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Vemurafenib inhibits the replication of diabetogenic enteroviruses in intestinal epithelial and pancreatic beta cells 维莫非尼抑制致糖尿病肠道病毒在肠上皮细胞和胰腺β细胞中的复制。
IF 4.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-10-15 DOI: 10.1016/j.antiviral.2024.106021
Marta Butrym , Fabian Byvald , Marfa Blanter , Emma E. Ringqvist , Svitlana Vasylovska , Varpu Marjomäki , Joey Lau , Virginia M. Stone , Malin Flodström-Tullberg
Enteroviruses, which infect via the gut, have been implicated in type 1 diabetes (T1D) development. Prolonged faecal shedding of enterovirus has been associated with islet autoimmunity. Additionally, enteroviral proteins and viral RNA have been detected in the pancreatic islets of individuals with recent-onset T1D, implicating their possible role in beta cell destruction. Despite this, no approved antiviral drugs currently exist that specifically target enterovirus infections for utilisation in disease interventions.
Drug repurposing allows for the discovery of new clinical uses for existing drugs and can expedite drug discovery. Previously, the cancer drug Vemurafenib demonstrated unprecedented antiviral activity against several enteroviruses. In the present study, we assessed the efficacy of Vemurafenib and an analogue thereof in preventing infection or reducing the replication of enteroviruses associated with T1D. We tested Vemurafenib in intestinal epithelial cells (IECs) and insulin-producing beta cells. Additionally, we established a protocol for infecting human stem cell-derived islets (SC-islets) and used Vemurafenib and its analogue in this model.
Our studies revealed that Vemurafenib exhibited strong antiviral properties in IECs and a beta cell line. The antiviral effect was also seen with the Vemurafenib analogue. SC-islets expressed the viral receptors CAR and DAF, with their highest expression in insulin- and glucagon-positive cells, respectively. SC-islets were successfully infected by CVBs and the antiviral activity of Vemurafenib and its analogue was confirmed in most SC-islet batches.
In summary, our observations suggest that Vemurafenib and its analogue warrant further exploration as potential antiviral agents for the treatment of enterovirus-induced diseases, including T1D.
通过肠道感染的肠道病毒与 1 型糖尿病(T1D)的发病有关。肠道病毒的长期粪便脱落与胰岛自身免疫有关。此外,在新近发病的 T1D 患者的胰岛中也检测到了肠道病毒蛋白和病毒 RNA,这表明它们可能在β细胞破坏中发挥作用。尽管如此,目前还没有获得批准的专门针对肠道病毒感染的抗病毒药物可用于疾病干预。药物再利用允许为现有药物发现新的临床用途,并能加快药物发现。此前,抗癌药物 Vemurafenib 对几种肠道病毒表现出了前所未有的抗病毒活性。在本研究中,我们评估了 Vemurafenib 及其类似物在预防感染或减少与 T1D 相关的肠道病毒复制方面的功效。我们在肠上皮细胞(IECs)和胰岛素分泌β细胞中测试了维莫非尼。此外,我们还制定了感染人类干细胞衍生胰岛(SC-islets)的方案,并在该模型中使用了Vemurafenib及其类似物。我们的研究显示,Vemurafenib 在 IECs 和 beta 细胞系中表现出很强的抗病毒特性。Vemurafenib类似物也具有抗病毒作用。SC小体表达病毒受体CAR和DAF,它们分别在胰岛素阳性细胞和胰高血糖素阳性细胞中的表达量最高。SC-islet 成功感染了 CVB,而且大多数批次的 SC-islet 都证实了 Vemurafenib 及其类似物的抗病毒活性。总之,我们的观察结果表明,Vemurafenib 及其类似物作为治疗肠道病毒引起的疾病(包括 T1D)的潜在抗病毒药物值得进一步探索。
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引用次数: 0
Bictegravir alters glucose tolerance in vivo and causes hepatic mitochondrial dysfunction 比特拉韦会改变体内葡萄糖耐量并导致肝线粒体功能障碍。
IF 4.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-10-15 DOI: 10.1016/j.antiviral.2024.106020
Patricia García-Martínez , Laura Gisbert-Ferrándiz , Ángeles Álvarez , Juan V. Esplugues , Ana Blas-García
Growing evidence associates antiretroviral therapies containing integrase strand transfer inhibitors or tenofovir alafenamide (TAF) with increased weight gain and metabolic diseases, but the underlying mechanisms remain unclear. This study evaluated the impact of lamivudine, dolutegravir (DTG), bictegravir (BIC), tenofovir disoproxil fumarate, and TAF on metabolic alterations, and explored glucose homeostasis and mitochondrial stress as potential mechanisms. These pathways were analyzed both in vivo (C57BL/6J mice treated with the abovementioned drugs or vehicle for 16 weeks) and in vitro (in Hep3B cells). Mice treated with BIC exhibited higher glucose levels and a slower decrease during a glucose tolerance test. Functional enrichment analyses of livers from antiretroviral-treated mice revealed that only BIC altered the cellular response to insulin and induced a gluconeogenic-favoring profile, with Fgf21 playing a significant role. In vitro, BIC significantly reduced hepatocyte glucose uptake in a concentration-dependent manner, both under basal conditions and post-insulin stimulation, while the other drugs produced no significant changes. Hep3B cells treated with clinically relevant concentrations of BIC exhibited significant alterations in the mRNA expression of enzymes related to glucose metabolism. Both DTG and BIC reduced mitochondrial dehydrogenase activity, but only BIC increased reactive oxygen species, mitochondrial membrane potential, and cellular granularity, thereby indicating mitochondrial stress. BIC promoted mitochondrial dysfunction, modified carbohydrate metabolism and glucose consumption in hepatocytes, and altered glucose tolerance and gluconeogenesis regulation in mice. These findings suggest that BIC contributes to insulin resistance and diabetes in people living with HIV, warranting clinical studies to clarify its association with carbohydrate metabolism disorders.
越来越多的证据表明,含有整合酶链转移抑制剂或替诺福韦-阿拉非那胺(TAF)的抗逆转录病毒疗法与体重增加和代谢性疾病有关,但其潜在机制仍不清楚。本研究评估了拉米夫定、多替拉韦(DTG)、比特拉韦(BIC)、富马酸替诺福韦二吡呋酯和 TAF 对代谢改变的影响,并探讨了作为潜在机制的葡萄糖稳态和线粒体应激。对这些途径进行了体内(C57BL/6J小鼠,用上述药物或载体治疗16周)和体外(Hep3B细胞)分析。在葡萄糖耐量试验中,接受 BIC 治疗的小鼠表现出更高的葡萄糖水平和更慢的葡萄糖下降速度。对抗逆转录病毒治疗小鼠肝脏的功能富集分析表明,只有 BIC 改变了细胞对胰岛素的反应,并诱导了有利于葡萄糖生成的特征,其中 Fgf21 起了重要作用。在体外,无论是在基础条件下还是在胰岛素刺激后,BIC 都能以浓度依赖的方式显著降低肝细胞的葡萄糖摄取,而其他药物则不会产生显著变化。用临床相关浓度的 BIC 处理 Hep3B 细胞后,与葡萄糖代谢有关的酶的 mRNA 表达发生了明显变化。DTG 和 BIC 都降低了线粒体脱氢酶的活性,但只有 BIC 增加了活性氧、线粒体膜电位和细胞颗粒度,从而显示线粒体应激。BIC 促进了线粒体功能障碍,改变了肝细胞的碳水化合物代谢和葡萄糖消耗,并改变了小鼠的糖耐量和糖生成调节。这些研究结果表明,BIC 会导致艾滋病毒感染者的胰岛素抵抗和糖尿病,因此有必要进行临床研究,以明确其与碳水化合物代谢紊乱的关系。
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引用次数: 0
Circulating capsid-antibody-complexes (CACs) drive intrahepatic complement deposition and inform subclinical liver inflammation in chronic hepatitis B 循环中的囊膜抗体复合物(CAC)驱动肝内补体沉积,为慢性乙型肝炎的亚临床肝脏炎症提供信息
IF 4.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-10-11 DOI: 10.1016/j.antiviral.2024.106017
Yijie Tang , Mingzhu Xu , Cong Wang , Min Wu , Lyuyin Hu , Jin Li , Wei Lu , Ye Zheng , Min Zhang , Xizi Jiang , Chuanwu Zhu , Jennifer Audsley , Pisit Tangkijvanich , Anchalee Avihingsanon , Shu Song , Shuangzhe Liu , Sharon R. Lewin , Jacob George , Mark W. Douglas , Yun Ling , Xiaonan Zhang
Chronic infection with Hepatitis B Virus (HBV) often results in a dysfunctional virus-specific T cell response hampering viral clearance. Paradoxically, intrahepatic inflammatory responses that contribute more to liver histopathology than to viral suppression are commonly observed, which are widely believed to be cell mediated. The involvement of humoral immunity in this process however is not well documented. To investigate the possible roles of HBV Capsid-Antibody Complexes (CACs) in eliciting chronic liver inflammation, we developed a novel microplate-based assay for the quantification of CACs in serum. The CACs assay showed high sensitivity and specificity with its readout closely correlating with the molecular features of CACs. A cross-sectional study on untreated chronic hepatitis B (CHB) patients showed a 77% positive rate for CACs with significant association with alanine transaminase (ALT), intrahepatic inflammation, and complement deposition, suggestive of its functional role in hepatic injury. Multiple staining of complement activation fragment C4d with major leukocyte and myofibroblast markers revealed an intertwined picture in periportal area with a morphology reminiscent of “piecemeal necrosis”. In a pooled cohort with ALT levels lower than 40 IU/ml, CACs alone revealed subclinical liver inflammation. We provide definitive evidence for a causative role for CACs in complement-mediated intrahepatic immunopathology, an additional mechanism contributing to liver damage in CHB. Assessment of CACs in serum complements current clinical markers for assessing CHB associated inflammation.
慢性乙型肝炎病毒(HBV)感染通常会导致病毒特异性 T 细胞反应失调,阻碍病毒清除。矛盾的是,肝内炎症反应对肝脏组织病理学的影响比对病毒抑制的影响更大,人们普遍认为这种反应是由细胞介导的。然而,体液免疫在这一过程中的参与并没有很好的记录。为了研究 HBV 荚膜-抗体复合物(CACs)在诱发慢性肝脏炎症中可能发挥的作用,我们开发了一种基于微孔板的新型检测方法,用于定量检测血清中的 CACs。CACs 检测法显示出很高的灵敏度和特异性,其读数与 CACs 的分子特征密切相关。一项针对未经治疗的慢性乙型肝炎(CHB)患者的横断面研究显示,CACs 的阳性率为 77%,且与丙氨酸转氨酶(ALT)、肝内炎症和补体沉积密切相关,表明其在肝损伤中的功能性作用。补体活化片段 C4d 与主要白细胞和肌成纤维细胞标记物的多重染色显示,肝周围区域的病变交织在一起,其形态令人联想到 "片状坏死"。在 ALT 水平低于 40 IU/ml 的汇集队列中,仅 CACs 就显示了亚临床肝脏炎症。我们为 CACs 在补体介导的肝内免疫病理中的致病作用提供了确凿证据,而补体介导的肝内免疫病理是导致 CHB 肝损伤的又一机制。对血清中 CACs 的评估补充了目前评估 CHB 相关炎症的临床标记物。
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引用次数: 0
Design and biological evaluation of candidate drugs against zoonotic porcine deltacoronavirus (PDCoV) 针对人畜共患猪三角花叶病毒(PDCoV)的候选药物的设计和生物学评价
IF 4.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-10-10 DOI: 10.1016/j.antiviral.2024.106019
Junwei Zhou , Peng Sun , Yuanqing Wang , Yuting Shi , Chaoqun Chen , Wenwen Xiao , Runhui Qiu , Ting Cheng , Liurong Fang , Shaobo Xiao
Porcine deltacoronavirus (PDCoV) is an emerging swine enteric coronavirus with zoonotic potential. PDCoV spillovers were recently detected in Haitian children with acute undifferentiated febrile illness, underscoring the urgent need to develop anti-PDCoV therapeutics. Coronavirus 3C-like protease (CoV 3CLpro) is essential for viral replication, and therefore provides an attractive target for drugs directed against CoV. Here, we initially evaluated the anti-PDCoV effect of Nirmatrelvir (PF-07321332), an FDA-approved anti-SARS-CoV-2 drug targeting viral 3CLpro. Regrettably, a very limited anti-PDCoV effect was achieved. By analyzing the binding modes of Nirmatrelvir with PDCoV 3CLpro and SARS-CoV-2 3CLpro, we demonstrated that the S2 pocket of 3CLpro is the primary factor underlying the differential inhibitory potency of Nirmatrelvir against different CoV 3CLpros. Based on the specific characteristics of the S2 pocket of PDCoV 3CLpro, four derivatives of Nirmatrelvir (compounds T1–T4) with substituted P2 moieties were synthesized. Compound T1, with an isobutyl at the P2 site, displayed improved anti-PDCoV activity in vitro (cell infection model) and in vivo (embryonated chicken egg infection model), and therefore is a potential candidate drug to combat PDCoV. Together, our results identify the substrate-binding mode and substrate specificity of PDCoV 3CLpro, providing insight into the optimization of Nirmatrelvir as an antiviral therapeutic agent against PDCoV.
猪三角冠状病毒(PDCoV)是一种新出现的猪肠道冠状病毒,具有人畜共患病的潜能。最近在海地急性未分化发热性疾病患儿中发现了 PDCoV 外溢,这突出表明迫切需要开发抗 PDCoV 治疗药物。冠状病毒 3C 样蛋白酶(CoV 3CLpro)对病毒复制至关重要,因此为针对 CoV 的药物提供了一个有吸引力的靶点。在这里,我们初步评估了Nirmatrelvir(PF-07321332)的抗PDCoV效果,Nirmatrelvir是FDA批准的一种以病毒3CLpro为靶点的抗SARS-CoV-2药物。遗憾的是,该药物的抗 PDCoV 效果非常有限。通过分析 Nirmatrelvir 与 PDCoV 3CLpro 和 SARS-CoV-2 3CLpro 的结合模式,我们证明 3CLpro 的 S2 口袋是 Nirmatrelvir 对不同 CoV 3CLpro 产生不同抑制效力的主要因素。根据 PDCoV 3CLpro S2 口袋的具体特征,我们合成了四种具有取代 P2 分子的 Nirmatrelvir 衍生物(化合物 T1-T4)。化合物 T1 的 P2 位点上有一个异丁基,在体外(细胞感染模型)和体内(胚胎鸡卵感染模型)显示出更好的抗 PDCoV 活性,因此是抗 PDCoV 的潜在候选药物。综上所述,我们的研究结果确定了 PDCoV 3CLpro 的底物结合模式和底物特异性,为优化 Nirmatrelvir 作为 PDCoV 抗病毒治疗药物提供了启示。
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引用次数: 0
Inhibitory peptides derived from Hepatitis C virus NS5A for reducing clinical symptoms of dengue virus infection 从丙型肝炎病毒 NS5A 提取的抑制肽用于减轻登革热病毒感染的临床症状。
IF 4.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-10-09 DOI: 10.1016/j.antiviral.2024.106018
Younghoon Lee , Minjun Seo , Suk-hyun Yun , Minyeong Yu , Hyo Jin Kim , Hye Won Cho , Hee Won Byeon , Seong Ok Park , Erdenebileg Uyangaa , Hyunjin Jeon , Minhyeong Lee , Young Do Kwon , Seong Kug Eo
Lethal Dengue Hemorrhagic Fever (DHF) and Dengue Shock Syndrome (DSS) caused by Dengue virus (DENV) infection necessitate the development of effective treatments. Peptides derived from the N-terminal amphipathic α-helix of hepatitis C virus (HCV) NS5A exhibit antiviral activity by disrupting liposomes with high curvatures, such as virus envelopes. This study engineered five peptides from HCV genotype 3a NS5A N-terminal α-helix and screened them for neutralizing efficacy against three DENV serotypes. Two peptides, 3a 3/20 and DS-05, showed superior therapeutic efficacy against DENV and were further evaluated in treating DHF/DSS induced by mouse-adapted DENV infection. Administration of 3a 3/20 and DS-05 post-infection significantly improved mortality and weight loss associated with DHF/DSS in AG6 mice. These peptides reduced viral load in internal organs and viremia to levels comparable with the positive control drug, JNJ-A07, a DENV NS3-NS4B inhibitor. Additionally, they attenuated the cytokine storm in the blood and expression of inflammatory cytokines in internal organ tissues, ameliorating liver and kidney dysfunction after DENV infection. Histopathological analysis revealed significant suppression of damages in internal organs. These findings suggest that the 3a 3/20 and DS-05 peptides improve clinical symptoms of DHF/DSS induced by DENV infection, indicating their potential for clinical application.
登革病毒(DENV)感染引起的致命性登革出血热(DHF)和登革休克综合征(DSS)需要开发有效的治疗方法。从丙型肝炎病毒(HCV)NS5A 的 N 端两亲α-螺旋中提取的肽具有抗病毒活性,能破坏病毒包膜等具有高弯曲度的脂质体。本研究从 HCV 基因型 3a NS5A N 端 α-helix 中设计了五种多肽,并筛选了它们对三种 DENV 血清型的中和效力。3a 3/20和DS-05这两种肽对DENV表现出卓越的疗效,并在治疗小鼠适应DENV感染诱发的DHF/DSS方面进行了进一步评估。感染后服用3a 3/20和DS-05可明显改善AG6小鼠因DHF/DSS引起的死亡率和体重下降。这些肽能降低内脏器官中的病毒载量和病毒血症,其水平与阳性对照药物JNJ-A07(一种DENV NS3-NS4B抑制剂)相当。此外,它们还能减轻血液中的细胞因子风暴和内脏组织中炎症细胞因子的表达,改善 DENV 感染后的肝肾功能障碍。组织病理学分析表明,内脏器官的损伤明显减轻。这些研究结果表明,3a 3/20和DS-05肽能改善由DENV感染引起的DHF/DSS临床症状,表明它们具有临床应用潜力。
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引用次数: 0
Comprehensive Herpesviruses Antiviral drug Resistance Mutation Database (CHARMD) 疱疹病毒抗病毒药物耐药性突变综合数据库(CHARMD)。
IF 4.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-28 DOI: 10.1016/j.antiviral.2024.106016
Valentin Tilloy , Daniel Díaz-González , Lisa Laplace , Emilien Bisserier , Sunwen Chou , William D. Rawlinson , Guy Boivin , Fausto Baldanti , Tiziana Lazzarotto , Graciela Andrei , Hans H. Hirsch , María Ángeles Marcos , Detlef Michel , Sébastien Hantz , Sophie Alain
A comprehensive and accessible Herpesvirus drug resistance database was designed to serve as an international reference for diagnosis and clinical studies. This database available at https://www.unilim.fr/cnr-herpesvirus/outils/codexmv/includes both resistance-related mutations and natural polymorphisms. Initially designed for human cytomegalovirus, it will be expanded to include herpes simplex and varicella-zoster viruses. Newly published mutations and new mutations reported by users or collaborating expert laboratories will be reviewed by an international committee of reference laboratories before inclusion in the database. Coupled with the Herpesvirus Sequence Analysis tool (HSA) mutation reports from NGS or Sanger sequences, it will be an open source for researchers in the field of Herpesviruses. We hope to fill this unmet need for the development and standardization of resistance genotyping.
疱疹病毒耐药性数据库设计全面、易于访问,可作为诊断和临床研究的国际参考资料。该数据库可在 https://www.unilim.fr/cnr-herpesvirus/outils/codexmv/ 上查阅,其中包括与耐药性相关的突变和自然多态性。该数据库最初是为人类巨细胞病毒设计的,随后将扩展到单纯疱疹病毒和水痘-带状疱疹病毒。新发表的变异和用户或合作专家实验室报告的新变异将由参考实验室国际委员会进行审查,然后纳入数据库。该数据库与疱疹病毒序列分析工具(HSA)的 NGS 或 Sanger 序列突变报告相结合,将成为疱疹病毒领域研究人员的开放源。我们希望能满足耐药性基因分型的开发和标准化方面的这一尚未满足的需求。
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引用次数: 0
Functional comparison of Fc-engineering strategies to improve anti-HIV-1 antibody effector functions 改善抗 HIV-1 抗体效应器功能的 Fc 工程策略的功能比较。
IF 4.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-27 DOI: 10.1016/j.antiviral.2024.106015
Angela I. Schriek , David Falck , Manfred Wuhrer , Neeltje A. Kootstra , Marit J. van Gils , Steven W. de Taeye
Substantial reduction of the intact proviral reservoir is essential towards HIV-1 cure. In vivo administration of broadly neutralizing antibodies (bNAbs) targeting the HIV-1 envelope glycoprotein (Env) trimer can decrease the viral reservoir, through Fc-mediated killing of infected cells. In this study, we compared three commonly used antibody engineering strategies to enhance Fc-mediated effector functions: (i) glyco-engineering, (ii) protein engineering, and (iii) subclass/hinge modifications in a panel of anti-HIV-1 antibodies. We found that antibody-dependent cellular phagocytosis (ADCP) was improved by elongating the hinge domain and switching to an IgG3 constant domain. In addition, potent NK cell activation and ADCC activity was observed for afucosylated antibodies and antibodies bearing the GASDALIE mutations. The combination of these engineering strategies further increased NK cell activation and induced antibody dependent cytotoxicity (ADCC) of infected cells at low antibody concentrations. The bNAb N6 was most effective at killing HIV-1 infected cells, likely due to its high affinity and optimal angle of approach. Overall, the findings of this study are applicable to other antibody formats, and can aid the development of effective immunotherapies and antibody-based treatments for HIV-1 cure strategies.
大量减少完整的病毒库对治愈 HIV-1 病毒至关重要。在体内使用针对 HIV-1 包膜糖蛋白(Env)三聚体的广谱中和抗体(bNAbs)可以通过 Fc 介导的对感染细胞的杀伤来减少病毒库。在这项研究中,我们比较了三种常用的抗体工程策略来增强 Fc 介导的效应功能:(i) 糖工程,(ii) 蛋白工程,(iii) 在一组抗 HIV-1 抗体中进行亚类/铰链修饰。我们发现,通过拉长铰链结构域并改用 IgG3 恒定结构域,抗体依赖性细胞吞噬作用(ADCP)得到了改善。此外,我们还观察到afucosyl化抗体和带有GASDALIE突变的抗体具有强效的NK细胞激活和ADCC活性。这些工程策略的结合进一步提高了NK细胞的活化,并在抗体浓度较低时诱导了感染细胞的抗体依赖性细胞毒性(ADCC)。bNAb N6 能最有效地杀死 HIV-1 感染细胞,这可能是由于它的高亲和力和最佳接近角度。总之,这项研究的结果适用于其他抗体形式,有助于开发有效的免疫疗法和基于抗体的治疗方法,从而达到治愈 HIV-1 的目的。
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引用次数: 0
Evaluation of pharmacokinetics of Tenofovir Alafenamide (TAF) and Tenofovir Disoproxil (TDF) in pregnant and postpartum women in South Africa: PrEP-PP PK study 评估南非孕妇和产后妇女服用替诺福韦-阿拉非那胺 (TAF) 和替诺福韦酯 (TDF) 的药代动力学:PrEP-PP PK 研究。
IF 4.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-25 DOI: 10.1016/j.antiviral.2024.106014
Dvora Joseph Davey , Sumaya Dadan , Kalisha Bheemraj , Catriona Waitt , Saye Khoo , Landon Myer , Lubbe Wiesner , Laura Else , Beth Thompson , Sandra Castel , Nafisa Wara , Peter L. Anderson , Catherine Orrell

Background

There are few data on tenofovir-diphosphate (TFV-DP) concentrations in pregnant and postpartum women on Tenofovir Disoproxil Fumarate-Emtricitabine (TDF-FTC) or Tenofovir Alafenamide-Emtricitabine (TAF-FTC).

Methods

Eligible pregnant women were randomized to TDF-FTC or TAF-FTC and followed for 16 weeks (8-weeks pregnant, 8-weeks postpartum) with weekly collection of dried blood spot (DBS) and 4-weekly peripheral blood mononuclear cells (PBMC). PrEP dosing was observed daily via asynchronous videos sent via cell phone. We report geometric means (GM) and their ratios (GMR) with 95% confidence intervals (CIs) for TFV-DP in PBMC and DBS from pregnancy and postpartum.

Results

We enrolled N = 39 participants (n = 19 TDF-FTC, n = 20 TAF-FTC): median age was 28 years (IQR:25–34); median gestational age was 24-weeks (IQR:21–28). For TDF-FTC, TFV-DP DBS concentrations at 8-weeks did not differ significantly between pregnancy (GM: 675; 95%CI:537–849) and postpartum (GM: 583; 95%CI:471–722; GMR-TDF = 1.16; 95%CI:0.74–1.80). For TAF-FTC, TFV-DP DBS concentrations at 8-weeks were 44% higher in postpartum (GM: 1199; 95%CI:929–1549) versus pregnancy (GM: 832; 95%CI:751–922; GMR-TAF = 1.44; 95% CI: 1.01–2.06). In PBMC analysis of TDF-FTC, 8-week median TFV-DP (pmol/10^6 cell) was 71 (IQR 44–112) in pregnancy and 73 (IQR 50–102) in postpartum (GMR = 1.04; 95%CI:0.44–2.44). In TAF-FTC, median PBMC at 8-weeks was 580 (IQR:341–985) in pregnancy and 666 (IQR:396–1123) in postpartum (GMR = 1.15; 95%CI:0.30–2.49).

Conclusion

TFV-DP concentrations were overall lower during pregnancy than postpartum for TAF-FTC. We found high concentrations of TFV-DP in PBMC in pregnancy and postpartum on TAF-FTC, suggesting PrEP efficacy is maintained. Efficacy and safety studies are warranted to evaluate TAF-FTC for PrEP in pregnant and postpartum women.
背景:关于服用富马酸替诺福韦二吡呋酯-恩曲他滨(TDF-FTC)或替诺福韦阿拉非那胺-恩曲他滨(TAF-FTC)的孕妇和产后妇女体内替诺福韦-二磷酸(TFV-DP)浓度的数据很少:将符合条件的孕妇随机分为 TDF-FTC 或 TAF-FTC,并进行为期 16 周的随访(怀孕 8 周,产后 8 周),每周采集一次干血斑 (DBS),每 4 周采集一次外周血单核细胞 (PBMC)。每天通过手机发送异步视频观察 PrEP 服药情况。我们报告了孕期和产后 PBMC 和 DBS 中 TFV-DP 的几何平均数(GM)及其比率(GMR),以及 95% 的置信区间(CI):我们招募了 N=39 名参与者(n=19 名 TDF-FTC,n=20 名 TAF-FTC):中位年龄为 28 岁(IQR:25-34);中位胎龄为 24 周(IQR:21-28)。对于 TDF-FTC,8 周时的 TFV-DP DBS 浓度在孕期(GM:675;95%CI:537-849)和产后(GM:583;95%CI:471-722;GMR-TDF=1.16;95%CI:0.74-1.80)没有显著差异。对于 TAF-FTC,产后(GM:1199;95%CI:929-1549)与孕期(GM:832;95%CI:751-922;GMR-TAF=1.44;95%CI:1.01-2.06)相比,8 周时的 TFV-DP DBS 浓度高出 44%。在对 TDF-FTC 的 PBMC 分析中,妊娠期 8 周的 TFV-DP 中位数(pmol/10ˆ6 细胞)为 71(IQR 44-112),产后为 73(IQR 50-102)(GMR=1.04;95%CI:0.44-2.44)。在 TAF-FTC 中,妊娠期 8 周的 PBMC 中位数为 580(IQR:341-985),产后为 666(IQR:396-1123)(GMR=1.15;95%CI:0.30-2.49):TAF-FTC的TFV-DP浓度在孕期总体低于产后。我们发现孕期和产后服用 TAF-FTC 的 PBMC 中 TFV-DP 浓度较高,这表明 PrEP 的疗效得以保持。有必要进行疗效和安全性研究,以评估 TAF-FTC 在孕妇和产后妇女中的 PrEP 疗效。
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引用次数: 0
Large-scale deep learning identifies the antiviral potential of PKI-179 and MTI-31 against coronaviruses 大规模深度学习发现 PKI-179 和 MTI-31 对冠状病毒的抗病毒潜力
IF 4.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-25 DOI: 10.1016/j.antiviral.2024.106012
Demi van der Horst , Madalina E. Carter-Timofte , Adeline Danneels , Leandro Silva da Costa , Naziia Kurmasheva , Anne L. Thielke , Anne Louise Hansen , Vladimir Chorošajev , Christian K. Holm , Sandrine Belouzard , Ivan de Weber , Cedric Beny , David Olagnier
Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) has led to the global pandemic of Coronavirus Disease (2019) (COVID-19), underscoring the urgency for effective antiviral drugs. Despite the development of different vaccination strategies, the search for specific antiviral compounds remains crucial. Here, we combine machine learning (ML) techniques with in vitro validation to efficiently identify potential antiviral compounds. We overcome the limited amount of SARS-CoV-2 data available for ML using various techniques, supplemented with data from diverse biomedical assays, which enables end-to-end training of a deep neural network architecture. We use its predictions to identify and prioritize compounds for in vitro testing. Two top-hit compounds, PKI-179 and MTI-31, originally identified as Pi3K-mTORC1/2 pathway inhibitors, exhibit significant antiviral activity against SARS-CoV-2 at low micromolar doses. Notably, both compounds outperform the well-known mTOR inhibitor rapamycin. Furthermore, PKI-179 and MTI-31 demonstrate broad-spectrum antiviral activity against SARS-CoV-2 variants of concern and other coronaviruses. In a physiologically relevant model, both compounds show antiviral effects in primary human airway epithelial (HAE) cultures derived from healthy donors cultured in an air-liquid interface (ALI). This study highlights the potential of ML combined with in vitro testing to expedite drug discovery, emphasizing the adaptability of AI-driven approaches across different viruses, thereby contributing to pandemic preparedness.
严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)导致冠状病毒病(2019 年)(COVID-19)在全球大流行,凸显了有效抗病毒药物的紧迫性。尽管开发了不同的疫苗接种策略,但寻找特异性抗病毒化合物仍然至关重要。在这里,我们将机器学习(ML)技术与体外验证相结合,有效地确定了潜在的抗病毒化合物。我们利用各种技术克服了可用于 ML 的 SARS-CoV-2 数据量有限的问题,并补充了来自各种生物医学检测的数据,从而实现了深度神经网络架构的端到端训练。我们利用其预测结果来识别化合物并确定其体外测试的优先次序。最初被鉴定为 Pi3K-mTORC1/2 通路抑制剂的两个热门化合物 PKI-179 和 MTI-31 在低微摩尔剂量下对 SARS-CoV-2 具有显著的抗病毒活性。值得注意的是,这两种化合物的效果优于著名的 mTOR 抑制剂雷帕霉素。此外,PKI-179 和 MTI-31 对 SARS-CoV-2 变异株和其他冠状病毒具有广谱抗病毒活性。在生理学相关模型中,这两种化合物在气液界面(ALI)培养的健康捐献者原代人气道上皮(HAE)培养物中显示出抗病毒作用。这项研究凸显了人工智能方法与体外测试相结合加快药物发现的潜力,强调了人工智能方法对不同病毒的适应性,从而有助于大流行病的防备。
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引用次数: 0
Dendritic cell-based biomimetic nanoparticles for foot-and-mouth disease induce robust cellular immunity 治疗口蹄疫的树突状细胞生物仿生纳米颗粒可诱导强大的细胞免疫力
IF 4.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-25 DOI: 10.1016/j.antiviral.2024.106011
Zhan Gao , Xiaoqing Liu , Yao Lei , Junjun Shao , Guanglei Zhang , Zhuo Hou , Guangqing Zhou , Jin'en Wu , Huichen Guo , Huiyun Chang , Wei Liu
Foot-and-mouth disease (FMD) is a highly contagious and economically devastating viral disease of ruminants and swine, badly affecting the livestock industry worldwide. In clinical practice, vaccination is a frequently employed strategy to prevent foot-and-mouth disease (FMDV). However, commercial inactivated vaccines for FMD mainly rely on humoral immunity, exhibiting poor cellular immune responses and causing adverse reactions. Here, we use the double emulsion method to prepare poly (lactic-co-glycolic acid) nanoparticles (PLGA-NP) encapsulated with IL-2 cytokines, wrap the dendritic cell (DC) membrane carrying FMDV antigen information on the surface of the nanoparticles, obtaining a biomimetic nanoparticle vaccine Biom@DC with uniform size. This vaccine can effortlessly move through lymph nodes due to its nanoscale size advantage. It also possesses DC ability to present antigens, and antigen presentation can be made more effective with high biocompatibility. The sustained release of IL-2 encapsulated in the core of PLGA-NP in vivo can effectively promote the body's cellular immune response. Immune tests on mice have shown that Biom@DC may greatly increase T cell activation and proliferation both in vivo and in vitro, while also significantly reducing the fraction of inhibitory Treg cells. Furthermore, in the micro serum neutralization assay for FMDV, it has been demonstrated that the group vaccinated with Biom@DC exhibits a clear neutralizing effect. Given its strong immunogenicity, Biom@DC has the potential to develop into a novel, potent anti-FMDV vaccination.
口蹄疫(FMD)是反刍动物和猪的一种传染性极强、经济破坏性极大的病毒性疾病,对全球畜牧业造成严重影响。在临床实践中,接种疫苗是预防口蹄疫(FMDV)的常用策略。然而,口蹄疫商用灭活疫苗主要依靠体液免疫,细胞免疫反应差,容易引起不良反应。在此,我们采用双乳液法制备了包裹 IL-2 细胞因子的聚(乳酸-共聚-乙醇酸)纳米颗粒(PLGA-NP),并将携带 FMDV 抗原信息的树突状细胞(DC)膜包裹在纳米颗粒表面,得到了大小均匀的仿生物纳米颗粒疫苗 Biom@DC。由于其纳米级的尺寸优势,这种疫苗可以毫不费力地通过淋巴结。它还具有直流电呈递抗原的能力,高生物相容性可使抗原呈递更有效。封装在 PLGA-NP 核心中的 IL-2 在体内的持续释放可有效促进机体的细胞免疫反应。对小鼠进行的免疫试验表明,Biom@DC 可大大提高体内和体外 T 细胞的活化和增殖,同时还能显著降低抑制性 Treg 细胞的比例。此外,在口蹄疫病毒的微量血清中和试验中,接种 Biom@DC 的组别表现出明显的中和效果。鉴于其强大的免疫原性,Biom@DC 有潜力发展成为一种新型、强效的抗口蹄疫病毒疫苗。
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Antiviral research
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