Macrocyclic peptides exhibit antiviral effects against influenza virus HA and prevent pneumonia in animal models

Nat Commun. 2021 May 11;12(1):2654. doi: 10.1038/s41467-021-22964-w.

Abstract

Most anti-influenza drugs currently used, such as oseltamivir and zanamivir, inhibit the enzymatic activity of neuraminidase. However, neuraminidase inhibitor-resistant viruses have already been identified from various influenza virus isolates. Here, we report the development of a class of macrocyclic peptides that bind the influenza viral envelope protein hemagglutinin, named iHA. Of 28 iHAs examined, iHA-24 and iHA-100 have inhibitory effects on the in vitro replication of a wide range of Group 1 influenza viruses. In particular, iHA-100 bifunctionally inhibits hemagglutinin-mediated adsorption and membrane fusion through binding to the stalk domain of hemagglutinin. Moreover, iHA-100 shows powerful efficacy in inhibiting the growth of highly pathogenic influenza viruses and preventing severe pneumonia at later stages of infection in mouse and non-human primate cynomolgus macaque models. This study shows the potential for developing cyclic peptides that can be produced more efficiently than antibodies and have multiple functions as next-generation, mid-sized biomolecules.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antiviral Agents / chemistry
  • Antiviral Agents / pharmacology*
  • Disease Models, Animal*
  • Dogs
  • Female
  • HEK293 Cells
  • Hemagglutinin Glycoproteins, Influenza Virus / metabolism*
  • Humans
  • Influenza A Virus, H1N1 Subtype / drug effects*
  • Influenza A Virus, H1N1 Subtype / metabolism
  • Macaca fascicularis
  • Madin Darby Canine Kidney Cells
  • Mice
  • Mice, Inbred BALB C
  • Molecular Structure
  • Orthomyxoviridae Infections / drug therapy*
  • Peptides / chemistry
  • Peptides / pharmacology*
  • Pneumonia / prevention & control*
  • Virus Replication / drug effects

Substances

  • Antiviral Agents
  • Hemagglutinin Glycoproteins, Influenza Virus
  • Peptides

Associated data

  • figshare/10.6084/m9.figshare.14363303