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New influenza A Virus Entry Inhibitors Derived from the Viral Fusion Peptides

Influenza A viral (IAV) fusion peptides are known for their important role in viral-cell fusion process and membrane destabilization potential which are compatible with those of antimicrobial peptides. Thus, by replacing the negatively or neutrally charged residues of FPs with positively charged lysines, we synthesized several potent antimicrobial peptides derived from the fusogenic peptides (FPs) of hemagglutinin glycoproteins (HAs) of IAV. The biological screening identified that in addition to the potent antibacterial activities, these positively charged fusion peptides (pFPs) effectively inhibited the replication of influenza A viruses including oseltamivir-resistant strain. By employing pseudovirus-based entry inhibition assays including H5N1 influenza A virus (IAV), and VSV-G, the mechanism study indicated that the antiviral activity may be associated with the interactions between the HA2 subunit and pFP, of which, the nascent pFP exerted a strong effect to interrupt the conformational changes of HA2, thereby blocking the entry of viruses into host cells. In addition to providing new peptide “entry blockers”, these data also demonstrate a useful strategy in designing potent antibacterial agents, as well as effective viral entry inhibitors. It would be meaningful in treatment of bacterial co-infection during influenza pandemic periods, as well as in our current war against those emerging pathogenic microorganisms such as IAV and HIV.


Introduction
To date, influenza A viruses (IAV) are one of the critical human respiratory pathogens that not only cause morbidity and mortality seasonally, but also create serious public fear and economic loss worldwide. The recent pandemics and outbreaks of disease, such as H5N1 avian influenza (bird flu) [1] and H7N9 influenza A pandemics in China [2] have posed a significant impact on the international community, and presented an urgent need to develop new and effective anti-IAV agents. It has been well known that apart from the bactericidal activity, many antimicrobial peptides (AMPs) are also effective against pathogenic viruses thus making them potential therapeutics in the prophylaxis and treatment of viral infections [3]. So far, three modes of action of antimicrobial peptides have been proposed with respect to viruses: direct virolysis, inhibition of transcription from the long terminal repeat (LTR) promoter, and block of cell entry by binding to cell surface receptors [4]. This means that a novel antiviral agent could be generated from the structures of antimicrobial peptides. Started from these points and encouraged with the success of HIV peptide entry blocker of enfuvirtide (Fuzeon) [5], we reviewed the structural characteristics of some fusion peptides derived from hemaglutinin glycoproteins of influenza A viruses with the attempt to create novel antimicrobial agents against such emerging pathogens.
The fusion peptides of enveloped viruses such as HIV and influenza virus usually play an important role in viral entry into host cells. Influenza A fusion peptides (FPs) are the segments of hemagglution glycoproteins (HAs) and refer to peptides being able to destabilize the membrane bilayer and increase the surface tension [6]. The HA is one of the major surface glycoproteins of the influenza viruses and is responsible for the binding and fusion of the viral envelope with the infected cell's membrane in the initial step of infectious process. Structurally, HA forms a homo-trimer with each of the monomers containing two subunits, HA1 and HA2, linked by a disulphide bond. The HA1 subunit is for the initial step of binding the virus with sialic acid on host cells, while the HA2 is for fusion [7]. For the HA2 subunit, the N-terminal segment consisting of 23 amino acids is the so-called fusion peptides (FP) [7].
As shown in Table 1, all FPs from IAV are hydrophobic and possess multiple glycine residues. Notably, the amino acid sequences of these peptides are extremely conserved among the 16 recognized subtypes, especially for HA2 residues 1-11 in the N-terminal region [8]. Their secondary structures are reported as amphipathic α-helical or partial α-helical when interacting with membrane, which is similar to that of conventional antimicrobial peptides, such as ADP1 [9][10]. However, in contrast to most AMPs, all FPs from HAs are negatively charged, as listed in Table 1. Considering the critical role of the net positive charge in the conventional AMPs, we then turned several negatively charged fusion peptides into "positively charged" pseudo-fusion peptides (pFPs) by replacing negatively or neutrally charged residues with lysines, while most other residues remained untouched.
As reported in our previous work [11], the newly generated positively charged fusion peptides (pFPs) exhibited potent antimicrobial activities against a broad variety of bacteria  1  2  3  4  5  6  7  8  9  10  11  12  13  14  15  16  17  18  19  20  21  22  23 H1 including gram positive and gram negative bacteria. In addition, the CD spectral analyses and computer simulation showed that both the indigenous fusion peptide (FP, negatively charged) and the newly created peptides (pFP, positively charged) had a similar secondary structure, and the change in net charge didn't induce significant change in the secondary structure [12]. Given a highly conserved region in HA, FPs play a critical role in mediating virus-cell fusion events, thus the local region of fusogenic peptide on HA2 would be a potential target for antiviral intervention [13]. Based on this deduction, we then evaluated their antiviral activities by testing the influenza A viral strains of A/Puerto Rico/8/34 (H1N1) and A/Aichi/2/68 (H3N2), meanwhile, we also investigated the mechanism of action by employing various pseudoviruses based assays. The results showed that these peptides might be able to specifically block the entry of influenza A viruses into host cells, thus providing promising lead molecules to develop as potential antiviral agents. In this paper, we report on the anti-IAV activity and the possible mechanism of these peptides.

Organisms
Madin Darby Canine Kidney (MDCK) cells and 293T cells were obtained from the American Type Culture Collection (ATCC) and cells were grown in Dulbecco's Modified Eagle Medium (DMEM) containing glutamine, supplemented with 10% fetal bovine serum (FBS). The influenza A/Puerto Rico/8/34 (H1N1) and A/Aichi/2/68 (H3N2) viruses were propagated in the allantoic cavities of 9-day-old embryonated hen eggs at 37°C. After harvest, the virus titer was determined through the analysis of the 50% tissue culture infective dose (TCID 50 ) on MDCK cells and evaluated using the method developed by Reed and Muench [14].

Peptide synthesis
Peptides were synthesized on an ABI 433A peptide synthesizer with 0.1 mmol scale by using standard Fmoc solid phase protocols on Rink Amide MHBA resin as described previously [15]. The molecular weight of each peptide was confirmed by electrospray ionization mass spectrometry (ESI-MS, Waters, USA), and the purity of peptides was analyzed with Shimadazu 10A HPLC instrument on a C18 column (250 × 4.6 mm, Shimadzu, Japan), with the purity ca. 90%.

Viral cytopathic effect (CPE) inhibition assay
Antiviral activities of peptides were evaluated by the viral cytopathic effect inhibition assay as previously reported [16]. Briefly, influenza A/Puerto Rico/8/34 (H1N1) and A/Aichi/2/68 (H3N2) viruses at 100 TCID 50 were mixed with peptides at indicated concentration and incubated at 37°C for 30 min respectively, and then the virus-peptide mixtures were added to the MDCK cells and incubated for another 60 min. After incubation, the supernatants were discarded and the cells were washed twice with PBS (phosphate buffer saline) to remove unabsorbed virus followed by adding virus growth medium (serum free DMEM supplemented with 1 μg/mL TPCK-trypsin). At 48 h post-infection, cell viability was measured with MTT ((3-(4,5-dimethyl-thiazol-2-yl)-2,5-diphenyltetrazolium bromide) assay.
To measure cell viability, 100 μL of MTT (0.5 mg/mL, diluted in culture medium) was added into each well and incubated at 37°C for 4 h. Reduced MTT (formazan) was extracted with acidic isopropanol. Absorbance at wavelengths of 570 nm was read on a microtiter plate reader (Genios Pro Tecan, Swiss). After subtraction of values of background, dose response curves of half-log concentration vs. percentage of protection were generated, from which half maximal inhibition concentration (IC 50 ) was calculated.

Quantitative real-time PCR assay
The inhibition of viral HA gene replication was detected by quantitative real-time PCR with reported protocols [17]. As mentioned above, influenza A/Puerto Rico/8/34 (H1N1) virus at 100 TCID 50 was mixed with peptides at indicated concentration and incubated at 37°C for 30 min, then the virus-peptide mixtures were added to the confluent monolayers MDCK cells in 6-well plates and incubated for another 30 min. After incubation, the supernatants were discarded and the cells were washed twice with PBS followed by addition of virus growth medium (serum free DMEM supplemented with 1 μg/mL TPCK-trypsin and 0.2% BSA). At 24 h postinfection, the total RNA was extracted with TRIzol reagent, and quantified by UV spectrophotometer (Merinton SMA1000, USA). Then the total RNA was reverse transcribed into cDNA using PrimeScript RT reagent kit. Real-time PCR was performed in an ABI7500 real-time PCR instrument (Applied Biosystems, USA) with the SYBR Premix Ex Taq as the manufacturer's instruction. HA expression was normalized to GAPDH gene, which stably expressed in MDCK cells. Fold changes in gene expression were calculated using a classical 2 −ΔΔCT method. All samples were run in triplicate. The primer sequences used for specific genes are listed in Table 2.

Virus titer reduction assay
Time course of the inhibitory effect of HA-FP-1 against influenza A/Puerto Rico/8/34 (H1N1) was evaluated by the virus titer reduction assay as previously reported with some modifications [18]. Two different time points for drug administration were utilized in our experiments: (1) the pre-incubation refers that peptides were pre-incubated with virus for 30 min prior to transferring to the MDCK cells; and (2) the post-infection indicates that virus was incubated with MDCK cell for 60 min. Then the cells were washed twice with PBS, and subsequently adding the different concentration of peptides in virus growth medium. At 48 h post-infection, the inhibition of viral replication was measured by determining the virus titer in the supernatant.
To determine the virus titer in the supernatant [19][20], 50 μL supernatants were transferred into to a 96-well black plate followed by addition of 20 μL H 2 O and 30 μL 4-MUNANA substrate (2-(4-methylumbelliferyl)-α-D-N-acetylneuraminic acid sodium) in diluted buffer (33 mM MES (pH = 3.5) and 4 mM CaCl 2 ) at a final concentration of 20 μM. The mixtures were incubated at 37°C for 1 h in the dark, then the reaction was terminated with 150 μL 14 mM NaOH (dissolved in 83% ethanol) and the resultant fluorescence was recorded at the excitation wavelength of 340 nm and emission wavelength of 440 nm. The inhibition ratio was obtained using the equation: Where F virus is the fluorescence of supernatants of the virus control, F substrate is the fluorescence of the substrate control, and F sample is the fluorescence of the supernatants of the infected cells that were treated with the peptides. IC 50 was determined by extrapolation of the results from various doses tested using a linear equation.

Enzyme-linked immunosorbent assay
The inhibitory effect of HA-FP-1 against influenza A/Puerto Rico/8/34 (H1N1) was further evaluated by enzyme-linked immunosorbent assay (ELISA) [21]. Two different drug administration methods were employed in our experiments, and the procedure is adopted the same as mentioned above: (1) The pre-incubation refers that peptides were pre-incubated with virus for 30 min prior to transferring to the MDCK cells; and (2)

Measurement of the inhibitory activity on the entry of H5N1 pseudovirus
The plasmids encoding HA and NA of A/Thailand/Kan353/2004 were used to prepare H5N1 pseudovirus. The protocol was adopted as reported previously [22]. In briefly, 293T cells in 6-well plate (60-70% confluent) were co-transfected with 1 μg HA plasmid, 1 μg NA plasmid, and 3 μg HIV backbone plasmid (pNL4-3.luc.R − E − ), which contains an Env and Vpr defective, luciferase-expressing HIV-1 genome per well, using the PEI (polyethylenimine) as a transfection reagent at a ratio of 3:1 to the total weight of the three plasmids. After transfection for 48 h, the culture supernatants were harvested and centrifuged at 2000 rpm for 5 min. Aliquots were stored at -80°C. The amount of pseudotyped particles was quantitated using the luciferase assay.
To measure the inhibitory activities of pFPs, MDCK cells (1×10 4 /well) were seeded in 96-well plates and grown overnight. The peptides were serially two-fold diluted from 100 to 3.12 μg/mL in culture medium and then incubated with equal volume of pseudo-typed particles at 37°C for 30 min. Subsequently, the virus-peptide mixtures were transferred to the cells and incubated for an additional 48 h. Cells were washed with PBS and lysed with the lysing reagent included in the luciferase kit. Aliquots of cell lysates were transferred to 96 well flat bottom luminom, followed by the addition of luciferase substrate. The luciferase activity was measured in a microplate luminometer (Genios Pro Tecan, Swiss). CL-385319 at 50 μM was used as a positive control [23], while wells without peptides as a negative control.

Measurement of the inhibitory activity on the entry of VSV-G pseudovirus
The VSV pseudovirus was constructed by using VSV-glycoprotein encoded plasmid and HIV backbone plasmid (pNL4-3.luc.R − E − ). The protocol for preparation of pseudovirus and the measurement of the inhibitory activity toward VSV-G pseudovirus were similarly to that of influenza A pseudovirus. MDCK cells (1 × 10 4 /well) were seeded in 96-well plates and incubated overnight. After removal of culture supernatants, 100 μL of fresh cell culture medium was added into the plate. The peptides were serially two-fold diluted from 100 to 0.78 μg/mL in culture medium and then incubated with equal volume of pseudo-typed particles at 37°C for 30 min. Subsequently, the same volume of virus-compound mixture was transferred into the MDCK cells and incubated for 48 h at 37°C before performing luciferase assay as described above.

Hemagglutination inhibition (HI) assay
The HI assay was employed to evaluate the inhibitory effects of pFPs on viral adsorption into target cells [21]. Twofold serial dilutions of H5 antigen in 25 μL was mixed with equal volume of HA-FP-1 at the final concentration of 50 μg/mL in V-bottomed 96-well micro plates. Subsequently, 50 μL of chicken erythrocytes (0.5% v/v in PBS) were added to each well. An equal volume of HA antiserum (25 μL, 1:20) was used as positive control, while PBS as negative control. The hemagglutination reaction results were read after incubation for 1 h at room temperature. Both H5 standard antigen and antiserum were provided by Harbin Veterinary Research Institute, China.

Fusion inhibition (FI) assay
The

Hemolysis inhibition assay
The experiment procedure on virus-induced hemolysis at low pH was slightly adopted from a procedure described previously by Luo et al [24]. 100 μL of HA-FP-1 diluted in PBS was mixed with an equal volume of the influenza virus A/Puerto Rico/8/34 (H1N1) strain (1.5 × 10 8 TCID 50 /mL) in a 96-deepwell plate and incubated at room temperature for 30 min. Then 200 μL of 2% chicken erythrocytes pre-warmed at 37°C was added, and the mixture was incubated at 37°C for another 30 min. To trigger hemolysis, 100 μL of sodium acetate (0.5 M, pH 5.0) was added and mixed well with the erythrocyte suspension. The mixture was incubated at 37°C for 30 min for HA acidification and hemolysis, and then the plates were centrifuged at 1,200 rpm for 6 min to separate nonlysed erythrocytes. After centrifugation, 300 μL of supernatant was transferred to another flat-bottom 96-well plate. The OD 540 was recorded on a microtiter plate reader.
The antiviral activity of the peptides against NA-H274Y mutation virus MDCK cells were seeded into a 96-well plate at 2 × 10 4 per well and incubated overnight until grown up to confluent. Influenza strain of A/Puerto Rico/8/34 (H1N1) with NA-H274Y mutation virus at 100 TCID 50 were mixed with peptides in 2-fold dilution and incubated at 37°C for 30 min. Subsequently, the virus-peptide mixtures were added to the cells and incubated for another 30 min. Then cells were washed twice with PBS to remove unabsorbed virus, followed by the addition of DMEM supplemented with 1 μg/mL TPCK-trypsin and 0.2% BSA. At 24 h post infection, the cells was immobilized with 80% pre-cooled acetone for 10 min and then the viral replication was determined by measuring the levels of influenza virus nucleoprotein (NP) with ELISA. Percent protection was calculated as [1 -(mean OD 450 compound-mean OD 450 medium)/(mean OD 450 DMSO-mean OD 450 medium)] × 100%, where mean OD 450 compound, mean OD 450 medium, and mean OD 450 DMSO refer to the absorbance (optical density at 450 nm [OD 450 ]) of compound-and virus-containing samples, the absorbance of no-virus control samples, and the absorbance of DMSO-and virus-containing. The IC 50 values for each peptide were 5.388 ± 3.112 μg/mL (HA-FP-1) and 7.811 ± 1.839 μg/mL (HA-FP-2-1), respectively, while Oseltamivir (Tamiflu) was used as a positive control with IC 50 value of 0.33 ± 0.037 μg/mL, while for WT of influenza strain of A/Puerto Rico/8/34 (H1N1), the IC 50 value is 0.017 ± 0.002 μg/mL.

Statistical analysis
Graph Pad Prism 5 (San Diego, CA) was used to determine the half cytotoxic concentration (CC 50 ) and half inhibitory concentration (IC 50 ) values of peptides. All IC 50 and CC 50 values were calculated as the means ± standard error of the mean (SEM) from triplicate assay from at least three independent experiments. The data was determined by one-way ANOVA method by using SPSS software. Statistical significance was defined as p < 0.05 ( Ã p < 0.01, ÃÃ p < 0.001).

Positively charged "pseudo" FPs (pFPs) inhibit the replication of influenza A viruses
Peptides were designed from the fusogenic peptides (FPs) of influenza A viruses by replacing negatively or neutrally charged residues with lysines, meanwhile, kept most other residues intact, as indicated in Table 3. Given the highly conserved region of FPs in the HAs (Table 1) and the critical role in fusogenic process [7], we then evaluated their antiviral activity against influenza viral strains of A/Puerto Rico/8/34 (H1N1) and A/Aichi/2/68 (H3N2) by using virus cytopathic effect (CPE) inhibition assay. As shown in Table 3, when the virus was exposed to peptides for 30 min prior to infection of MDCK cells, the antiviral activities of HA-FP-1 toward tested viral strains were observed to be 9.61±1.15 (H1N1) and 5.90±0.62 (H3N2) μg/mL, respectively.
In parallel to the measurement of CPE inhibition test, the antiviral effect of HA-FP-1 against influenza A/Puerto Rico/8/34 (H1N1) was further assessed by employing quantitative real time PCR ( Fig 1A). As influenza hemagglutinin protein is one of the essential viral proteins directly associated with virus replication, we then inspected the inhibition on mRNA levels of HA gene. As a result, a reduced level of mRNA expression upon treatment with HA-FP-1 was observed, consistent with the results from CPE inhibition assay.
On the basis of this progress, we were wondering how the antiviral effect of pFPs would be if tested with drug-resistant viral strain of A/Puerto Rico/8/34 (H1N1) with NA-H274Y mutation, an influenza A (H1N1) virus with NA-H274Y neuraminidase mutation which is known for its resistance to neuraminidase inhibitor of Oseltamivir [25].
After treatment of virus with peptides similar to that in CPE inhibition assay, the antiviral effect was determined by measuring the levels of influenza virus nucleoprotein (NP) with enzyme-linked immunosorbent assay (ELISA). As a consequence, the IC 50 value of HA-FP-1 against NA-H274Y mutation virus was 5.388 ± 3.112 μg/mL, similar to the results obtained from other assays.

HA-FP-1 inhibits the replication of virus in the early stage of infection
To confirm the antiviral activities from CPE test and RT-PCR measurement, we then evaluated the antiviral effect of HA-FP-1 toward A/Puerto Rico/8/34 (H1N1) viral strain by using virus titer reduction assay ( Fig 1B) and ELISA (Fig 1C). In addition, to get more details regarding the possible mechanism by which to inhibit the replication of influenza A virus, we employed two different time points for drug administration in these experiments: the pre-incubation and the post-infection. Consequently, the virus inhibitory effects in both Fig 1B and 1C were clearly observed with a dose-dependent manner. In particular, the antiviral activities from pre-incubation were much more potent than from post infection, implying the antiviral activity may result from the inhibition of the early stage of virus infection.

pFPs inhibit the entry of H5N1 influenza A pseudovirus
The initial results inspired us to further investigate the detailed mechanism by which to inhibit the replication of influenza virus. Herein, we employed H5N1 pseudovirus as our "entry inhibitor" model to evaluate the antiviral effects of these peptides. The pseudovirus was constructed by using the plasmids encoding HA and NA of A/Thailand/Kan353/2004, by which the antiviral effect was evaluated by measuring the inhibitory effect on the infection of H5N1 pseudovirus [23]. Assays were carried out with virus in the presence of vehicle (H 2 O), or in the presence of various concentrations of peptides.
As shown in Fig 2, HA-FP-1 and HA-FP-2-1 exhibited the highest inhibitory effects on the infection of H5N1 influenza A pseudovirus on MDCK cells with IC 50 of 7.05 and 18.09 μg/mL respectively, while others including the prototype of HA-FP-O only showed a lower or no inhibition in our test range. Obviously, these data indicated a promising approach in construction of antiviral agents by which to block the entry of pathogenic viruses into host cells. pFPs are unable to inhibit the entry of vesicular stomatitis (VSV) pseudovirus Although the pFPs exhibited an inhibitory effect toward pseudo-influenza A virus, we were not sure how the specificity they were and what the drug target might be. In this study, the pseudoinfluenza A virus was constructed by encoding HA and NA plasmids of IAV into HIV backbone. Therefore, the inhibitory effects may also result from the interaction of peptide with HIV backbone. Given the fact that both VSV-G and IAV take the same route of endocytosis for cellular entry, we then employed VSV-G as a negative control to study the specificity of pFPs. The vesicular stomatitis pseudovirus was constructed by using VSV-glycoprotein encoded plasmid similar to that of IAV pseudovirus, and then was used to screen pFPs for the inhibitory effect.
The experiment data showed that none of these peptides was able to reduce the infectivity of VSV-G pseudovirus on MDCK cells even at the highest concentration tested (100 μg/mL) (Fig 3). Hence, these data provide evidences that pFPs may selectively inhibit the entry of influenza A viruses.
The target of pFPs is not sialylglycoconjugate receptors of HA Thus far, sialic acid (N-acetyl neuraminic acid) is the only known essential component of cellular receptors for influenza type A virus [26]. To determine whether our pFPs were binding to the sialic acid-binding site on HA, we then carried out an HA inhibition assay (HI assay). As shown in Fig 4A, twofold serial dilutions of H5 antigen in 25 μL was mixed with equal volume of HA-FP-1 in V-bottomed 96-well micro-plates. Subsequently, 50 μL of chicken erythrocytes (0.5% v/v in PBS) were added to each well. As a consequence, HA-FP-1 was unable to inhibit the agglutination of red blood cells, indicating the binding site of these peptides would not be the sialic acid binding site on HA1 subunit of HA [27]. The hemagglutinin (HA) is comprised of two subunits, HA1 and HA2. Since the HI assay has excluded the possible target of sialic acid-binding site on HA1, we next investigated whether the N-terminal region of HA2 was the possible target of these peptides. The fusion inhibition assay (FI assay) was employed by measuring the competition effect exerted from HA-FP-O to HA-FP-1 (Fig 4B). The concentration of HA-FP-1 was 25 μg/mL, while HA-FP-O was varied from 75 to 6.25 μg/mL. The results showed that as the concentration ration between HA-FP-1 and HA-FP-O reached 1:3 the antiviral activity of HA-FP-1 was completely abolished (Fig 4B), indicating the N-terminal region of HA2 as the possible target of pFPs.

HA-FP-1 blocks the lysis of erythrocytes induced by acidic condition
Membrane fusion induced by low pH is a key step in the infection process of IAV. To investigate whether pFPs inhibit the viral fusion step by blocking the conformational changes of HA2, we then carried out a hemolysis inhibition assay under acidic condition. The data showed that when exposure the mixture of chicken red blood cells (cRBCs) with influenza virus strain of A/Puerto Rico/8/34 (H1N1) (1.5 × 10 8 TCID 50 /mL) to the two-fold serial dilutions of HA-FP-1 in acidic buffer (pH = 5), the hemolysis of cRBCs was apparently inhibited in a dose-dependent manner, suggesting that interruption of the conformational changes of HA2 induced by low pH would be the possible mechanism of HA-FP-1, by which to block the entry of virus (Fig 4C).

Discussion
With the appearance of drug resistant influenza A viral strains, it is imperative to develop new antiviral drugs or strategies effectively targeting these seasonal pathogens. In this regard, we focus our interest on the development of antiviral agents from antimicrobial peptides. The feasibility of this strategy has been well documented by a number of literatures [18,28,29], which proposed that the general antiviral mechanisms may involve the direct virolysis, inhibition of transcription from the long terminal repeat (LTR) promoter, and block of cell entry by binding to cell surface receptors [4]. With respect to the cell "entry blocker", the clinically used HIV entry inhibitor of enfuvirtide (Fuzeon) has shown a great potential of peptide drug in the prevention of viral infections [5].
Spurred by this success, in this paper, we demonstrate several effective "virus entry inhibitors" derived from fusogenic peptides of hemagglutinin glycoprotein of influenza A viruses. The fusion peptides were reported to involve the disruption and destabilization of cellular membrane similar to those of conventional antimicrobial peptides. Thus, we turned them into potent antimicrobials by reversing the charges of these peptides. Interestingly, not only did they show potent bactericidal activities [11], but these positively charged fusion peptides also inhibited the infection of influenza A viruses, whereas were unable to block the entry of VSV-G to host cells, indicating multiple functions in their antimicrobial activities.
In our previous work [11], we have reported the cytotoxicity of these peptides toward MDCK cells, as well as toward fresh rabbit red blood cells (rRBCs). The results showed that the CC 50 values against MDCK of HA-FP-1 and HA-FP-2-1 were 144.4 μg/mL (HA-FP-1) and 195.1 μg/mL (HA-FP-2-1), respectively, while the hemolytic activity against rRBCs was lower than 10% at 125 μg/mL. Therefore, considering the micro-molar range of antiviral activity, the therapeutic indices were not very high. However, as a proof-of-concept and preliminary data, these peptides clearly showed the inhibitory effect in preventing the infection from IAV, as well as the potentials in development as antiviral agents. Currently, in order to improve their antiviral efficacy, the structural modifications are under investigation by applying several strategies, such as extending the peptide sequences to 23 amino acids or longer, adding a hydrophobic molecule or residues to the N-and C-termini respectively. With these efforts, we anticipated that the more potent antiviral peptides would be obtained and the higher therapeutic indices would be achieved.
The mechanism study indicated that the antiviral activity was resulted from the interactions of pFPs with HA by inhibition of the entry of virus. However, the detailed study showed that the binding site of these peptides was not the HA1 subunit, a well known binding site responsible for sialic acid receptor on the host cells' membrane [30]. Instead, these pFPs may interact with HA2 subunit of HA as deduced from the fusion inhibition and hemolysis inhibition assays. Due to the critical role of fusion peptides (FPs) in the process of virus entry, it is reasonably proposed that the different inhibitory effects of pFPs toward IAV would be associated with the different affinities between the pFPs and hemagglutinin glycoproteins (HAs) of IAV. As a result, the stronger of the affinity is, the higher of the inhibitory effect might be. Based on these results, therefore, we deduced that the possible interactions between HA and pFPs might be the N-terminal region of HA2 as described in Fig 5. Hemolysis inhibition assay. Two-fold serially diluted peptide HA-FP-1 in PBS was mixed with an equal volume of the influenza virus A/Puerto Rico/8/34 (H1N1) strain (1.5 × 10 8 TCID 50 /mL) in a 96-well plate. 200 μL of 2% chicken erythrocytes pre-warmed at 37°C was then added. The mixture was incubated at 37°C for another 30 min. To trigger hemolysis, 100 μL of sodium acetate (0.5 M; pH 5.0) was added and mixed well with the erythrocyte suspension. The mixture was incubated at 37°C for 30 min for HA acidification and hemolysis. To separate nonlysed erythrocytes, plates were centrifuged at the end of incubation at 1,200 rpm for 6 min. Anti-Influenza A Viral Peptides from the Fusion Peptides Generally, the membrane fusion process of IAV is initiated via the conformational changes of HA2 subunit induced by the acidic condition (pH = 5) (Fig 5A) [28,31]. However, with the insertion of an exogenous segment of positively charged pFP into the N-terminal region of fusogenic domain of HA2, the conformational changes were blocked, subsequently the fusion process was interrupted, and the viral entry was terminated (Fig 5B). Hence, the antiviral effect was subject to the affinities between the exogenous pFPs and HA2 subunit, of which, the positively charged lysinyl residues at position 11, 15 and 19 of HA-FP-1 exerted strong interactions with the negatively charged residues of glutamic acid/aspartic acid from the same positions of HA2 (Fig 5C-I) via both salt bridges and hydrogen bonds. In contrast, the predominant interactions between negatively charged HA-FP-O and HA2 would be hydrogen bonds (Fig 5C-II), which conveyed a much weaker interactions than the former. Consequently, the strong interactions between HA-FP-1 and HA2 would "freeze" the conformational changes of HA2, and subsequently inhibit the entry of IAV.
Taken together, in the current study, we provide evidences that positively charged pFPs are effective viral entry blockers besides their potent antimicrobial activities. In addition, this paper also describes a promising "complementary" strategy in designing viral "entry blockers" by rationally tuning some residues derived from a conserved region of viral envelop protein, such as from hemagglutinin glycoprotein of IAV or gp160 of HIV. This approach involving the formation of acid-base pairs might be able to enhance the interactions between the viral proteins and antiviral agents thereby blocking the entry of virus, which might be useful in our current war against those urgent pathogenic microorganisms such as IAV and HIV. In particular, these multi-functional antimicrobial agents would be useful in treatment of bacterial co-infection during pandemic influenza periods.