine agent of claim 22, wherein the polypeptide comprises the SDF-1 sequence with the deletion of the first seven N-terminal amino acids of said sequence.

25. The non-chemokine agent of claim 22, wherein the polypeptide comprises the SDF-1 sequence with the deletion of the first eight N-terminal amino acids of said sequence.

26. The non-chemokine agent of claim 22, wherein the polypeptide comprises the SDF-1 sequence with the deletion of the first nine N-terminal amino acids of said sequence.

27. The non-chemokine agent of claim 22, wherein the N-terminal glycine of SDF-1 is replaced by serine and derivatized with biotin.

28. The non-chemokine agent of claim 22, wherein the N-terminal glycine of SDF-1 is replaced by serine and derivatized with methionine.

29. The non-chemokine agent of claim 22, wherein the N-terminus of SDF-1 is modified by the addition of a methionine before the terminal glycine.

30. The agent of claim 22, wherein the agent is an antibody or a portion of an antibody.

31. The agent of claim 20, wherein the agent is a non-peptidyl agent.

32. A pharmaceutical composition comprising an amount of the non-chemokine agent of claim 7 effective to inhibit fusion of HIV-1 to CD4+ cells and a pharmaceutically acceptable carrier.

33. A pharmaceutical composition comprising an amount of the non-chemokine agent of claim 20 effective to inhibit fusion of HIV-1 to CD4+ cells and a pharmaceutically acceptable carrier.

34. A composition of matter capable of binding to a chemokine receptor and inhibiting fusion of HIV-1 to CD4+ cells comprising a non-chemokine agent linked to a ligand capable of binding to a cell surface receptor of the CD4+ cells other than the chemokine receptor such that the binding of the non-chemokine agent to the chemokine receptor does not inhibit the binding of the ligand to the other receptor.

35. The composition of matter of claim 34, wherein the cell surface receptor is CD4.

36. The composition of matter of claim 34, wherein the ligand comprises an antibody or a portion of an antibody.

37. A pharmaceutical composition comprising an amount of the composition of matter of claim 34 effective to inhibit fusion of HIV-1 to CD4+ cells and a pharmaceutically acceptable carrier.

38. A composition of matter capable of binding to the chemokine receptor and inhibiting fusion of HIV-1 to CD4+ cells comprising a non-chemokine agent linked to a compound capable of increasing the in vivo half-life of the non-chemokine agent.

39. The composition of matter of claim 38, wherein the compound is polyethylene glycol.

40. A pharmaceutical composition comprising an amount of the composition of claim 38 effective to inhibit fusion of HIV-1 to CD4+ cells and a pharmaceutically acceptable carrier.

41. A method for reducing the likelihood of HIV-1 infection in a subject comprising administering the pharmaceutical composition of claim 32, 33, 37 or 40 to the subject.

42. A method for treating HIV-1 infection in a subject comprising administering the pharmaceutical composition of claim 32, 33, 39 or 40 to the subject.

43. A method for determining whether a non-chemokine agent is capable of inhibiting the fusion of HIV-1 to a CD4+
cell which comprises:
(a) contacting (i) a CD4+ cell, which is labeled with a first dye, with (ii) a cell expressing the HIV-1 envelope glycoprotein on its surface, which is labeled with a second dye, in the presence of an excess of the agent under conditions permitting the fusion of the CD4+ cell to the cell expressing the HIV-1 envelope glycoprotein on its surface in the absence of the agent, the first and second dyes being selected so as to allow resonance energy transfer between the dyes;
(b) exposing the product of step (a) to conditions which would result in resonance energy transfer if fusion has occurred; and (c) determining whether there is a reduction of resonance energy transfer, when compared with the resonance energy transfer in the absence of the agent, a decrease in transfer indicating that the agent is capable of inhibiting fusion of HIV-1 to CD4+ cells.

44. The method of claim 43, wherein the agent is an oligopeptide.

45. The method of claim 43, wherein the agent is a polypeptide.

46. The method of claim 43, wherein the agent is an antibody or a portion of an antibody.

47. The method of claim 43, wherein the agent is a nonpeptidyl agent.

48. The method of claim 43, wherein the CD4+ cell is a PM1 cell.

49. The method of claim 43, wherein the cell expressing the HIV-1 envelope glycoprotein is a HeLa cell expressing HIV-1Jr-FL gp120/gp41.

50. The method of claim 43, wherein the cell expressing the HIV-1 envelope glycoprotein is a HeLa cell expressing HIV-LAI gp120/gp41.