WO1993015730A1 - Use of 5,5'-dithio-bis(2-nitrobenzoic acid) for inhibition of hiv protease - Google Patents

Use of 5,5'-dithio-bis(2-nitrobenzoic acid) for inhibition of hiv protease Download PDF

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Publication number
WO1993015730A1
WO1993015730A1 PCT/US1993/000889 US9300889W WO9315730A1 WO 1993015730 A1 WO1993015730 A1 WO 1993015730A1 US 9300889 W US9300889 W US 9300889W WO 9315730 A1 WO9315730 A1 WO 9315730A1
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sulfhydryl
compound
virus
protease
dithio
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PCT/US1993/000889
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French (fr)
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Rodney L. Levine
Anders R. Karlstrom
Brian D. Shames
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The United States Of America, Represented By The Secretary, Department Of Health And Human Services
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Publication of WO1993015730A1 publication Critical patent/WO1993015730A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/185Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19Carboxylic acids, e.g. valproic acid

Definitions

  • This invention relates to a method of inhibiting the growth or replication of viruses.
  • this invention relates to a method of inhibiting viral proteases, especially HIV-1 protease.
  • This invention also relates to a composition which comprises a sulfhydryl-reactive compound, such as 5,5'-dithio-bis
  • (2-nitrobenzoic acid) useful in inhibiting the growth or replication of viruses, such as the HIV-1 virus.
  • AIDS Acquired immune deficiency syndrome
  • the AIDS virus was first identified in 1983. It has been known by several names and acronyms. It is the third known T-lymphocyte virus (HTLV-III) , and it has the capacity to replicate within cells of the immune system, causing profound cell destruction.
  • the AIDS virus is a retrovirus, a virus that uses reverse transcriptase during replication. This particular retrovirus is also known as lymphadenopathy-associated virus (LAV) , AIDS-related virus (ARV) and, most recently, as human immunodeficiency virus (HIV) .
  • LAV lymphadenopathy-associated virus
  • ARV AIDS-related virus
  • HIV human immunodeficiency virus
  • HIV is known to exert a profound cytopathic effect on the CD4+ helper/inducer T-cells, thereby severely compromising the immune system. HIV infection also results in neurological deterioration and, ultimately, in the death of the infected individual.
  • HIV requires at least four viral proteins for replication: reverse transcriptase (RT) , protease, transactivator protein (TAT) , and regulator of virion- protein expression (REV) . Accordingly, viral replication could theoretically be inhibited through inhibition of any one or all of the proteins involved in viral replication.
  • Anti-retroviral agents such as AZT and ddc, are known to inhibit RT.
  • anti-viral agents that inhibit TAT.
  • retroviruses including HIV
  • the polyprotein is a precursor molecule, which is processed through proteolysis to generate essential viral enzymes and structural proteins.
  • the virally encoded protease is contained within the polyprotein and is responsible for cleaving the polyprotein to yield mature viral proteins.
  • protease Since the protease is known to be required for viral replication, it has been a therapeutic target for the development of AIDS drugs.
  • Drug development programs aimed at the protease are generally focused on the synthesis of inhibitors that bind to the active site of the protease.
  • the compounds are generally peptide analogues with chemical modifications that prevent the protease from cleaving the viral polyprotein to yield mature viral proteins.
  • Some of these inhibitors are peptides or peptide analogues that were originally studied as inhibitors of structurally related proteases, such as pepsin and renin. Such an approach has generated over 50 potent inhibitors of the protease. Several of these inhibitors are scheduled for clinical trials.
  • inhibitors are effective in preventing the protease from functioning in the proteolysis of the polyprotein, the inhibitors suffer from some distinct disadvantages.
  • the active site of the protease is hindered, i.e., has reduced accessibility as compared to the remainder of the protease, the ability of the inhibitors to access and bind in the active site of the protease is impaired.
  • the peptide inhibitors that bind to the active site of the protease are generally poorly soluble in water, causing distinct problems in drug delivery. Given the fact that the ultimate goal is the development of pharmaceutical compositions suitable for therapeutic treatment of the disease, such problems in drug delivery limit the utility of these inhibitors.
  • an inhibitor of the viral protease that functions at a site other than the active site of the enzyme would be desirable. Such an inhibitor would offer distinct advantages over presently developed inhibitors in that the inhibitor would not be hindered by reduced accessibility or inaccessibility of its site of action, unlike an inhibitor that functions in the active site of the protease. Moreover, an inhibitor that functions at a site other than the active site of the viral protease would enable the development of useful, water- soluble pharmaceutical formulations.
  • a viral protease such as a retroviral protease, in particular a human immunodeficiency virus, specifically the HIV-l protease.
  • composition in particular a pharmaceutical composition, which is preferably topically administered and which inhibits the growth or replication of a virus, such as a retrovirus, in particular a human immunodeficiency virus, specifically
  • compositions in particular a pharmaceutical composition, which may be topically administered and which inhibits a viral protease, such as a retroviral protease, in particular a human immunodeficiency viral protease, specifically the HIV-1 protease.
  • a viral protease such as a retroviral protease, in particular a human immunodeficiency viral protease, specifically the HIV-1 protease.
  • Yet another object of the present invention is to provide a composition, in particular a pharmaceutical composition, which is preferably topically applied and which prevents infection of an animal, in particular a human, with a virus, such as a retrovirus, in particular a human immunodeficiency virus, specifically HIV-1.
  • a virus such as a retrovirus, in particular a human immunodeficiency virus, specifically HIV-1.
  • a further object of the present invention is to provide a method of treating an animal, in particular a human, infected with a virus, such as a retrovirus, in particular a human immunodeficiency virus, specifically HIV-1.
  • a virus such as a retrovirus, in particular a human immunodeficiency virus, specifically HIV-1.
  • a still further object of the present invention is to provide a method of treating an animal, in particular a human, to prevent infection with a virus, such as a retrovirus, in particular a human immunodeficiency virus, specifically HIV-1.
  • a virus such as a retrovirus, in particular a human immunodeficiency virus, specifically HIV-1.
  • An even further object of the present invention is to provide a method of reversibly inhibiting the growth or replication of a virus under laboratory conditions for research purposes.
  • the present invention provides a method of, and composition for, inhibiting the growth or replication of a virus, particularly a retrovirus, specifically a human immunodeficiency virus such as HIV-1.
  • the present invention provides for inhibiting a viral protease by contacting the virus with a composition which comprises a sulfhydryl- reactive compound that reacts with the viral protease so as to inhibit the growth or replication of the virus.
  • the present invention is expected to have utility in the therapeutic treatment of a human infected with a virus, particularly a retrovirus, specifically a human immunodeficiency virus such as HIV-l, and in the prophylactic treatment of a human to prevent viral infection.
  • the present invention provides a method of, and composition for, inhibiting the growth or replication of a virus, particularly a retrovirus, specifically a human immunodeficiency virus such as HIV-1. It has now been discovered that the growth or replication of a virus, particularly a retrovirus, specifically a human immunodeficiency virus such as HIV-1, can be inhibited by reaction with the viral protease at an exposed surface of the viral protease, e.g., at an exposed site outside of the active site of the viral protease. In particular, the inhibition of viral growth or replication has been effected by a reaction of a sulfhydryl-reactive compound with a sulfhydryl group- containing amino acid of the viral protease.
  • the present inventive method comprises contacting a virus with a composition comprising an inhibitory compound that will react with the viral protease, thereby inhibiting the ability of the protease to cleave the viral polyprotein into its constituent proteins.
  • the inhibitory compound be one which reacts with an a ino acid that is on an exposed surface of the protease, most preferably an exposed surface outside of the active site of the enzyme.
  • An exposed surface is one that is in free contact with the environment, thereby being readily accessible to an inhibitory compound of the present invention.
  • Sulfhydryl-reactive compounds are preferred compounds for use in the context of the present invention.
  • Sulfhydryl-reactive compounds are compounds that react with sulfhydryl groups.
  • the preferred sulfhydryl-reactive compounds for use in conjunction with the present invention include 5,5'-dithio-bis(2- nitrobenzoic acid) , which is more commonly referred to as DTNB or Ellman's reagent, as well as pharmaceutically effective salts and analogs thereof. (Ellman, Archives of Biochemistry and Biophysics 82:70-77 (1959)). Ellman's reagent or DTNB has been used to quantitate sulfhydryl groups in proteins and biological tissues, and as a specific label for cysteine residues.
  • DTNB has been shown to inhibit the enzymatic activity of pyroglutamate aminopeptidase (Prasad et al.. Brain Res. 364(2) :331-337 (1986)), the porcine young adult isozyme of type III hexokinase (Kearse et al.. Am. J. Physiol. 249 (6 Part 2):R740-R746 (1985)), the extracellular protease of Serratia arcescens (Choi et al., Korean Bioche . J.
  • a sulfhydryl-reactive compound such as DTNB
  • DTNB a sulfhydryl-reactive compound
  • the sulfhydryl-reactive compound is believed to form a mixed disulfide between the sulfhydryl-reactive compound and the sulfhydryl group of the amino acid in the viral protease.
  • This reaction inhibits the ability of the viral protease to cleave the polyprotein into the necessary viral proteins. This inhibition arrests viral growth or replication.
  • Sulfhydryl-reactive compounds inhibit HIV-1 by reaction with Cys-67 of the HIV-1 protease. However, it is believed that the histidine residue in position 69 also may be inhibited by reaction with an inhibitory compound so as to effect inhibition of the HIV-1 protease and arrest HIV viral growth or replication. Although there are no cysteine residues in the HIV-2 protease, it is believed that inhibition of similarly positioned amino acids may also result in its inhibition as well.
  • the present inventive method may be used to treat a virally infected animal, such as a human.
  • the present invention has particular usefulness in inhibiting the growth or replication of viruses, which are dependent on the action of a viral protease that contains a sulfhydryl group, such as viral proteases containing cysteine.
  • the present invention is particularly well suited to treating animals infected with a retrovirus, such as a human immunodeficiency virus, specifically HIV-1, which is dependent on the action of a sulfhydryl group- containing viral protease for growth and replication.
  • the present inventive methods and compositions are expected also to have utility in the treatment of various non-retroviruses, in addition to retroviruses and human immunodeficiency viruses, such as HIV-1.
  • viruses that may be suitable for treatment using the present invention include Type C and Type D retroviruses, HTLV-1, HTLV-2, FLV, SIV, MLV, BLV, BIV, equine infectious viruses, anemia viruses, avian sarcoma viruses, hepatitis type A, B, non A and non B viruses, herpes viruses, cytomegalo viruses, influenza viruses, arboviruses, varicella viruses, measles, mumps, and rubella viruses.
  • cysteine-containing viral enzymes in particular proteases, are expected to be treatable in accordance with the present invention.
  • compositions comprising inhibitory compounds for use in the present inventive method preferably comprise pharmaceutically acceptable carriers in addition to the inhibitory compound.
  • Pharmaceutically acceptable carriers are well-known to those who are skilled in the art, as are suitable methods of administration. The choice of carrier will be determined in part by the inhibitory compound, as well as by the particular method used to administer the composition.
  • Formulations suitable for oral administration may consist of liquid solutions, such as an effective amount of the compound dissolved in diluents, such as water, saline, or orange juice; capsules, sachets or tablets, each containing a predetermined amount of the active ingredient, as solids or granules; solutions or suspensions in an aqueous liquid; and oil-in-water emulsions or water-in-oil emulsions.
  • Tablet forms may include one or more of lactose, microcrystalline cellulose, colloidal silicon dioxide, croscarmellose sodium, magnesium stearate, stearic acid, and other excipients, colorants, and pharmacologically compatible carriers.
  • Formulations suitable for topical administration include lozenges comprising the active ingredient in a flavor, usually sucrose and acacia or tragacanth; pastilles comprising the active ingredient in an inert base, such as gelatin and glycerin, or sucrose and acacia; and mouthwashes comprising the active ingredient in a suitable liquid carrier; as well as creams, emulsions, gels, and the like containing, in addition to the active ingredient, such carriers as are known in the art.
  • Formulations for rectal administration may be presented as a suppository with a suitable base comprising, for example, cocoa butter or a salicylate.
  • Formulations suitable for vaginal administration may be presented as pessaries, tampons, creams, gels, pastes, foams, or spray formulas containing, in addition to the active ingredient, such carriers as are known in the art to be appropriate.
  • the active ingredient may be combined with a lubricant as a coating on a condom.
  • Formulations suitable for parenteral administration include aqueous and non-aqueous, isotonic sterile injection solutions, which may contain anti-oxidants, buffers, bacteriostats, and solutes that render the formulation isotonic with the blood of the intended recipient; and aqueous and non-aqueous sterile suspensions that may include suspending agents and thickening agents.
  • the formulations may be presented in unit-dose or multi-dose sealed containers, such as ampules and vials, and may be stored in a freeze-dried (lyophilized) condition requiring only the addition of the sterile liquid carrier, for example, water, for injections, immediately prior to use.
  • Extemporaneous injection solutions and suspensions may be prepared from sterile powders, granules, and tablets of the kind previously described.
  • the dose administered to an animal, particularly a human, in the context of the present invention should be sufficient to effect a prophylactic or therapeutic response in the infected individual over a reasonable time frame.
  • the dose will be determined by the strength of the particular inhibitory compound employed, the severity of the disease state, as well as the body weight and age of the infected individual.
  • the size of the dose also will be determined by the existence of any adverse side effects that may accompany the particular compound employed. It is always desirable, whenever possible, to keep adverse side effects to a minimum.
  • a "mega- dosing" regimen wherein a large dose of the inhibitory compound is administered, time is allowed for the compound to act, and then a suitable reagent is administered to the individual to inactivate the inhibitory compound, such as mercaprol (or BAL) and N- acetyl-cysteine, which inhibit sulfhydryl-reactive compounds.
  • a suitable reagent such as mercaprol (or BAL) and N- acetyl-cysteine, which inhibit sulfhydryl-reactive compounds.
  • the pharmaceutical composition may contain other pharmaceuticals in conjunction with the inhibitory compound, when used to therapeutically treat acquired immunodeficiency syndrome (AIDS) .
  • additional pharmaceuticals include antiviral compounds, immunomodulators , immunostimulants, and antibiotics.
  • antiviral compounds include AZT, ddl, ddC, gancyclovir, and fluorinated dideoxynucleotides.
  • immunomodulators and immunostimulants include various interleukins, CD4, cytokines, antibody preparations, blood transfusions, and cell transfusions.
  • Exempletive antibiotics include antifungal agents, antibacterial agents, and anti-pneumcysitis carnii agents.
  • RT reverse transcriptase
  • ddC ddC
  • AZT ddl
  • ddA reverse transcriptase
  • anti-TAT agents ddC, AZT, ddl, ddA
  • a virustatic range of ddC is generally between 0.05 ⁇ M to 1.0 ⁇ M.
  • a range of about 0.005-0.25 mg/kg body weight is virustatic in most patients.
  • the preliminary dose ranges for oral administration are somewhat broader, for example 0.001 to 0.25 mg/kg given in one or more doses at intervals of 2, 4, 6, 8, 12, etc. hours. Currently 0.01 mg/kg body weight ddC given every 8 hours is preferred.
  • the anti-RT compound for example, may be given at the same time as the inhibitory compound or the dosing may be staggered as desired.
  • the two drugs also may be combined in a composition. Doses of each may be less when used in combination than when either is used alone.
  • DTT dithiothreitol
  • a reducing agent such as dithiothreitol (DTT)
  • DTT dithiothreitol
  • a virus such as the retrovirus HIV-1.
  • DTT is believed to reduce the mixed disulfide bond formed between a sulfhydryl-reactive compound and a sulfhydryl group of an amino acid of the viral protease, thereby restoring the original sulfhydryl groups of the viral protease essential for viral growth or replication.
  • This reversibility is of particular usefulness in the basic in vitro research of viral functions and in "mega- dosing" therapeutic regimens of virally infected individuals, in which case an antidote or a reversing reagent, such as a sulfhydryl reagent, may be used to "rescue" the individual from the effect of the "mega- dose.”
  • an antidote or a reversing reagent such as a sulfhydryl reagent
  • a reducing agent or a sulfhydryl reagent is not used after a reversible sulfhydryl-reactive compound or, rather, an irreversible sulfhydryl compound is used.
  • EXAMPLE 1 This example demonstrates the inhibition of reco binant HIV-1 protease with 5,5'-dithio-bis(2- nitrobenzoic acid) (DTNB) .
  • the HIV-1 aspartyl protease was contacted with
  • DTNB is a sulfhydryl-reactive compound, i.e., it reacts with sulfhydryl groups.
  • the Cys-67 residue is located on an exposed surface of the enzyme and is, therefore, readily accessible to DTNB.
  • the Cys-95 residue is located in or very near where the two subunits of the protease bind to each other. This residue is, therefore, less accessible to DTNB. (Navia et al., Nature 337:615-620 (1989), and Wlodawer et al., Science 245:616-621 (1989)).
  • the DTNB reacted with the sulfhydryl groups of the two cysteine residues to form disulfide bridges between DTNB and each of the two cysteine residues.
  • the viral protease was inhibited from cleaving the viral polyprotein into its constituent proteins.
  • a variant of the protease was studied. Specifically, a fusion protein was formed by fusing together the protease with an IgG binding domain (ZZ) at the amino terminus of the protease. (Boutelje et al., Archives of Biochemistry and Biophysics 283:141-149 (1990)). Essentially, this fusion protein has a long extension on its amino terminal side. It was reasoned, based on the three- dimensional structure of the protease, that the Cys-95 residue of the fusion protein would be shielded from reacting with DTNB. This would enable the determination of which cysteine residue is critical for inhibition of the protease.
  • the fusion protein was reacted with DTNB at pH 6.2 under non-reducing conditions and subsequently dialyzed into 20 mM HCl. (Sliwkowski et al., Analytical Biochemistry 147:369-373 (1985)). When assayed for activity at pH 5.5, the fusion protein was inactive. A control sample, which was treated in the same manner but was not exposed to DTNB, was fully active.
  • EXAMPLE 2 This example demonstrates the reversion of the DTNB-inhibition of recombinant HIV-1 protease with dithiothreitol (DTT) .
  • DTT is a known reducing agent and is believed to have destroyed the disulfide bridges between DTNB and each of the cysteine residues by restoring their sulfhydryl groups. Accordingly, DTT reversed the effect of DTNB and enabled the restoration of the activity of the viral protease.
  • irreversible inhibitory compounds such as irreversible sulfhydryl-reactive compounds
  • this example demonstrates the potential utility of a reversible inhibitory compound, such as a reversible sulfhydryl-reactive compound, in basic in vitro research of viral functions and in "mega-dose" therapeutic regimens, which may be used in the therapeutic treatment of virally infected humans.
  • EXAMPLE 3 This example sets forth a proposed therapeutic treatment of an HIV-1-infected human.
  • a pharmaceutical composition comprising a sulfhydryl-reactive compound in a pharmaceutically acceptable carrier is prepared.
  • the pharmaceutical composition is then administered to an HIV-1-infected human in a therapeutically effective dose in a therapeutically effective regimen to inhibit further replication or growth of the HIV-l virus.
  • the particular dose administered is dependent upon the severity of the disease state, the strength of the particular compound employed, and the age and body weight of the infected individual, as well as the route of administration.
  • the dosage amount can be determined by routine experimentation and by reference, in part, to available information regarding other anti-HIV compounds and clinical trials.
  • a "mega-dose" therapeutic regimen may be utilized to treat the individual, in conjunction with an antidote or reversing agent after a suitable period of elapsed time of treatment with a pharmaceutical composition comprising the active inhibitory compound.
  • the dosage amount of the inhibitory compound, the elapsed time of treatment with such an inhibitory compound, and the dosage of the antidote or reversing agent can be determined by routine experimentation and by reference, in part, to available information regarding other anti-HIV compounds and clinical trials. All publications referenced herein are hereby incorporated by reference in their entireties.

Abstract

A method and composition for inhibiting the growth or replication of a virus, such as a retrovirus, in particular a human immunodeficiency virus, specifically HIV-1, through reaction with the viral protease on an exposed surface, in particular an exposed surface outside of the active site of the viral protease, which method preferably involves contacting the virus with a composition comprising a sulfhydryl-reactive compound, such as 5,5'-dithio-bis(2-nitrobenzoic acid).

Description

5,5'-d1thiobis(2-nitrobenzo1c add) for inhibition of hiv protease.
TECHNICAL FIELD OF THE INVENTION
This invention relates to a method of inhibiting the growth or replication of viruses. In particular, this invention relates to a method of inhibiting viral proteases, especially HIV-1 protease. This invention also relates to a composition which comprises a sulfhydryl-reactive compound, such as 5,5'-dithio-bis
(2-nitrobenzoic acid) , useful in inhibiting the growth or replication of viruses, such as the HIV-1 virus.
BACKGROUND OF THE INVENTION Acquired immune deficiency syndrome (AIDS) is a very serious disease, reported cases of which have increased dramatically within the past several years. Estimates of reported cases in the very near future also continue to rise dramatically. Consequently, there is a great effort to develop drugs and vaccines to combat AIDS.
The AIDS virus was first identified in 1983. It has been known by several names and acronyms. It is the third known T-lymphocyte virus (HTLV-III) , and it has the capacity to replicate within cells of the immune system, causing profound cell destruction. The AIDS virus is a retrovirus, a virus that uses reverse transcriptase during replication. This particular retrovirus is also known as lymphadenopathy-associated virus (LAV) , AIDS-related virus (ARV) and, most recently, as human immunodeficiency virus (HIV) . Two distinct types of HIV have been described to date, namely HIV-1 and HIV-2. The acronym HIV will be used herein to refer to HIV viruses generically.
Specifically, HIV is known to exert a profound cytopathic effect on the CD4+ helper/inducer T-cells, thereby severely compromising the immune system. HIV infection also results in neurological deterioration and, ultimately, in the death of the infected individual.
The field of viral chemotherapeutics has developed in response to the need for agents effective against retroviruses, in particular HIV. There are many ways in which an agent can exhibit anti-retroviral activity. For example, HIV requires at least four viral proteins for replication: reverse transcriptase (RT) , protease, transactivator protein (TAT) , and regulator of virion- protein expression (REV) . Accordingly, viral replication could theoretically be inhibited through inhibition of any one or all of the proteins involved in viral replication. Anti-retroviral agents, such as AZT and ddc, are known to inhibit RT. There also exist anti-viral agents that inhibit TAT.
A useful approach being investigated recently for potential use in the treatment of AIDS is the development of synthetic peptides as inhibitors of the retroviral protease. It is known that retroviruses, including HIV, express their genetic content by directing the synthesis of a polyprotein by the host. The polyprotein is a precursor molecule, which is processed through proteolysis to generate essential viral enzymes and structural proteins. The virally encoded protease is contained within the polyprotein and is responsible for cleaving the polyprotein to yield mature viral proteins.
Since the protease is known to be required for viral replication, it has been a therapeutic target for the development of AIDS drugs. Drug development programs aimed at the protease are generally focused on the synthesis of inhibitors that bind to the active site of the protease. The compounds are generally peptide analogues with chemical modifications that prevent the protease from cleaving the viral polyprotein to yield mature viral proteins. Some of these inhibitors are peptides or peptide analogues that were originally studied as inhibitors of structurally related proteases, such as pepsin and renin. Such an approach has generated over 50 potent inhibitors of the protease. Several of these inhibitors are scheduled for clinical trials.
Although these inhibitors are effective in preventing the protease from functioning in the proteolysis of the polyprotein, the inhibitors suffer from some distinct disadvantages. First of all, since the active site of the protease is hindered, i.e., has reduced accessibility as compared to the remainder of the protease, the ability of the inhibitors to access and bind in the active site of the protease is impaired. Secondly, the peptide inhibitors that bind to the active site of the protease are generally poorly soluble in water, causing distinct problems in drug delivery. Given the fact that the ultimate goal is the development of pharmaceutical compositions suitable for therapeutic treatment of the disease, such problems in drug delivery limit the utility of these inhibitors. An inhibitor of the viral protease that functions at a site other than the active site of the enzyme would be desirable. Such an inhibitor would offer distinct advantages over presently developed inhibitors in that the inhibitor would not be hindered by reduced accessibility or inaccessibility of its site of action, unlike an inhibitor that functions in the active site of the protease. Moreover, an inhibitor that functions at a site other than the active site of the viral protease would enable the development of useful, water- soluble pharmaceutical formulations.
BRIEF SUMMARY OF THE INVENTION It is an object of the present invention to provide a method of inhibiting the growth or replication of a virus, such as a retrovirus, in particular a human immunodeficiency virus, specifically
HIV-1.
It is another object of the present invention to provide a method of inhibiting a viral protease, such as a retroviral protease, in particular a human immunodeficiency virus, specifically the HIV-l protease.
It is still another object of the present invention to provide a composition, in particular a pharmaceutical composition, which is preferably topically administered and which inhibits the growth or replication of a virus, such as a retrovirus, in particular a human immunodeficiency virus, specifically
HIV-1. It is an additional object of the present invention to provide a composition, in particular a pharmaceutical composition, which may be topically administered and which inhibits a viral protease, such as a retroviral protease, in particular a human immunodeficiency viral protease, specifically the HIV-1 protease.
Yet another object of the present invention is to provide a composition, in particular a pharmaceutical composition, which is preferably topically applied and which prevents infection of an animal, in particular a human, with a virus, such as a retrovirus, in particular a human immunodeficiency virus, specifically HIV-1.
A further object of the present invention is to provide a method of treating an animal, in particular a human, infected with a virus, such as a retrovirus, in particular a human immunodeficiency virus, specifically HIV-1.
A still further object of the present invention is to provide a method of treating an animal, in particular a human, to prevent infection with a virus, such as a retrovirus, in particular a human immunodeficiency virus, specifically HIV-1.
An even further object of the present invention is to provide a method of reversibly inhibiting the growth or replication of a virus under laboratory conditions for research purposes.
These and other objects and advantages of the present invention, as well as additional inventive features, will become apparent from the description herein.
The present invention provides a method of, and composition for, inhibiting the growth or replication of a virus, particularly a retrovirus, specifically a human immunodeficiency virus such as HIV-1. In particular, the present invention provides for inhibiting a viral protease by contacting the virus with a composition which comprises a sulfhydryl- reactive compound that reacts with the viral protease so as to inhibit the growth or replication of the virus. The present invention is expected to have utility in the therapeutic treatment of a human infected with a virus, particularly a retrovirus, specifically a human immunodeficiency virus such as HIV-l, and in the prophylactic treatment of a human to prevent viral infection.
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS The present invention provides a method of, and composition for, inhibiting the growth or replication of a virus, particularly a retrovirus, specifically a human immunodeficiency virus such as HIV-1. It has now been discovered that the growth or replication of a virus, particularly a retrovirus, specifically a human immunodeficiency virus such as HIV-1, can be inhibited by reaction with the viral protease at an exposed surface of the viral protease, e.g., at an exposed site outside of the active site of the viral protease. In particular, the inhibition of viral growth or replication has been effected by a reaction of a sulfhydryl-reactive compound with a sulfhydryl group- containing amino acid of the viral protease.
The present inventive method comprises contacting a virus with a composition comprising an inhibitory compound that will react with the viral protease, thereby inhibiting the ability of the protease to cleave the viral polyprotein into its constituent proteins. It is preferred that the inhibitory compound be one which reacts with an a ino acid that is on an exposed surface of the protease, most preferably an exposed surface outside of the active site of the enzyme. An exposed surface is one that is in free contact with the environment, thereby being readily accessible to an inhibitory compound of the present invention. Such ease of accessibility increases the effectiveness of the inhibitory compound and enables the formulation of water-soluble pharmaceutical compositions comprising the inhibitory compound.
Sulfhydryl-reactive compounds are preferred compounds for use in the context of the present invention. Sulfhydryl-reactive compounds are compounds that react with sulfhydryl groups. The preferred sulfhydryl-reactive compounds for use in conjunction with the present invention include 5,5'-dithio-bis(2- nitrobenzoic acid) , which is more commonly referred to as DTNB or Ellman's reagent, as well as pharmaceutically effective salts and analogs thereof. (Ellman, Archives of Biochemistry and Biophysics 82:70-77 (1959)). Ellman's reagent or DTNB has been used to quantitate sulfhydryl groups in proteins and biological tissues, and as a specific label for cysteine residues. (Riddles et al. Methods in Enzymology 91:49-60 (1983)). DTNB has been shown to inhibit the enzymatic activity of pyroglutamate aminopeptidase (Prasad et al.. Brain Res. 364(2) :331-337 (1986)), the porcine young adult isozyme of type III hexokinase (Kearse et al.. Am. J. Physiol. 249 (6 Part 2):R740-R746 (1985)), the extracellular protease of Serratia arcescens (Choi et al., Korean Bioche . J. 19(3) :287-293 (1986)), human placental dipeptidyla inopeptidase III (Shimamori et al., Chem. Pharm. Bull. (Tokyo) 34(8) :3333-3340 (1986)), and porcine IRCM-serine protease l (Cromlish et al., J. Biol. Chem. 261(23) : 10850-10858 (1986)) .
It has been discovered that a sulfhydryl-reactive compound, such as DTNB, is capable of inhibiting a viral protease by effecting a reaction between the sulfhydryl-reactive compound and a sulfhydryl group in a su -ξhydryl-containing amino acid, such as cysteine, in the viral protease. The sulfhydryl-reactive compound is believed to form a mixed disulfide between the sulfhydryl-reactive compound and the sulfhydryl group of the amino acid in the viral protease. This reaction inhibits the ability of the viral protease to cleave the polyprotein into the necessary viral proteins. This inhibition arrests viral growth or replication.
Sulfhydryl-reactive compounds inhibit HIV-1 by reaction with Cys-67 of the HIV-1 protease. However, it is believed that the histidine residue in position 69 also may be inhibited by reaction with an inhibitory compound so as to effect inhibition of the HIV-1 protease and arrest HIV viral growth or replication. Although there are no cysteine residues in the HIV-2 protease, it is believed that inhibition of similarly positioned amino acids may also result in its inhibition as well.
The present inventive method may be used to treat a virally infected animal, such as a human. The present invention has particular usefulness in inhibiting the growth or replication of viruses, which are dependent on the action of a viral protease that contains a sulfhydryl group, such as viral proteases containing cysteine. Accordingly, the present invention is particularly well suited to treating animals infected with a retrovirus, such as a human immunodeficiency virus, specifically HIV-1, which is dependent on the action of a sulfhydryl group- containing viral protease for growth and replication.
The present inventive methods and compositions are expected also to have utility in the treatment of various non-retroviruses, in addition to retroviruses and human immunodeficiency viruses, such as HIV-1. Examples of possible viruses that may be suitable for treatment using the present invention include Type C and Type D retroviruses, HTLV-1, HTLV-2, FLV, SIV, MLV, BLV, BIV, equine infectious viruses, anemia viruses, avian sarcoma viruses, hepatitis type A, B, non A and non B viruses, herpes viruses, cytomegalo viruses, influenza viruses, arboviruses, varicella viruses, measles, mumps, and rubella viruses. Of these viruses, those that utilize cysteine-containing viral enzymes, in particular proteases, are expected to be treatable in accordance with the present invention.
Compositions comprising inhibitory compounds for use in the present inventive method preferably comprise pharmaceutically acceptable carriers in addition to the inhibitory compound. Pharmaceutically acceptable carriers are well-known to those who are skilled in the art, as are suitable methods of administration. The choice of carrier will be determined in part by the inhibitory compound, as well as by the particular method used to administer the composition.
One skilled in the art will appreciate that various routes of administering a drug are available and, although more than one route may be used to administer a particular drug, a particular route may provide a more immediate and more effective reaction than another route. Furthermore, one skilled in the art will appreciate that the particular pharmaceutical carrier employed will depend, in part, upon the particular compound employed and the chosen route of administration. Accordingly, there is a wide variety of suitable formulations of the composition of the present invention. Formulations suitable for oral administration may consist of liquid solutions, such as an effective amount of the compound dissolved in diluents, such as water, saline, or orange juice; capsules, sachets or tablets, each containing a predetermined amount of the active ingredient, as solids or granules; solutions or suspensions in an aqueous liquid; and oil-in-water emulsions or water-in-oil emulsions. Tablet forms may include one or more of lactose, microcrystalline cellulose, colloidal silicon dioxide, croscarmellose sodium, magnesium stearate, stearic acid, and other excipients, colorants, and pharmacologically compatible carriers.
Formulations suitable for topical administration include lozenges comprising the active ingredient in a flavor, usually sucrose and acacia or tragacanth; pastilles comprising the active ingredient in an inert base, such as gelatin and glycerin, or sucrose and acacia; and mouthwashes comprising the active ingredient in a suitable liquid carrier; as well as creams, emulsions, gels, and the like containing, in addition to the active ingredient, such carriers as are known in the art.
Formulations for rectal administration may be presented as a suppository with a suitable base comprising, for example, cocoa butter or a salicylate.
Formulations suitable for vaginal administration may be presented as pessaries, tampons, creams, gels, pastes, foams, or spray formulas containing, in addition to the active ingredient, such carriers as are known in the art to be appropriate. Similarly, the active ingredient may be combined with a lubricant as a coating on a condom.
Formulations suitable for parenteral administration include aqueous and non-aqueous, isotonic sterile injection solutions, which may contain anti-oxidants, buffers, bacteriostats, and solutes that render the formulation isotonic with the blood of the intended recipient; and aqueous and non-aqueous sterile suspensions that may include suspending agents and thickening agents. The formulations may be presented in unit-dose or multi-dose sealed containers, such as ampules and vials, and may be stored in a freeze-dried (lyophilized) condition requiring only the addition of the sterile liquid carrier, for example, water, for injections, immediately prior to use. Extemporaneous injection solutions and suspensions may be prepared from sterile powders, granules, and tablets of the kind previously described. The dose administered to an animal, particularly a human, in the context of the present invention should be sufficient to effect a prophylactic or therapeutic response in the infected individual over a reasonable time frame. The dose will be determined by the strength of the particular inhibitory compound employed, the severity of the disease state, as well as the body weight and age of the infected individual. The size of the dose also will be determined by the existence of any adverse side effects that may accompany the particular compound employed. It is always desirable, whenever possible, to keep adverse side effects to a minimum.
In the treatment of some virally infected individuals, it may be desirable to utilize a "mega- dosing" regimen, wherein a large dose of the inhibitory compound is administered, time is allowed for the compound to act, and then a suitable reagent is administered to the individual to inactivate the inhibitory compound, such as mercaprol (or BAL) and N- acetyl-cysteine, which inhibit sulfhydryl-reactive compounds.
The pharmaceutical composition may contain other pharmaceuticals in conjunction with the inhibitory compound, when used to therapeutically treat acquired immunodeficiency syndrome (AIDS) . Representative examples of these additional pharmaceuticals include antiviral compounds, immunomodulators , immunostimulants, and antibiotics. Exempletive antiviral compounds include AZT, ddl, ddC, gancyclovir, and fluorinated dideoxynucleotides. Exempletive immunomodulators and immunostimulants include various interleukins, CD4, cytokines, antibody preparations, blood transfusions, and cell transfusions. Exempletive antibiotics include antifungal agents, antibacterial agents, and anti-pneumcysitis carnii agents. Administration of the inhibitory compound with other anti-retroviral agents and particularly with known reverse transcriptase (RT) inhibitors, such as ddC, AZT, ddl, ddA, or other inhibitors that act against other HIV proteins, such as anti-TAT agents, will generally inhibit most or all replicative stages of the viral life cycle. The dosages of ddC and AZT used in AIDS or ARC patients have been published. A virustatic range of ddC is generally between 0.05 μM to 1.0 μM. A range of about 0.005-0.25 mg/kg body weight is virustatic in most patients. The preliminary dose ranges for oral administration are somewhat broader, for example 0.001 to 0.25 mg/kg given in one or more doses at intervals of 2, 4, 6, 8, 12, etc. hours. Currently 0.01 mg/kg body weight ddC given every 8 hours is preferred. When given in combined therapy, the anti-RT compound, for example, may be given at the same time as the inhibitory compound or the dosing may be staggered as desired. The two drugs also may be combined in a composition. Doses of each may be less when used in combination than when either is used alone.
The use of some sulfhydryl-reactive compounds in accordance with the present inventive method offers the added advantage of reversibility. A reducing agent, such as dithiothreitol (DTT) , may be used to reverse the effect of the sulfhydryl-reactive compound or the growth or replication of a virus, such as the retrovirus HIV-1. Specifically, DTT is believed to reduce the mixed disulfide bond formed between a sulfhydryl-reactive compound and a sulfhydryl group of an amino acid of the viral protease, thereby restoring the original sulfhydryl groups of the viral protease essential for viral growth or replication. This reversibility is of particular usefulness in the basic in vitro research of viral functions and in "mega- dosing" therapeutic regimens of virally infected individuals, in which case an antidote or a reversing reagent, such as a sulfhydryl reagent, may be used to "rescue" the individual from the effect of the "mega- dose." In these situations, where reversibility is not desired, a reducing agent or a sulfhydryl reagent is not used after a reversible sulfhydryl-reactive compound or, rather, an irreversible sulfhydryl compound is used.
The present inventive method and composition are further described in the context of the following examples. These examples serve to further illustrate the present invention and are not intended to limit the scope of the invention.
EXAMPLE 1 This example demonstrates the inhibition of reco binant HIV-1 protease with 5,5'-dithio-bis(2- nitrobenzoic acid) (DTNB) .
The HIV-1 aspartyl protease was contacted with
DTNB. DTNB is a sulfhydryl-reactive compound, i.e., it reacts with sulfhydryl groups. There are two sulfhydryl groups in the HIV-1 aspartyl protease, namely in the two cysteine residues Cys-67 and Cys-95. The Cys-67 residue is located on an exposed surface of the enzyme and is, therefore, readily accessible to DTNB. The Cys-95 residue is located in or very near where the two subunits of the protease bind to each other. This residue is, therefore, less accessible to DTNB. (Navia et al., Nature 337:615-620 (1989), and Wlodawer et al., Science 245:616-621 (1989)).
The DTNB reacted with the sulfhydryl groups of the two cysteine residues to form disulfide bridges between DTNB and each of the two cysteine residues. As a result of this reaction, the viral protease was inhibited from cleaving the viral polyprotein into its constituent proteins.
It was uncertain from this experiment, however, which of the two cysteine reactions was actually critical to the inhibition. Accordingly, a variant of the protease was studied. Specifically, a fusion protein was formed by fusing together the protease with an IgG binding domain (ZZ) at the amino terminus of the protease. (Boutelje et al., Archives of Biochemistry and Biophysics 283:141-149 (1990)). Essentially, this fusion protein has a long extension on its amino terminal side. It was reasoned, based on the three- dimensional structure of the protease, that the Cys-95 residue of the fusion protein would be shielded from reacting with DTNB. This would enable the determination of which cysteine residue is critical for inhibition of the protease.
The fusion protein was reacted with DTNB at pH 6.2 under non-reducing conditions and subsequently dialyzed into 20 mM HCl. (Sliwkowski et al., Analytical Biochemistry 147:369-373 (1985)). When assayed for activity at pH 5.5, the fusion protein was inactive. A control sample, which was treated in the same manner but was not exposed to DTNB, was fully active.
Pepsin digestion of the DTNB-reacted fusion protein revealed that only the Cys-67 residue was fully derivatized. The Cys-95 residue was only partially derivatized. These results indicated that Cys-67 was selectively derivatized, and its reaction with DTNB was responsible for the inhibition of the protease activity. These results further indicated that a chemical reaction with an amino acid on an exposed surface of the protease, in particular the reaction of a sulfhydryl-reactive compound, such as DTNB, with a surface cysteine residue, can inhibit a viral protease, in particular the HIV-1 protease, thereby inhibiting viral growth or replication.
EXAMPLE 2 This example demonstrates the reversion of the DTNB-inhibition of recombinant HIV-1 protease with dithiothreitol (DTT) .
Exposure of the DTNB-reacted fusion protein of Example 1 with DTT for 5 minutes restored the activity of the viral protease to 70% of the control protease. DTT is a known reducing agent and is believed to have destroyed the disulfide bridges between DTNB and each of the cysteine residues by restoring their sulfhydryl groups. Accordingly, DTT reversed the effect of DTNB and enabled the restoration of the activity of the viral protease.
Although irreversible inhibitory compounds, such as irreversible sulfhydryl-reactive compounds, may be used in accordance with the present invention, this example demonstrates the potential utility of a reversible inhibitory compound, such as a reversible sulfhydryl-reactive compound, in basic in vitro research of viral functions and in "mega-dose" therapeutic regimens, which may be used in the therapeutic treatment of virally infected humans.
EXAMPLE 3 This example sets forth a proposed therapeutic treatment of an HIV-1-infected human.
A pharmaceutical composition comprising a sulfhydryl-reactive compound in a pharmaceutically acceptable carrier is prepared. The pharmaceutical composition is then administered to an HIV-1-infected human in a therapeutically effective dose in a therapeutically effective regimen to inhibit further replication or growth of the HIV-l virus.
The particular dose administered is dependent upon the severity of the disease state, the strength of the particular compound employed, and the age and body weight of the infected individual, as well as the route of administration. The dosage amount can be determined by routine experimentation and by reference, in part, to available information regarding other anti-HIV compounds and clinical trials.
Depending on the advanced state of viral infection, a "mega-dose" therapeutic regimen may be utilized to treat the individual, in conjunction with an antidote or reversing agent after a suitable period of elapsed time of treatment with a pharmaceutical composition comprising the active inhibitory compound. The dosage amount of the inhibitory compound, the elapsed time of treatment with such an inhibitory compound, and the dosage of the antidote or reversing agent can be determined by routine experimentation and by reference, in part, to available information regarding other anti-HIV compounds and clinical trials. All publications referenced herein are hereby incorporated by reference in their entireties.
While this invention has been described with emphasis upon preferred embodiments, it will be obvious to those of ordinary skill in the art that the preferred methods and compositions may be varied. It is intended that the invention may be practiced otherwise than as specifically described herein. Accordingly, this invention includes all modifications encompassed within the spirit and scope of the following claims.

Claims

WHAT IS CLAIMED IS:
1. A method of inhibiting the growth or replication of a virus, which method comprises contacting a virus with a composition comprising a sulfhydryl-reactive compound.
2. The method of claim 1, wherein the virus encodes a viral protease comprised of at least one amino acid comprising a sulfhydryl group.
3. The method of claim 2, wherein said sulfhydryl-reactive compound reacts with said sulfhydryl group of said viral protease.
4. The method of claim 3, wherein said sulfhydryl group is on an exposed surface of the viral protease.
5. The method of claim 4, wherein said exposed surface is outside of the viral protease's active site.
6. The method of claim 3, wherein said amino acid is cysteine.
7. The method of claim 1 , wherein said sulfhydryl-reactive compound is selected from the group consisting of 5,5'-dithio-bis(2-nitrobenzoic acid) and pharmaceutically acceptable salts thereof.
8. The method of claim 7, wherein said sulfhydryl-reactive compound is 5,5'-dithio-bis(2- nitrobenzoic acid) .
9. The method of claim 1, wherein said virus is a retrovirus.
10. The method of claim 9, wherein said virus is a human immunodeficiency virus.
11. The method of claim 10, wherein said human immunodeficiency virus is HIV-1.
12. The method of claim 3, wherein said inhibition of viral growth or replication is irreversible.
13. The method of claim 3, wherein said inhibition of viral growth or replication is reversed by contacting said virus with a composition comprising a reducing compound that restores said sulfhydryl group of said viral protease.
14. The method of claim 13, wherein said sulfhydryl-reactive compound is 5,5'-dithio-bis(2- nitrobenzoic acid) and said reducing compound is dithiothreitol.
15. A method of treating a virus-infected animal, which method comprises administering to the animal a therapeutically effective dose of a pharmaceutical composition comprising a sulfhydryl-reactive compound.
16. The method of claim 15, wherein said animal is a human.
17. The method of claim 16, wherein said human is infected with a retrovirus.
18. The method of claim 17, wherein said human is infected with a human immunodeficiency virus.
19. The method of claim 18, wherein said human immunodeficiency virus is HIV-1.
20. The method of claim 15, wherein said sulfhydryl-reactive compound is selected from the group consisting of 5,5'-dithio-bis(2-nitrobenzoic acid) and pharmaceutically acceptable salts thereof.
21. The method of claim 20, wherein said sulfhydryl-reactive compound is 5,5'-dithio-bis(2- nitrobenzoic acid) .
22. A pharmaceutical composition that inhibits viral growth or replication, which composition comprises a sulfhydryl-reactive compound and a pharmaceutically acceptable carrier.
23. The composition of claim 22, wherein said sulfhydryl-reactive compound is selected from the group consisting of 5,5'-dithio-bis(2-nitrobenzoic acid) and pharmaceutically acceptable salts thereof.
24. The composition of claim 23, wherein said sulfhydryl-reactive compound is 5,5'-dithio-bis(2- nitrobenzoic acid) .
25. A method of inhibiting the growth or replication of a virus by reaction with a protease for said virus, which method comprises contacting a virus with a composition comprising a compound that reacts with an amino acid on an exposed surface of the viral protease.
26. The method of claim 25, wherein said exposed surface is outside of the active site of said viral protease.
27. The method of claim 26, wherein said virus is a retrovirus.
28. The method of claim 27, wherein said virus is a human immunodeficiency virus.
29. The method of claim 28, wherein said human immunodeficiency virus is HIV-1.
30. The method of claim 28, wherein said compound reacts with amino acid-67.
31. The method of claim 29, wherein said compound reacts with cysteine-67.
32. The method of claim 31, wherein said compound is a sulfhydryl-reactive compound.
33. The method of claim 32, wherein said sulfhydryl-reactive compound is selected from the group consisting of 5,5'-dithio-bis(2-nitrobenzoic acid) and pharmaceutically acceptable salts thereof.
34. The method of claim 33, wherein said sulfhydryl-reactive compound is 5,5'-dithio-bis(2- nitrobenzoic acid) .
35. A method of treating AIDS in a human infected with HIV, which method comprises administering to the human a therapeutically effective dose of a composition comprising a compound that reacts with an amino acid on an exposed surface of a protease that is encoded by the HIV.
36. A method according to claim 35, wherein said amino acid is amino acid-67.
37. A method according to claim 36, wherein said HIV is HIV-1.
38. A method according to claim 37, wherein said amino acid-67 is cysteine.
39. A method according to claim 35, wherein said compound is a sulfhydryl-reactive compound.
40. A method according to claim 39, wherein said sulfhydryl-reactive compound is selected from the group consisting of 5,5'-dithio-bis(2-nitrobenzoic acid) and pharmaceutically acceptable salts thereof.
41. The method of claim 40, wherein said sulfhydryl-reactive compound is 5,5'-dithio-bis(2- nitrobenzoic acid) .
42. A method of prophylactic treatment of a human at risk for HIV infection, which method comprises administering to the human a prophylactic effective dose of a pharmaceutical composition comprising a compound that is capable of reacting with an amino acid on an exposed surface of a protease encoded by HIV.
43. The method of claim 42, wherein said compound is a sulfhydryl-reactive compound.
44. A method according to claim 43, wherein said sulfhydryl-reactive compound is selected from the group consisting of 5,5'-dithio-bis(2-nitrobenzoic acid) and pharmaceutically acceptable salts thereof.
45. The method of claim 44, wherein said compound is 5,5'-dithio-bis(2-nitrobenzoic acid).
46. A method of inhibiting a protease encoded by HIV, which method comprises contacting an HIV protease with a compound capable of reacting with an amino acid on an exposed surface of said protease.
47. The method of claim 46, wherein said compound is a sulfhydryl-reactive compound.
48. The method of claim 47, wherein said compound is selected from the group consisting of 5,5'-dithio- bis(2-nitrobenzoic acid) and pharmaceutically acceptable salts thereof.
49. The method of claim 48, wherein said compound is 5,5'-dithio-bis(2-nitrobenzoic acid).
PCT/US1993/000889 1992-02-07 1993-02-02 Use of 5,5'-dithio-bis(2-nitrobenzoic acid) for inhibition of hiv protease WO1993015730A1 (en)

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