Effect of a combination of clevudine and emtricitabine with adenovirus-mediated delivery of gamma interferon in the woodchuck model of hepatitis B virus infection

Antimicrob Agents Chemother. 2004 Jul;48(7):2683-92. doi: 10.1128/AAC.48.7.2683-2692.2004.

Abstract

Our aim was to evaluate the antiviral effect of a combination of two nucleoside reverse transcriptase inhibitors, emtricitabine (FTC) and clevudine (L-FMAU), with the addition of an adenovirus-driven delivery of recombinant gamma interferon (IFN-gamma) in the woodchuck model of hepatitis B virus infection. Six woodchuck hepatitis virus (WHV)-infected woodchucks received L-FMAU (10 mg/kg) plus FTC (30 mg/kg) intraperitoneally for 8 weeks; six other animals received in addition an intravenous injection of a recombinant adenovirus vector expressing woodchuck IFN-gamma (Ad-IFN) at weeks 4 and 8. In the control group, two animals received Ad-IFN alone, two received adenovirus vector expressing the green fluorescent protein reporter gene, and one remained untreated. In less than 2 weeks, all woodchucks that received L-FMAU plus FTC showed a rapid and marked inhibition of viral replication, with a 4-log(10) drop in serum WHV DNA. In two animals, viremia remained suppressed for several months after the end of treatment. Similarly, a dramatic decrease in intrahepatic replicative intermediates of viral DNA was observed in the L-FMAU/FTC-treated groups. The additional administration of Ad-IFN led to increased inflammation in the liver but did not enhance the antiviral effect of the L-FMAU/FTC combination. In conclusion, therapies combining L-FMAU and FTC in WHV-infected woodchucks resulted in a potent and sustained antihepadnaviral effect both in the liver and in the blood circulation. However, no extra benefit of adding IFN-gamma gene transduction to the L-FMAU/FTC combination could be detected.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenoviridae / genetics*
  • Animals
  • Antiviral Agents / therapeutic use*
  • Arabinofuranosyluracil / analogs & derivatives*
  • Arabinofuranosyluracil / therapeutic use*
  • DNA-Directed DNA Polymerase / metabolism
  • Deoxycytidine / analogs & derivatives*
  • Deoxycytidine / therapeutic use*
  • Drug Combinations
  • Emtricitabine
  • Genetic Therapy*
  • Hepatitis B / drug therapy
  • Hepatitis B / therapy*
  • Hepatitis B Core Antigens / metabolism
  • Hepatitis B Virus, Woodchuck*
  • Interferon-gamma / genetics*
  • Interferon-gamma / therapeutic use*
  • Liver / metabolism
  • Marmota / physiology*
  • Microscopy, Confocal
  • Microscopy, Electron
  • Mitochondria, Liver / enzymology
  • Proliferating Cell Nuclear Antigen / metabolism
  • Recombinant Proteins
  • Reverse Transcriptase Inhibitors / therapeutic use*
  • Reverse Transcriptase Polymerase Chain Reaction
  • Viremia / virology
  • Virus Replication / drug effects
  • Virus Replication / physiology

Substances

  • Antiviral Agents
  • Drug Combinations
  • Hepatitis B Core Antigens
  • Proliferating Cell Nuclear Antigen
  • Recombinant Proteins
  • Reverse Transcriptase Inhibitors
  • Deoxycytidine
  • Arabinofuranosyluracil
  • Interferon-gamma
  • DNA-Directed DNA Polymerase
  • Emtricitabine
  • clevudine