The prevalence of HSV-2 infection has increased greatly over the past 20 years, and it is estimated that 22% of adult Americans are currently infected with this virus (
20). A recent modeling study concluded that, without intervention, the prevalence of HSV-2 infection among individuals aged 15 to 39 years would likely increase to 39% among men and 49% among women by 2025. Unlike the sexually transmitted infections caused by HIV-1, those caused by HSV-2 are infrequently lethal. Nonetheless, HSV-2 infections cause substantial morbidity, and over the next 25 years new HSV-2 infections will cost upwards of 61 billion dollars (
20).
Since it was determined that nonoxynol-9 failed to protect at-risk individuals from acquiring sexually transmitted infections (
19,
29), interest has grown in developing topical microbicides able to prevent infection by HIV-1. Recent reviews mention that over 30 agents are currently in clinical or preclinical development (
52,
54). They include BufferGel (
22), an acidic buffer; surfactants such as C31G
4 (Savvy) (4) and sodium dodecyl sulfate; various acidic polymers (
37) including carrageenan (
32) (Carraguard); D2S (a dextran-sulfate analogue); certain reverse transcriptase inhibitors (
18); monoclonal antibodies (
41,
55,
59); and the lectin cyanovirin-N (Cv-N) (
35). A few of these agents also have the potential to protect against HSV-2 infection (
59).
Of the above, retrocyclins and θ defensins most closely resemble Cv-N, because their carbohydrate-binding and antiviral properties are intimately related. Cv-N, an 11-kDa protein from the cyanobacterium
Nostoc ellipsosporum (
39), selectively binds Man (
8) and Man (
9) oligosaccharides with nanomolar affinity (
6), including those on HIV-1 envelope glycoproteins gp120 and gp41 (
7,
45). Extremely low Cv-N concentrations protect cells from infection by M- and T-tropic strains of HIV-1. As concentrations that completely inhibit HIV-1 infection do not block binding of soluble CD4 receptor to HIV-1 lysates or attachment of intact HIV-1 virions to target T-cell lines, the protective effects of Cv-N against HIV-1 may arise from interference with postbinding fusion events (
33). Cv-N is active against other viruses, including Ebola virus (
1) and influenza A and B viruses (
40), but was inactive (50% effective concentration of >10 μg/ml) against HSV-2 and had only moderate activity (a 50% effective concentration of 0.7 μg/ml) against a strain of HSV-1. Cv-N may be much more cytotoxic than retrocyclin 2 and other θ defensins are, since its 50% inhibitory concentration (the concentration that caused 50% cytotoxicity) for Vero cells was only 2.3 μg/ml (
40).
The carbohydrate residues to which θ defensins bind are not yet defined, and there is a dearth of published information about glycans associated with HSV-2 glycoproteins. We have established that retrocyclin 2 and other θ defensins do not bind to the high-mannose oligosaccharides that are recognized by Cv-N (unpublished data), and studies to identify the glycan residues that are recognized by θ defensins are in progress.
This report showed that retrocyclin 2 bound to HSV-2 gB2 with extremely high affinity, that it prevented gB2 from associating with target cell membranes, and that it blocked the entry of HSV-2 into target cells. For initial binding to cells, both HSV-1 and -2 use heparan sulfate moieties as receptors (
10). Given the critical role of gB2 in HSV-2 binding and its essential role in penetration and cell-cell spread, this glycoprotein, which contains eight potential N-glycosylation sites (
8), is an important target for development of novel antiviral drugs. It remains to be determined if retrocyclin 2 can also interact with glycan moieties in the other essential glycoproteins, gD and gH-gL. Furthermore, since retrocyclin 2 has shown effectiveness against herpesviruses 1 and 2 and HIV-1, its effects on other viruses of biomedical interest merit exploration.
Although phylogenetic analysis suggests that θ defensins have been around for over 30 million years (
38), they are “novel” molecules for many reasons. Whereas circular peptides have been identified in various plants (
2,
13,
15,
44) and bacteria (
14), θ defensins are the only known circular peptides of animal origin. They were first described in 1999 (
49), but as yet only a few publications (
12,
31,
49,
50,
56) describe their provenance and properties. The unusual posttranslational modifications involved in their formation by leukocytes (
49) remain to be explored, as does the in vivo significance that their antiviral properties may have for the primates still able to produce them. There is remarkable parallelism between the effects of retrocyclins on HIV-1 and those on HSV. In both cases, the peptide binds with very high affinity to a viral surface glycoprotein involved in viral entry, either gp120 (
56) or gB2 (this paper), and it is able to prevent cellular entry of HIV-1 (
12,
36) and HSV-2 (this paper).
Retrocyclin 2 is currently the most potent antiviral θ defensin that we have tested that is active against both HIV-1 and HSV-2. Whether θ defensins will prove to be effective against other viruses remains to be established. Their inactivity against lactobacilli and their negligible cytotoxicity are desirable properties for a potential topical microbicide. While additional questions remain to be addressed, retrocyclins and other θ defensins are interesting molecules whose chemical and biological properties deserve increased attention.