Protection of macaques from vaginal SHIV challenge by vaginally delivered inhibitors of virus–cell fusion

RS Veazey, PJ Klasse, SM Schader, Q Hu, TJ Ketas… - Nature, 2005 - nature.com
RS Veazey, PJ Klasse, SM Schader, Q Hu, TJ Ketas, M Lu, PA Marx, J Dufour, RJ Colonno…
Nature, 2005nature.com
Human immunodeficiency virus type 1 (HIV-1) continues to spread, principally by
heterosexual sex, but no vaccine is available. Hence, alternative prevention methods are
needed to supplement educational and behavioural-modification programmes. One such
approach is a vaginal microbicide: the application of inhibitory compounds before
intercourse. Here, we have evaluated the microbicide concept using the rhesus macaque
'high dose'vaginal transmission model with a CCR5-receptor-using simian–human …
Abstract
Human immunodeficiency virus type 1 (HIV-1) continues to spread, principally by heterosexual sex, but no vaccine is available. Hence, alternative prevention methods are needed to supplement educational and behavioural-modification programmes. One such approach is a vaginal microbicide: the application of inhibitory compounds before intercourse. Here, we have evaluated the microbicide concept using the rhesus macaque ‘high dose’ vaginal transmission model with a CCR5-receptor-using simian–human immunodeficiency virus (SHIV-162P3) and three compounds that inhibit different stages of the virus–cell attachment and entry process. These compounds are BMS-378806, a small molecule that binds the viral gp120 glycoprotein and prevents its attachment to the CD4 and CCR5 receptors,, CMPD167, a small molecule that binds to CCR5 to inhibit gp120 association, and C52L, a bacterially expressed peptide inhibitor of gp41-mediated fusion. In vitro, all three compounds inhibit infection of T cells and cervical tissue explants, and C52L acts synergistically with CMPD167 or BMS-378806 to inhibit infection of cell lines. In vivo, significant protection was achieved using each compound alone and in combinations. CMPD167 and BMS-378806 were protective even when applied 6 h before challenge.
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