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Title: Entry inhibitor-based microbicides are active in vitro against HIV-1 isolates from multiple genetic subtypes

Journal Article · · Virology
 [1];  [1];  [1];  [1];  [2];  [3];  [1];  [1]
  1. Dept. of Microbiology and Immunology, Weill Medical College of Cornell University, 1300 York Avenue, Box 62, New York, NY 10021 (United States)
  2. Division of Retrovirology, Walter Reed Army Institute of Research, Washington, DC 20307 (United States)
  3. Dept. of Biochemistry, Weill Medical College of Cornell University, New York, NY 10021 (United States)

Inhibitors of viral entry are under consideration as topical microbicides to prevent HIV-1 sexual transmission. Small molecules targeting HIV-1 gp120 (BMS-378806) or CCR5 (CMPD167), and a peptide fusion inhibitor (C52L), each blocks vaginal infection of macaques by a SHIV. A microbicide, however, must be active against multiple HIV-1 variants. We therefore tested BMS-C (a BMS-378806 derivative), CMPD167, C52L and the CXCR4 ligand AMD3465, alone and in combination, against 25 primary R5, 12 X4 and 7 R5X4 isolates from subtypes A-G. At high concentrations (0.1-1 {mu}M), the replication of most R5 isolates in human donor lymphocytes was inhibited by > 90%. At lower concentrations, double and triple combinations were more effective than individual inhibitors. Similar results were obtained with X4 viruses when AMD3465 was substituted for CMPD167. The R5X4 viruses were inhibited by combining AMD3465 with CMPD167, or by the coreceptor-independent compounds. Thus, combining entry inhibitors may improve microbicide effectiveness.

OSTI ID:
20977046
Journal Information:
Virology, Vol. 364, Issue 2; Other Information: DOI: 10.1016/j.virol.2007.03.001; PII: S0042-6822(07)00142-0; Copyright (c) 2007 Elsevier Science B.V., Amsterdam, The Netherlands, All rights reserved; Country of input: International Atomic Energy Agency (IAEA); ISSN 0042-6822
Country of Publication:
United States
Language:
English

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