Lipopeptide for potently inhibiting HIV, derivative thereof, pharmaceutical composition thereof and use thereof
11680086 · 2023-06-20
Assignee
- Shanxi Kangbao Biological Product Co., Ltd. (Changzhi, CN)
- Institute of Pathogen Biology, Chinese Academy of Medical Sciences (Beijing, CN)
Inventors
Cpc classification
A61K9/0019
HUMAN NECESSITIES
Y02P20/55
GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
C07K14/162
CHEMISTRY; METALLURGY
A61K47/542
HUMAN NECESSITIES
A61K47/554
HUMAN NECESSITIES
International classification
Abstract
The present application relates to a lipopeptide for potently inhibiting HIV, a derivative thereof, or a pharmaceutical composition thereof, and use thereof. The lipopeptide is the following a) or b): a) a lipopeptide formed by linking a polypeptide having an antiviral activity to a lipophilic compound linked to the carboxyl-terminus of the polypeptide; or b) a lipopeptide formed by linking a polypeptide having an antiviral activity to a terminal protecting group and a lipophilic compound linked to the carboxyl-terminus of the polypeptide, wherein the terminal protecting group is an amino-terminal protecting group and/or a carboxyl-terminal protecting group, the polypeptide has a sequence of 28 amino acid residues, corresponding to amino acids at positions of 127-154 of the sequence of gp41 from HIV-1 strain HXB2. The anti-HIV activity of the lipopeptide of the present invention is higher than that of T-20 by several thousands of times or even tens of thousands of times, and is also significantly higher than that of the anti-HIV lipopeptides such as C34-Chol, LP-19 and the like.
Claims
1. A lipopeptide or a pharmaceutically acceptable salt thereof, wherein the lipopeptide is the following a) or b): a) a lipopeptide formed by linking a polypeptide having an antiviral activity to a lipophilic compound linked to the carboxyl-terminus of the polypeptide; b) a lipopeptide formed by linking a polypeptide having an antiviral activity to a terminal protecting group and a lipophilic compound linked to the carboxyl-terminus of the polypeptide, wherein the terminal protecting group is an amino terminal protecting group and/or a carboxyl terminal protecting group; in the a) and b), the polypeptide is any one of P1 to P4: the P1 has a sequence as shown in the following sequence, TABLE-US-00008 X.sub.1X.sub.2X.sub.3X.sub.4IEELX.sub.9KKX.sub.12EEQQKKNEEELKKLEK; the P2 is P2-1, P2-2, P2-3 or P2-4, wherein the P2-1 has a sequence as shown in the following sequence: TABLE-US-00009 X.sub.2X.sub.3X.sub.4IEELX.sub.9KKX.sub.12EEQQKKNEEELKKLEK; the P2-2 has a sequence as shown in the following sequence: TABLE-US-00010 X.sub.3X.sub.4IEELX.sub.9KKX.sub.12EEQQKKNEEELKKLEK; the P2-3 has a sequence as shown in the following sequence: TABLE-US-00011 X.sub.4IEELX.sub.9KKX.sub.12EEQQKKNEEELKKLEK; the P2-4 has a sequence as shown in the following sequence: TABLE-US-00012 IEELX.sub.9KKX.sub.12EEQQKKNEEELKKLEK; the P3 has a sequence as shown in the following sequence: TABLE-US-00013 X.sub.1X.sub.2X.sub.3X.sub.4IEELX.sub.9KKX.sub.12EEQQKKNEEELKK; the P4 has a sequence as shown in the following sequence: TABLE-US-00014 X.sub.1X.sub.2X.sub.3X.sub.4IEELX.sub.9KKX.sub.12EEQQKKNEEELKKLEKC; wherein X.sub.1 is W, L or Y, X.sub.2 is E or T, X.sub.3 is Q, A or S, X.sub.4 is K, N or L, X.sub.9 is L or I, X.sub.12 is A or S; and the lipophilic compound is a fatty acid containing 8 to 20 carbon atoms, cholesterol, dihydrosphingosine or vitamin E.
2. The lipopeptide or a pharmaceutically acceptable salt thereof according to claim 1, wherein the P1 is P-80/84/85/52, P-87/51 or P50, wherein the P-80/84/85/52 is a polypeptide represented by the sequence of SEQ ID NO: 1 in the sequence listing, the P-87/51 is a polypeptide represented by the sequence of SEQ ID NO: 2 in the sequence listing, and the P50 is a polypeptide represented by the sequence of SEQ ID NO: 3 in the sequence listing; the P2-1 is P-88/62, wherein the P-88/62 is a polypeptide represented by the sequence of SEQ ID NO: 4 in the sequence listing; the P2-2 is P63 or P60, wherein the P63 is a polypeptide represented by the sequence of SEQ ID NO: 5 in the sequence listing, and the P60 is a polypeptide represented by the sequence of SEQ ID NO: 6 in the sequence listing; the P2-3 is P-89/64, wherein the P-89/64 is a polypeptide represented by the sequence of SEQ ID NO: 7 in the sequence listing; the P2-4 is P-90/65 or P61, wherein the P-90/65 is a polypeptide represented by the sequence of SEQ ID NO: 8 in the sequence listing; and the P61 a polypeptide represented by the sequence of SEQ ID NO: 9 in the sequence listing; the P3 is P-91/55, wherein the P-91/55 is a polypeptide represented by the sequence of SEQ ID NO: 10 in the sequence listing; and the P4 is a P83 or P86, wherein the P83 is a polypeptide represented by the sequence of SEQ ID NO: 11 in the sequence listing, and the P86 is a polypeptide represented by the sequence of SEQ ID NO: 12 in the sequence listing.
3. The lipopeptide or a pharmaceutically acceptable salt thereof according to claim 1, wherein the fatty acid containing 8 to 20 carbon atoms is stearic acid or palmitic acid.
4. The lipopeptide or a pharmaceutically acceptable salt thereof according to claim 3, wherein the lipopeptide is any one of the following 12 lipopeptides LP-80/84/85/52, LP-90/65, LP-87/51, LP-88/62, LP-50, LP-83, LP-91/55, LP-86, LP-63, LP-89/64, LP-60 and LP-61; the LP-80/84/85/52 is LP-80/84/85/52a or LP-80/84/85/52b, wherein the LP-80/84/85/52a is formed by linking a polypeptide named as P-80/84/85/52 to a lipophilic compound linked to the carboxyl-terminus of the P-80/84/85/52; the LP-80/84/85/52b is formed by linking the LP-80/84/85/52a to the terminal-protecting group; in the LP-80/84/85/52a and LP-80/84/85/52b, the P-80/84/85/52 is the polypeptide represented by the sequence of SEQ ID NO: 1 in the sequence listing, and the lipophilic compound is stearic acid, dihydrosphingosine, or vitamin E; the LP-90/65 is LP-90/65a or LP-90/65b, wherein the LP-90/65a is formed by linking a polypeptide named as P-90/65 to a lipophilic compound linked to the carboxyl-terminus of the P-90/65; the LP-90/65b is formed by linking the LP-90/65a to the terminal protecting group; in the LP-90/65a and LP-90/65b, the P-90/65 is a polypeptide represented by the sequence of SEQ ID NO: 8 in the sequence listing, and the lipophilic compound is stearic acid or palmitic acid; the LP-87/51 is LP-87/51a or LP-87/51b, wherein the LP-87/51a is formed by linking a polypeptide named as P-87/51 to a lipophilic compound linked to the carboxyl-terminus of the P-87/51; the LP-87/51b is formed by linking the LP-87/51a to the terminal protecting group; in the LP-87/51a and LP-87/51b, the P-87/51 is a polypeptide represented by the sequence of SEQ ID NO: 2 in the sequence listing, and the lipophilic compound is dihydrosphingosine or palmitic acid; the LP-88/62 is LP-88/62a or LP-88/62b, wherein the LP-88/62a is formed by linking a polypeptide named as P-88/62 to a lipophilic compound linked to the carboxyl-terminus of the P-88/62; the LP-88/62b is formed by linking the LP-88/62a to the terminal protecting group; in the LP-88/62a and LP-88/62b, the P-88/62 is a polypeptide represented by the sequence of SEQ ID NO: 4, and the lipophilic compound is stearic acid or palmitic acid; the LP-50 is LP-50a or LP-50b, wherein the LP-50a is formed by linking a polypeptide named as P50 to palmitic acid linked to the carboxyl-terminus of the P50; the LP-50b is formed by linking the LP-50a to the terminal protecting group; in the LP-50a and LP-50b, the P50 is a polypeptide represented by the sequence of SEQ ID NO: 3 in the sequence listing; the LP-83 is LP-83a or LP-83b, wherein the LP-83a is formed by linking a polypeptide named as P83 to cholesterol linked to the carboxyl-terminus of the P83; the LP-83b is formed by linking the LP-83a to the terminal protecting group; in the LP-83a and LP-83b, the P83 is a polypeptide represented by the sequence of SEQ ID NO: 11 in the sequence listing; the LP-91/55 is LP-91/55a or LP-91/55b, wherein the LP-91/55a is formed by linking a polypeptide named as P-91/55 to a lipophilic compound linked to the carboxyl-terminus of the P-91/55; the LP-91/55b is formed by linking the LP-91/55a to the terminal protecting group; in the LP-91/55a and LP-91/55b, the P-91/55 is a polypeptide represented by the sequence of SEQ ID NO: 10, and the lipophilic compound is stearic acid or palmitic acid; the LP-86 is LP-86a or LP-86b, wherein the LP-86a is formed by linking a polypeptide named as P86 to cholesterol linked to the carboxyl-terminus of the P86; the LP-86b is formed by linking the LP-86a to the terminal protecting group; in the LP-86a and LP-86b, the P86 is a polypeptide represented by the sequence of SEQ ID NO: 12 in the sequence listing; the LP-63 is LP-63a or LP-63b, wherein the LP-63a is formed by linking a polypeptide named as P63 to palmitic acid linked to the carboxyl-terminus of the P63; the LP-63b is formed by linking the LP-63a to the terminal protecting group; in the LP-63a and LP-63b, the P63 is a polypeptide represented by the sequence of SEQ ID NO: 5 in the sequence listing; the LP-89/64 is LP-89/64a or LP-89/64b, wherein the LP-89/64a is formed by linking a polypeptide named as P-89/64 to a lipophilic compound linked to the carboxyl-terminus of the P-89/64; the LP-89/64b is formed by linking the LP-89/64a to the terminal protecting group; in the LP-89/64a and LP-89/64b, the P-89/64 is a polypeptide represented by the sequence of SEQ ID NO: 7 in the sequence listing, and the lipophilic compound is stearic acid or palmitic acid; the LP-60 is LP-60a or LP-60b, wherein the LP-60a is formed by linking a polypeptide named as P60 to palmitic acid linked to the carboxyl-terminus of the P60; the LP-60b is formed by linking the LP-60a to the terminal protecting group; in the LP-60a and LP-60b, the P60 is a polypeptide represented by the sequence of SEQ ID NO: 6 in the sequence listing; and the LP-61 is LP-61a or LP-61b, wherein the LP-61a is formed by linking a polypeptide named as P61 to palmitic acid linked to the carboxyl-terminus of the P61; the LP-61b is formed by linking the LP-61a to the terminal protecting group; in the LP-61a and LP-61b, the P61 is a polypeptide represented by the sequence of SEQ ID NO: 9 in the sequence listing.
5. A multimer formed by the lipopeptide or a pharmaceutically acceptable salt thereof according to claim 1.
6. A composition comprising C1) and C2), wherein, the C1) is C11), wherein the C11) is the lipopeptide or a pharmaceutically acceptable salt thereof according to claim 1; the C2) is a pharmaceutically acceptable carrier or adjuvant; the composition has at least one function of the following functions F1)-F5): F1) having activity against virus; F2) treating and/or preventing and/or adjunctively treating a disease caused by a virus infection; F3) inhibiting fusion of virus and cell; F4) inhibiting entry of virus into cell; and F5) inhibiting replication of virus; in the F1)-F5), the virus is any one virus selected from the group consisting of the following v1-v7: v1: HIV-1, HIV-2 and SIV; v2: HIV-1 and HIV-2; v3: HIV-1 and SIV; v4: HIV-2 and SIV; v5: HIV-1; v6: HIV-2; and v7: SIV.
7. A method of treating or/and preventing an infection caused by a virus in an animal, comprising administering to a subject animal the C11) to inhibit viral infection in the animal, wherein the C11) is the lipopeptide or a pharmaceutically acceptable salt thereof according to claim 1; the virus is any one virus selected from the group consisting of the following v1-v7: v1: HIV-1, HIV-2 and SIV; v2: HIV-1 and HIV-2; v3: HIV-1 and SIV; v4: HIV-2 and SIV; v5: HIV-1; v6: HIV-2; and v7: SIV.
8. A composition comprising C1) and C2), wherein, the C1) is C13), wherein the C13) is the multimer according to claim 5; the C2) is a pharmaceutically acceptable carrier or adjuvant; the composition has at least one function of the following functions F1)-F5): F1) having activity against virus; F2) treating and/or preventing and/or adjunctively treating a disease caused by a virus infection; F3) inhibiting fusion of virus and cell; F4) inhibiting entry of virus into cell; and F5) inhibiting replication of virus; in the F1)-F5), the virus is any one virus selected from the group consisting of the following v1-v7: v1: HIV-1, HIV-2 and SIV; v2: HIV-1 and HIV-2; v3: HIV-1 and SIV; v4: HIV-2 and SIV; v5: HIV-1; v6: HIV-2; and v7: SIV.
9. A method of treating or/and preventing an infection caused by a virus in an animal, comprising administering to a subject animal the C13) to inhibit viral infection in the animal, wherein the C13) is the multimer according to claim 5; the virus is any one virus selected from the group consisting of the following v1-v7: v1: HIV-1, HIV-2 and SIV; v2: HIV-1 and HIV-2; v3: HIV-1 and SIV; v4: HIV-2 and SIV; v5: HIV-1; v6: HIV-2; and v7: SIV.
10. A method of treating or/and preventing an infection caused by a virus in an animal, comprising administering to a subject animal the C14) to inhibit viral infection in the animal, wherein the C14) is the composition according to claim 6; the virus is any one virus selected from the group consisting of the following v1-v7: v1: HIV-1, HIV-2 and SIV; v2: HIV-1 and HIV-2; v3: HIV-1 and SIV; v4: HIV-2 and SIV; v5: HIV-1; v6: HIV-2; and v7: SIV.
Description
DESCRIPTION OF THE FIGURES
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
OPTIMUM MODE FOR CARRYING OUT THE PRESENT INVENTION
(11) The embodiments of the present invention will be described in detail below with reference to examples, but a person skilled in the art will understand that the following examples are only for illustrating the present invention and should not be construed as limiting the scope of the present invention. When the conditions are not indicated in the Examples, the Examples are carried out under the conventional conditions or the conditions recommended by the manufacturers. The reagents or instruments used herein, the manufacturers of which are not indicated, are the conventional products that are commercially available. The amino acids of all the polypeptides in the following examples are L-type amino acids.
Example 1 Preparation of Lipopeptides
(12) The structural formula of the lipopeptides provided in this embodiment was: Ac—X.sub.1X.sub.2X.sub.3X.sub.4X.sub.5X.sub.6X.sub.7X.sub.8X.sub.9X.sub.10X.sub.11X.sub.12X.sub.13X.sub.14X.sub.15X.sub.21X.sub.17X.sub.18X.sub.19X.sub.20X.sub.26X.sub.27X.sub.28Z—NH.sub.2, wherein X.sub.1-X.sub.28 represented a polypeptide sequence corresponding to amino acids at positions of 127 to 154 of the sequence of gp41 from HIV-1 strain HXB2 (YTSLIHSLIEESQNQQEKNEQELLELDK), wherein X.sub.1 corresponded to Y at the position of 127, and X.sub.2 corresponded to T at the position of 128, X.sub.3 corresponded to S at the position of 129, . . . X.sub.28 corresponded to K at the position of 154. A novel sequence obtained by a large number of mutations was a component of potent inhibitors. Representative peptides included LP-50, LP-51, LP-52, LP-80, LP-83, LP-84, LP-85, LP-86 and LP-87, etc. The definitions of X.sub.1-X.sub.28 were same as those in Formula I, Z was a lipophilic compound, Ac was an acetyl group, and NH.sub.2 was an amino group.
(13) In this example, the lipopeptides or polypeptides as shown in
(14) Wherein, the modification of the polypeptide with palmitic acid (palmitic acid-modified lipopeptides: LP-40, LP-41, LP-42, LP-43, LP-44, LP-45, LP-50, LP-51, LP-52, LP-53, LP-54, LP-55, LP-56, LP-57, LP-58, LP-59, LP-60, LP-61, LP-62, LP-63, LP-64, LP-65, LP-66, LP-67, LP-68, LP-69, LP-70, LP-71, LP-72, LP-73, LP-74, LP-75, LP-11, LP-19, C34-C16), stearic acid (stearic acid-modified lipopeptides: LP-80, LP-88, LP-89, LP-90, LP-91, LP-92), dihydrosphingosine (dihydrosphingosine-modified lipopeptides: LP-84, LP-87), vitamin E (vitamin E-modified lipopeptide: LP-85), dodecanoic acid (dodecanoic acid-modified lipopeptide: LP-81), and octanoic acid (octanoic acid-modified lipopeptide: LP-82), was carried out by an amidation reaction thereof with the side chain amino group of lysine (Lys) at the C-terminus of the polypeptide, please see the References 18 and 27 listed in the Background art. Below, the LP-52 and LP-80 were taken as examples to illustrate the synthesis of the above lipopeptides.
(15) The used chemical reagents, such as Rink Amide MBHA resin, various Fmoc amino acids, palmitoyl chloride, stearoyl chloride, vitamin E succinate, D-erythro-dihydrosphingosine, N,N′-disuccinimidyl carbonate, N,N′-diisopropylcarbodiimide (DIC), 1-hydroxybenzotriazole (HOBt), trifluoroacetic acid (TFA), ethanedithiol (EDT), ninhydrin, hexahydropyridine (PIPE), phenol, N,N′-dimethylformamide (DMF), chromatographically pure acetonitrile, etc., all were purchased from major chemical reagent suppliers and were not further purified prior to use.
(16) Synthesis of the polypeptide: a synthesis was carried out from the C-terminus to the N-terminus with Rink Amide MBHA resin (substitution constant of 0.34 mmol/g) as a starting material by using a manual Fmoc solid phase synthesis method. The Fmoc protecting group on the Rink resin was removed with 25% hexahydropyridine/DMF (volume ratio), and then the resin was grafted with 2 equivalents of Fmoc-Lys(Dde)-OH/HOBt/DIC to introduce a first amino acid residue at the C-terminus. Thereafter, the N-terminal Fmoc protecting group was removed with 25% hexahydropyridine/DMF (volume ratio) again to make the N-terminus to be a free amino group. The various amino acid residues were sequentially linked by the way. The used materials and amounts thereof were as follows: Fmoc-Glu(OtBu)-OH (3 eq), Fmoc-Leu-OH (3 eq), Fmoc-Lys(Boc)-OH (3 eq), Fmoc-Lys(Boc)-OH (3 eq), Fmoc-Leu-OH (3 eq), Fmoc-Glu(OtBu)-OH (3 eq), Fmoc-Glu(OtBu)-OH (3 eq), Fmoc-Glu(OtBu)-OH (3 eq), Fmoc-Asn (Trt)-OH (3 eq), Fmoc-Lys(Boc)-OH (3 eq), Fmoc-Lys(Boc)-OH (3 eq), Fmoc-Gln(Trt)-OH (3 eq), Fmoc-Gln(Trt)-OH (3 eq), Fmoc-Glu(OtBu)-OH (3 eq), Fmoc-Glu(OtBu)-OH (3 eq), Fmoc-Ala-OH (3 eq), Fmoc-Lys(Boc)-OH (3 eq), Fmoc-Lys(Boc)-OH (3 eq), Fmoc-Leu-OH (3 eq), Fmoc-Leu-OH (3 eq), Fmoc-Glu(OtBu)-OH (3 eq), Fmoc-Glu (OtBu)-OH (3 eq), Fmoc-Ile-OH (3 eq), Fmoc-Lys(Boc)-OH (3 eq), Fmoc-Gln(Trt)-OH (3 eq), Fmoc-Glu(OtBu)-OH (3 eq), Fmoc-Trp(Boc)-OH (3 eq). Finally, the N-terminus was end-capped by means of acetylation (3 equivalents of Ac.sub.2O, 6 equivalents of diisopropylethylamine) to complete the synthesis of the main chain. The reaction time of each step was as follows: deprotection for 8 minutes, twice; grafting of ordinary amino acids for 60 minutes.
(17) After each step of the above reaction, the resin was needed to be washed with DMF for six times or more, and the reaction was controlled by Kaiser Test. If the condensation reaction of an amino acid was incomplete, the condensation was repeated once again until a desired peptide segment of interest was obtained.
(18) Modification of the polypeptide: the resin was treated with 2% hydrazine hydrate/DMF solution (volume ratio) to remove the side chain Dde protecting group of the C-terminal Lys, and then mixed with 3 equivalent of palmitoyl chloride or stearoyl chloride and 6 equivalent of diisopropyl ethylamine to carry out an amidation reaction with the side chain amino group of the C-terminal Lys (60 minutes), thereby achieving palmitoylation modification (LP-52) or stearoyl modification (LP-80) of the C-terminal Lys residue. The modification of polypeptide with dihydrosphingosine (LP-84, LP-87) was carried out by first adding N,N′-disuccinimidyl carbonate after the side chain Dde protecting group of Lys was removed, then dihydrosphingosine was added, and the reaction was carried out for 48 hours. The modification of the polypeptide with vitamin E (LP-85) was carried out by an amidation of the deprotected side chain amino group of the Lys directly with vitamin E succinate.
(19) Cleavage and deprotection of the side chain: after the synthesis of a lipopeptide was completed, the resin was dried under vacuum. A cleavage reagent (trifluoroacetic acid:1,2-ethanedithiol:thioanisole:phenol:H.sub.2O:triisopropylsilane=68.5:10:10:5:3.5:1, v/v) was added to the dried resin, and the cleavage was carried out at 30° C. for 3 hours, whereby a polypeptide of interest was cleaved from the resin and the side chain protecting group was removed. A filtration operation was carried out. The filtrate was added to a large amount of cold anhydrous diethyl ether to precipitate the polypeptide, then centrifuged, the polypeptide was washed with diethyl ether for several times, and dried to obtain a crude lipopeptide product.
(20) Purification and characterization of the lipopeptide: the purification of the crude lipopeptide product was performed on a reversed-phase high performance liquid chromatograph by using a 100×250 mm column containing reversed-phase C.sub.18 or C.sub.4 silica gel with a particle size of 10 μm and with a pore diameter of 100 angstroms (Å). The chromatographic operating conditions: linear gradient elution was performed, wherein an eluent consisted of a mobile phase A and a mobile phase B, the mobile phase A was an aqueous solution containing 20 mM ammonium acetate (pH 4.5) and 5% acetonitrile, and the mobile phase B was an aqueous solution of 80% (volume percentage concentration) acetonitrile; the flow rate was 250 ml/min; and the ultraviolet detection wavelength was 220 nm. After the solvent was freeze-dried, a pure product of the polypeptide in a fluffy state was obtained, the chemical structure of which was characterized by MALDI-TOF mass spectrometry, and the purity of which was determined by an analytical high performance liquid chromatography (C18-10×250 mm, flow rate: 1 ml/min). The results showed that the synthesized lipopeptides had a purity of more than 95%.
(21) A method for synthesizing cholesterol-modified lipopeptides (LP-83, LP-86, C34-Chol) was carried out with reference to Reference 18 and Reference 20 listed in the Background Art. First, cholesteryl bromoacetate was synthesized according to the technical route described in the literatures, and then grafted to a polypeptide chain by means of a highly chemically selective thioether-forming reaction which is carried out between the side chain thiol group of the C-terminal cysteine (Cys) of the polypeptide and the cholesteryl bromoacetate, that was, after a crude polypeptide product was synthesized in a conventional manner, it was dissolved in pure DMSO, 1 equivalent of cholesterol bromoacetate dissolved in a small amount of trifluoroacetic acid (TFA) was added thereto, and then pure diisopropylethylamine (DIEA) was added to adjust pH to alkaline. The reaction was followed by RP-HPLC and was generally completed in 1 hour. The lipopeptide was purified and characterized as above, and the purity of the obtained lipopeptide was more than 95%.
Example 2 Identification of Potent HIV Membrane Fusion Inhibitors
(22) 2.1 Experimental Materials and Methods
(23) Each of the lipopeptides and polypeptides in
(24) HIV-1 mediated cell fusion inhibition assay: the effector cells (HL2/3 cells) and target cells (TZM-b1 cells) were provided by the AIDS Reagent Program of National Institutes of Health (NIH) (catalog numbers: 1294 and 8129, respectively). The both cells were adherent cells and were cultured in a DMEM cell culture medium containing ampicillin/streptomycin double antibiotics and 10% fetal bovine serum (FBS). The TZM-b1 was first added to a 96-well cell culture plate (1×10.sup.4 cells/well), and cultured overnight at 37° C. and 5% CO.sub.2. The test substance was diluted with the DMEM cell culture medium by 3 folds and mixed with HL2/3 effector cells (3×10.sup.4 cells/well), then added to the TZM-b1 target cells, and further cultured for 6 hours to fully fuse. The activity of luciferase (relative fluorescence units, RLU) was then determined using a luciferase reporter gene kit from Promega company according to the instructions. The inhibition rate of each sample at each concentration was calculated, and the half effective inhibitory concentration (IC.sub.50 value) was calculated using GraphPad Prism Software 2.01.
(25) HIV-1 pseudovirus-mediated cell entry inhibition assay: basic steps included: (1) Preparation of HIV-1 pseudovirus: the 293T cells were co-transfected with a plasmid expressing the envelope protein (Env) of HIV-1 strain NL4-3 (i.e., a recombinant expression plasmid obtained by inserting the gene encoding the envelope protein (ENV) of the D36G mutant of the HIV-1 strain NL4-3 in the Table 2 of the Reference 14 listed in the Background Art into the vector pcDNA3.1(−)) and the HIV-1 backbone plasmid pSG3Δenv (provided by the AIDS Reagent Program of National Institutes of Health (NIH), catalog number: 11051) by using a cell transfection reagent, incubated in a cell incubator of 37° C. and 5% CO.sub.2 for 6 hours, and then the medium was changed, and the cells were further incubated for 48 hours. The cell culture supernatant containing pseudovirus particles was pipetted and filtered with a 0.45 μm filter to collect the supernatant, then 20% fetal bovine serum (FBS) was added thereto, the final solution was transferred to a polypropylene tube, and stored at −80° C. for ready for use or directly subjected to virus titration. (2) Titration of HIV-1 pseudovirus: the viruses were diluted by 5 folds in a 96-well plate, and 4 replicate wells with 8 gradients were set to a final volume of 100 microliters. The TZM-b1 cells were trypsinized and counted, and the cells were diluted to 1×10.sup.5 cells/ml with DMEM complete medium; 100 μl of cells dilution (containing 15 μg/ml DEAE-dextran) per well were added and cultured at 37° C. and 5% CO.sub.2 for 48 hours. The 96-well plate was then taken from the cell culture incubator. The supernatant was discarded from the wells. To each well, 30 μl of a cell lysate was added, and after 10 minutes, 100 μl of a luciferase detection reagent was added. 100 μl of liquid was pipetted from each well and added to a corresponding 96-well white plate, and the luminescence values were read by a microplate photometer. The virus titer was calculated by the Reed-Muench method. (3) Antiviral activity assay: the test substance was dissolved in DMSO and diluted with a cell culture solution by 3 folds, and placed in a 96-well plate at a final volume of 50 pt. 50 μl of a DMEM medium was used in place of the test substance as a negative control. To each well, 100 μl of TZM-b1 target cells solution (containing 15 μg/ml DEAE-dextran) at a concentration of 1×10.sup.5 cells/ml was added, and then 50 μl (corresponding to 100 TCID.sub.50 per well) of the HIV-1 pseudovirus obtained above was added. After incubation at 37° C. and 5% CO.sub.2 for 48 hours, the relative light units (RLU) of each well were determined by using a luciferase detection reagent (Promega). Inhibition rate (%) and IC.sub.50 value were calculated.
(26) HIV-1 replication inhibition assay: the molecular cloning plasmid pYK-JRCSF encoding the HIV-1 strain JRCSF was provided by the AIDS Reagent Program of NIH (catalog number: 2708). 293T cells were transfected with the pYK-JRCSF by using a transfection reagent, and incubated in a cell incubator at 37° C. and 5% CO.sub.2 for 6 hours; then the medium was changed, and the cells were further incubated for 48 hours. The cell culture supernatant containing the JRCSF viral particles was pipetted gently and filtered with a 0.45 μm filter to collect the supernatant, then 20% fetal bovine serum (FBS) was added thereto, and the final solution was transferred to a polypropylene tube, and stored at −80° C. for ready for use or directly subjected to virus titration. The virus titration was same as the above titration of HIV-1 pseudovirus. In order to detect the antiviral activity, the test substance was dissolved in DMSO and diluted with a cell culture solution by 3 folds, and placed in a 96-well plate at a final volume of 50 μL. 50 μL of a DMEM medium was used in place of the test substance as a negative control. To each well, 100 μl of TZM-b1 target cells solution (having 10.sup.5 cells/ml and containing 15 μg/ml DEAE-dextran) was added, and then 50 μl (100 TCID.sub.50 per well) of the viruses obtained above was added. After incubation at 37° C. and 5% CO.sub.2 for 48 hours, the relative light units (RLU) of each well were determined using a luciferase detection reagent (Promega). Inhibition rate (%) and IC.sub.50 value were calculated.
(27) 2.2 Experimental Results and Analysis
(28) 2.2.1 the T-20-Based Lipopeptide (LP-40) had a Strong Antiviral Activity.
(29) In order to screen and identify potent HIV membrane fusion inhibitors, the present invention had developed a new method in which a polypeptide drug T-20 that does not contain the NHR pocket-binding domain (PBD) was used as a design template. The inhibitory activity of an inhibitor against HIV-1 mediated cell fusion, pseudovirus entry and virus replication was evaluated using three antiviral assays (
(30) 2.2.2 Addition of a Linker Arm Resulted in Significant Reduction of Antiviral Activity of the LP-40.
(31) The present inventors had previously designed a set of highly active anti-HIV lipopeptides based on modification of a short peptide (HP23 or 2P23) targeting the NHR pocket, and found that directly linking a lipid compound C16, cholesterol and dihydrosphingosine to the C-terminus of the polypeptide resulted in a significant decrease in the anti-HIV activity of the polypeptide, whereas the introduction of a linker arm between the polypeptide sequence and the compound modifier resulted in a significantly increase in the activity of the polypeptide, and the antiviral activity was increased with an increase in length of the linker arm (please see the References 18 and 30 listed in the Background Art). The finally designed high-activity lipopeptides such as LP-11 and LP-19 had a longer PEG8 linker arm, suggesting that the addition of a linker arm facilitated lipopeptides to overcome steric hindrance to produce function. In order to further improve the activity of LP-40, five lipopeptides of LP-41, LP-42, LP-43, LP-44 and LP-45 were designed and synthesized, which were respectively added with AHX, AEEA, PEG4, PEG8 and PEG12 as a linker arm (
(32) 2.2.3 Addition of Ion Pairs Resulted in Very Significant Increase of Antiviral Activity of LP-40.
(33) The present invention further attempted to promote the helical structure and antiviral activity of LP-40 by introducing ion pairs. In the present technology, the EE**KK amino acid residues that contribute to the formation of a “salt bridge structure” were introduced by mutating amino acids at the non-NHR binding surface of the polypeptide sequence (i.e., the positions of b, c and f, g). As could be seen from
(34) 2.2.4 Addition of HIV-2/SIV Amino Acid Residues Further Improved the Activity of LP-50.
(35) In order to further improve the antiviral activity of LP-50, the present invention further attempted to synthesize lipopeptides LP-51 and LP-52 by introducing corresponding amino acid residues derived from HIV-2 and/or SIV at the NHR binding surface of the polypeptide, i.e., the positions of a and d, or adjacent positions. The mutated amino acids were shown in
(36) 2.2.5 Identification of a Core Sequence of Potent Anti-HIV Lipopeptides
(37) The polypeptide sequence of the above potent HIV inhibitor was 28 amino acids in length. In order to identify the key sequence and the possibility to design a lipopeptide containing a shorter sequence, in the present invention, a C-terminally truncated lipopeptide LP-53 based on the LP-40 was first synthesized and a C-terminally truncated lipopeptide LP-54 based on the LP-50 was synthesized, and it was found that the antiviral ability thereof was markedly reduced (
(38) A set of N-terminally truncated lipopeptides (LP-60 to LP-68) was further synthesized. The antiviral assays revealed that the activity of two truncated lipopeptides based on LP-50, i.e., LP-60 and LP-61, was also decreased significantly; but surprisingly, the activity of the truncated lipopeptides based on LP-52, i.e., LP-62, LP-63 and LP-65, did not change largely, especially the activity of the LP-65 with only 24 amino acids was equivalent to that of the LP-52, and the activity, particularly the inhibitory activity against cell fusion, of the LP-64 containing 25 amino acids was decreased significantly. Studies had found that further N-terminal truncation resulted in a significant decrease in activity of the lipopeptides (LP-66, LP-67) or even loss of antiviral capacity thereof (LP-68). LP-69 was synthesized by truncating the C-terminal LEK on the basis of the LP-65. Although the antiviral activity of the LP-69 was significantly decreased, it still had potent inhibitory activity against the viruses as compared with a lipopeptide having only 21 amino acids. The results of these studies showed that the sequence “IEELX.sub.9KKX.sub.12EEQQKKNEEELKK” consisting of 21 amino acids was the core sequence of the potent lipopeptides of the present invention, which corresponded to the amino acid sequence at the positions of 5 to 25 of the T-20, that is, corresponding to the amino acid sequence at the positions of 131 to 151 (IHSLIEESQNQQEKNEQELLE) of the gp41 from the HIV-1 strain HXB2. Addition of WEQK (or LEAN or YTSL) to the N-terminus of the core sequence or addition of LEK to its C-terminus could effectively increase the antiviral activity; if the amino acid motifs were retained at the both termini (e.g., LP-52), the activity of such a lipopeptide could be further improved.
(39) The results also showed that the antiviral activity of LP-57 was decreased by about 15 to 150 folds as compared to that of LP-55, indicating that three terminal amino acids LKK of the LP-55 were important, and were not suitably be further truncated; the antiviral activity of the LP-66 was about 54 to 158 folds lower than that of the LP-65, indicating that the first amino acid (Ile) of the LP-65 was critical and was not suitably be further truncated. At the same time, the difference between the two truncated lipopeptide LP-65 and LP-61 only is one amino acid (S and A at the position of 8, respectively), but their activity differed by 5 to 9 folds, indicating that the substitution of A for S was very important for the potent lipopeptides of the present invention.
(40) Meantime, in order to reveal the relationship between the sequence structure and function of the potent antiviral lipopeptides, in the present invention, a set of N-terminally extended lipopeptides (LP-70 to LP-75 in
(41) 2.2.6 Derivatives of Potent Anti-HIV Lipopeptides and Antiviral Activity Thereof
(42) In order to reveal the sequence and structural specificity of potent anti-HIV lipopeptides, in the present invention, lipopeptides modified with different lipophilic compounds, including fatty acids of different chain lengths, cholesterol, dihydrosphingosine, and vitamin E, were continued to be designed and synthesized. The results of antiviral assays were shown in
(43) In the meantime, in the present invention, the antiviral activity of several control lipopeptides, including the LP-11, LP-19, C34-Chol and C34-C16, was determined (see,
Example 3 Inhibitory Activity of Potent HIV Membrane Fusion Inhibitors Against Different Subtypes of HIV-1
(44) AIDS was mainly caused by HIV-1, and multiple subtypes were generated due to virus variation, including A-D, F-H, J and K subtypes, and the like. Among them, the A, B and C subtypes were the main viruses causing AIDS epidemic in the world, while B/C and A/E recombinant viruses were the main viruses in China. In order to further evaluate the activity of the potent HIV membrane fusion inhibitors, in the present invention, a group of 35 HIV-1 pseudoviruses, including international representative strains and HIV-1 strains currently epidemic in China, were prepared, wherein the strains included 3 subtype A strains, 8 subtype B strains, 4 subtype B′ strains, 7 subtype C strains, 1 subtype G strain, 1 recombinant A/C strain, 5 recombinant A/E strains and 6 recombinant B/C strains. Among the Env expression plasmids used for the preparation of pseudoviral, except that the Env expression plasmids used for preparation of PVO, Du156 and CAP 210.2.00.E8 were obtained from the AIDS Reagent Program of NIH in the United states, other plasmids were preserved by the laboratory of Prof. He Yuxian, Institute of Pathogen Biology, Chinese Academy of Medical Sciences, please see the References 13, 14 and 18 listed in the Background Art and articles of Chong et al. (Chong H, Yao X, Zhang C, Cai L, Cui S, Wang Y, He Y. Biophysical property and broad anti-HIV activity of Albuvirtide, a 3-maleimimidoproprotionic acid-modified peptide fusion inhibitor. PLoS One, 2012; 7 (3): e 32599). The preparation of the pseudovirus and the antiviral assay were the same as those in Example 2.1 of Example 2 (HIV-1 pseudovirus-mediated cell entry inhibition assay). For comparison and analysis, in the present example, the inhibitory activity of 12 inhibitors, including T-20, LP-40, LP-50, LP-51, LP-52, LP-55, LP-65, LP-80, LP-85, LP-90 and control lipopeptides LP-19, C34-Chol, against the 35 pseudoviruses described above was determined. As shown in
Example 4 Inhibitory Activity of Potent HIV Membrane Fusion Inhibitors Against T-20-Resistant Strains
(45) T-20 is only one HIV membrane fusion inhibitor approved for clinical use at present, but its activity is not only lower than that of a new generation of polypeptides, but also it easily induces drug-resistance mutations, often leading to failure of clinical treatment. In order to fully reflect the antiviral broad spectrum and advantages of potent lipopeptides of the present invention, NL4-3 pseudovirus carrying a common T-20 resistance mutation site of NHR were prepared in this example (as shown in
Example 5 Inhibitory Activity of Potent HIV Membrane Fusion Inhibitors Against HIV-2 and SIV
(46) In order to further reflect the antiviral advantages of the potent lipopeptides of the present invention, their inhibitory activity against HIV-2 and SIV was determined in the example. The methods of antiviral activity assays used were described in the literatures published by the present inventors (see the References 13 and 30 listed in the Background Art). The molecular cloning plasmid pROD of the HIV-2 strain ROD (HIV-2.sub.ROD) was kindly provided by Professor Nuno Taveira from the University of Lisbon, Portugal, and the plasmids expressing the SIV strain SIV.sub.pbj (SIV.sub.PBJ) and SIV.sub.239 envelope proteins (pSIVpbj-Env and pSIV239, respectively) were kindly provided by Professor Xu Jianqing from the Fudan University. The preparation of the infectious ROD was the same as that of the infectious JRCSF in the above section 2.1, and the pseudoviruses SIV.sub.pbj and SIV.sub.239 were prepared by a method same as that described in the above Examples 2 and 3. The results were shown in
Example 6 In Vivo Antiviral Activity of Potent HIV Membrane Fusion Inhibitors
(47) Recent studies had shown that lipopeptide-based HIV membrane fusion inhibitors not only had improved antiviral activity, but also exhibited stable metabolism in vivo, and therefore they had a longer half-life. In order to further demonstrate the application value and the drug-forming advantages of the potent lipopeptides of the present invention, the in vivo antiviral activity of the lipopeptides LP-51, LP-52 and LP-80 was mainly analyzed in this example, and the methods were described in the literatures published by the inventors (see the References 18 and 30 listed in the Background Art), wherein an inhibitor was injected into monkeys by subcutaneous route, blood samples at different time points were collected, and the antiviral activity of the inhibitor was measured in vitro; by the method, not only the in vivo activity of the inhibitor could be learned, but also the in vivo stability thereof was indirectly reflected. In addition to the three potent lipopeptides described above, this example included two controls, T-20 and LP-19, for comparison and analysis. The specific method was as follows: 6 experimental macaques (rhesus monkeys) were selected, half male and half female, aged 3-4 years old, weighing 3.4-4.7 kg. The T-20, LP-19, LP-51, LP-52 or LP-80 (all dissolved in sterile distilled water) was injected subcutaneously at 3 mg/kg body weight, and 0.4 ml of venous blood sample was collected before injection (0 hr) and at 1, 2, 4, 6, 8, 12, 18, 24, 36, 48, 60 and 72 hr after injection, respectively. For LP-80, in addition to the above-mentioned blood collection time points, four blood collection time points at 96, 120, 144 and 168 hours of after injection were added. The serum was separated according to a conventional method. The injection interval of each inhibitor was more than 2 weeks to ensure that there was no residue of the previous analyte. The serum activity against the HIV-1 strain NL4-3 (NL4-3.sub.D36G) was measured according to the experimental method of the pseudovirus-based assay in the above examples. The serum was diluted by 3 folds. The experimental results were shown in
Example 7 Interaction of Potent HIV Membrane Fusion Inhibitors with NHR Target Sequences
(48) In order to investigate the mechanism of action of the potent anti-HIV lipopeptides, a circular dichroism (CD) analysis was used to determine the interaction between the inhibitors and NHR target sequences, including the secondary structure (α-helix) and helix stability (T.sub.m) of the complexes formed. The circular dichroism spectrophotometer was Jasco-815 by JASCO Inc., and the assay method was referred to the papers published by the inventors (see the References 18 and 30 listed in the Background Art). The target sequence polypeptide derived from NHR was N39 (see
(49) The results of CD assay were shown in
(50) In this example, it was found that the C-terminal or N-terminal truncation of lipopeptides could affect their binding ability of the lipopeptides to varying extents, and some of the lipopeptides showed a reduction in T.sub.m value, and some exhibited a reduction in both helix content and T.sub.m value. The T.sub.m value of the C-terminally truncated lipopeptides (LP-53 to LP-59) was reduced significantly, indicating the important role of the three amino acids (LEK) at the C-terminus in the binding of lipopeptides to NHR. It was worth noting that the T.sub.m values of the LP-55 and LP-56 with potent antiviral activity were also decreased significantly (from 79.1 to 63.1° C.), but the T.sub.m vales were much higher than those of the LP-53, LP-54, LP-57, LP-58 and LP-59. In particular, the T.sub.m values of the LP-58 and LP-59 could not be determined due to the lower helix content. The T.sub.m values of the N-terminal truncated lipopeptides (LP-60 to LP-68) were also reduced significantly. The N-terminal truncation based on the LP-52 did affect the binding stability of the lipopeptides (LP-62 to LP-65), but the T.sub.m values of the corresponding complexes were still greater than 70° C., indicating that the lipopeptides still had a strong binding ability, and this might be the reason why they retained strong antiviral capabilities. It was worth noting that the lipopeptide LP-65 which had a sequence of 24 amino acids also had a higher helix content (63%) and T.sub.m value (72.1° C.), while further truncation severely affected the binding capacity of corresponding lipopeptides, such as the LP-66, LP-67 and LP-68, which was consistent with the antiviral activity thereof. In comparison, the effect of removal of the 3 amino acids (LEK) at the C-terminus on the binding stability (T.sub.m value) was more significant than the effect of the removal of the 1-4 amino acids (WEQK) at the N-terminus, indicating that the C-terminus of the lipopeptides played a more important role in the binding to a target. However, the core sequence lipopeptide LP-69 with the removal of amino acids at both the C-terminus and N-terminus had a significantly reduced binding stability and a T.sub.m value of 51° C. which was lower than that of the LP-52 by 28.1° C.
(51) Another interesting phenomenon was that the N-terminally extended lipopeptides had an increased T.sub.m value, such as the performance of the LP-70 to LP-75, which was inconsistent with the reduced antiviral activity thereof. It should be noted that the LP-74 and LP-75 contained the NHR pocket-binding domain (PBD) and the M-T hook motif, which made it impossible to match N39 perfectly.
(52) The results of the example also showed that the stearic acid (C18)-modified lipopeptide LP-80 also had a strong binding stability to N39 (T.sub.m value=79° C.). However, the lipopeptides modified with a short chain length fatty acid, e.g., the LP-81 modified with a C12 fatty acid and the LP-82 modified with a C8 fatty acid, had a significantly reduced helix content and binding capacity, the T.sub.m values thereof were 74.1° C. and 65.1° C., respectively, and their antiviral activity was decreased more significantly (see
(53) This example revealed the correlation between the sequence structure, binding stability and antiviral activity of the inhibitors by a large number of experimental results, and provided important information for understanding the mechanism of action of the potent lipopeptides of the present invention. Although the binding ability of certain inhibitors was sometimes insufficiently consistent with the antiviral activity thereof, in general, the potent lipopeptides of the present invention had extremely high T.sub.m values. This example also demonstrated that the antiviral activity of such lipopeptides was dependent on polypeptide sequences thereof and also on the properties of lipophilic compounds.
Example 8 Secondary Structure Analysis of Potent HIV Membrane Fusion Inhibitors
(54) In order to investigate the mechanism of action of the potent anti-HIV lipopeptides, a circular dichroism (CD) analysis was used to analyze the secondary structural characteristics of the T-20 and representative lipopeptides in solution by a manner that was same as that in Example 7. For easy analysis, the α-helix content and the T.sub.m value of the inhibitors were measured at concentrations of 10 μM, 20 μM, and 40 μM (PBS solution), respectively. The results were shown in
Example 9 Pharmacokinetic Analysis of Potent Lipopeptide LP-80 in Rats
(55) The above research results showed that that the LP-80 was a lipopeptide having a higher in vivo antiviral activity and was very stable among the potent lipopeptides of the present invention. In this example, the LP-80 was used as a representative to analyze its pharmacokinetic characteristics in SD rats. 12 SD rats, aged 5-8 weeks, weighing 182-219 grams, were used in test, and divided into intravenous group and subcutaneous injection group, each group of 6 animals, half male and half female. The dose of the LP-80 was 6 mg/kg body weight (mg/kg), and the LP-80 was dissolved in sterile distilled water. For the animals in each group, the serum samples were collected at time before administration and at 5 minutes, 15 minutes, 30 minutes, 1 hour, 2 hours, 4 hours, 8 hours, 24 hours, 48 hours, 72 hours, 96 hours, 120 hours, 168 hours and 216 hours after administration. The concentration of the LP-80 in rat serum was quantitatively determined by a liquid chromatography-mass spectrometry (LC-MS/MS), and the lower limit was quantified as 1 ng/ml (ng/ml). The pharmacokinetic parameters were calculated using a non-compartmental analysis model (NCA). The experimental results were as shown in
Example 10 Evaluation of Therapeutic Effect of Potent Lipopeptides LP-80 in Monkey AIDS Model
(56) In the example, the therapeutic effect of the LP-80 on HIV infection model in monkeys was further investigated, and as to the technical route, please refer to the method used by the inventors to evaluate the LP-19 (i.e., the Reference 30 listed in the Background Art). Six adult Chinese rhesus monkeys (numbered A to F, half male and half female) were used in the test, and antibodies to SIV, herpesvirus B, and simian T-lymphotropic virus were determined to be negative. The SHIV strain SF162P3 was provided by the AIDS Reagent Program of NIH in the United States, and was amplified on peripheral blood mononuclear cells (PBMC) of the monkeys, and the TCID.sub.50 was determined. Monkeys were intravenously inoculated with 1,000 TCID.sub.50 of the SF162P3 virus, and changes in plasma viral load (RNA copy number/ml) in the monkeys were measured periodically. On the 197.sup.th day after monkeys were infected with the SF162P3, the LP-80 (dissolved in sterile distilled water) was administered via subcutaneous route, and the LP-80 was administered at 2 mg per kilogram of body weight (2 mg/kg), once a day for 2 weeks, and then once per 4 days for 4 weeks. The plasma samples were isolated from monkey bloods collected at predetermined time points and the plasma viral load (RNA copy number/ml) was determined by quantitative real-time reverse transcription-polymerase chain reaction (qRT-PCR). The plasma RNA was extracted by a conventional method and cDNA samples were synthesized by reverse transcription reaction. The PCR primers were directed to the gag477 of SIV (the upstream primer was GCAGAGGAGGAAATTACCCAGTAC, the downstream primer was CAATTTTACCCAGGCATTTAATGTT, and the detection probe was FAM-ACCTGCCATTAAGCCCGA-MGB). The PCR device used was PE AB17500. The sensitivity of the assay was 100 RNA copies per milliliter of plasma sample.
(57) The experimental results were as shown in
INDUSTRIAL APPLICABILITY
(58) The potent lipopeptides, derivatives thereof, or pharmaceutically acceptable salts thereof, the multimers, the compositions or the pharmaceutical compounds provided by the present invention can be used for treating and/or preventing HIV (HIV-1 and/or HIV-2) and/or SIV infections. In practical applications, the lipopeptides, derivatives thereof, or pharmaceutically acceptable salts thereof, the multimers, the compositions or the pharmaceutical compounds according to the present invention can be directly administered as a drug to a patient, or mixed with a suitable carrier or excipient and administered to a patient, for the purpose of treating and/or preventing HIV infection.