Structural and mechanistic bases for a potent HIV-1 capsid inhibitor

SM Bester, G Wei, H Zhao, D Adu-Ampratwum, N Iqbal… - Science, 2020 - science.org
Science, 2020science.org
The potent HIV-1 capsid inhibitor GS-6207 is an investigational principal component of long-
acting antiretroviral therapy. We found that GS-6207 inhibits HIV-1 by stabilizing and thereby
preventing functional disassembly of the capsid shell in infected cells. X-ray crystallography,
cryo–electron microscopy, and hydrogen-deuterium exchange experiments revealed that
GS-6207 tightly binds two adjoining capsid subunits and promotes distal intra-and inter-
hexamer interactions that stabilize the curved capsid lattice. In addition, GS-6207 interferes …
The potent HIV-1 capsid inhibitor GS-6207 is an investigational principal component of long-acting antiretroviral therapy. We found that GS-6207 inhibits HIV-1 by stabilizing and thereby preventing functional disassembly of the capsid shell in infected cells. X-ray crystallography, cryo–electron microscopy, and hydrogen-deuterium exchange experiments revealed that GS-6207 tightly binds two adjoining capsid subunits and promotes distal intra- and inter-hexamer interactions that stabilize the curved capsid lattice. In addition, GS-6207 interferes with capsid binding to the cellular HIV-1 cofactors Nup153 and CPSF6 that mediate viral nuclear import and direct integration into gene-rich regions of chromatin. These findings elucidate structural insights into the multimodal, potent antiviral activity of GS-6207 and provide a means for rationally developing second-generation therapies.
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