Papillomaviruses induce benign proliferative lesions, such as
genital warts, in humans. The E2 gene product is thought to play a major role in the regulation of viral transcription and DNA replication and may represent a rational target for an
antisense oligonucleotide drug action.
Phosphorothioate oligonucleotides complementary to E2 mRNAs were synthesized and tested in a series of in vitro bovine papillomavirus (BPV) and human papillomavirus (HPV) models for the ability to inhibit E2 transactivation and virus-induced focus formation. The most active BPV-specific compounds were complementary to the
mRNA cap region (ISIS 1751), the translation initiation region for the full-length E2
transactivator (ISIS 1753), and the translation initiation region for the E2 transrepressor
mRNA (ISIS 1755). ISIS 1751 and ISIS 1753 were found to reduce E2-dependent transactivation and viral focus formation in a sequence-specific and concentration-dependent manner. ISIS 1755 increased E2 transactivation in a dose-dependent manner but had no effect on focus formation.
Oligonucleotides with a chain length of 20 residues had optimal activity in the E2 transactivation assay. On the basis of the above observations,
ISIS 2105, a 20-residue phosphorothioate
oligonucleotide targeted to the translation initiation of both HPV type 6 (HPV-6) and HPV-11 E2
mRNA, was designed and shown to inhibit E2-dependent transactivation by HPV-11 E2 expressed from a surrogate promoter. These observations support the rationale of E2 as a target for
antiviral therapy against
papillomavirus infections and specifically identify
ISIS 2105 as a candidate
antisense oligonucleotide for the treatment of
genital warts induced by HPV-6 and HPV-11.