Inhibition of HIV Infection by Bicyclams, Highly Potent and Specific CXCR4 Antagonists

  1. Erik De Clercq
  1. Rega Institute for Medical Research, Department of Microbiology and Immunology, Division of Virology and Chemotherapy, Katholieke Universiteit, Leuven, Leuven, Belgium

    Abstract

    The bicyclams represent a new entity of low-molecular weight molecules that inhibit human immunodeficiency virus (HIV) infection through a specific blockade of CXCR4 (fusin), the receptor for the CXC chemokine SDF-1 (soluble-derived factor), which is also used as coreceptor by T-lymphotropic HIV strains to enter their target cells. The bicyclam AMD3100 or 1,1′-[1,4-phenylenebis(methylene)]-bis-1,4,8,11-tetraazacyclotetradecane octahydrochloride dihydrate, is able to block the CXCR4 receptor and to inhibit HIV replication at nanomolar concentrations while not being toxic to the host cells at 100,000-fold higher concentrations. It is the most specific and most potent CXCR4 antagonist that has been described to date.

    Footnotes

    • Send reprint requests to: Prof. Dr. Erik De Clercq, Rega Institute for Medical Research, Minderbroedersstraat 10, B-3000 Leuven, Belgium. E-mail: erik.declercq{at}rega.kuleuven.ac.be

    • Abbreviations:
      RANTES
      regulated upon activation normal T cell expressed and secreted
      SIV
      simian immunodeficiency virus
      mAb
      monoclonal antibody
      PBMC
      peripheral blood mononuclear cell
      AZT
      azidothymidine (zidovudine)
      • Received December 29, 1999.
      • Accepted February 4, 2000.
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