比替拉韦和卡博特韦对整合酶抑制剂耐药 SIVmac239 和 HIV-1 的抗病毒活性。
Antiviral Activity of Bictegravir and Cabotegravir against Integrase Inhibitor-Resistant SIVmac239 and HIV-1.
机构信息
McGill University AIDS Centre, Lady Davis Institute for Medical Research, Montréal, Québec, Canada.
Division of Experimental Medicine, Faculty of Medicine, McGill University, Montréal, Québec, Canada.
出版信息
Antimicrob Agents Chemother. 2017 Nov 22;61(12). doi: 10.1128/AAC.01695-17. Print 2017 Dec.
Animal models are essential to study novel antiretroviral drugs, resistance-associated mutations (RAMs), and treatment strategies. Bictegravir (BIC) is a novel potent integrase strand transfer inhibitor (INSTI) that has shown promising results against HIV-1 infection and and against clinical isolates with resistance against INSTIs. BIC has a higher genetic barrier to the development of resistance than two clinically approved INSTIs, termed raltegravir and elvitegravir. Another clinically approved INSTI, dolutegravir (DTG) also possesses a high genetic barrier to resistance, while a fourth compound, termed cabotegravir (CAB), is currently in late phases of clinical development. Here we report the susceptibilities of simian immunodeficiency virus (SIV) and HIV-1 integrase (IN) mutants containing various RAMs to BIC, CAB, and DTG. BIC potently inhibited SIV and HIV-1 in single cycle infection with 50% effective concentrations (ECs) in the low nM range. In single cycle SIV infections, none of the E92Q, T97A, Y143R, or N155H substitutions had a significant effect on susceptibility to BIC (≤4-fold increase in EC), whereas G118R and R263K conferred ∼14-fold and ∼6-fold increases in EC, respectively. In both single and multiple rounds of HIV-1 infections, BIC remained active against the Y143R, N155H, R263K, R263K/M50I, and R263K/E138K mutants (≤4-fold increase in EC). In multiple rounds of infection, the G140S/Q148H combination of substitutions decreased HIV-1 susceptibility to BIC 4.8-fold compared to 16.8- and 7.4-fold for CAB and DTG, respectively. BIC possesses an excellent resistance profile in regard to HIV and SIV and could be useful in nonhuman primate models of HIV infection.
动物模型对于研究新型抗逆转录病毒药物、耐药相关突变(RAMs)和治疗策略至关重要。比克替拉韦(BIC)是一种新型强效整合酶链转移抑制剂(INSTI),已显示出对 HIV-1 感染和对具有INSTI 耐药性的临床分离株的有希望的结果。与两种已批准的临床 INSTI(raltegravir 和 elvitegravir)相比,BIC 具有更高的耐药遗传屏障。另一种已批准的临床 INSTI,多替拉韦(DTG)也具有较高的耐药遗传屏障,而第四种化合物,称为卡博特韦(CAB),目前处于临床开发的后期阶段。在这里,我们报告了含有各种 RAM 的猴免疫缺陷病毒(SIV)和 HIV-1 整合酶(IN)突变体对 BIC、CAB 和 DTG 的敏感性。BIC 对 SIV 和 HIV-1 在单次循环感染中具有强大的抑制作用,其 50%有效浓度(EC)在低 nM 范围内。在单次循环 SIV 感染中,E92Q、T97A、Y143R 和 N155H 取代均未对 BIC 的敏感性产生显著影响(EC 增加≤4 倍),而 G118R 和 R263K 分别使 EC 增加了约 14 倍和 6 倍。在单次和多次 HIV-1 感染循环中,BIC 对 Y143R、N155H、R263K、R263K/M50I 和 R263K/E138K 突变体仍具有活性(EC 增加≤4 倍)。在多次感染循环中,与 CAB 和 DTG 相比,G140S/Q148H 取代组合使 HIV-1 对 BIC 的敏感性降低了 4.8 倍,分别为 16.8 倍和 7.4 倍。BIC 在 HIV 和 SIV 方面具有出色的耐药谱,可在 HIV 感染的非人类灵长类动物模型中发挥作用。