1. Identification of a Therapeutic Interfering Particle — a single-administration SARS-CoV-2 antiviral intervention with a high barrier to resistance
- Author
-
Sylvia Illouz, Michael Pablo, Xinyue Chen, Thomas F. Rogers, Arjun Kumar, Leo Holguin, Robert Rodick, Davey M. Smith, Nathan Beutler, Gustavo Vasen, Donna Rahgoshay, Melanie Ott, John C. Burnett, Pei-Yi Chen, Leor S. Weinberger, Elizabeth Tanner, Blaise Ndjamen, and Sonali Chaturvedi
- Subjects
Male ,Mutant ,coronavirus ,medicine.disease_cause ,Virus Replication ,Medical and Health Sciences ,therapeutic interfering particles ,Drug Delivery Systems ,Virus-like particle ,Conditioned ,Chlorocebus aethiops ,Lung ,Coronavirus ,variants ,intranasal ,Biological Sciences ,lipid nanoparticle ,Infectious Diseases ,Defective interfering particle ,Pneumonia & Influenza ,Defective Interfering Viruses ,Infection ,Biology ,Antiviral Agents ,General Biochemistry, Genetics and Molecular Biology ,Virus ,Article ,Cell Line ,virus-like particle ,defective interfering particle, (DIP) ,basic reproductive ratio, (R0) ,Vaccine Related ,defective interfering particles ,Biodefense ,evolution ,medicine ,Animals ,Humans ,Vero Cells ,Mesocricetus ,SARS-CoV-2 ,Prevention ,RNA ,COVID-19 ,Epithelial Cells ,Pneumonia ,Virology ,lipid nanoparticle, (LNP) ,Culture Media ,COVID-19 Drug Treatment ,Emerging Infectious Diseases ,Good Health and Well Being ,Viral replication ,Culture Media, Conditioned ,Nanoparticles ,Nasal administration ,therapeutic interfering particle, (TIP) ,Developmental Biology - Abstract
Viral-deletion mutants that conditionally replicate and inhibit wild-type virus (i.e., Defective Interfering Particles, DIPs) have long been proposed as single-administration interventions with high genetic barriers to resistance. However, theories predict that robust, therapeutic DIPs (i.e., Therapeutic Interfering Particles–TIPs) must conditionally spread between cells with R0>1. Here, we report engineering of TIPs that conditionally replicate with SARS-CoV-2, exhibit R0>1, and inhibit viral replication 10–100 fold. Inhibition occurs via competition for viral replication machinery and, a single administration of TIP RNA inhibits SARS-CoV-2 sustainably in continuous cultures. Strikingly, TIPs maintain efficacy against neutralization-resistant variants (e.g., B.1.351). In hamsters, both prophylactic and therapeutic intranasal administration of lipid-nanoparticle TIPs durably suppressed SARS-CoV-2 by 100 fold in the lungs, reduced pro-inflammatory cytokine expression, and prevented severe pulmonary edema. These data provide proof-of-concept for a class of single-administration antivirals that may circumvent current requirements to continually update medical countermeasures against new variants., A defective viral particle derived from SARS-CoV-2 competes with the full virus for resources to replicate, showing therapeutic potential by inhibiting viral proliferation in culture, and reducing viral load and pathology in animal models for infection.
- Published
- 2021