2016
DOI: 10.1371/journal.pone.0159517
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Efficient Inhibition of HIV Replication in the Gastrointestinal and Female Reproductive Tracts of Humanized BLT Mice by EFdA

Abstract: BackgroundThe nucleoside reverse transcriptase inhibitor (NRTI) 4'-ethynyl-2-fluoro-2'-deoxyadenosine (EFdA) in preclinical development exhibits improved safety and antiviral activity profiles with minimal drug resistance compared to approved NRTIs. However, the systemic antiviral efficacy of EFdA has not been fully evaluated. In this study, we utilized bone marrow/liver/thymus (BLT) humanized mice to investigate the systemic effect of EFdA treatment on HIV replication and CD4+ T cell depletion in the peripher… Show more

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Cited by 18 publications
(18 citation statements)
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“…Several recent studies demonstrated that oral administration of antiretroviral drugs could potently reduce HIV-1 plasma viral loads and provide preexposure prophylaxis for the transmission of HIV-1. For example, 4=-ethynyl-2-fluoro-2=-deoxyadenosine (EFdA), a nucleoside analog reverse transcriptase inhibitor that was reconstituted in phosphate-buffered saline (PBS) and administered orally to BLT mice by oral gavage, efficiently inhibited HIV-1 replication in gastrointestinal and female reproductive tracts of humanized BLT mice (55). Similarly, a single-drug or a two-drug regimen (RAL, EFdA, or TDF plus FTC) were freshly dissolved in various buffers and then administered by oral gavage to a BALB/c-Rag2 Ϫ/Ϫ ␥c Ϫ/Ϫ (RAG-hu) mouse model (56), a SCID-hu Thy/Liv and BLT mouse model, and a rhesus macaque model (57), consequently providing a rapid suppression of HIV-1 viremia.…”
Section: Discussionmentioning
confidence: 99%
“…Several recent studies demonstrated that oral administration of antiretroviral drugs could potently reduce HIV-1 plasma viral loads and provide preexposure prophylaxis for the transmission of HIV-1. For example, 4=-ethynyl-2-fluoro-2=-deoxyadenosine (EFdA), a nucleoside analog reverse transcriptase inhibitor that was reconstituted in phosphate-buffered saline (PBS) and administered orally to BLT mice by oral gavage, efficiently inhibited HIV-1 replication in gastrointestinal and female reproductive tracts of humanized BLT mice (55). Similarly, a single-drug or a two-drug regimen (RAL, EFdA, or TDF plus FTC) were freshly dissolved in various buffers and then administered by oral gavage to a BALB/c-Rag2 Ϫ/Ϫ ␥c Ϫ/Ϫ (RAG-hu) mouse model (56), a SCID-hu Thy/Liv and BLT mouse model, and a rhesus macaque model (57), consequently providing a rapid suppression of HIV-1 viremia.…”
Section: Discussionmentioning
confidence: 99%
“…Antiviral therapy dCA [45,56] EFdA [57] RAL [45] PD-1 mAb [58] PG16 bNAb [59] PGT121 bNAb [60] 3TC, TDF [61] AZT, ddI, IDV [52] FTC, RPV, DTG [46,57] FTC, TAF, EVG [62] FTC, TDF, DTG [37,46,51,53,63] FTC, TDF, RAL [37,46,51,63] FTC, TDF, RAL, 3B3(Fv)-PE38 immunotoxin [64] FTC, TDF, RAL, IFNα14 [61,65] Pre-exposure prophylaxis (PrEP) C5A peptide [66] Cc-griffithsin [67] CD4 AsiCs [68] CD4-expressing Lactobacillus acidophilus [69] CD4mc P-III-48 [70] DTG-ultra LA [71] EFdA [72] G2-S16 PCD [73] IgA [74] MVC [75] RAL-LA [76] RPV-LA [39,77] siCCR5 LFA-1 I-tsNP [78] TNV gel [79][80][81] VRC01 bNAb [82] FTC, TAF [83] FTC, TDF [36,43,84,85] TAF, EVG…”
Section: Strategy Therapeutic Agent(s) Reference(s)mentioning
confidence: 99%
“…This property is attributable to the fluorine at the 2 position of the adenine base, which renders the compound resistant to degradation by adenosine deaminase (13,14). MK-8591 suppresses HIV-1 and simian immunodeficiency virus (SIV) replication at clinically achievable concentrations in humanized mice and rhesus macaques, respectively (16,(19)(20)(21). In a phase 1b proofof-concept clinical trial, a single 10-mg dose of MK-8591 demonstrated antiviral activity for 10 days in ART-naive, HIV-1-infected participants (22).…”
mentioning
confidence: 99%
“…Although MK-8591 has been shown to potently inhibit HIV-1 and SIV in culture (12)(13)(14)(15)(16)19) and in experimentally infected nonhuman primates and humanized mouse models (16,(19)(20)(21), efforts to evaluate the activity of the drug against HIV-2 are limited; a single report showed that a group B strain (HIV-2 EHO ) is sensitive to the drug in spreading infections of MT-4 cells (14). In addition, the ability of MK-8591 to inhibit HIV-2 mutants that are resistant to other NRTIs is unknown.…”
mentioning
confidence: 99%