A modified zinc acetate gel, a potential nonantiretroviral microbicide, is safe and effective against simian-human immunodeficiency virus and herpes simplex virus 2 infection in vivo

Antimicrob Agents Chemother. 2013 Aug;57(8):4001-9. doi: 10.1128/AAC.00796-13. Epub 2013 Jun 10.

Abstract

We previously showed that a prototype gel comprising zinc acetate (ZA) in carrageenan (CG) protected mice against vaginal and rectal herpes simplex virus 2 (HSV-2) challenge as well as macaques against vaginal simian-human immunodeficiency virus reverse transcriptase (SHIV-RT) challenge. In this work, we modified buffers and cosolvents to obtain a stable, nearly iso-osmolal formulation and evaluated its safety and efficacy against SHIV-RT and HSV-2. In vitro toxicity to lactobacilli and Candida albicans was determined. Macaques were given daily doses of ZA and CG (ZA/CG) or CG alone vaginally for 14 days and challenged with SHIV-RT 24 h later. Mice were challenged vaginally or rectally with HSV-2 immediately after a single gel treatment to measure efficacy or vaginally 12 h after daily gel treatment for 7 days to evaluate the gel's impact on susceptibility to HSV-2 infection. The modified ZA/CG neither affected the viability of lactobacilli or C. albicans nor enhanced vaginal HSV-2 infection after daily ZA/CG treatment. Vaginal SHIV-RT infection of macaques was reduced by 66% (P = 0.006) when macaques were challenged 24 h after the last dose of gel. We observed 60% to 80% uninfected mice after vaginal (P < 0.0001) and rectal (P = 0.008) high-dose HSV-2 challenge. The modified ZA/CG gel is safe and effective in animal models and represents a potential candidate to limit the transmission of HIV and HSV-2.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Animals
  • Anti-Bacterial Agents / pharmacology
  • Antifungal Agents / pharmacology
  • Antiviral Agents / pharmacology*
  • Caco-2 Cells
  • Candida albicans / drug effects
  • Carrageenan / pharmacology
  • Chlorocebus aethiops
  • Disease Models, Animal
  • Drug Evaluation, Preclinical
  • Female
  • Gels / administration & dosage*
  • HIV / pathogenicity
  • HIV Infections / drug therapy
  • Herpes Simplex / drug therapy*
  • Herpesvirus 2, Human / pathogenicity
  • Humans
  • Lactobacillus / drug effects
  • Macaca mulatta
  • Mice
  • Microbial Sensitivity Tests
  • Microbial Viability / drug effects
  • Osmolar Concentration
  • Simian Acquired Immunodeficiency Syndrome / drug therapy*
  • Simian Immunodeficiency Virus / pathogenicity*
  • Vero Cells
  • Zinc Acetate / administration & dosage
  • Zinc Acetate / pharmacology*

Substances

  • Anti-Bacterial Agents
  • Antifungal Agents
  • Antiviral Agents
  • Gels
  • Carrageenan
  • Zinc Acetate