Spontaneous reactivation of thymidine kinase deficient (TK −) herpes simplex virus (HSV) infection without acyclovir (ACV) pressure in a patient with the acquired immunodeficiency syndrome (AIDS) : J.J. Sasadeusz, B.A. Rennie, S.L. Sacks. University of British Columbia, Vancouver, BC Canada

Abstract

Alternative therapies are needed for HSV-1 infections in patients refractory to treatment with Acyclovir (ACV) and its derivatives. Peptide-conjugated phosphorodiamidate morpholino oligomers (PPMO) are single-stranded DNA analogues that enter cells readily and reduce target gene expression through steric blockage of complementary RNA. When applied before or soon after infection PPMO targeting the translation-start-site regions of HSV-1 ICP0 or ICP27 mRNA reduced HSV-1 plaque formation by 70–98% in vitro. The ICP0 PPMO also reduced ACV-resistant HSV-1 (strain 615.9) plaque formation by 70–90%, while an equivalent dose of ACV produced only 40–50% inhibition when the treatment was applied between 1 and 3 hpi. Seven daily topical treatments of 100 μg ICP0 PPMO caused no gross or microscopic damage to the corneas of uninfected mice. Topical application of 10 μg ICP0 PPMO to the eyes of HSV-1 infected mice reduced the incidence of eye disease by 37.5–50% compared to controls. This study demonstrates that topically applied PPMO holds promise as an antiviral drug candidate against HSV-1 ocular infection.