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Cyanovirin-N gel as a topical microbicide prevents rectal transmission of SHIV89.6P in macaques.

Abstract
Cyanovirin-N (CV-N), an 11-kDa cyanobacterial protein, potently inactivates diverse strains of HIV-1, HIV-2, and simian immunodeficiency virus (SIV) and also prevents virus-to-cell fusion, virus entry, and infection of cells in vitro. These properties make CV-N an attractive candidate for use as a topical microbicide to prevent the sexual transmission of HIV. We evaluated the efficacy of gel-formulated, recombinant CV-N gel asa topical microbicide in male macaques (Macaca fascicularis) that were rectally challenged with a chimeric SIV/HIV-1 virus known as SHIV89.6P. All of the untreated macaques were infected and experienced CD4+T cell depletion. In contrast, none of the macaques that received either 1% or 2% CV-N gel showed evidence of SHIV89.6P infection. Neither CV-N nor placebo gels produced any adverse effects in any macaque following the rectal application. These results indicate that CV-N gel as a topical microbicide can prevent rectal transmission of SHIV in macaques. These studies encourage clinical evaluation of CV-N as a topical microbicide to prevent sexual transmission of HIV in humans.
AuthorsChe-Chung Tsai, Peter Emau, Yonghou Jiang, Baoping Tian, William R Morton, Kirk R Gustafson, Michael R Boyd
JournalAIDS research and human retroviruses (AIDS Res Hum Retroviruses) Vol. 19 Issue 7 Pg. 535-41 (Jul 2003) ISSN: 0889-2229 [Print] United States
PMID12921090 (Publication Type: Journal Article, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • Anti-HIV Agents
  • Bacterial Proteins
  • Carrier Proteins
  • Gels
  • cyanovirin N
Topics
  • Administration, Rectal
  • Animals
  • Anti-HIV Agents (administration & dosage, therapeutic use)
  • Bacterial Proteins
  • CD4 Lymphocyte Count
  • Carrier Proteins (administration & dosage, therapeutic use)
  • Dose-Response Relationship, Drug
  • Drug Evaluation, Preclinical
  • Gels
  • HIV-1 (drug effects, isolation & purification)
  • Lymph Nodes (virology)
  • Macaca fascicularis
  • Male
  • Models, Animal
  • Reassortant Viruses (drug effects, isolation & purification)
  • Safety
  • Sexual Behavior
  • Simian Acquired Immunodeficiency Syndrome (immunology, prevention & control, virology)
  • Simian Immunodeficiency Virus (drug effects, isolation & purification)

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