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The Surprising Role of Amyloid Fibrils in HIV Infection
Laura M Castellano1, James Shorter2
1Pharmacology Graduate Group, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, USA. lcast@mail.med.upenn.edu.
Abstract:
Despite its discovery over 30 years ago, human immunodeficiency virus (HIV) continues to threaten public health worldwide. Semen is the principal vehicle for the transmission of this retrovirus and several endogenous peptides in semen, including fragments of prostatic acid phosphatase (PAP248-286 and PAP85-120) and semenogelins (SEM1 and SEM2), assemble into amyloid fibrils that promote HIV infection. For example, PAP248-286 fibrils, termed SEVI (Semen derived Enhancer of Viral Infection), potentiate HIV infection by up to 105-fold. Fibrils enhance infectivity by facilitating virion attachment and fusion to target cells, whereas soluble peptides have no effect. Importantly, the stimulatory effect is greatest at low viral titers, which mimics mucosal transmission of HIV, where relatively few virions traverse the mucosal barrier. Devising a method to rapidly reverse fibril formation (rather than simply inhibit it) would provide an innovative and urgently needed preventative strategy for reducing HIV infection via the sexual route. Targeting a host-encoded protein conformer represents a departure from traditional microbicidal approaches that target the viral machinery, and could synergize with direct antiviral approaches. Here, we review the identification of these amyloidogenic peptides, their mechanism of action, and various strategies for inhibiting their HIV-enhancing effects.
Insights
Semen-derived amyloid fibrils significantly enhance HIV transmission by promoting viral attachment. Reversing fibril formation offers a novel preventative strategy against sexual HIV infection.
Area of Science:
- Virology
- Biochemistry
- Public Health
Background:
- Human immunodeficiency virus (HIV) remains a global health threat.
- Semen contains amyloidogenic peptides that form fibrils, enhancing HIV infectivity.
- These fibrils, like SEVI (Semen derived Enhancer of Viral Infection), potentiate infection by facilitating virion attachment and fusion.
Purpose of the Study:
- To review the identification and mechanisms of amyloidogenic peptides in semen that enhance HIV infection.
- To explore strategies for inhibiting the HIV-enhancing effects of these peptide fibrils.
- To highlight the potential of targeting host-encoded protein conformers as a preventative approach.
Main Methods:
- Review of scientific literature on semen-derived amyloid fibrils and their role in HIV transmission.
- Analysis of the mechanism by which fibrils enhance viral infectivity.
- Discussion of various strategies aimed at inhibiting fibril formation or reversing existing fibrils.
Main Results:
- Amyloid fibrils formed by semen peptides (e.g., PAP248-286, PAP85-120, SEM1, SEM2) significantly increase HIV infectivity, particularly at low viral titers.
- Fibril-mediated enhancement of infectivity occurs through facilitation of virion attachment and fusion to target cells.
- Soluble peptides do not exhibit the same infectivity-enhancing effects as their fibrillar forms.
Conclusions:
- Amyloid fibrils in semen represent a significant factor in sexual HIV transmission.
- Developing methods to reverse fibril formation is a promising, innovative preventative strategy.
- Targeting host-derived amyloidogenic peptides offers a complementary approach to traditional antiviral therapies.
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