bHerpes simplex virus (HSV) and many other viruses, including HIV, initiate infection of host cells by binding to glycosaminoglycan (GAG) chains of cell surface proteoglycans. Although GAG mimetics, such as sulfated oligo-and polysaccharides, exhibit potent antiviral activities in cultured cells, the prophylactic application of these inhibitors as vaginal microbicides failed to protect women upon their exposure to HIV. A possible explanation for this failure is that sulfated oligo-and polysaccharides exhibit no typical virucidal activity, as their interaction with viral particles is largely electrostatic and reversible and thereby vulnerable to competition with GAG-binding proteins of the genital tract. Here we report that the cholestanol-conjugated sulfated oligosaccharide PG545, but not several other sulfated oligosaccharides lacking this modification, exhibited virucidal activity manifested as disruption of the lipid envelope of HSV-2 particles. The significance of the virus particle-disrupting activity of PG545 was also demonstrated in experimental animals, as this compound, in contrast to unmodified sulfated oligosaccharide, protected mice against genital infection with HSV-2. Thus, PG545 offers a novel prophylaxis option against infections caused by GAG-binding viruses.
Since the original finding of WuDunn and Spear (1) that ubiquitous and negatively charged glycosaminoglycan (GAG) chains of cell surface proteoglycans provide the binding sites for attachment of herpes simplex virus (HSV) to cells, these oligosaccharides have been reported to assist infection of cells by a number of different viruses, including respiratory syncytial virus (RSV) (2, 3), HIV-1 (4), and Ebola virus (5). In HSV, glycoprotein C (gC) (6) and/or gB (7) mediates virus binding to cell surface GAGs. Sulfated polysaccharides and other polysulfonated compounds that mimic the structure of GAG chains are well-known inhibitors of the virus-GAG interaction in cultured cells (3,8,9). Due to extensive sulfonation, these compounds efficiently outcompete the binding of cell surface GAGs to the viral attachment proteins, thus preventing infection of cells. Notably, the same GAG mimetics can inhibit infectivity of different 9). In spite of potent antiviral activity in cultured cells, these inhibitors, i.e., cellulose sulfate, carrageenan, and PRO2000 (sulfonated poly-naphthalene), failed to protect women against contraction of HIV when tested as intravaginal virucides in several large clinical trials (10-12). Furthermore, there was an indication that one of these GAG mimetics, i.e., cellulose sulfate, increased the risk of contracting HIV (10). Although it is unclear why these compounds lack protective effects in humans (12, 13), some intrinsic features of the virus-GAG interaction, such as reversibility of the binding, may help to elucidate this issue. Virus binding to ubiquitous cell surface components, such as GAGs or sialic acid, has to be neatly balanced to avoid redundant dead-end interactions resulting in trapping of viral particles. Some...