Sonnenfeld G, Tovey M, Schellekens H, Kinney K S, Belay T, Morton D S, Austin C E, Reitman M, Fong T A, Vaughan H S
Department of Microbiology Biochemistry and Immunology, Morehouse School of Medicine, Atlanta, GA 30310-1495, USA.
J Interferon Cytokine Res. 2001 Jul;21(7):539-45. doi: 10.1089/10799900152434420.
Interferons (IFN) have been shown to be effective in protecting animals against lethal viral infections when administered systemically in relatively high doses. Intraperitoneal (i.p.) injection of mice with encephalomyocarditis virus (EMCV) gives rise to a rapidly progressive fatal disease characterized by central nervous system involvement and encephalitis. IFN-alpha has been shown to be effective in protecting mice against lethal EMCV infection when given via parenteral and oral/sublingual routes. The current study was designed to explore the ability of orally/sublingually and intranasally (i.n.) administered IFN-alpha to treat mice infected with EMCV in support of a planned clinical trial to evaluate efficacy of oral IFN-alpha in human viral infections. The primary objective of the study was to determine the efficacy of recombinant murine IFN-alpha (rMuIFN-alpha) in the treatment of mice infected with 100 LD(50) EMCV following oral, i.n., and i.p. administration at doses of 20,000 and 100,000 IU. The results of the current experiment did not indicate protection from infection with EMCV in mice that received IFN by the i.n. or oral/sublingual routes. The negative controls, infection of mice with 100 LD(50) of EMCV followed by treatment with excipient via all three routes, resulted in death of nearly all mice, as expected. The positive control, treatment of EMCV-infected (100 LD(50)) mice with rMuIFN-alpha via the i.p. route, was successful in protecting a significant number of mice from death compared with matched controls. This study points out the need to determine the optimum conditions for administration of oral/sublingual or i.n. IFN to insure maximum efficacy against viral infections.
干扰素(IFN)已被证明,当以相对高剂量全身给药时,能有效保护动物免受致命性病毒感染。给小鼠腹腔内(i.p.)注射脑心肌炎病毒(EMCV)会引发一种迅速进展的致命疾病,其特征为中枢神经系统受累和脑炎。已证明,当通过肠胃外和口服/舌下途径给予时,α干扰素能有效保护小鼠免受致命性EMCV感染。本研究旨在探索口服/舌下和鼻内(i.n.)给予α干扰素治疗感染EMCV小鼠的能力,以支持一项计划中的临床试验,该试验旨在评估口服α干扰素对人类病毒感染的疗效。本研究的主要目的是确定重组鼠α干扰素(rMuIFN-α)在以20,000和100,000国际单位的剂量经口服、鼻内和腹腔内给药后,对感染100 LD50 EMCV的小鼠的治疗效果。当前实验结果并未表明经鼻内或口服/舌下途径接受干扰素的小鼠能免受EMCV感染。阴性对照组是让小鼠感染100 LD50的EMCV,然后通过所有三种途径用赋形剂进行治疗,正如预期的那样,几乎所有小鼠都死亡了。阳性对照组是经腹腔内途径用rMuIFN-α治疗感染EMCV(100 LD50)的小鼠,与配对对照组相比,成功保护了大量小鼠免于死亡。本研究指出,需要确定口服/舌下或鼻内给予干扰素的最佳条件,以确保对病毒感染具有最大疗效。