We have developed and characterized eCD4-Ig, an exceptionally broad and potent HIV-1 entry inhibitor. eCD4-Ig is a fusion of CD4-Ig - a safe but ineffective therapeutic - with a short CCR5- mimetic sulfopeptide. eCD4-Ig is qualitatively different from CD4-Ig or broadly neutralizing antibodies (bNAbs) because it avidly binds two highly conserved and functionally important receptor-binding regions of the HIV-1 envelope glycoprotein, and only those sites. As a consequence, eCD4-Ig, but not CD4-Ig or bNAbs, neutralized 100% of isolates tested, including both R5- and X4-isolates, and two large panels of antibody-resistant HIV-1, HIV-2 and SIV isolates, all with IC50s < 1.2 g/ml and IC80s less < 5.2 g/ml. Moreover, in unpublished data, we show that eCD4-Ig is much harder to escape than CD4-Ig or a well characterized CD4-binding site bNAb, and in fact we have yet to identify isolates fully resistant to eCD4-Ig. Most importantly, and again in contrast to bNAbs, eCD4-Ig could provide long- term protection in vivo. When four rhesus macaques were inoculated intramuscularly with an adeno- associated virus (AAV) vector expressing a rhesus form of eCD4-Ig, these macaques were protected from six infectious and escalating challenges with SHIV-AD8. The last of these challenges, also unpublished, were 8- and 16-times the 50% animal infectious dose of SHIV-AD8, and were administered more than one year after inoculation. Here our primary goal is to understand the strengths and limitations of passively administered and AAV-delivered eCD4-Ig as potential alternatives to current antiretroviral regimens. These studies will also help to understand the risks and improve the safety of AAV-eCD4-Ig, perhaps facilitating its use as an alternative vaccine.

Public Health Relevance

eCD4-Ig is a very broad and potent HIV-1 entry inhibitor that works well with a safe and established gene-therapy vector. We will determine whether eCD4-Ig, as a passively administered protein or with this gene-therapy vector, can suppress infection in rhesus macaques. We will also improve eCD4-Ig and its delivery system, and lay the foundations for human studies of eCD4-Ig.

Agency
National Institute of Health (NIH)
Institute
National Institute of Allergy and Infectious Diseases (NIAID)
Type
Method to Extend Research in Time (MERIT) Award (R37)
Project #
5R37AI091476-08
Application #
9390023
Study Section
AIDS Discovery and Development of Therapeutics Study Section (ADDT)
Program Officer
Conley, Tony J
Project Start
2010-12-01
Project End
2020-11-30
Budget Start
2017-12-01
Budget End
2018-11-30
Support Year
8
Fiscal Year
2018
Total Cost
Indirect Cost
Name
Scripps Florida
Department
Type
DUNS #
148230662
City
Jupiter
State
FL
Country
United States
Zip Code
33458
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