Abstract
Although several immunotoxins that selectively kill HIV-1-infected cells have been described, their clinical utility is limited by low potency against spreading viral infection. We show here that changing the carboxyterminal sequence of an anti-HIV-1 envelope immunotoxin to the consensus endoplasmic reticulum retention sequence KDEL substantially improves its ability to block infection of peripheral blood mononuclear cells by primary HIV-1 isolates without increasing nonspecific toxicity. Polychromatic flow cytometry of peripheral blood mononuclear cells (PBMC) infected with an HIV-1-GFP reporter virus demonstrated that the improved immunotoxin is active against a variety of primary cell types including memory T cells, NK-T cells, and monocyte/macrophages. The subnanomolar potency of this agent suggests that it could be clinically useful either as an adjuvant to highly active antiretroviral therapy (HAART) in drug-resistant patients or to reduce the reservoir of latently infected cells that is implicated in HIV-1 persistence.
MeSH terms
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ADP Ribose Transferases / genetics
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ADP Ribose Transferases / pharmacology
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Animals
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Antiretroviral Therapy, Highly Active
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Bacterial Toxins / genetics
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Bacterial Toxins / pharmacology
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CHO Cells
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Cells, Cultured
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Chemotherapy, Adjuvant
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Cricetinae
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Exotoxins / genetics
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Exotoxins / pharmacology
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Genes, Reporter
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Green Fluorescent Proteins
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HIV Antibodies / genetics
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HIV Antibodies / pharmacology
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HIV Infections / drug therapy
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HIV Infections / virology
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HIV-1 / drug effects*
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HIV-1 / genetics
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HIV-1 / pathogenicity*
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Humans
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Immunotoxins / genetics
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Immunotoxins / pharmacology*
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In Vitro Techniques
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Leukocytes, Mononuclear / drug effects
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Leukocytes, Mononuclear / virology
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Luminescent Proteins / genetics
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Lymphocyte Subsets / drug effects
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Lymphocyte Subsets / virology
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Oligopeptides
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Protein Sorting Signals
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Pseudomonas aeruginosa Exotoxin A
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Virulence Factors / genetics
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Virulence Factors / pharmacology
Substances
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Bacterial Toxins
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Exotoxins
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HIV Antibodies
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Immunotoxins
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Luminescent Proteins
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Oligopeptides
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Protein Sorting Signals
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Virulence Factors
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lysyl-aspartyl-glutamyl-leucine
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Green Fluorescent Proteins
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ADP Ribose Transferases