1. Prodrugs of PKC modulators show enhanced HIV latency reversal and an expanded therapeutic window.
- Author
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Sloane JL, Benner NL, Keenan KN, Zang X, Soliman MSA, Wu X, Dimapasoc M, Chun TW, Marsden MD, Zack JA, and Wender PA
- Subjects
- Animals, Anti-HIV Agents chemical synthesis, Anti-HIV Agents therapeutic use, Bryostatins chemical synthesis, Bryostatins therapeutic use, Cell Line, Tumor, Cells, Cultured, Diterpenes chemistry, HIV Infections drug therapy, HIV-1 physiology, Humans, Mice, Mice, Inbred C57BL, Phorbol Esters chemistry, Prodrugs chemical synthesis, Prodrugs therapeutic use, Protein Kinase C drug effects, Anti-HIV Agents pharmacology, Bryostatins pharmacology, HIV Infections virology, HIV-1 drug effects, Prodrugs pharmacology, Protein Kinase C metabolism, Virus Latency drug effects
- Abstract
AIDS is a pandemic disease caused by HIV that affects 37 million people worldwide. Current antiretroviral therapy slows disease progression but does not eliminate latently infected cells, which resupply active virus, thus necessitating lifelong treatment with associated compliance, cost, and chemoexposure issues. Latency-reversing agents (LRAs) activate these cells, allowing for their potential clearance, thus presenting a strategy to eradicate the infection. Protein kinase C (PKC) modulators-including prostratin, ingenol esters, bryostatin, and their analogs-are potent LRAs in various stages of development for several clinical indications. While LRAs are promising, a major challenge associated with their clinical use is sustaining therapeutically meaningful levels of the active agent while minimizing side effects. Here we describe a strategy to address this problem based on LRA prodrugs, designed for controllable release of the active LRA after a single injection. As intended, these prodrugs exhibit comparable or superior in vitro activity relative to the parent compounds. Selected compounds induced higher in vivo expression of CD69, an activation biomarker, and, by releasing free agent over time, significantly improved tolerability when compared to the parent LRAs. More generally, selected prodrugs of PKC modulators avoid the bolus toxicities of the parent drug and exhibit greater efficacy and expanded tolerability, thereby addressing a longstanding objective for many clinical applications., Competing Interests: Competing interest statement: Stanford University has filed patent applications on this and related technology, which has been licensed by Neurotrope BioScience for the treatment of neurological disorders and by Bryologyx Inc. for use in HIV/AIDS eradication and in enhanced cancer immunotherapy. P.A.W. is an adviser to both companies and a cofounder of the latter. J.A.Z. is on the scientific advisory board for BryoLogyx and a founder of CDR3 Therapeutics.
- Published
- 2020
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