Hubbry Logo
search
logo
Gp41 avatar
Gp41
Gp41
current hub
1812059

Gp41

logo
Community Hub0 Subscribers
Read side by side
Gp41
View on Wikipedia
from Wikipedia
GP41
Example crystal structures of HIV-1 envelope glycoprotein Gp41
Identifiers
SymbolGP41
PfamPF00517
InterProIPR000328
SCOP22siv / SCOPe / SUPFAM
Available protein structures:
Pfam  structures / ECOD  
PDBRCSB PDB; PDBe; PDBj
PDBsumstructure summary

Gp41 also known as glycoprotein 41 is a subunit of the envelope protein complex of retroviruses, including human immunodeficiency virus (HIV). Gp41 is a transmembrane protein that contains several sites within its ectodomain that are required for infection of host cells. As a result of its importance in host cell infection, it has also received much attention as a potential target for HIV vaccines.

Gene and post-translational modifications

[edit]
Main article: HIV replication cycle

Gp41 is coded with gp120 as one gp160 by the env gene of HIV. Gp160 is then extensively glycosylated and proteolytically cleaved by furin, a host cellular protease. The high glycosylation of the env-coded glycoproteins allows them to escape the human body's immune system. In contrast to gp120, however, gp41 is less glycosylated and more conserved (less prone to genetic variations).[1] Once gp160 has been cleaved into its individual subunits, the subunits are then associated non-covalently on the surface of the viral envelope.[citation needed]

Structure

[edit]

Gp41 and gp120, when non-covalently bound to each other, are referred to as the envelope spike complex and are formed as a heterotrimer of three gp41 and three gp120.[2] These complexes found on the surface of HIV are responsible for the attachment, fusion, and ultimately the infection of host cells. The structure is cage-like with a hollow center that inhibits antibody access. While gp120 sits on the surface of the viral envelope, gp41 is the transmembrane portion of the spike protein complex with a portion of the glycoprotein buried within the viral envelope at all times.[3]

Gp41 has three prominent regions within the sequence: the ectodomain, the transmembrane domain, and the cytoplasmic domain. The ectodomain, which comprises residues 511-684, can be further broken down into the fusion peptide region (residues 512-527), the helical N-terminal heptad repeat (NHR) and C-terminal heptad repeat (CHR).[3][4] In addition to these regions, there is also a loop region that contains disulfide bonds that stabilize the hairpin structure (the folded conformation of gp41) and a region called the membrane proximal external region (MPER) which contains kinks that are antigen target regions.[3][1] The fusion peptide region is normally buried or hidden by the non-covalent interactions between gp120 and gp41, at a point which looks torus-like. This prevents the fusion peptide from interacting with other regions that are not its intended target region.[2]

Function

[edit]

In a free virion, the fusion peptides at the amino termini of gp41 are buried within the envelope complex in an inactive non-fusogengic state that is stabilized by a non-covalent bond with gp120. Gp120 binds to a CD4 and a co-receptor (CCR5 or CXCR4), found on susceptible cells such as Helper T cells and macrophages.[5] As a result, a cascade of conformational changes occurs in the gp120 and gp41 proteins. These conformational changes start with gp120 that rearranges to expose the binding sites for the coreceptors mentioned above. The core of gp41 then folds into a six helical bundle (a coiled coil) structure exposing the previously hidden hydrophobic gp41 fusion peptides that are inserted in the host cell membrane allowing fusion to take place.[2] This fusion process is facilitated by the hairpin conformational structure.[6][7] The inner core of this conformation is 3 NHRs which have hydrophobic pockets that allow it to bind anti-parallel to specific residues on the CHR.[4][2] The activation process occurs readily, which suggests that the inactive state of gp41 is metastable and the conformational changes allow gp41 to achieve its more stable active state. Furthermore, these conformational changes are irreversible processes.[8]

HIV-1 fusion process. It involves both subunits of the envelope spike complex. Notably, gp41 is shown in green with its transmembrane region buried in the virion membrane, both segments of heptad repeats (CHR closer to the virus and NHR closer to the host cell) before and after conformational changes, and the N-terminal end of the ectodomain in gray. In the last two panels pointed out by the red arrows, gp41 is observed following penetration of the host cell and following a conformational change resulting in the six-helix bundle which brings the viral and cell membranes into close proximity.

As a drug target

[edit]

The interaction of gp41 fusion peptides with the target cell causes a formation of an intermediate, pre-hairpin structure which bridges and fuses the viral and host membranes together. The pre-hairpin structure has a relatively long half-life which makes it a potential target for therapeutic intervention and inhibitory peptides.[9]

Enfuvirtide (also known as T-20) is a 36-residue alpha-peptide fusion inhibitor drug that binds to the pre-hairpin structure and prevents membrane fusion and HIV-1 entry to the cell. The vulnerability of this structure has initiated development towards a whole spectrum of fusion preventing drugs.[10][11] In developing these drugs, researchers face challenges because the conformation that allows for inhibition occurs very quickly and then rearranges.[12] Enfuviritide specifically has a low oral availability and is quickly processed and expelled by the body. Certain strains of HIV have also developed resistance to T-20. In order to circumvent the difficulties that come with using T-20, researchers have sought out peptide-based inhibitors.[3] A variety of naturally occurring molecules have also been shown to bind gp41 and prevent HIV-1 entry.[13]

The MPER is one region that has been studied as a potential target because of its ability to be recognized by broadly neutralizing antibodies (bNAbs), but it hasn't been a very good target because the immune response it elicits isn't very strong and because it is the portion of gp41 that enters the cell membrane (and it cannot be reached by antibodies then).[14] In addition to antigen binding regions on MPER kinks, there are other targets that could prove to be effective antigen binding regions, including the hydrophobic pockets of the NHR core that is formed following the conformational change in gp41 that creates the six-helix bundle.[1] These pockets could potentially serve as targets for small molecule inhibitors.[4] The fusion peptide on the N-terminus of the gp41 is also a potential target because it contains neutralizing antibody epitopes.[15] N36 and C34, or NHR- and CHR-based peptides (or short sequences of amino acids that mimic portions of gp41) can also act as effective antigens because of their high affinity binding. In addition to having a much higher affinity for binding when compared to its monomer, C34 also inhibits T-20 resistant HIV very well, which makes it a potentially good alternative to treatments involving enfuviritide.[12] Small-molecule inhibitors that are able to bind to two hydrophobic pockets at once have also been shown to be 40-60 times more potent and have potential for further developments.[16] Most recently, the gp120-gp41 interface is being considered as a target for bNAbs.[1]

References

[edit]
[edit]
Revisions and contributorsEdit on WikipediaRead on Wikipedia

Gp41

View on Grokipedia
from Grokipedia
Gp41 is the transmembrane glycoprotein subunit of the human immunodeficiency virus type 1 (HIV-1) envelope protein (Env), which forms a heterotrimeric complex with the surface glycoprotein gp120 on the viral membrane.[1] This ~350–360 amino acid protein plays a critical role in viral entry by mediating the fusion of the viral envelope with the host cell membrane, enabling the delivery of the viral genome into target cells such as CD4+ T lymphocytes.[1] [2] Structurally, gp41 consists of several key domains: an N-terminal fusion peptide (FP) that inserts into the host membrane, two heptad repeat regions—HR1 and HR2—that form a stable six-helix bundle in the post-fusion conformation, the membrane-proximal external region (MPER) adjacent to the transmembrane domain, and a long cytoplasmic tail (CTT) that anchors the protein and regulates Env trafficking and incorporation into virions.[1] [2] The ectodomain (external portion) is heavily glycosylated at conserved sites and undergoes dramatic conformational changes triggered by gp120 binding to the CD4 receptor and a coreceptor (CCR5 or CXCR4), exposing the FP and driving membrane fusion through the formation of the six-helix bundle.[1] The CTT, comprising about 150 amino acids including lentivirus lytic peptides (LLPs), modulates Env function, influences virion maturation, and interacts with host factors to fine-tune infectivity and evasion of immune responses.[2] Functionally, gp41 is essential for HIV-1 pathogenesis, as its fusion activity is the final step in the entry process, and disruptions in this mechanism can prevent infection.[1] Highly conserved regions like HR1, HR2, and MPER make gp41 a prime target for therapeutics, including the FDA-approved fusion inhibitor enfuvirtide (T-20), which binds HR1 to block the six-helix bundle formation, and broadly neutralizing antibodies (e.g., 2F5 and 4E10) that recognize the MPER to inhibit fusion.[1] [2] Despite its structural flexibility in the pre-fusion state, which has challenged high-resolution imaging, advances in stabilized Env trimers (e.g., SOSIP variants) have revealed gp41's tripod-like architecture and informed vaccine design efforts aimed at eliciting protective antibodies.[1]

Discovery and Molecular Identity

Historical Discovery

The isolation of the human immunodeficiency virus (HIV), the causative agent of acquired immunodeficiency syndrome (AIDS), marked a pivotal milestone in understanding the viral envelope components, including what would later be identified as gp41. In 1983, researchers at the Institut Pasteur, led by Françoise Barré-Sinoussi and Luc Montagnier, isolated a novel retrovirus from a patient with lymphadenopathy, demonstrating its cytopathic effects on T lymphocytes and reverse transcriptase activity, which laid the groundwork for recognizing HIV's structural proteins.[3] This discovery was independently confirmed in 1984 by Robert Gallo and colleagues at the National Institutes of Health, who isolated the virus from AIDS patients and at-risk individuals, further establishing its etiological role through isolation and serological studies. The identification of the env gene, which encodes the envelope glycoproteins, emerged from early molecular sequencing efforts in 1985. Ratner et al. reported the complete nucleotide sequence of the HTLV-III (now HIV-1) provirus, revealing the env open reading frame that predicts a gp160 precursor protein, post-translationally cleaved into an external gp120 subunit and a transmembrane gp41 subunit of approximately 41 kDa.[4] Biochemical confirmation of gp41 as the transmembrane cleavage product followed shortly thereafter; Allan et al. used immunoprecipitation assays with patient sera to detect a 41 kDa glycoprotein in HIV-infected cells, distinct from the 120 kDa external component, verifying its role as a major antigenic target encoded by the env gene.[5] Between 1987 and 1990, initial functional studies linked gp41 to membrane fusion through syncytia formation assays, which measure the fusion of HIV-expressing cells with uninfected CD4+ target cells. Stein et al. demonstrated in 1987 that HIV entry and syncytium induction occur via direct envelope-mediated fusion at neutral pH, independent of endosomal acidification, implicating gp41's hydrophobic N-terminal domain in the process.[6] Subsequent work by Delwart et al. in 1990 used site-directed mutagenesis and syncytia assays to show that polar substitutions in gp41's fusion peptide region severely impair cell-cell fusion, providing early evidence of its mechanistic importance in viral entry.[7]

Nomenclature and Encoding Gene

Gp41, the transmembrane subunit of the HIV-1 envelope glycoprotein, is encoded by the 3' portion of the env open reading frame, which produces a ~160 kDa precursor polyprotein known as gp160 that is subsequently cleaved to yield both gp41 and the surface subunit gp120.[8] The nomenclature "gp41" derives from its approximate molecular weight of 41 kDa as determined by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE), reflecting its role as a glycoprotein component of the viral envelope complex. This precursor is unique to the env gene, distinguishing it from other HIV-1 genes that encode polyproteins processed into multiple functional units. The HIV-1 env gene spans approximately 2.5 kb and is positioned toward the 3' end of the ~9.7 kb viral genome, flanked by the overlapping rev and nef genes, which encode regulatory and accessory proteins, respectively.[9] Transcription of the env gene occurs from the full-length, unspliced viral RNA initiated at the 5' long terminal repeat (LTR) promoter, a process potently activated by the viral Tat protein, which enhances elongation by recruiting cellular positive transcription elongation factor b (P-TEFb) to the TAR RNA element.[10] Efficient nuclear export and cytoplasmic utilization of the unspliced env mRNA require the Rev protein, which binds the Rev response element (RRE) within the env coding region to mediate transport via the CRM1 pathway, bypassing the default splicing and retention mechanisms for intron-containing transcripts.[11] In contrast to the highly variable gp120 subunit, which exhibits extensive sequence diversity to evade host immunity, the gp41 sequence demonstrates remarkable conservation across HIV-1 group M clades, with core functional regions such as the heptad repeat domains showing greater than 90% amino acid identity.[12] This conservation underscores gp41's critical role in membrane fusion, rendering it less tolerant to mutations that could disrupt viral entry. Genetic variants within the env gene, particularly those affecting the gp41 coding region, can impair precursor processing; for instance, in the clade B reference strain HXB2, alanine substitutions in the gp41 ectodomain have been shown to reduce gp160 cleavage efficiency by furin-like proteases, leading to decreased mature gp41 levels and attenuated viral infectivity.[13] Such mutations highlight the selective pressure maintaining gp41's structural integrity across diverse HIV-1 isolates.

Biosynthesis and Modifications

Synthesis and Cleavage

The HIV-1 envelope glycoprotein precursor, gp160, is synthesized as a polyprotein on ribosomes associated with the rough endoplasmic reticulum (RER) in infected host cells, translated from a singly spliced bicistronic vpu/env mRNA.[14] This process yields the ~160 kDa gp160 polyprotein, which serves as the initial form of the envelope glycoprotein complex essential for viral entry.[14] Following translation, gp160 undergoes early folding and oligomerization within the ER, where monomers predominantly assemble into trimers, establishing the structural foundation for the functional (gp120/gp41)3 spikes observed on the virion surface.[14][15] Trafficking of the trimeric gp160 precursors proceeds through the Golgi apparatus and trans-Golgi network, where proteolytic processing occurs. Cleavage is mediated by the host furin protease (or related proprotein convertases) at a conserved polybasic REKR motif spanning residues 511-514 of the gp160 precursor (HXB2 numbering), precisely after arginine 511.[14][16] This endoproteolytic event separates the precursor into the surface subunit gp120 (residues 1-511) and the transmembrane subunit gp41 (residues 512-856), both of which remain non-covalently associated through interactions at the gp120-gp41 interface.[14][17] The interface involves hydrophobic and electrostatic contacts that stabilize the heterodimer within the trimeric assembly, ensuring the subunits do not dissociate prematurely during transport to the plasma membrane.[17] Cleavage efficiency in producer cells is high, approaching 90% for wild-type gp160, which is critical for viral maturation and infectivity.[18] Uncleaved gp160 precursors, comprising the remaining fraction, fail to mediate membrane fusion effectively and render virions non-infectious, as the proteolytic step is required to expose the fusion machinery in gp41.[18][19] This processing event thus represents a key checkpoint in envelope glycoprotein biogenesis, linking precursor assembly to functional activation.[19]

Glycosylation and Other Post-Translational Modifications

Gp41, the transmembrane subunit of the HIV-1 envelope glycoprotein, features N-linked glycosylation at three to four conserved sites on its ectodomain, including asparagine residues at positions 611, 616, 625, and 637 in the HXB2 reference numbering.[20] These sites are located primarily in the linker region between the heptad repeat 1 (HR1) and heptad repeat 2 (HR2) domains.[21] In contrast to gp120, which bears more than 20 N-linked glycosylation sites, gp41's limited glycosylation reflects its structural role in membrane fusion rather than receptor binding.[1] The attached N-glycans, comprising both high-mannose and complex types, contribute approximately 10% to the overall mass of gp41, enhancing its stability and modulating surface properties.[22] O-linked glycosylation is rare on gp41, with only occasional modifications reported near the disulfide loop or gp120-gp41 junction in certain HIV-1 isolates; the protein predominantly relies on N-linked glycans for carbohydrate adornment.[23] These N-glycans on gp41 are typically more processed into complex forms compared to those on gp120, reflecting differences in biosynthetic trafficking and enzymatic accessibility.[24] Beyond glycosylation, gp41 undergoes disulfide bond formation to stabilize its ectodomain, notably between cysteine residues at positions 598 and 604, which form a conserved loop critical for maintaining structural integrity during maturation.[25] In the cytoplasmic tail, palmitoylation occurs on cysteine residues at positions 764 and 837, a post-translational lipid modification that facilitates anchoring to the viral or host cell membrane and influences envelope incorporation into virions.[26] The glycosylation pattern of gp41, particularly its N-linked glycans, contributes to immunogenicity by forming a protective shield over conserved epitopes, thereby limiting antibody access and evading host immune recognition.[27] This shielding effect is evident in studies showing enhanced antigenicity upon glycan removal, underscoring the role of these modifications in immune evasion.[28]

Structural Organization

Domains and Regions

The glycoprotein gp41 subunit of the HIV-1 envelope protein is a type I transmembrane protein comprising approximately 345 amino acid residues and exhibiting an unglycosylated molecular mass of about 41 kDa.[29] It assembles into a trimer-of-trimers structure, stabilized by non-covalent interactions within the ectodomain core, which anchors the glycoprotein complex to the viral membrane.[30] The ectodomain spans residues 512 to 684 and projects outward from the viral membrane, encompassing several modular regions critical for its function.[29] This segment includes the N-terminal fusion peptide (FP) from residues 512 to 527, a hydrophobic stretch that initiates membrane fusion upon exposure.[31] Adjacent to the FP is the N-heptad repeat (NHR) region, spanning residues 540 to 592, which forms a coiled-coil alpha-helix in the trimeric assembly.[31] The C-heptad repeat (CHR) follows, covering residues 624 to 661, and interacts with the NHR to stabilize the post-fusion conformation.[31] Terminating the ectodomain is the membrane-proximal external region (MPER), residues 662 to 683, a flexible segment rich in aromatic residues that lies close to the membrane interface.[30] The transmembrane domain (TMD), encompassing residues 684 to 705, consists of a predominantly alpha-helical structure that anchors gp41 into the lipid bilayer of the viral envelope.[29] This ~22-residue segment facilitates stable insertion and oligomerization, contributing to the overall trimeric stability of the envelope spike.[32] The cytoplasmic tail (CT) extends intracellularly from residues 706 to 856, comprising approximately 150 residues and representing the longest such domain among retroviral envelope proteins.[33] This region includes multiple tyrosine-based motifs of the YxxΦ consensus sequence, which mediate interactions with host cell adaptor proteins to regulate endocytosis and trafficking of the envelope complex.[33] The CT lacks glycosylation but influences viral assembly and infectivity through its interactions with intracellular machinery.[33]

Conformational States

Gp41, the transmembrane subunit of the HIV-1 envelope glycoprotein Env, adopts distinct conformational states during the viral lifecycle, each characterized by specific structural arrangements of its domains. In the pre-fusion state, gp41 lies in a compact conformation associated with the gp120 trimer, where the fusion peptide (FP) at the N-terminus is buried within a cavity at the base of the Env trimer, and the N-heptad repeat (NHR) and C-heptad repeat (CHR) regions remain largely unstructured or flexibly oriented against gp120.[34] This arrangement maintains the Env trimer in a metastable, closed form that shields the FP from exposure until triggered.[35] Upon activation, gp41 transitions to an extended intermediate state, often referred to as the pre-hairpin intermediate, in which the FP is exposed and inserts into the target cell membrane, while the NHR regions extend to form a central trimeric coiled-coil structure. In this elongated conformation, the CHR helices are initially disordered but poised to interact with the NHR, facilitating the bridging of viral and host membranes. Nuclear magnetic resonance (NMR) studies of gp41 ectodomain constructs have captured glimpses of this transient state, revealing dynamic flexibility in the CHR and MPER regions that supports the extended architecture. The final post-fusion state features the formation of a highly stable six-helix bundle (6HB), where three CHR helices pack antiparallel into the hydrophobic grooves of the central NHR coiled-coil trimer, creating a thermostable, cage-like structure that draws the membranes into close proximity. This conformation was first resolved by X-ray crystallography in 1997, demonstrating the parallel trimeric coiled-coil of NHR peptides (e.g., N36) surrounded by the three CHR helices (e.g., C34), with a resolution of approximately 2.6 Å.80205-6) The 6HB represents a low-energy, irreversible endpoint, characterized by extensive interhelical interactions that confer exceptional thermal stability. The pre-fusion conformation of gp41 is inherently metastable, prone to spontaneous transitions toward the post-fusion 6HB in the absence of stabilizing factors like gp120, which non-covalently anchors gp41 and prevents premature refolding.[36] This kinetic trapping allows Env to remain functional on the virion surface until receptor engagement. Cryo-electron microscopy (cryo-EM) studies since 2010 have provided atomic-resolution models of near-native Env trimers, highlighting gp41's flexibility in the pre-fusion state and subtle variations in NHR/CHR positioning that contribute to overall trimer dynamics.[34] These insights, derived from stabilized soluble trimers like BG505 SOSIP, underscore the conformational plasticity essential for Env function.

Mechanism of Action

Role in HIV Entry

HIV-1 enters host cells through fusion of the viral envelope with the target cell membrane, a process mediated by the envelope glycoprotein complex consisting of gp120 and gp41. In CD4+ T cells, entry can occur via direct fusion at the plasma membrane or through endocytosis followed by fusion in endosomes, with recent studies suggesting that the endocytic pathway may predominate.[37] [38] In contrast, macrophages often involve endocytosis, with the virus being internalized into endocytic vesicles before gp41-mediated fusion occurs within these compartments. This cell-type-specific variation, including ongoing debate on the predominant pathway in T cells such as macropinocytosis, allows HIV-1 to efficiently infect diverse targets, with gp41 playing a central role in executing the fusion step in both pathways.[39] The entry process begins with gp120 binding to the CD4 receptor on the host cell surface, which induces a conformational change in gp120 that exposes its third variable (V3) loop. This exposure enables subsequent engagement of a co-receptor, either CCR5 or CXCR4, depending on the viral strain and target cell. The co-receptor binding further stabilizes the gp120-receptor complex and triggers the activation of gp41, the transmembrane subunit non-covalently associated with gp120.[40] Upon activation, gp41 undergoes a dramatic conformational shift from its prefusion state, exposing its N-terminal fusion peptide (FP). The FP then inserts into the target cell membrane, while the C-terminal regions of gp41 anchor in the viral membrane, thereby bridging the two membranes and drawing them into close proximity to facilitate fusion. This gp41-mediated bridging is essential for merging the lipid bilayers, with the specificity of co-receptor usage by gp120 directly influencing gp41 activation and thus determining viral tropism—CCR5-using (R5) strains preferentially infect macrophages and early activated T cells, while CXCR4-using (X4) strains target T cells during disease progression.[40] The kinetics of HIV-1 entry are rapid and irreversible once initiated, with receptor binding events occurring on the order of seconds and the overall fusion process completing within minutes. Single-molecule studies reveal that the initial gp120-CD4 bond has a lifetime of approximately 0.27 seconds, rapidly transitioning to co-receptor engagement that commits gp41 to irreversible refolding and membrane insertion. This swift progression ensures efficient viral genome delivery into the host cytoplasm.[41]

Fusion Process

The fusion process mediated by gp41 begins with the insertion of its N-terminal fusion peptide (FP), a hydrophobic segment of approximately 23 amino acids, into the target cell membrane. This insertion disrupts the lipid bilayer, creating local perturbations that facilitate the formation of a hemifusion stalk, where the outer leaflets of the viral and cellular membranes merge while the inner leaflets remain separated.[42] Following FP insertion, the N-terminal heptad repeat (NHR) region of gp41 trimerizes to form a stable coiled-coil core, providing a scaffold for further conformational changes. The C-terminal heptad repeat (CHR) then folds antiparallel onto the NHR trimer, a process known as zippering, which progressively pulls the FP-proximal viral membrane and the transmembrane domain (TMD)-anchored cellular membrane into close proximity. This zippering releases substantial free energy, approximately 40 kcal/mol per six-helix bundle, derived from the formation of interhelical hydrogen bonds and hydrophobic interactions, driving the mechanical deformation required for membrane merger.[43] The culmination of these events is the assembly of the post-fusion six-helix bundle (6HB), where three CHR helices pack into the grooves of the NHR trimer, positioning the FP and TMD in immediate adjacency across the fused membranes. This configuration dehydrates and expands the fusion pore, enabling the release of viral contents into the cytosol. The 6HB structure is highly stable and irreversible, exhibiting resistance to denaturation with a melting temperature exceeding 90°C, which ensures the commitment to fusion once initiated.[43] Unlike fusion mechanisms in some enveloped viruses that require endosomal acidification, gp41-mediated fusion proceeds efficiently at neutral pH, relying solely on receptor-induced conformational triggers.[42]

Therapeutic Implications

Fusion Inhibitors

Fusion inhibitors targeting gp41 represent a class of antiretroviral drugs designed to prevent HIV-1 entry into host cells by interfering with the viral envelope glycoprotein's fusion machinery. These agents primarily act by binding to the gp41 transmembrane subunit, disrupting the conformational changes required for membrane fusion between the virus and target cell. Enfuvirtide (T-20), approved by the FDA in 2003, was the first such inhibitor to enter clinical use and remains a cornerstone for salvage therapy in multidrug-resistant HIV-1 infections. However, distribution in the United States ended on February 28, 2025, limiting its availability.[44][45] Enfuvirtide is a 36-amino-acid synthetic peptide that mimics the C-terminal heptad repeat (CHR) region of gp41, binding to the N-terminal heptad repeat (NHR) and preventing the formation of the stable six-helix bundle (6HB) structure essential for fusion.[46] This mechanism traps gp41 in its extended intermediate state, thereby blocking the zippering process that brings the viral and cellular membranes into close proximity for fusion.[47] Administered via subcutaneous injection at 90 mg twice daily, enfuvirtide exhibits a plasma elimination half-life of approximately 3.8 hours, necessitating frequent dosing to maintain therapeutic levels.[44] In clinical trials for heavily treatment-experienced patients, enfuvirtide added to optimized background regimens achieved a mean viral load reduction of 1-1.5 log10 copies/mL at 24 weeks, with 18-20% of patients reaching undetectable levels (<50 copies/mL), though its use is limited by poor oral bioavailability and the need for parenteral administration.[48][49] Resistance to enfuvirtide arises primarily through mutations in the gp41 NHR region that reduce inhibitor binding affinity, such as V38A and Q40H, which can emerge within weeks of therapy initiation and lead to virologic failure.[50][51] These mutations are typically monitored using phenotypic susceptibility assays that measure the drug concentration required for 50% or 90% inhibition of viral replication in patient-derived isolates.[52] To address enfuvirtide's pharmacokinetic limitations, next-generation fusion inhibitors have been developed, including albuvirtide, a long-acting PEGylated analog of T-20 that extends the half-life to weekly dosing and was approved in China in 2018 for HIV-1 treatment.[53] More recently, bifunctional inhibitors targeting both the gp41 fusion peptide and gp120-mediated attachment have shown promise in preclinical studies, potentially overcoming resistance by acting at multiple entry stages, with lead candidates demonstrating enhanced potency against enfuvirtide-resistant strains as of 2025.[54]

Vaccine and Antibody Targets

Gp41 contains several conserved epitopes that serve as key targets for broadly neutralizing antibodies (bnAbs) and vaccine design efforts aimed at eliciting protective immune responses against HIV-1. The membrane-proximal external region (MPER) of gp41, located near the viral membrane, is a prominent conserved site targeted by bnAbs such as 4E10 and 10E8. The 4E10 antibody, isolated from an HIV-1-infected donor in 2001, recognizes a helical epitope within the MPER (residues 671–683, including the core motif NWFD), demonstrating broad neutralization across multiple HIV-1 clades by binding a linear, lipid-associated structure. Similarly, the 10E8 bnAb, isolated in 2012, targets an overlapping but more C-terminal MPER epitope (residues 672–692), achieving near-pan-neutralization of ~98% of diverse HIV-1 isolates in vitro through enhanced access to the recessed site and interactions with the viral membrane. Another conserved target is the hydrophobic pocket within the N-heptad repeat (NHR) region of gp41, which forms during the prehairpin intermediate and is recognized by antibodies like D5; this human monoclonal antibody, characterized in 2009, binds the NHR trimer pocket (residues 559–581) with broad but moderate neutralizing activity against tier-2 viruses by blocking six-helix bundle formation. Developing vaccines that elicit bnAbs against gp41 epitopes faces significant challenges, primarily due to immunodominance of variable regions in the associated gp120 subunit, which diverts the immune response away from conserved gp41 sites. In native Env trimers, gp120 hypervariable loops elicit strong but strain-specific antibodies, suppressing rare gp41-directed responses needed for breadth. Additionally, the MPER exhibits low immunogenicity because its neutralizing epitopes depend on lipid interactions for proper conformation and accessibility; isolated MPER peptides often fail to mimic the membrane-embedded structure, leading to non-neutralizing antibodies that bind linear motifs without blocking fusion. These hurdles have limited the induction of MPER bnAbs in preclinical models, as the epitope's transient exposure during fusion and autoreactivity risks further complicate B-cell maturation. To address these issues, vaccine strategies focus on presenting gp41 epitopes in contexts that enhance exposure and mimic native structures. Stabilized pre-fusion Env trimers, such as the BG505 SOSIP.664 variant developed since 2013, incorporate disulfide bonds (SOS) and a gp41-stabilizing mutation (I559P) to lock the trimer in a prefusion conformation, reducing gp120 immunodominance and allowing better access to gp41 sites like the MPER for bnAb precursor activation. These soluble trimers, when displayed on nanoparticles such as ferritin or liposomes, further boost immunogenicity by increasing multivalency and B-cell avidity, as demonstrated in rabbit and nonhuman primate studies where SOSIP nanoparticles elicited tier-2 neutralizing responses targeting gp41 interfaces. In 2024, the HVTN133 Phase I trial of an MPER peptide-liposome vaccine demonstrated elicitation of neutralizing epitope specificities in humans, advancing gp41-targeted immunization approaches.[55] Recent advances include germline-targeting immunogens designed to initiate MPER bnAb lineages by engaging naive B cells with unmutated ancestors of antibodies like 4E10 and 10E8; preclinical trials in 2023–2024 using liposome-anchored MPER peptides or eOD-based boosters in humanized mice induced precursor B cells with up to 10-fold higher frequencies than wild-type immunogens. Clinical progress features Phase I trials of 10E8VLS variants, engineered with LS mutations in the Fc region for extended serum half-life (up to 4-fold longer than parental 10E8, reaching 20–30 days), combined in bnAb cocktails for prevention; a 2024 trial confirmed safety and pharmacokinetics in healthy volunteers. These cocktails, pairing MPER bnAbs with gp120-directed ones, aim to cover 80–100% of circulating strains. In vitro, gp41-targeted bnAbs like 4E10 and 10E8 exhibit 50–98% neutralization breadth against pseudovirus panels representing global HIV-1 diversity, with IC50 values often below 1 μg/mL for sensitive tiers. In Phase I/II animal models, such as SHIV-infected rhesus macaques, passive infusion or vaccine-induced gp41 bnAbs provided transient viral control, reducing peak viremia by 1–2 logs and delaying rebound post-ART interruption for 4–12 weeks, though escape variants emerged due to incomplete coverage.

References

  1. Structure and Function of the HIV Envelope Glycoprotein as Entry ...
  2. C-terminal tail of human immunodeficiency virus gp41: functionally ...
  3. Isolation of a T-Lymphotropic Retrovirus from a Patient at Risk for ...
  4. Complete nucleotide sequence of the AIDS virus, HTLV-III - Nature
  5. The HIV-1 Env Protein: A Coat of Many Colors - PMC
  6. Properties and Detection - NCBI - NIH
  7. Transcriptional and Posttranscriptional Regulation of HIV-1 Gene ...
  8. Tat and Rev: positive modulators of human immunodeficiency virus ...
  9. HIV Transmembrane Glycoprotein Conserved Domains and Genetic ...
  10. Residues in the gp41 Ectodomain Regulate HIV-1 Envelope ...
  11. HIV-1 Envelope Glycoprotein Biosynthesis, Trafficking, and ...
  12. Molecular architecture of the uncleaved HIV-1 envelope ... - PNAS
  13. Heparin enhances the furin cleavage of HIV‐1 gp160 peptides - PMC
  14. Structure of HIV-1 gp120 with gp41-interactive region reveals ...
  15. Cleavage strongly influences whether soluble HIV-1 envelope ...
  16. Enhancing the Proteolytic Maturation of Human Immunodeficiency ...
  17. The role of N-glycans of HIV-1 gp41 in virus infectivity and ...
  18. A systematic study of the N-glycosylation sites of HIV-1 envelope ...
  19. Global site-specific N-glycosylation analysis of HIV envelope ...
  20. Comparative Analysis of the Glycosylation Profiles of Membrane ...
  21. Structural constraints determine the glycosylation of HIV-1 envelope ...
  22. A Fusion Intermediate gp41 Immunogen Elicits Neutralizing ... - NIH
  23. Palmitoylation of the HIV-1 envelope glycoprotein is critical for viral ...
  24. Visualization of the HIV-1 Env glycan shield across scales - PNAS
  25. Envelope Deglycosylation Enhances Antigenicity of HIV-1 gp41 ...
  26. Recombinant expression, purification, and biophysical ... - PMC - NIH
  27. Structure of the membrane proximal external region of HIV-1 ... - PNAS
  28. Approaches for Identification of HIV-1 Entry Inhibitors Targeting ...
  29. The membrane-proximal external region of human ... - Nature
  30. Multimerization Potential of the Cytoplasmic Domain of the Human ...
  31. https://doi.org/10.1126/science.1245627
  32. The Conformational States of the HIV-1 Envelope Glycoproteins - PMC
  33. Effects of the I559P gp41 Change on the Conformation and Function ...
  34. HIV entry: a game of hide-and-fuse? - PMC - NIH
  35. Molecular Mechanism of HIV-1 Entry - PMC - NIH
  36. Monitoring Early Fusion Dynamics of Human Immunodeficiency ...
  37. https://doi.org/10.3390/v13050735
  38. https://doi.org/10.1016/S0092-8674(00
  39. [PDF] enfuvirtide - accessdata.fda.gov
  40. Enfuvirtide (T20)-Based Lipopeptide Is a Potent HIV-1 Cell Fusion ...
  41. Peptides Trap the Human Immunodeficiency Virus Type 1 Envelope ...
  42. Enfuvirtide, an HIV-1 Fusion Inhibitor, for Drug-Resistant HIV ...
  43. Efficacy of Enfuvirtide in Patients Infected with Drug-Resistant HIV-1 ...
  44. Emergence and Evolution of Enfuvirtide Resistance following Long ...
  45. Rapid emergence of enfuvirtide resistance in HIV-1-infected patients
  46. Resistance to enfuvirtide, the first HIV fusion inhibitor
  47. A Protein-Based, Long-Acting HIV-1 Fusion Inhibitor with an ... - MDPI
  48. Design of a highly potent bifunctional HIV-1 entry inhibitor targeting ...
User Avatar
No comments yet.