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1.
Hum Vaccin Immunother ; 13(9): 1989-1996, 2017 09 02.
Artigo em Inglês | MEDLINE | ID: mdl-28665747

RESUMO

An HBsAg-HBIG therapeutic vaccine (Yeast-derived Immune Complexes, YIC) for chronic hepatitis B (CHB) patients has undergone a series of clinical trials. The HBeAg sero-conversion rate of YIC varied from 21.9% to 14% depending on the immunization protocols from 6 to 12 injections. To analyze the immunological mechanisms exerted by 6 injections of YIC, 44 CHB patients were separately immunized with YIC, alum as adjuvant control or normal saline as blank control, with add on of antiviral drug Adefovir in all groups. Kinetic increase in Th1 and Th2 cells CD4+ T cell sub-populations with association in decrease in Treg cells and increase of Tc1 and Tc17 cells in CD8+ T cells were observed in YIC immunized group. No such changes were found in the other groups. By multifunctional analysis of cytokine profiles, significant increase of IL-2 levels was observed, both in CD4+ and CD8+ T cells in the YIC immunized group, accompanied by increase in IFN-gamma and decrease of inhibitory factors (IL-10, TGF-ß and Foxp3) in CD4+ T cells. In the alum immunized group, slight increase of IL-10, TGF-ß and Foxp3 in CD4+ T cells was found after the second injection, but decreased after more injections, suggesting that alum induced early inflammatory responses to a certain extent. Similar patterns of responses of IL-17A and TNF-α in CD8+T cells were shown between YIC and the saline group. Results indicate that add on of Adefovir, did not affect host specific immune responses.


Assuntos
Adenina/análogos & derivados , Antígenos de Superfície da Hepatite B/imunologia , Vacinas contra Hepatite B/uso terapêutico , Hepatite B Crônica/tratamento farmacológico , Organofosfonatos/uso terapêutico , Adenina/efeitos adversos , Adenina/imunologia , Adenina/uso terapêutico , Adjuvantes Imunológicos , Adulto , Complexo Antígeno-Anticorpo , Terapia Combinada , Feminino , Vacinas contra Hepatite B/efeitos adversos , Vacinas contra Hepatite B/imunologia , Hepatite B Crônica/imunologia , Humanos , Interleucina-10/imunologia , Interleucina-17/imunologia , Interleucina-2/imunologia , Masculino , Organofosfonatos/efeitos adversos , Organofosfonatos/imunologia , Células Th1/imunologia , Células Th2/imunologia , Fator de Crescimento Transformador beta/biossíntese , Fator de Crescimento Transformador beta/imunologia , Fator de Necrose Tumoral alfa/biossíntese , Fator de Necrose Tumoral alfa/imunologia , Adulto Jovem
2.
Angew Chem Int Ed Engl ; 54(49): 14715-8, 2015 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-26458230

RESUMO

Protein arginine phosphorylation is a post-translational modification (PTM) that is important for bacterial growth and virulence. Despite its biological relevance, the intrinsic acid lability of phosphoarginine (pArg) has impaired studies of this novel PTM. Herein, we report for the first time the development of phosphonate amidines and sulfonate amidines as isosteres of pArg and then use these mimics as haptens to develop the first high-affinity sequence independent anti-pArg specific antibody. Employing this anti-pArg antibody, we further showed that arginine phosphorylation is induced in Bacillus subtilis during oxidative stress. Overall, we expect this antibody to see widespread use in analyzing the biological significance of arginine phosphorylation. Additionally, the chemistry reported here will facilitate the generation of pArg mimetics as highly potent inhibitors of the enzymes that catalyze arginine phosphorylation/dephosphorylation.


Assuntos
Amidinas/imunologia , Anticorpos/imunologia , Especificidade de Anticorpos , Arginina/análogos & derivados , Organofosfonatos/imunologia , Amidinas/síntese química , Amidinas/química , Arginina/química , Arginina/imunologia , Arginina/metabolismo , Bacillus subtilis/metabolismo , Haptenos/química , Haptenos/imunologia , Estrutura Molecular , Organofosfonatos/síntese química , Organofosfonatos/química , Compostos Organofosforados/química , Compostos Organofosforados/imunologia , Compostos Organofosforados/metabolismo , Estresse Oxidativo , Fosforilação
3.
Chem Commun (Camb) ; 51(34): 7305-8, 2015 Apr 30.
Artigo em Inglês | MEDLINE | ID: mdl-25820536

RESUMO

We report the synthesis of a stable analogue of τ-phosphohistidine: 4-phosphopyrazol-2-yl alanine (pPza). Polyclonal antibodies generated against the mimic show high reactivity and selectivity for τ-phosphohistidine, with minor or no cross-reactivity towards non-phosphorylated histidine or O-phosphoamino acids, including phosphotyrosine.


Assuntos
Aminoácidos Cíclicos/química , Histidina/análogos & derivados , Organofosfonatos/química , Pirazóis/química , Aminoácidos Cíclicos/imunologia , Animais , Reações Cruzadas , Histidina/química , Histidina/imunologia , Hidrólise , Soros Imunes/imunologia , Isomerismo , Organofosfonatos/imunologia , Pirazóis/imunologia , Ratos
4.
AIDS Res Hum Retroviruses ; 28(11): 1404-11, 2012 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-22867119

RESUMO

The anti-HIV microbicide, tenofovir (TFV) gel, has been shown to decrease HIV-1 acquisition by 39% and reduce herpes simplex virus 2 (HSV-2) transmission by 51%. We evaluated the effect of a 1% TFV gel on genital HSV-2 infection in a mouse vaginal challenge model. In vitro plaque assays and luminex multiplex bead analysis were used, respectively, to measure postinfection vaginal viral shedding (day 1) and cytokine secretion (day 2). To further investigate the anti-HSV-2 properties, we evaluated the direct antiviral effect of TFV and the oral prodrug tenofovir disoproxil fumerate (TDF) in cell culture. Compared to placebo-treated mice, TFV-treated mice had significantly lower clinical scores, developed later genital lesions, and showed reduced vaginal viral shedding. Furthermore, the levels of IFN-γ, IL-2, TNF-α, and other cytokines were altered in the vaginal fluid following topical tenofovir treatment and subsequent HSV-2 challenge. Finally, we found that both TFV and TDF inhibited HSV-2 infection in vitro; TDF showed a 50-fold greater potency than TFV. In conclusion, we confirmed that the microbicide TFV had direct anti-HSV-2 effects in a murine vaginal challenge model. Therefore, this model would be suitable for evaluating present and future microbicide candidates. Furthermore, the present study warrants further investigation of TDF in microbicides.


Assuntos
Adenina/análogos & derivados , Anti-Infecciosos/farmacologia , Antivirais/farmacologia , Herpes Genital/tratamento farmacológico , Organofosfonatos/farmacologia , Vagina/virologia , Adenina/imunologia , Adenina/farmacologia , Administração Tópica , Animais , Antivirais/imunologia , Células Cultivadas , Modelos Animais de Doenças , Feminino , Herpes Genital/imunologia , Interferon gama/sangue , Interleucina-2/sangue , Camundongos , Camundongos Endogâmicos C57BL , Organofosfonatos/imunologia , Tenofovir , Fator de Necrose Tumoral alfa/sangue , Vagina/efeitos dos fármacos , Vagina/imunologia , Cremes, Espumas e Géis Vaginais , Eliminação de Partículas Virais
5.
Retrovirology ; 9: 57, 2012 Jul 17.
Artigo em Inglês | MEDLINE | ID: mdl-22805180

RESUMO

BACKGROUND: We reported previously that while prolonged tenofovir monotherapy of macaques infected with virulent simian immunodeficiency virus (SIV) resulted invariably in the emergence of viral mutants with reduced in vitro drug susceptibility and a K65R mutation in reverse transcriptase, some animals controlled virus replication for years. Transient CD8+ cell depletion or short-term tenofovir interruption within 1 to 5 years of treatment demonstrated that a combination of CD8+ cell-mediated immune responses and continued tenofovir therapy was required for sustained suppression of viremia. We report here follow-up data on 5 such animals that received tenofovir for 8 to 14 years. RESULTS: Although one animal had a gradual increase in viremia from 3 years onwards, the other 4 tenofovir-treated animals maintained undetectable viremia with occasional viral blips (≤ 300 RNA copies/ml plasma). When tenofovir was withdrawn after 8 to 10 years from three animals with undetectable viremia, the pattern of occasional episodes of low viremia (≤ 3600 RNA/ml plasma) continued throughout the 10-month follow-up period. These animals had low virus levels in lymphoid tissues, and evidence of multiple SIV-specific immune responses. CONCLUSION: Under certain conditions (i.e., prolonged antiviral therapy initiated early after infection; viral mutants with reduced drug susceptibility) a virus-host balance characterized by strong immunologic control of virus replication can be achieved. Although further research is needed to translate these findings into clinical applications, these observations provide hope for a functional cure of HIV infection via immunotherapeutic strategies that boost antiviral immunity and reduce the need for continuous antiretroviral therapy.


Assuntos
Adenina/análogos & derivados , Organofosfonatos/farmacologia , DNA Polimerase Dirigida por RNA/metabolismo , Síndrome de Imunodeficiência Adquirida dos Símios/tratamento farmacológico , Vírus da Imunodeficiência Símia/patogenicidade , Replicação Viral , Adenina/imunologia , Adenina/farmacologia , Alelos , Animais , Anticorpos Antivirais/sangue , Anticorpos Antivirais/imunologia , Formação de Anticorpos , Antivirais/imunologia , Antivirais/farmacologia , Contagem de Linfócito CD4 , Linfócitos T CD8-Positivos/efeitos dos fármacos , Linfócitos T CD8-Positivos/imunologia , Modelos Animais de Doenças , Genes MHC Classe I , Técnicas de Genotipagem , Imunidade Celular , Ativação Linfocitária , Macaca mulatta , Testes de Neutralização , Organofosfonatos/imunologia , RNA Viral/sangue , DNA Polimerase Dirigida por RNA/genética , Síndrome de Imunodeficiência Adquirida dos Símios/imunologia , Síndrome de Imunodeficiência Adquirida dos Símios/virologia , Vírus da Imunodeficiência Símia/enzimologia , Vírus da Imunodeficiência Símia/imunologia , Vírus da Imunodeficiência Símia/fisiologia , Tenofovir , Fatores de Tempo , Resultado do Tratamento , Viremia/patologia , Viremia/virologia
6.
Int Immunopharmacol ; 12(2): 342-9, 2012 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-22198073

RESUMO

Acyclic nucleoside phosphonates (ANP) are virostatics effective against viruses like hepatitis B virus and human immunodeficiency virus. Our previous reports indicated immunomodulatory activities of ANP in mouse and human innate immune cells. Recently, evidence has increased that hepatocytes may play an active role in immune regulation of the liver homeostasis or injury. In this study we investigated possible immunomodulatory effects of ANP on rat hepatocytes and macrophages. Nitric oxide (NO) production and secretion of cytokines (IL-1α, IL-1ß, IL-2, IL-4, IL-6, IL-10, IL-13, IL-18, IFN-γ, TNF-α and GM-CSF) were analyzed under in vitro conditions. Test compounds included: 9-[2-(phosphonomethoxy)ethyl]adenine (PMEA; adefovir); 9-[2-(phosphonomethoxy)ethyl]-2,6-diaminopurine (PMEDAP); (R)- and (S)-enantiomers of 9-[2-(phosphonomethoxy)propyl]adenine [(R)-PMPA; tenofovir] and [(S)-PMPA]; 9-[2-(phosphonomethoxy)propyl]-2,6-diaminopurine [(R)-PMPDAP] and [(S)-PMPDAP]. The group of test compounds also included their N(6)-substituted derivatives. Some of ANP which are able to induce NO production and cytokine secretion in cultured macrophages possess the same immunobiological activity in isolated hepatocytes. The extent of responses is in range of LPS/IFN-γ stimulation in both types of cells. The effects of active ANP on NO expression and cytokine secretion are dose- and time-dependent. Interestingly, the spectrum of detected cytokines induced by ANP is broader in hepatocytes. The results also confirm immunomodulatory effects of some ANP on rodent macrophages. Moreover, we demonstrate for the first time immunobiological reactivity of primary rat hepatocytes induced by exogenous ANP compounds. The potential of hepatocytes to synthesize cytokines can contribute to better understanding of liver immune function and can serve for pharmacological intervention in liver diseases.


Assuntos
Citocinas/metabolismo , Hepatócitos/efeitos dos fármacos , Macrófagos/efeitos dos fármacos , Óxido Nítrico/metabolismo , Nucleotídeos Cíclicos/farmacologia , Organofosfonatos/farmacologia , Animais , Citocinas/imunologia , Hepatócitos/imunologia , Hepatócitos/metabolismo , Lipopolissacarídeos/imunologia , Lipopolissacarídeos/farmacologia , Macrófagos/imunologia , Macrófagos/metabolismo , Masculino , Óxido Nítrico/imunologia , Óxido Nítrico Sintase Tipo II/imunologia , Óxido Nítrico Sintase Tipo II/metabolismo , Nucleotídeos Cíclicos/imunologia , Organofosfonatos/imunologia , Ratos , Ratos Wistar
7.
Aliment Pharmacol Ther ; 34(8): 972-81, 2011 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-21883327

RESUMO

BACKGROUND: In chronic hepatitis B (CHB) patients, adefovir is commonly used as a rescue therapy for lamivudine resistance, but often results in incomplete virological suppression. AIM: To study the factors predicting response to adefovir rescue, and the treatment response of tenofovir and entecavir in suboptimal responders to adefovir in CHB patients. METHODS: Chronic hepatitis B patients who took adefovir for at least 6 months for lamivudine resistance were studied. Early virological response was defined as undetectable HBV DNA at month 6. Maintained virological response was defined as undetectable HBV DNA till the last follow-up. RESULTS: Among 136 patients on adefovir for 39 (5-117) months, 30 (22%) had early virological response. The 3-year cumulative probability of maintained virological response was similar between patients on adefovir monotherapy (n = 53, 57.9%) and those on combination of lamivudine and adefovir treatment (n = 83, 56.5%). The month 6 HBV DNA was the only independent factor associated with maintained virological response (adjusted hazard ratio 0.49, 95% confidence interval 0.37-0.65, P < 0.001). Twenty-six of 30 (87%) early responders and 36 of 106 (34%) non-early responders had maintained virological response on adefovir (P < 0.001). Among 106 non-early responders, 18 and 11 were switched to tenofovir and entecavir, respectively. The 1-year cumulative probability of maintained virological response was higher in patients switched to tenofovir (87.5%) than those switched to entecavir (37.5%; P = 0.048) or continued with adefovir (8.7%; P < 0.001). CONCLUSIONS: In adefovir rescue for lamivudine resistance, month 6 HBV DNA predicts maintained virological response in CHB patients. Switching to tenofovir achieved best viral suppression among suboptimal responders to adefovir.


Assuntos
Adenina/análogos & derivados , Antivirais/uso terapêutico , Farmacorresistência Viral/efeitos dos fármacos , Vírus da Hepatite B/efeitos dos fármacos , Hepatite B Crônica/tratamento farmacológico , Lamivudina/uso terapêutico , Organofosfonatos/uso terapêutico , Inibidores da Transcriptase Reversa/uso terapêutico , Adenina/imunologia , Adenina/uso terapêutico , Adulto , Estudos de Coortes , DNA Viral/análise , Feminino , Seguimentos , Guanina/análogos & derivados , Guanina/imunologia , Guanina/uso terapêutico , Vírus da Hepatite B/genética , Hepatite B Crônica/virologia , Humanos , Masculino , Pessoa de Meia-Idade , Organofosfonatos/imunologia , Estudos Retrospectivos , Tenofovir , Resultado do Tratamento
8.
PLoS One ; 6(1): e16475, 2011 Jan 25.
Artigo em Inglês | MEDLINE | ID: mdl-21283552

RESUMO

BACKGROUND: Preclinical and early phase clinical microbicide studies have not consistently predicted the outcome of efficacy trials. To address this gap, candidate biomarkers of microbicide pharmacodynamics and safety were evaluated in a double-blind, placebo-controlled trial of tenofovir gel, the first microbicide to demonstrate significant protection against HIV acquisition. METHODS: 30 women were randomized to apply a single daily dose of tenofovir or placebo gel for 14 consecutive days. Anti-HIV activity was measured in cervicovaginal lavage (CVL) on Days 0, 3, 7, 14 and 21 by luciferase assay as a surrogate marker of pharmacodynamics. Endogenous activity against E. coli and HSV-2 and concentrations of immune mediators were quantified in CVL as candidate biomarkers of safety. Tenofovir levels were measured in CVL and blood. RESULTS: A significant increase in anti-HIV activity was detected in CVL from women who applied tenofovir gel compared to their endogenous anti-HIV activity in genital tract secretions on Day 0 and compared to activity in CVL from women in the placebo group. The activity correlated significantly with CVL concentration of tenofovir (r = 0.6, p<0.001) and fit a sigmoid E(max) pharmacodynamic model. Anti-HIV activity in CVL from women who applied tenofovir persisted when virus was introduced in semen, whereas endogenous anti-HIV activity decreased. Tenofovir did not trigger an inflammatory response or induce sustained loss in endogenous antimicrobial activity or immune mediators. CONCLUSIONS: Tenofovir gel had no deleterious impact on soluble mucosal immunity. The increased anti-HIV activity in CVL, which persisted in the presence of semen and correlated with tenofovir concentration, is consistent with the efficacy observed in a recent clinical trial. These results promote quantified CVL anti-HIV activity as a surrogate of tissue pharmacodynamics and as a potential biomarker of adherence to product. This simple, feasible and inexpensive bioassay may promote the development of models more predictive of microbicide efficacy. TRIAL REGISTRATION: ClinicalTrials.gov NCT00594373.


Assuntos
Adenina/análogos & derivados , Fármacos Anti-HIV/imunologia , Genitália Feminina/imunologia , Infecções por HIV/tratamento farmacológico , Imunidade nas Mucosas/efeitos dos fármacos , Mucosa/imunologia , Organofosfonatos/administração & dosagem , Adenina/administração & dosagem , Adenina/imunologia , Adenina/farmacologia , Adulto , Fármacos Anti-HIV/administração & dosagem , Fármacos Anti-HIV/farmacologia , Biomarcadores/análise , Método Duplo-Cego , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos , Feminino , Genitália Feminina/efeitos dos fármacos , Genitália Feminina/metabolismo , Infecções por HIV/imunologia , Humanos , Mucosa/efeitos dos fármacos , Organofosfonatos/imunologia , Organofosfonatos/farmacologia , Sêmen , Tenofovir , Ducha Vaginal , Adulto Jovem
9.
Antivir Ther ; 16(1): 37-49, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21311107

RESUMO

BACKGROUND: Amino acid (AA) changes in specific hepatitis B core antigen (HBcAg) regions were assessed in patients infected with chronic hepatitis B (CHB) after a 12-month untreated period and after receiving antiviral therapy (interferon, lamivudine or adefovir dipivoxil), and in inactive hepatitis B surface antigen-positive carriers. METHODS: Samples corresponding to different time points in 76 CHB cases (64 on-treatment) and 4 inactive carriers were included. The main precore mutation, T-helper immunodominant epitope at AA 50-69 (Th50-69), minor T-helper epitope (Th28-47), B-cell immunodominant epitope (B74-84) and a conserved region of HBcAg at AA 1-11 (AA1-11) were directly sequenced. For comparisons, the average number of AA changes in each region was standardized to 12 months (Av12). RESULTS: AA changes clustered mainly in immunodominant regions (69%). The highest percentage of cases (%n) with changes and highest Av12 changes were detected after interferon treatment (%n=73%, Av12=3.1 in Th50-69 and %n=86%, Av12=2.7 in B74-84). At baseline, immunodominant regions had higher Av12 changes in hepatitis B e antigen-negative patients and those with main precore mutations. Changes in the Th28-47 region were more frequent after nucleoside/nucleotide analogue treatment (40%) than before treatment (9%). Codons 74 and 77 were the most polymorphic, and the double change E64D-N67T was significantly observed. Codon 84 substitutions were mainly associated with interferon treatment (P=0.05). CONCLUSIONS: Natural and treatment-induced substitutions in HBV core protein, occurring especially with interferon treatment, were characterized. Some immune-stimulating activity related to the minor Th28-47 epitope might be associated with nucleoside/nucleotide analogues; this activity was also seen in inactive carriers.


Assuntos
DNA Viral/química , Antígenos do Núcleo do Vírus da Hepatite B/genética , Vírus da Hepatite B/genética , Hepatite B Crônica/genética , Epitopos Imunodominantes/química , Adenina/administração & dosagem , Adenina/análogos & derivados , Adenina/imunologia , Adenina/uso terapêutico , Adulto , Sequência de Aminoácidos , Variação Antigênica/efeitos dos fármacos , Antivirais/administração & dosagem , Antivirais/imunologia , Antivirais/uso terapêutico , Linfócitos B/imunologia , Linfócitos B/virologia , Farmacorresistência Viral/efeitos dos fármacos , Feminino , Antígenos do Núcleo do Vírus da Hepatite B/imunologia , Vírus da Hepatite B/efeitos dos fármacos , Vírus da Hepatite B/imunologia , Hepatite B Crônica/tratamento farmacológico , Hepatite B Crônica/imunologia , Hepatite B Crônica/virologia , Humanos , Interferons/administração & dosagem , Interferons/imunologia , Interferons/uso terapêutico , Lamivudina/administração & dosagem , Lamivudina/imunologia , Lamivudina/uso terapêutico , Masculino , Pessoa de Meia-Idade , Dados de Sequência Molecular , Mutação , Organofosfonatos/administração & dosagem , Organofosfonatos/imunologia , Organofosfonatos/uso terapêutico , Polimorfismo Genético , Linfócitos T/imunologia , Linfócitos T/virologia
10.
J Biochem ; 142(4): 421-33, 2007 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-17981825

RESUMO

The esterolytic catalytic antibody (catAb) has the positive charged region interacting with the carbonyl group of the ester substrate. To examine how such a region interacts with the substrate, we compared the catAb with the non-catalytic antibody (non-catAb) for interaction with the non-cleavable amide substrate (a mimic of the ester substrate) and the two end products. Surface plasmon resonance (SPR) analysis revealed that the amide substrate gave the equivalent K(d) values for the two antibodies, whereas both the on-rate and off-rate of the catAb were five-times lower than those of the non-catAb. In agreement with SPR analysis, saturation transfer difference (STD) NMR spectroscopy detected the STD signals only between the catAb and one of the product, suggesting the slower exchange rates of the amide substrate in the catAb as compared with the mixing times, whereas it was not the case with the non-catAb. Transferred nuclear Overhauser effect NMR spectroscopy showed the negative signals for only between the non-catAb and the amide substrate or the product, again suggesting the lower off-rates of the catAb as compared with the mixing times. The decreased interaction rates should be the primary consequence of the positively charged region in the combining site in the catAb.


Assuntos
Anticorpos Catalíticos/metabolismo , Organofosfonatos/imunologia , Sequência de Aminoácidos , Animais , Anticorpos Catalíticos/química , Anticorpos Catalíticos/genética , Sítios de Ligação de Anticorpos , Catálise , Haptenos/química , Haptenos/imunologia , Haptenos/metabolismo , Cinética , Camundongos , Camundongos Endogâmicos BALB C , Camundongos Endogâmicos MRL lpr , Dados de Sequência Molecular , Organofosfonatos/química , Organofosfonatos/metabolismo , Especificidade por Substrato , Ressonância de Plasmônio de Superfície
11.
Curr Med Chem ; 13(23): 2789-93, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-17073629

RESUMO

Nucleoside reverse transcriptase inhibitors (NRTI) are essential components of highly active antiretroviral treatment (HAART). Although several combinations can be used as NRTI backbones, not all are associated with good virological and/or immunological results. In particular, some NRTI combinations should be avoided due to antagonism (zidovudine plus stavudine) or to high rate of toxicity (didanosine plus stavudine). Tenofovir (TDF) and didanosine (ddI) are among the more often prescribed NRTI for their convenient posology (one pill each per day), relatively high genetic barrier for resistance, quite acceptable safety profile and remarkable antiviral potency when such drugs have been used as single drug or in combinations with other NRTIs. However, antiretroviral regimens containing TDF and ddI have been associated with a high rate of virological failure in HIV-infected naïve patients due to possible drug-interactions. The virological efficacy of this backbone in HIV-infected, HAART pre-treated subjects, is still controversial. Aim of this review is to assess the possible role that antiretroviral regimens containing TDF and ddI can have in the treatment of HIV-positive subjects, focusing on their plasmatic and/or intracellular interactions to optimize the antiretroviral efficacy and minimize the toxicities of this combination.


Assuntos
Adenina/análogos & derivados , Fármacos Anti-HIV/uso terapêutico , Didanosina/uso terapêutico , Infecções por HIV/tratamento farmacológico , Transcriptase Reversa do HIV/antagonistas & inibidores , Organofosfonatos/uso terapêutico , Inibidores da Transcriptase Reversa/uso terapêutico , Adenina/efeitos adversos , Adenina/imunologia , Adenina/uso terapêutico , Fármacos Anti-HIV/efeitos adversos , Fármacos Anti-HIV/imunologia , Didanosina/efeitos adversos , Didanosina/imunologia , Antagonismo de Drogas , Farmacorresistência Viral , Infecções por HIV/imunologia , Humanos , Organofosfonatos/efeitos adversos , Organofosfonatos/imunologia , Inibidores da Transcriptase Reversa/efeitos adversos , Inibidores da Transcriptase Reversa/imunologia , Relação Estrutura-Atividade , Tenofovir
12.
Eur J Pharmacol ; 530(1-2): 179-87, 2006 Jan 13.
Artigo em Inglês | MEDLINE | ID: mdl-16371225

RESUMO

Acyclic nucleoside phosphonates are widely recognised antivirals. The oral prodrugs of prototype compounds, e.g., 9-[2-(phosphonomethoxy)ethyl]adenine (PMEA; adefovir), and 9-(R)-[2-(phosphonomethoxy)propyl]adenine [(R)-PMPA; tenofovir] were approved by FDA for treatment of hepatitis B (Hepsera), and acquired immunodeficiency syndrome (AIDS) (Viread), respectively. A number of acyclic nucleoside phosphonates possess immunostimulatory activity. The present experiments demonstrate that activation of cytokine and chemokine secretion is mediated by adenosine receptors. Included in the study were 9-(R)-[2-(phosphonomethoxy)propyl]adenine [tenofovir], N(6)-cyclopentyl-(R)-9-[2-(phosphonomethoxy)propyl]-2,6-diaminopurine, N(6)-cyclopropyl-(R)-9-[2-(phosphonomethoxy)propyl]-2,6-diaminopurine, and N(6)-isobutyl-9-[2-(phosphonomethoxy)ethyl]-2,6-diaminopurine. All of them activate secretion of tumor necrosis factor-alpha (TNF-alpha), interleukin-10 (IL-10), "regulated on activation of normal T cell expressed and secreted" (RANTES/CCL5), and macrophage inflammatory protein-1alpha (MIP-1alpha/CCL3) in murine macrophages. With exception of MIP-1alpha, the effects were inhibited by antagonists of adenosine A(1), A(2B), and A(3) receptors (not by adenosine A(2A) receptor antagonist). The adenosine A(1) receptor antagonist inhibited TNF-alpha, IL-10, and RANTES, adenosine A(2B) receptor antagonist inhibited TNF-alpha and RANTES, and adenosine A(3) receptor antagonist inhibited IL-10 and RANTES. The suppression is due to decreased transcription of cytokine mRNA. It may be suggested that acyclic nucleoside phosphonates are nonspecific ligands for purine P(1) receptors.


Assuntos
2-Aminopurina/análogos & derivados , Adenina/farmacologia , Adjuvantes Imunológicos/farmacologia , Receptores Purinérgicos P1/fisiologia , 2-Aminopurina/química , 2-Aminopurina/imunologia , 2-Aminopurina/farmacologia , Adenina/análogos & derivados , Adenina/imunologia , Animais , Fármacos Anti-HIV/química , Fármacos Anti-HIV/imunologia , Fármacos Anti-HIV/farmacologia , Cafeína/análogos & derivados , Cafeína/farmacologia , Sobrevivência Celular/efeitos dos fármacos , Células Cultivadas , Quimiocina CCL3 , Quimiocina CCL4 , Quimiocina CCL5/antagonistas & inibidores , Quimiocina CCL5/genética , Quimiocina CCL5/metabolismo , Di-Hidropiridinas/farmacologia , Relação Dose-Resposta a Droga , Feminino , Flavinas/farmacologia , Humanos , Interleucina-10/antagonistas & inibidores , Interleucina-10/genética , Interleucina-10/metabolismo , Lipopolissacarídeos/farmacologia , Proteínas Inflamatórias de Macrófagos/genética , Proteínas Inflamatórias de Macrófagos/metabolismo , Macrófagos/citologia , Macrófagos/efeitos dos fármacos , Macrófagos/metabolismo , Camundongos , Camundongos Endogâmicos C57BL , Estrutura Molecular , Organofosfonatos/imunologia , Organofosfonatos/farmacologia , Antagonistas de Receptores Purinérgicos P1 , Quinazolinas/farmacologia , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Teofilina/análogos & derivados , Teofilina/farmacologia , Triazóis/farmacologia , Fator de Necrose Tumoral alfa/antagonistas & inibidores , Fator de Necrose Tumoral alfa/genética , Fator de Necrose Tumoral alfa/metabolismo
13.
AIDS ; 19(17): 1987-94, 2005 Nov 18.
Artigo em Inglês | MEDLINE | ID: mdl-16260905

RESUMO

BACKGROUND: Antiretroviral therapy (ART) containing tenofovir disoproxil fumarate (TDF) and didanosine (ddI) has been associated with poor immune recovery despite virologic success. This effect might be related to ddI toxicity since ddI exposure is substantially increased by TDF. OBJECTIVE: To analyze whether immune recovery during ART with TDF and ddI is ddI-dose dependent. DESIGN AND METHODS: A retrospective longitudinal analysis of immune recovery measured by the CD4 T-cell slope in 614 patients treated with ART containing TDF with or without ddI. Patients were stratified according to the tertiles of their weight-adjusted ddI dose: low dose (< 3.3 mg/kg), intermediate dose (3.3-4.1 mg/kg) and high dose (> 4.1 mg/kg). Cofactors modifying the degree of immune recovery after starting TDF-containing ART were identified by univariable and multivariable linear regression analyses. RESULTS: CD4 T-cell slopes were comparable between patients treated with TDF and a weight-adjusted ddI-dose of < 4.1 mg/kg per day (n = 143) versus TDF-without-ddI (n = 393). In the multivariable model the slopes differed by -13 CD4 T cells/mul per year [95% confidence interval (CI), -42 to 17; P = 0.40]. In contrast, patients treated with TDF and a higher ddI dose (> 4.1 mg/kg per day, n = 78) experienced a significantly impaired immune recovery (-47 CD4 T cells/microl per year; 95% CI, -82 to -12; P = 0.009). The virologic response was comparable between the different treatment groups. CONCLUSIONS: Immune recovery is impaired, when high doses of ddI (> 4.1 mg/kg) are given in combination with TDF. If the dose of ddI is adjusted to less than 4.1 mg/kg per day, immune recovery is similar to other TDF-containing ART regimen.


Assuntos
Adenina/análogos & derivados , Didanosina/administração & dosagem , Infecções por HIV/tratamento farmacológico , Organofosfonatos/administração & dosagem , Inibidores da Transcriptase Reversa/administração & dosagem , Adenina/administração & dosagem , Adenina/imunologia , Adulto , Contagem de Linfócito CD4 , Didanosina/imunologia , Relação Dose-Resposta Imunológica , Esquema de Medicação , Quimioterapia Combinada , Feminino , Infecções por HIV/imunologia , Humanos , Masculino , Pessoa de Meia-Idade , Organofosfonatos/imunologia , RNA Viral/análise , Estudos Retrospectivos , Inibidores da Transcriptase Reversa/imunologia , Tenofovir , Resultado do Tratamento
14.
Biochem J ; 381(Pt 1): 125-30, 2004 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-15053743

RESUMO

The substrate selectivities of an anti-phosphonate and an anti-phosphate kinetically homogeneous polyclonal catalytic antibody preparation and two hydrolytic enzymes were compared by using hapten-analogous and truncated carbonate and ester substrates each containing a 4-nitrophenolate leaving group. Syntheses of the truncated substrates devoid of recognition features in the non-leaving group parts of the substrates are reported. The relatively high kinetic selectivity of the more active anti-phosphonate antibody preparation is considered to depend on a relatively rigid catalytic site with substantial reaction centre specificity together with other important recognition interactions with the extended non-leaving group part of the substrate. In contrast, the less catalytically active, more flexible anti-phosphate antibody exhibits much lower kinetic selectivity for the substrate reaction centre comparable with that of the hydrolytic enzymes with activity much less dependent on recognition interactions with the non-leaving group part of the substrate. The ways in which haptenic flexibility and IgG architecture might contribute to the differential kinetic selectivities are indicated.


Assuntos
Anticorpos Catalíticos/química , Anticorpos Catalíticos/metabolismo , Domínio Catalítico , Organofosfonatos/imunologia , Fosfatos/imunologia , Animais , Afinidade de Anticorpos , Reações Antígeno-Anticorpo , Sítios de Ligação de Anticorpos , Bovinos , Quimotripsina/metabolismo , Esterases/metabolismo , Hidrolases/metabolismo , Hidrólise , Fígado/enzimologia , Modelos Moleculares , Organofosfonatos/síntese química , Pâncreas/enzimologia , Fosfatos/síntese química , Especificidade por Substrato , Suínos , Vacinas Sintéticas/química , Vacinas Sintéticas/imunologia , Vacinas Sintéticas/metabolismo
15.
J Biol Chem ; 279(9): 7877-83, 2004 Feb 27.
Artigo em Inglês | MEDLINE | ID: mdl-14676184

RESUMO

We report the selective inactivation of proteolytic antibodies (Abs) to an autoantigen, the neuropeptide vasoactive intestinal peptide (VIP), by a covalently reactive analog (CRA) of VIP containing an electrophilic phosphonate diester at the Lys(20) residue. The VIP-CRA was bound irreversibly by a monoclonal Ab that catalyzes the hydrolysis of VIP. The reaction with the VIP-CRA proceeded more rapidly than with a hapten CRA devoid of the VIP sequence. The covalent binding occurred preferentially at the light chain subunit of the Ab. Covalent VIP-CRA binding was inhibited by VIP devoid of the phosphonate diester group. These results indicate the importance of noncovalent VIP recognition in guiding Ab nucleophilic attack on the phosphonate group. Consistent with the covalent binding data, the VIP-CRA inhibited catalysis by the recombinant light chain of this Ab with potency greater than the hapten-CRA. Catalytic hydrolysis of VIP by a polyclonal VIPase autoantibody preparation that cleaves multiple peptide bonds located between residues 7 and 22 essentially was inhibited completely by the VIP-CRA, suggesting that the electrophilic phosphonate at Lys(20) enjoys sufficient conformational freedom to react covalently with Abs that cleave different peptide bonds in VIP. These results suggest a novel route to antigen-specific covalent targeting of pathogenic Abs.


Assuntos
Anticorpos Catalíticos/metabolismo , Autoanticorpos/metabolismo , Ésteres/imunologia , Organofosfonatos/imunologia , Peptídeo Intestinal Vasoativo/imunologia , Peptídeo Intestinal Vasoativo/farmacologia , Aconitato Hidratase , Sequência de Aminoácidos , Anticorpos Catalíticos/química , Anticorpos Catalíticos/genética , Especificidade de Anticorpos , Antígenos/química , Antígenos/imunologia , Antígenos/metabolismo , Sítios de Ligação de Anticorpos , Ésteres/metabolismo , Haptenos/química , Haptenos/imunologia , Humanos , Imunoglobulina G/metabolismo , Cadeias Leves de Imunoglobulina/genética , Cadeias Leves de Imunoglobulina/metabolismo , Lisina/química , Lisina/imunologia , Conformação Molecular , Dados de Sequência Molecular , Organofosfonatos/química , Organofosfonatos/metabolismo , Proteínas Recombinantes , Espectrometria de Massas por Ionização por Electrospray , Peptídeo Intestinal Vasoativo/metabolismo
16.
Carbohydr Res ; 334(4): 295-307, 2001 Sep 07.
Artigo em Inglês | MEDLINE | ID: mdl-11527531

RESUMO

Various sugar phosphonates were prepared by a Mitsunobu condensation between phosphonic diacids and properly protected carbohydrates. 6'-O-p-Aminophenylsucrose 6-heptylphosphonate was coupled to Bovine Serum Albumin (BSA) and Keyhole Limpet Hemocyanin (KLH) and the KLH conjugate was used for generation of monoclonal antibodies. Binding properties of these antibodies were screened by competitive enzyme-linked immunosorbent assay (ELISA) using the BSA conjugate. A monoclonal antibody with good binding properties showed a regioselective esterase activity toward 6-octanoylsucrose compared with 6'-octanoylsucrose.


Assuntos
Anticorpos Monoclonais/metabolismo , Sítios de Ligação de Anticorpos , Esterases/metabolismo , Organofosfonatos/imunologia , Sacarose/imunologia , Sequência de Carboidratos , Ensaio de Imunoadsorção Enzimática , Dados de Sequência Molecular , Organofosfonatos/química , Organofosfonatos/metabolismo , Sacarose/análogos & derivados , Sacarose/síntese química , Sacarose/química , Sacarose/metabolismo
17.
J Agric Food Chem ; 48(6): 2228-33, 2000 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-10888527

RESUMO

Phosphonic acid (trans-4-phosphono-2-butenic acid; TPB) was used as a generic hapten in order to generate broad specificity antibodies against a group of organophosphorus pesticides. The polyclonal antiserum showed, in an indirect enzyme-linked immunosorbent assay (ELISA) format, preferential binding toward pesticides containing unsaturated diethyl-phosphate functionalities rather than the equivalent thiophosphate or dimethyl structures. The level of detection in the ELISA using a heterologous system was investigated and showed a 20-fold improvement when a conjugate for which the antibody had lower affinity was immobilized on the plate. Biosensor assays using parathion as a standard indicated that the antibody had a relatively high dissociation rate, and reproducible cycles of regeneration were achieved. The potential for using TPB as a generic hapten is discussed.


Assuntos
Anticorpos , Haptenos , Inseticidas/análise , Inseticidas/imunologia , Organofosfonatos/imunologia , Animais , Especificidade de Anticorpos , Técnicas Biossensoriais , Ensaio de Imunoadsorção Enzimática/métodos , Masculino , Coelhos , Sensibilidade e Especificidade
18.
J Mol Biol ; 285(1): 421-30, 1999 Jan 08.
Artigo em Inglês | MEDLINE | ID: mdl-9878416

RESUMO

D2.3, D2.4 and D2.5 are ester-hydrolysing antibodies raised against a phosphonate transition state analogue (TSA). All three antibody-TSA binding kinetics, as monitored by fluorescence quenching, indicate an "induced-fit" mechanism: fast bimolecular association followed by a unimolecular isomerisation (k=1-7 s-1). Isomerisation leads to a 30-170-fold increase in affinity towards the TSA and, consequently, to higher catalytic rates. Antibody D2.3 exhibits a complex three-step binding mechanism, in which the last step is a "very slow" isomerisation (k<0.02 s-1). This very slow isomerisation is limiting the rate of catalysis by D2.3, as indicated by the kinetics of product release which show characteristics of enzyme "conformational memory" or "hysteresis". The results support a mechanism consisting of pre-equilibrium between "nether-active" (low affinity) and "active" (high affinity) antibody conformers (prior to ligand addition) as well as induced-fit, i.e. isomerisation of the nether-active ligand-antibody complex to give the active complex. Crystal structures of these antibodies, free and complexed, have previously indicated that their conformation does not change upon binding. Here, we show that the buffer used to crystallise the antibodies, and in particular its polyethylene glycol component, alters the pre-equilibrium in favour of the active conformer, leading to its crystallisation both in the presence and in the absence of the TSA.


Assuntos
Anticorpos/química , Anticorpos/imunologia , Organofosfonatos/imunologia , Conformação Proteica , Animais , Catálise , Ésteres , Hidrólise , Camundongos , Relação Estrutura-Atividade
19.
Science ; 270(5243): 1775-82, 1995 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-8525366

RESUMO

For almost 200 years inert antigens have been used for initiating the process of immunization. A procedure is now described in which the antigen used is so highly reactive that a chemical reaction occurs in the antibody combining site during immunization. An organophosphorus diester hapten was used to illustrate this concept coined "reactive immunization." The organophosphonate recruited chemical potential from the immune response that resembled the way these compounds recruit the catalytic power of the serine hydrolases. During this recruitment, a large proportion of the isolated antibodies catalyzed the formation and cleavage of phosphonylated intermediates and subsequent ester hydrolysis. Reactive immunization can augment traditional immunization and enhance the scope of catalytic antibody chemistry. Among the compounds anticipated to be effective are those that contain appropriate reactive functionalities or those that are latently reactive, as in the mechanism-based inhibitors of enzymes.


Assuntos
Anticorpos Catalíticos/química , Antígenos/química , Imunização/métodos , Organofosfonatos/imunologia , Animais , Anticorpos Catalíticos/imunologia , Anticorpos Monoclonais/química , Anticorpos Monoclonais/imunologia , Reações Antígeno-Anticorpo , Antígenos/imunologia , Sítios de Ligação , Catálise , Bovinos , Ésteres/química , Ésteres/imunologia , Haptenos/química , Haptenos/imunologia , Cinética , Camundongos , Organofosfonatos/química , Termodinâmica , Células Tumorais Cultivadas
20.
Biochem Mol Biol Int ; 34(1): 27-35, 1994 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-7849622

RESUMO

Polyclonal antibodies catalyzing the hydrolysis of carbonate ester were generated by immunizing a rabbit with hapten(4-nitrophenyl phosphate II) conjugated to keyhole limpet hemocyanin. The hydrolytic activity of IgG purified from antisera exhibited plateu one month later than the simple hapten-binding. The affinity of IgG with substrate increased even after the hapten-binding reached plateu. These suggest a strategy to generate good polyclonal catalytic antibodies and the day to fuse spleen cell with myeloma cell to get good monoclonal catalytic antibodies.


Assuntos
Haptenos/metabolismo , Imunoglobulina G/metabolismo , Organofosfonatos/metabolismo , Adjuvantes Imunológicos/administração & dosagem , Adjuvantes Imunológicos/metabolismo , Animais , Ligação Competitiva , Carbonatos/metabolismo , Eletroforese em Gel de Poliacrilamida , Ensaio de Imunoadsorção Enzimática , Feminino , Haptenos/administração & dosagem , Haptenos/imunologia , Hemocianinas/administração & dosagem , Hemocianinas/imunologia , Hemocianinas/metabolismo , Hidrólise , Soros Imunes/imunologia , Fragmentos Fab das Imunoglobulinas/imunologia , Imunoglobulina G/biossíntese , Imunoglobulina M/biossíntese , Imunoglobulina M/metabolismo , Cinética , Nitrofenóis , Organofosfonatos/administração & dosagem , Organofosfonatos/imunologia , Coelhos , Espectrofotometria Ultravioleta , Baço/citologia , Vacinação
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