ACIDFORM Inactivates Herpes Simplex Virus and Prevents Genital Herpes in a Mouse Model: Optimal Candidate for Microbicide Combinations
Division of Infectious Disease, Departments of 1Pediatrics and 2Medicine, Mount Sinai School of Medicine, New York, New York; 3Department of Pharmacology, University of Illinois at Chicago, and 4Department of Obstetrics and Gynecology, Rush University Medical Center, Chicago, Illinois; 5Indevus Pharmaceuticals, Inc., Lexington, Massachusetts
The acidic vaginal milieu is presumed to inactivate pathogens but is neutralized by semen. This notion fostered the development of acid-buffering products, such as ACIDFORM (developed by Program for Topical Prevention of Conception and Disease, Rush University, and licensed by Instead), as microbicides. However, the extent and mechanism of protective activity provided by buffering gels is not known. Exposure of herpes simplex virus (HSV) to pH 4.5 or lower irreversibly inactivated HSV and reduced HSV yields by at least 90%; exposure to pH 5.0 had little or no effect. Pretreatment of HSV-2 with pH 3.5–4.5 triggered proteolysis, disrupting the HSV particle and resulting in a reduction in binding and invasion. ACIDFORM protected 21 (81%) of 26 mice from genital herpes, compared with 3 (12%) of 25 mice who received a placebo gel. ACIDFORM retained significant activity if mice were challenged with HSV delivered in seminal fluid. These findings suggest that ACIDFORM offers considerable protection against HSV and may be an optimal candidate for developing combination microbicides.
Received 6 January 2006; accepted 8 May 2006; electronically published 16 August 2006.
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Presented in part: 42nd Annual Meeting of the Infectious Diseases Society of America, Boston, 30 September–3 October 2004 (abstract 818).
Potential conflicts of interest: A.T.P. is a full-time employee of Indevus Pharmaceuticals, Inc., the developers of PRO 2000 Gel, and holds equity interest in the company. R.A.A. and D.P.W. were named inventors on a patent (6,706,276) for ACIDFORM, titled “Compositions and methods for trapping and inactivating pathogenic microbes and spermatozoa,” awarded 16 March 2004. The patent is licensed by Instead Corporation for commercial development. The remaining authors report no conflicts of interest.
Financial support: Public Health Service (grant HD43733); National Center of Research Resources (grant M01-RR-00071).
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aThe first 2 authors contributed equally to this work.







