dUncontrolled herpes simplex virus 1 (HSV-1) infection can advance to serious conditions, including corneal blindness or fatal encephalitis. Here, we describe a highly potent anti-HSV-1 peptide (DG2) that inhibits HSV-1 entry into host cells and blocks all aspects of infection. Importantly, DG2 is highly resistant to proteases and shows minimal toxicity, paving the way for prophylactic or therapeutic application of the peptide in vivo.
Herpes simplex virus 1, a double-stranded DNA virus, infects the majority of the world's populations (1). HSV-1 infections can remain dormant (viral latency); however, reactivation from latency can cause various conditions, ranging from cold sores to critical herpes keratitis that may advance to corneal blindness (2, 3). HSV-1 is the leading infectious cause of corneal blindness worldwide (4). Additionally, HSV-1 infections of the central nervous system can lead to fatal encephalitis (5, 6). Therefore, treatment of HSV infections is a cardinal health care concern.The first line of therapy for HSV-1 infection comprises primarily acyclovir and its pharmaceutical analogues (7); however, these suffer two major drawbacks: ineffectiveness in preventing emergence of drug-resistant strains and toxicity that also includes serious side effects (1,8). Therefore, we decided to exploit recent knowledge of virus infection mechanisms and essential interactions with the host to develop more-effective anti-HSV-1 therapeutics. From this study, we report a novel highly effective D-peptide that targets HSV-1 entry and suppresses the infection while showing hydrolytic stability with respect to proteases. Thus, we describe a valuable tool for future clinical application and a significant step toward the development of an in vivo therapy for treatment of herpes infections. In addition, it will be a good reagent to study HSV-1 entry.Results and methods. Virus infection is facilitated via binding of envelope glycoprotein gD to host cell receptors, such as 3-Osulfated heparan sulfate (3-OS HS) (9, 10). Thus, we reasoned that targeting cell surface 3-O HS might provide a tool to prematurely block the infection by interference with a virus-host interaction essential for viral entry. Our preliminary work provided a proof of principle that targeting 3-OS HS can block entry and infection (11,12). However, a serious obstacle to the in vivo application of such a treatment is the fact that peptides are easily hydrolyzed through the proteolytic and peptidolytic action of body proteases, making peptide therapy usually infeasible (13). Therefore, we reasoned that a D-peptide might be resistant to the action of proteases. Thus, using the procedure outlined in Fig. 1A, we designed the arginine-rich D-peptide as shown (Fig. 1B).To investigate the proteolytic stability of DG2, and its effect on the HSV-1 infection-blocking activity, we incubated DG2, a scrambled control peptide, or an L peptide with a model protease, trypsin, followed by assessing the entry activity of the trypsindigested peptides with human corneal epit...