Division of Infectious Diseases, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio, USA.
Virol J. 2009 Dec 2;6:214. doi: 10.1186/1743-422X-6-214.
Phosphorothioated oligonucleotides (PS-ONs) have a sequence-independent, broad spectrum antiviral activity as amphipathic polymers (APs) and exhibit potent in vitro antiviral activity against a broad spectrum of herpesviruses: HSV-1, HSV-2, HCMV, VZV, EBV, and HHV-6A/B, and in vivo activity in a murine microbiocide model of genital HSV-2 infection. The activity of these agents against animal cytomegalovirus (CMV) infections in vitro and in vivo was therefore investigated.
In vitro, a 40 mer degenerate AP (REP 9) inhibited both murine CMV (MCMV) and guinea pig CMV (GPCMV) with an IC50 of 0.045 microM and 0.16 microM, respectively, and a 40 mer poly C AP (REP 9C) inhibited MCMV with an IC50 of 0.05 microM. Addition of REP 9 to plaque assays during the first two hours of infection inhibited 78% of plaque formation whereas addition of REP 9 after 10 hours of infection did not significantly reduce the number of plaques, indicating that REP 9 antiviral activity against MCMV occurs at early times after infection. In a murine model of CMV infection, systemic treatment for 5 days significantly reduced virus replication in the spleens and livers of infected mice compared to saline-treated control mice. REP 9 and REP 9C were administered intraperitoneally for 5 consecutive days at 10 mg/kg, starting 2 days prior to MCMV infection. Splenomegaly was observed in infected mice treated with REP 9 but not in control mice or in REP 9 treated, uninfected mice, consistent with mild CpG-like activity. When REP 9C (which lacks CpG motifs) was compared to REP 9, it exhibited comparable antiviral activity as REP 9 but was not associated with splenomegaly. This suggests that the direct antiviral activity of APs is the predominant therapeutic mechanism in vivo. Moreover, REP 9C, which is acid stable, was effective when administered orally in combination with known permeation enhancers.
These studies indicate that APs exhibit potent, well tolerated antiviral activity against CMV infection in vivo and represent a new class of broad spectrum anti-herpetic agents.
作为两亲性聚合物(APs),硫代磷酸寡核苷酸(PS-ONs)具有序列非依赖性的广谱抗病毒活性,并表现出针对广泛疱疹病毒的强大体外抗病毒活性:HSV-1、HSV-2、HCMV、VZV、EBV 和 HHV-6A/B,以及在生殖器单纯疱疹病毒 2 感染的小鼠杀菌剂模型中的体内活性。因此,研究了这些药物对动物巨细胞病毒(CMV)感染的体外和体内活性。
在体外,40 个残基的退化 AP(REP 9)抑制鼠巨细胞病毒(MCMV)和豚鼠巨细胞病毒(GPCMV)的 IC50 分别为 0.045 microM 和 0.16 microM,而 40 个残基聚 C AP(REP 9C)抑制 MCMV 的 IC50 为 0.05 microM。在感染的头两个小时的噬斑测定中加入 REP 9,可抑制 78%的噬斑形成,而在感染 10 小时后加入 REP 9 并不会显著减少噬斑数量,表明 REP 9 对 MCMV 的抗病毒活性发生在感染后早期。在 CMV 感染的小鼠模型中,与生理盐水处理的对照小鼠相比,全身性治疗 5 天可显著降低感染小鼠脾脏和肝脏中的病毒复制。REP 9 和 REP 9C 以 10mg/kg 的剂量连续腹膜内给药 5 天,在 MCMV 感染前 2 天开始给药。在用 REP 9 治疗的感染小鼠中观察到脾肿大,但在对照小鼠或用 REP 9 治疗的未感染小鼠中未观察到,这与轻度 CpG 样活性一致。与含有 CpG 基序的 REP 9C 相比,REP 9C 具有相似的抗病毒活性,但与脾肿大无关。这表明 APs 的直接抗病毒活性是体内主要的治疗机制。此外,在与已知渗透增强剂联合口服给药时,酸稳定的 REP 9C 有效。
这些研究表明,APs 对 CMV 感染具有强大、耐受良好的体内抗病毒活性,代表了一类新的广谱抗疱疹药物。