Macrocycle-based PROTACs selectively degrade cyclophilin A and inhibit HIV-1 and HCV

Nat Commun. 2025 Feb 10;16(1):1484. doi: 10.1038/s41467-025-56317-8.

Abstract

Targeting host proteins that are crucial for viral replication offers a promising antiviral strategy. We have designed and characterised antiviral PROteolysis TArgeting Chimeras (PROTACs) targeting the human protein cyclophilin A (CypA), a host cofactor for unrelated viruses including human immunodeficiency virus (HIV) and hepatitis C virus (HCV). The PROTAC warheads are based on fully synthetic macrocycles derived from sanglifehrin A, which are structurally different from the classical Cyp inhibitor, cyclosporine A. Our Cyp-PROTACs decrease CypA levels in cell lines and primary human cells and have high specificity for CypA confirmed by proteomics experiments. Critically, CypA degradation facilitates improved antiviral activity against HIV-1 in primary human CD4+ T cells compared to the non-PROTAC parental inhibitor, at limiting inhibitor concentrations. Similarly, we observe antiviral activity against HCV replicon in a hepatoma cell line. We propose that CypA-targeting PROTACs inhibit viral replication potently and anticipate reduced evolution of viral resistance and broad efficacy against unrelated viruses. Furthermore, they provide powerful tools for probing cyclophilin biology.

MeSH terms

  • Antiviral Agents* / chemistry
  • Antiviral Agents* / pharmacology
  • CD4-Positive T-Lymphocytes / drug effects
  • CD4-Positive T-Lymphocytes / virology
  • Cell Line, Tumor
  • Cyclophilin A* / antagonists & inhibitors
  • Cyclophilin A* / metabolism
  • HIV-1* / drug effects
  • HIV-1* / physiology
  • Hepacivirus* / drug effects
  • Hepacivirus* / physiology
  • Humans
  • Lactones
  • Macrocyclic Compounds* / chemistry
  • Macrocyclic Compounds* / pharmacology
  • Proteolysis / drug effects
  • Proteolysis Targeting Chimera
  • Spiro Compounds
  • Virus Replication / drug effects

Substances

  • Cyclophilin A
  • Antiviral Agents
  • Macrocyclic Compounds
  • sanglifehrin A
  • Proteolysis Targeting Chimera
  • Lactones
  • Spiro Compounds