A potential strategy that can be used to combat the worldwide
AIDS epidemic is the development of a vaginal
microbicide that prevents the sexual transmission of human immunodeficiency virus type 1 (HIV-1). Certain
CC chemokines, including
RANTES,
MIP-1alpha, and
MIP-1beta, might facilitate the development of such
microbicides since they potently suppress HIV-1
infection by binding to CCR5, the viral coreceptor used by most sexually transmitted strains of HIV-1 to enter host cells. In this study, we evaluated whether a CCR5-specific fragment of
RANTES that lacks two N-terminal residues (-2 RANTES) and possesses especially potent HIV-1 suppressive activity has toxicity profiles conducive to the advancement of testing in candidate
microbicide formulations. Analyses were carried out with a synthetic version of the
chemokine, which was formulated with either Novasomes 7474, a nonphospholipid
liposome, or
methylcellulose gel. Dialysis studies demonstrated that the formulated -2
RANTES was released from both vehicles and retained anti-HIV-1 activity. Preclinical toxicity studies carried out with Swiss Webster mouse and New Zealand White rabbit vaginal irritation models demonstrated minimal
inflammation and minimal adverse changes in cervicovaginal tissue integrity after short-term (10 min) and long-term (24 h) exposure to formulations containing up to 1 mg/ml of -2
RANTES. Similarly, no toxicity was observed with formulations of bioactive murine
RANTES in the Swiss Webster mouse vaginal irritation model. Overall, these preclinical studies suggest that -2
RANTES is suitable for further testing as a candidate anti-HIV-1
microbicide.