Single-Agent and Fixed-Dose Combination HIV-1 Protease Inhibitor Drugs in Fission Yeast (Schizosaccharomyces pombe)

Jiantao Zhang1, Kasey Vernon1, Qi Li1

  • 1Department of Pathology, University of Maryland School of Medicine, Baltimore, MD 21201, USA.

Insights

New HIV protease inhibitors are needed as current drugs fail against resistant strains. Fission yeast systems effectively test drug efficacy, highlighting the urgent need for novel treatments against multidrug-resistant HIV.

Area of Science:

  • Virology
  • Drug Discovery
  • Microbiology

Background:

  • Combination antiretroviral therapies (cART) are vital for managing HIV-1, but drug resistance limits their long-term effectiveness.
  • Emergence of multidrug-resistant HIV strains necessitates the development of novel therapeutic agents.
  • Existing HIV protease inhibitors (PIs) may become ineffective against resistant viral variants.

Purpose of the Study:

  • To validate a fission yeast cell-based system for discovering and evaluating HIV protease inhibitors (PIs).
  • To test the efficacy of FDA-approved PIs against both wild-type and multidrug-resistant HIV protease (M11PR).

Main Methods:

  • Utilized a previously developed fission yeast system to assess HIV protease activity.
  • Tested thirteen FDA-approved single-agent and fixed-dose combination HIV PI drugs against wild-type and M11PR.
  • Measured drug potencies (EC50) in fission yeast and compared them to human cell data.

Main Results:

  • All tested FDA-approved PIs, except FPV, suppressed wild-type HIV protease activity in the yeast system.
  • No FDA-approved PIs demonstrated efficacy against the multidrug-resistant M11PR.
  • Fission yeast proved to be a reliable platform for evaluating PI effectiveness.

Conclusions:

  • The fission yeast system is a viable tool for HIV PI discovery and testing.
  • Current FDA-approved PIs are ineffective against the tested multidrug-resistant HIV strain.
  • There is a critical need for new PIs to overcome existing viral multidrug resistance.