Integrase Inhibitors and Cellular Immunity Suppress Retroviral Replication in Rhesus Macaques

Author:

Hazuda Daria J.12345,Young Steven D.12345,Guare James P.12345,Anthony Neville J.12345,Gomez Robert P.12345,Wai John S.12345,Vacca Joseph P.12345,Handt Larry12345,Motzel Sherri L.12345,Klein Hilton J.12345,Dornadula Geethanjali12345,Danovich Robert M.12345,Witmer Marc V.12345,Wilson Keith A. A.12345,Tussey Lynda12345,Schleif William A.12345,Gabryelski Lori S.12345,Jin Lixia12345,Miller Michael D.12345,Casimiro Danilo R.12345,Emini Emilio A.12345,Shiver John W.12345

Affiliation:

1. Department of Biological Chemistry, Merck Research Laboratories, Post Office Box 4, West Point, PA 19486, USA.

2. Department of Medicinal Chemistry, Merck Research Laboratories, Post Office Box 4, West Point, PA 19486, USA.

3. Department of Laboratory Animal Research, Merck Research Laboratories, Post Office Box 4, West Point, PA 19486, USA.

4. Department of Vaccine Research, Merck Research Laboratories, Post Office Box 4, West Point, PA 19486, USA.

5. Drug Metabolism and Pharmaceutical Research, Merck Research Laboratories, Post Office Box 4, West Point, PA 19486, USA.

Abstract

We describe the efficacy of L-870812, an inhibitor of HIV-1 and SIV integrase, in rhesus macaques infected with the simian-human immunodeficiency virus (SHIV) 89.6P. When initiated before CD4 cell depletion, L-870812 therapy mediated a sustained suppression of viremia, preserving CD4 levels and permitting the induction of virus-specific cellular immunity. L-870812 was also active in chronic infection; however, the magnitude and durability of the effect varied in conjunction with the pretreatment immune response and viral load. These studies demonstrate integrase inhibitor activity in vivo and suggest that cellular immunity facilitates chemotherapeutic efficacy in retroviral infections.

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

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