Background: Human immunodeficiency virus type 1 (HN-1) is a lentivirus
and shares with other members of this retroviral subfamily the abilit
y to replicate in nondividing cells, in particular, cells of the monoc
yte/macrophage lineage. This feature relies on the presence of a speci
fic nuclear localization signal (NLS) within the viral matrix protein
(MA p17), which to some degree can be complemented by the activity of
the viral vpr gene product. The MA p17 NLS ensures efficient transport
ation of the viral preintegration complex into the nucleus of an infec
ted macrophage and confers persistence of HIV-1 in quiescent T cells,
and therefore presents an attractive target for therapeutic interventi
on. Materials and Methods: Nuclear localization signals (NLS) in gener
al and the HIV-1 MA p17 NLS in particular are characterized by a stret
ch of positively charged amino acids including one or more lysine resi
dues. A series of compounds potentially capable of binding and reactin
g with lysine by forming Schiff base adducts was synthesized. Our spec
ial consideration was to make compounds that would preferentially bind
to two closely contiguous amino functions, as opposed to isolated sin
gle lysine residues. We assumed that this approach might specifically
target the compound to NLS while affecting other regions less, thus re
ducing nonspecific cytotoxicity. Antiviral activity was assessed in pr
imary monocytes and in peripheral blood lymphocytes (PBL) infected wit
h HIV-1(ADA) strain. Viral replication was monitored by reverse transc
riptase (RT) activity in the supernatant. Efficiency of nuclear import
ation of the viral preintegration complex was estimated by the formati
on of 2-LTR circle forms of HIV-1 DNA and also by in situ PCR techniqu
es. Results: Arylene bis(methyl ketone) compounds with a nitrogenous t
hird substituent, especially a pyrimidinic side-chain, inhibited HIV-1
replication in human monocytes at an IC50 as low as 1 nM. These compo
unds did not block HIV-1 replication in peripheral blood lymphocyte cu
ltures. The inhibitory effect observed in monocyte cultures appeared i
n the context of markedly reduced nuclear importation of viral DNA in
the presence of the drug. No cytotoxic effects of the compounds was ob
served in vitro at concentrations as high as 10 mu M. An amidinohydraz
one derivative of the most active compound was about 100 times less ac
tive than the parent, indicating that carbonyl,groups were instrumenta
l in the antiviral effect. Conclusions: These early results suggest th
at retroviral replication in nondividing cells is susceptible to pharm
aceutical intervention targeted against the NLS activity of HIV-1 prot
eins in the viral preintegration complex. The compounds described effi
ciently block translocation of viral DNA to the nuclei of infected pri
mary monocytes, and inhibit viral replication. This inhibition is effe
ctive only in nondividing cells and is not seen in proliferating cultu
res, such as activated PBLs. Thus, drugs that target HIV-1 NLS may be
useful to specifically block the macrophage arm of HIV infection and c
ould thereby be of value in treating macrophage-specific manifestation
s of HN disease, such as HIV-1 dementia. In combination with other dru
gs, potential therapeutics exploiting this target may also help to con
trol the progression of HIV-1 infection and disease.