A Comprehensive Murine Model to Evaluate Topical Vaginal Microbicides: Mucosal Inflammation and Susceptibility to Genital Herpes as Surrogate Markers of Safety

A critical gap in microbicide development is the absence of surrogate safety markers. The objective of the present study was to develop a murine model to examine the mucosal response to microbicides and to assess the functional implication of observed changes. Mice received 14 daily intravaginal dos...

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Veröffentlicht in:The Journal of infectious diseases 2007-05, Vol.195 (9), p.1332-1339
Hauptverfasser: Galen, Benjamin T, Martin, Andrea P, Hazrati, Ehsan, Garin, Alexandre, Guzman, Esmeralda, Wilson, Sarah S, Porter, David D, Lira, Sergio A, Keller, Marla J, Herold, Betsy C
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container_end_page 1339
container_issue 9
container_start_page 1332
container_title The Journal of infectious diseases
container_volume 195
creator Galen, Benjamin T
Martin, Andrea P
Hazrati, Ehsan
Garin, Alexandre
Guzman, Esmeralda
Wilson, Sarah S
Porter, David D
Lira, Sergio A
Keller, Marla J
Herold, Betsy C
description A critical gap in microbicide development is the absence of surrogate safety markers. The objective of the present study was to develop a murine model to examine the mucosal response to microbicides and to assess the functional implication of observed changes. Mice received 14 daily intravaginal doses of nonoxynol-9, PRO 2000, or placebo gel. Nonoxynol-9 induced an inflammatory response characterized by increases in levels of cytokines and chemokines, recruitment of neutrophils and monocytes into the genital tract, and activation of the transcription factors NF-κB and activator protein-1. Minimal inflammation was observed in response to 2% PRO 2000. Nonoxynol-9-treated mice were significantly more susceptible to challenge with a low dose of herpes simplex virus type 2; the response of PRO 2000-treated mice was similar to the response to placebo. These findings suggest that PRO 2000 has little deleterious effect on mucosal immunity and, if validated by clinical experiences, support the inclusion of this model in the preclinical evaluation of future candidate microbicides.
doi_str_mv 10.1086/513279
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subjects Administration, Intravaginal
Animals
Anti-Infective Agents - administration & dosage
Anti-Infective Agents - adverse effects
Antiinfectives
Chemokines
Cytokines
Disease Susceptibility
Female
Gels
Genitalia
Herpes Genitalis - prevention & control
Herpes Genitalis - transmission
Herpes Genitalis - virology
HIV
Human herpesvirus 2
Infections
Mice
Models, Animal
NF-kappa B - biosynthesis
NF-kappa B - genetics
Nonoxynol - administration & dosage
Nonoxynol - adverse effects
Reverse Transcriptase Polymerase Chain Reaction
RNA, Messenger - analysis
Sexually Transmitted Diseases, Viral - prevention & control
Sexually Transmitted Diseases, Viral - transmission
Sexually Transmitted Diseases, Viral - virology
Simplexvirus
Transcription Factor AP-1 - biosynthesis
Transcription Factor AP-1 - genetics
Vagina - drug effects
Vagina - immunology
Vagina - pathology
Vaginal Creams, Foams, and Jellies - administration & dosage
Vaginal Creams, Foams, and Jellies - adverse effects
Vaginitis - chemically induced
Vaginitis - pathology
Viruses
title A Comprehensive Murine Model to Evaluate Topical Vaginal Microbicides: Mucosal Inflammation and Susceptibility to Genital Herpes as Surrogate Markers of Safety
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