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Creation of a long-acting nanoformulated dolutegravir

Author

Listed:
  • Brady Sillman

    (University of Nebraska Medical Center)

  • Aditya N. Bade

    (University of Nebraska Medical Center)

  • Prasanta K. Dash

    (University of Nebraska Medical Center)

  • Biju Bhargavan

    (University of Nebraska Medical Center)

  • Ted Kocher

    (University of Nebraska Medical Center)

  • Saumi Mathews

    (University of Nebraska Medical Center)

  • Hang Su

    (University of Nebraska Medical Center)

  • Georgette D. Kanmogne

    (University of Nebraska Medical Center)

  • Larisa Y. Poluektova

    (University of Nebraska Medical Center)

  • Santhi Gorantla

    (University of Nebraska Medical Center)

  • JoEllyn McMillan

    (University of Nebraska Medical Center)

  • Nagsen Gautam

    (University of Nebraska Medical Center)

  • Yazen Alnouti

    (University of Nebraska Medical Center)

  • Benson Edagwa

    (University of Nebraska Medical Center)

  • Howard E. Gendelman

    (University of Nebraska Medical Center
    University of Nebraska Medical Center)

Abstract

Potent antiretroviral activities and a barrier to viral resistance characterize the human immunodeficiency virus type one (HIV-1) integrase strand transfer inhibitor dolutegravir (DTG). Herein, a long-acting parenteral DTG was created through chemical modification to improve treatment outcomes. A hydrophobic and lipophilic modified DTG prodrug is encapsulated into poloxamer nanoformulations (NMDTG) and characterized by size, shape, polydispersity, and stability. Retained intracytoplasmic NMDTG particles release drug from macrophages and attenuate viral replication and spread of virus to CD4+ T cells. Pharmacokinetic tests in Balb/cJ mice show blood DTG levels at, or above, its inhibitory concentration90 of 64 ng/mL for 56 days, and tissue DTG levels for 28 days. NMDTG protects humanized mice from parenteral challenge of the HIV-1ADA strain for two weeks. These results are a first step towards producing a long-acting DTG for human use by affecting drug apparent half-life, cell and tissue drug penetration, and antiretroviral potency.

Suggested Citation

  • Brady Sillman & Aditya N. Bade & Prasanta K. Dash & Biju Bhargavan & Ted Kocher & Saumi Mathews & Hang Su & Georgette D. Kanmogne & Larisa Y. Poluektova & Santhi Gorantla & JoEllyn McMillan & Nagsen G, 2018. "Creation of a long-acting nanoformulated dolutegravir," Nature Communications, Nature, vol. 9(1), pages 1-14, December.
  • Handle: RePEc:nat:natcom:v:9:y:2018:i:1:d:10.1038_s41467-018-02885-x
    DOI: 10.1038/s41467-018-02885-x
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    Cited by:

    1. Suyash Deodhar & Brady Sillman & Aditya N. Bade & Sean N. Avedissian & Anthony T. Podany & JoEllyn M. McMillan & Nagsen Gautam & Brandon Hanson & Bhagya L. Dyavar Shetty & Adam Szlachetka & Morgan Joh, 2022. "Transformation of dolutegravir into an ultra-long-acting parenteral prodrug formulation," Nature Communications, Nature, vol. 13(1), pages 1-15, December.

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