Durable protection from Herpes Simplex Virus-2 transmission following intravaginal application of siRNAs targeting both a viral and host gene

Cell Host Microbe. 2009 Jan 22;5(1):84-94. doi: 10.1016/j.chom.2008.12.003.

Abstract

A vaginal microbicide should prevent pathogen transmission without disrupting tissue barriers to infection. Ideally, it would not need to be applied immediately before sexual intercourse, when compliance is a problem. Intravaginal administration of small interfering RNA (siRNA) lipoplexes targeting Herpes Simplex Virus Type 2 (HSV-2) genes protects mice from HSV-2. However, protection is short-lived, and the transfection lipid on its own unacceptably enhances transmission. Here, we show that cholesterol-conjugated (chol)-siRNAs without lipid silence gene expression in the vagina without causing inflammation or inducing interferons. A viral siRNA prevents transmission within a day of challenge, whereas an siRNA targeting the HSV-2 receptor nectin-1 protects for a week, but protection is delayed for a few days until the receptor is downmodulated. Combining siRNAs targeting a viral and host gene protects mice from HSV-2 for a week, irrespective of the time of challenge. Therefore, intravaginal siRNAs could provide sustained protection against viral transmission.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Intravaginal
  • Animals
  • Antiviral Agents / administration & dosage*
  • Antiviral Agents / chemistry
  • Cell Adhesion Molecules / antagonists & inhibitors
  • Disease Transmission, Infectious / prevention & control*
  • Female
  • Gene Silencing
  • Herpes Genitalis / prevention & control*
  • Herpes Genitalis / transmission*
  • Herpesvirus 2, Human / genetics*
  • Mice
  • Mice, Inbred BALB C
  • Nectins
  • RNA, Small Interfering / administration & dosage*
  • RNA, Small Interfering / chemistry
  • RNA, Small Interfering / genetics*
  • Survival Analysis
  • Vagina / pathology
  • Vagina / virology

Substances

  • Antiviral Agents
  • Cell Adhesion Molecules
  • NECTIN1 protein, human
  • Nectin1 protein, mouse
  • Nectins
  • RNA, Small Interfering