title: Targeting antiretroviral nucleoside analogues in phosphorylated form to macrophages: in vitro and in vivo studies.
abstract: A number of nucleoside analogues are active against the infectivity of human immunodeficiency virus (HIV); however, their use is limited by toxic side effects and by limited phosphorylation in the infected cells. In an attempt to overcome these problems, a drug delivery system has been developed. A prototype of these drugs in a form already phosphorylated (2',3'-dideoxycytidine 5'-triphosphate; ddCTP) was encapsulated into erythrocytes. Subsequently, by the addition of Zn, an arrangement of band 3 in clusters was induced (band 3 is the major transmembrane protein in erythrocytes). The immune system recognizes these clusters as nonself, promoting autologous IgG binding and phagocytosis by cells of the monocyte-macrophage lineage. In this way, ddCTP encapsulated into erythrocytes was delivered to macrophage cells, where concentrations greater than 2 microM were found. Addition of ddCTP-loaded erythrocytes to macrophages previously infected by HIV-1 results in almost complete inhibition of HIV production over 3 weeks in culture. Administration of ddCTP-loaded erythrocytes to LP-BM5-infected mice at 10-day intervals over a period of 3 months results in reduction of lymphoadenopathy, splenomegaly, and hypergammaglobulinemia. Thus, the delivery of nucleoside analogues in phosphorylated form is feasible, and selective targeting to virus reservoirs (macrophage cells) can be accomplished by the use of autologous erythrocytes.
authors.affiliation: Istituto di Chimica Biologica G. Fornaini, Università di Urbino, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Magnani
authors.forename: L
authors.initials: L
authors.lastname: Rossi
authors.forename: G
authors.initials: G
authors.lastname: Brandi
authors.forename: G F
authors.initials: GF
authors.lastname: Schiavano
authors.forename: M
authors.initials: M
authors.lastname: Montroni
authors.forename: G
authors.initials: G
authors.lastname: Piedimonte
mesh_terms: D000818:Animals; D000998:Antiviral Agents / Q000008:administration & dosage*; D003845:Deoxycytosine Nucleotides / Q000008:administration & dosage*; D054306:Dideoxynucleotides; D004910:Erythrocyte Membrane; D006801:Humans; D066298:In Vitro Techniques; D008264:Macrophages / Q000187:drug effects / Q000382:microbiology*; D051379:Mice; D016183:Murine Acquired Immunodeficiency Syndrome / Q000188:drug therapy*; D014779:Virus Replication / Q000187:drug effects
chemical_list: D000998:Antiviral Agents; D003845:Deoxycytosine Nucleotides; D054306:Dideoxynucleotides; C037406:2',3'-dideoxycytidine 5'-triphosphate