Glycerol Monolaurate Microbicide Protection against Repeat High-Dose SIV Vaginal Challenge.

Measures to prevent sexual mucosal transmission are critically needed, particularly to prevent transmission to young women at high risk in the microepidemics in South Africa that disproportionally contribute to the continued pandemic. To that end, microbicides containing anti-retroviral (ARV) agents...

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Main Authors: Ashley T Haase, Eva Rakasz, Nancy Schultz-Darken, Karla Nephew, Kimberly L Weisgrau, Cavan S Reilly, Qingsheng Li, Peter J Southern, Meghan Rothenberger, Marnie L Peterson, Patrick M Schlievert
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2015-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4461171?pdf=render
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author Ashley T Haase
Eva Rakasz
Nancy Schultz-Darken
Karla Nephew
Kimberly L Weisgrau
Cavan S Reilly
Qingsheng Li
Peter J Southern
Meghan Rothenberger
Marnie L Peterson
Patrick M Schlievert
author_facet Ashley T Haase
Eva Rakasz
Nancy Schultz-Darken
Karla Nephew
Kimberly L Weisgrau
Cavan S Reilly
Qingsheng Li
Peter J Southern
Meghan Rothenberger
Marnie L Peterson
Patrick M Schlievert
author_sort Ashley T Haase
collection DOAJ
description Measures to prevent sexual mucosal transmission are critically needed, particularly to prevent transmission to young women at high risk in the microepidemics in South Africa that disproportionally contribute to the continued pandemic. To that end, microbicides containing anti-retroviral (ARV) agents have been shown to prevent transmission, but with efficacy limited both by adherence and pre-existing innate immune and inflammatory conditions in the female reproductive tract (FRT). Glycerol monolaurate (GML) has been proposed as a microbicide component to enhance efficacy by blocking these transmission-facilitating innate immune response to vaginal exposure. We show here in an especially rigorous test of protection in the SIV-rhesus macaque model of HIV-1 transmission to women, that GML used daily and before vaginal challenge protects against repeat high doses of SIV by criteria that include virological and immunological assays to detect occult infection. We also provide evidence for indirect mechanisms of action in GML-mediated protection. Developing a sustained formulation for GML delivery could contribute an independent, complementary protective component to an ARV-containing microbicide.
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spelling doaj.art-7e0b79000f3341749745d879aafb2ca12022-12-21T22:46:41ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-01106e012946510.1371/journal.pone.0129465Glycerol Monolaurate Microbicide Protection against Repeat High-Dose SIV Vaginal Challenge.Ashley T HaaseEva RakaszNancy Schultz-DarkenKarla NephewKimberly L WeisgrauCavan S ReillyQingsheng LiPeter J SouthernMeghan RothenbergerMarnie L PetersonPatrick M SchlievertMeasures to prevent sexual mucosal transmission are critically needed, particularly to prevent transmission to young women at high risk in the microepidemics in South Africa that disproportionally contribute to the continued pandemic. To that end, microbicides containing anti-retroviral (ARV) agents have been shown to prevent transmission, but with efficacy limited both by adherence and pre-existing innate immune and inflammatory conditions in the female reproductive tract (FRT). Glycerol monolaurate (GML) has been proposed as a microbicide component to enhance efficacy by blocking these transmission-facilitating innate immune response to vaginal exposure. We show here in an especially rigorous test of protection in the SIV-rhesus macaque model of HIV-1 transmission to women, that GML used daily and before vaginal challenge protects against repeat high doses of SIV by criteria that include virological and immunological assays to detect occult infection. We also provide evidence for indirect mechanisms of action in GML-mediated protection. Developing a sustained formulation for GML delivery could contribute an independent, complementary protective component to an ARV-containing microbicide.http://europepmc.org/articles/PMC4461171?pdf=render
spellingShingle Ashley T Haase
Eva Rakasz
Nancy Schultz-Darken
Karla Nephew
Kimberly L Weisgrau
Cavan S Reilly
Qingsheng Li
Peter J Southern
Meghan Rothenberger
Marnie L Peterson
Patrick M Schlievert
Glycerol Monolaurate Microbicide Protection against Repeat High-Dose SIV Vaginal Challenge.
PLoS ONE
title Glycerol Monolaurate Microbicide Protection against Repeat High-Dose SIV Vaginal Challenge.
title_full Glycerol Monolaurate Microbicide Protection against Repeat High-Dose SIV Vaginal Challenge.
title_fullStr Glycerol Monolaurate Microbicide Protection against Repeat High-Dose SIV Vaginal Challenge.
title_full_unstemmed Glycerol Monolaurate Microbicide Protection against Repeat High-Dose SIV Vaginal Challenge.
title_short Glycerol Monolaurate Microbicide Protection against Repeat High-Dose SIV Vaginal Challenge.
title_sort glycerol monolaurate microbicide protection against repeat high dose siv vaginal challenge
url http://europepmc.org/articles/PMC4461171?pdf=render
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