1
lubricity and coating sensations at initial penetration or during the first coital strokes were problematic, even causing a few couples to stop sex. Conclusions: The addition of vaginal film to the formulation parameter space for USPEs of vaginal products offers important considerations for developers. Given previous USPE analyses, initial lubrication may impact use adherence and thus is cur- rently being explored in new film development. P15.13 Using Molecular Dynamics Techniques to Investigate the Influence of Glycans on the HIV-1 gp120 Envelope Protein Trimer Clint Mercuur, Natasha Wood, Simon Travers University of the Western Cape, South African National Bioinformatics Institute, Cape Town, South Africa Background: The gp120 glycoprotein present on the surface of the HIV virion is crucial for the recognition and binding to receptors on the host cell surface, as well as facilitation of the fusion of the viral envelope to the host cell membrane. The surface of gp120 is covered with N-linked glycans that can in- fluence HIV-1 infectivity as well as affect the recognition of the virus by the host immune system, acting as a ‘‘glycan shield’’ from antibody recognition. Methods: Previous research has shown that the N-linked gly- cans bound to the surface of a gp120 monomer have a significant impact on the underlying dynamics of the protein. Here, we have expanded on this work by undertaking molecular dynamic modeling to explore the effect of N-linked glycans on the dynamics of the full gp120 trimer. Results: Our results illustrate the significance of the silent and active faces of the gp120 monomers, as well as showing the trimer-specific behavior of the glycans and glycan-protein in- teractions. Conclusions: Collectively our results provide a better under- standing of the role that the glycan composition and distribution play during infection of a new cell. P15.14 Development of a Temperature-recording Vaginal Ring for Monitoring User Adherence Peter Boyd 1 , Clare McCoy 1 , Diarmaid Murphy 1 , Manjula Lusti- Narasimhan 2 , Berglind Helgado ´ttir 3 , Karl Malcolm 1 1 Queen’s University Belfast, School of Pharmacy, Belfast, United Kingdom, 2 World Health Organization (WHO), Geneva, Switzerland, 3 Star-Oddi Ltd., Gardabaer, Iceland Background: Vaginal ring devices are being actively developed for controlled delivery of HIV microbicides and as multi- purpose prevention technology (MPT) products combining hormonal contraception with prevention of HIV and other sexu- ally transmitted diseases. Presently, there is no reliable method for monitoring user adherence in HIV vaginal ring trials; previous acceptability studies have included some type of participant self- reporting mechanism, which have often been unreliable. More objective, quantitative and accurate methods for assessing ad- herence are needed. Methods: A silicone elastomer vaginal ring containing an en- capsulated miniature temperature recording device has been developed that can capture and store real-time temperature data during the period of designated use. Devices were tested in both simulated vaginal environments and following vaginal place- ment in cynomolgus macaques. Various use protocols and data sampling rates were tested to simulate typical patient usage scenarios. Results: The temperature logging devices accurately recorded vaginal temperature in macaques, clearly showing the regular diurnal temperature cycle. When environmental temperature and vaginal temperature was significantly different, the device was able to accurately pinpoint the insertion and removal times. Based on the data collected it was possible to infer removal periods as short as 5 min when the external environmental temperature was 25ŶC. Accuracy increased with data sampling rate. Conclusions: This work provides proof-of-concept for moni- toring adherence using a vaginal ring device containing an en- capsulated temperature logger. The addition of one or more active agents into the ring body is not anticipated to affect the temperature monitoring function. A clinical study to compare self-reported user adherence data with that obtained by the de- vice would be highly informative. P15.15 Potential of RNA Aptamers in the Prevention of HIV-1 Subtype C Infections Grace Mothepane London 1 , Makobetsa Khati 1,2 , Bongani Mayosi 2 1 CSIR, Biosciences, Pretoria, South Africa, 2 University of Cape Town, Medicine, Cape Town, South Africa Background: Compounds that have been used to prevent human immunodeficiency virus type-I (HIV-1) infections include syn- thetic chemicals, plant extras and monoclonal antibodies. Al- though most of these compounds have potent antiviral activity, they often fail to progress to later stages of clinical trials due to high toxicity and lack of specificity. Therefore, as an alternative to circumvent the above mentioned limitations we used apta- mers, which are small nucleic acid ligands that recognize their target with high specificity and have no toxicity in clinical ap- plications. Methods: In this study, we evaluated efficacy of four gp120- aptamers against Env pseudovirus panel derived from HIV-1 subtype C, using virus inhibition assay in TZM-bl cells, as well as toxicity. Binding specificity of one potent aptamer (CSIR1.1) to gp120 was determined by Enzyme-Linked-Im- munosorbent Assay. Subsequently, a virus inhibition assay was performed to test whether CSIR1.1 can inhibit HIV-1 pseu- dotyped with vesicular stomatitis virus envelope glycoprotein (HIV-VSVG. Results: All four aptamers inhibited infectivity of 81-84 % of the tested viruses with mean inhibition concentration (IC 50 ) of 6.4-9 nM. The specificity results showed that CSIR1.1 only bound to gp120 and did not bind other tested proteins (HIV-1 gp41, mycobacterium tuberculosis virulent protein (CFP10), human interferon gamma (IFN-c) and BSA). CSIR1.1 also failed to inhibit HIV-1 pseudotyped with VSV-G protein and showed no toxicity in vitro, even at concentration (500 nM), which was 5 · higher than one used for virus inhibition assays. Conclusions: Aptamers showed significant efficacy against HIV-1 subtype C isolates and specificity to gp120 without causing cytoxicity effects. These properties make aptamers at- tractive candidates for prevention of HIV-1. A146

Potential of RNA Aptamers in the Prevention of HIV-1 Subtype C Infections

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lubricity and coating sensations at initial penetration or duringthe first coital strokes were problematic, even causing a fewcouples to stop sex.Conclusions: The addition of vaginal film to the formulationparameter space for USPEs of vaginal products offers importantconsiderations for developers. Given previous USPE analyses,initial lubrication may impact use adherence and thus is cur-rently being explored in new film development.

P15.13Using Molecular Dynamics Techniques to Investigatethe Influence of Glycans on the HIV-1 gp120 EnvelopeProtein Trimer

Clint Mercuur, Natasha Wood, Simon Travers

University of the Western Cape, South African NationalBioinformatics Institute, Cape Town, South Africa

Background: The gp120 glycoprotein present on the surface ofthe HIV virion is crucial for the recognition and binding toreceptors on the host cell surface, as well as facilitation of thefusion of the viral envelope to the host cell membrane. Thesurface of gp120 is covered with N-linked glycans that can in-fluence HIV-1 infectivity as well as affect the recognition of thevirus by the host immune system, acting as a ‘‘glycan shield’’from antibody recognition.Methods: Previous research has shown that the N-linked gly-cans bound to the surface of a gp120 monomer have a significantimpact on the underlying dynamics of the protein.Here, we have expanded on this work by undertaking moleculardynamic modeling to explore the effect of N-linked glycans onthe dynamics of the full gp120 trimer.Results: Our results illustrate the significance of the silent andactive faces of the gp120 monomers, as well as showing thetrimer-specific behavior of the glycans and glycan-protein in-teractions.Conclusions: Collectively our results provide a better under-standing of the role that the glycan composition and distributionplay during infection of a new cell.

P15.14Development of a Temperature-recording VaginalRing for Monitoring User Adherence

Peter Boyd1, Clare McCoy1, Diarmaid Murphy1, Manjula Lusti-Narasimhan2, Berglind Helgadottir3, Karl Malcolm1

1Queen’s University Belfast, School of Pharmacy, Belfast,United Kingdom, 2World Health Organization (WHO), Geneva,Switzerland, 3Star-Oddi Ltd., Gardabaer, Iceland

Background: Vaginal ring devices are being actively developedfor controlled delivery of HIV microbicides and as multi-purpose prevention technology (MPT) products combininghormonal contraception with prevention of HIV and other sexu-ally transmitted diseases. Presently, there is no reliable method formonitoring user adherence in HIV vaginal ring trials; previousacceptability studies have included some type of participant self-reporting mechanism, which have often been unreliable. Moreobjective, quantitative and accurate methods for assessing ad-herence are needed.Methods: A silicone elastomer vaginal ring containing an en-capsulated miniature temperature recording device has been

developed that can capture and store real-time temperature dataduring the period of designated use. Devices were tested in bothsimulated vaginal environments and following vaginal place-ment in cynomolgus macaques. Various use protocols and datasampling rates were tested to simulate typical patient usagescenarios.Results: The temperature logging devices accurately recordedvaginal temperature in macaques, clearly showing the regulardiurnal temperature cycle. When environmental temperature andvaginal temperature was significantly different, the device wasable to accurately pinpoint the insertion and removal times. Basedon the data collected it was possible to infer removal periods asshort as 5 min when the external environmental temperature was25�C. Accuracy increased with data sampling rate.Conclusions: This work provides proof-of-concept for moni-toring adherence using a vaginal ring device containing an en-capsulated temperature logger. The addition of one or moreactive agents into the ring body is not anticipated to affect thetemperature monitoring function. A clinical study to compareself-reported user adherence data with that obtained by the de-vice would be highly informative.

P15.15Potential of RNA Aptamers in the Prevention of HIV-1Subtype C Infections

Grace Mothepane London1, Makobetsa Khati1,2, BonganiMayosi2

1CSIR, Biosciences, Pretoria, South Africa, 2University of CapeTown, Medicine, Cape Town, South Africa

Background: Compounds that have been used to prevent humanimmunodeficiency virus type-I (HIV-1) infections include syn-thetic chemicals, plant extras and monoclonal antibodies. Al-though most of these compounds have potent antiviral activity,they often fail to progress to later stages of clinical trials due tohigh toxicity and lack of specificity. Therefore, as an alternativeto circumvent the above mentioned limitations we used apta-mers, which are small nucleic acid ligands that recognize theirtarget with high specificity and have no toxicity in clinical ap-plications.Methods: In this study, we evaluated efficacy of four gp120-aptamers against Env pseudovirus panel derived from HIV-1subtype C, using virus inhibition assay in TZM-bl cells, as wellas toxicity. Binding specificity of one potent aptamer(CSIR1.1) to gp120 was determined by Enzyme-Linked-Im-munosorbent Assay. Subsequently, a virus inhibition assay wasperformed to test whether CSIR1.1 can inhibit HIV-1 pseu-dotyped with vesicular stomatitis virus envelope glycoprotein(HIV-VSVG.Results: All four aptamers inhibited infectivity of 81-84 % ofthe tested viruses with mean inhibition concentration (IC50) of6.4-9 nM. The specificity results showed that CSIR1.1 onlybound to gp120 and did not bind other tested proteins (HIV-1gp41, mycobacterium tuberculosis virulent protein (CFP10),human interferon gamma (IFN-c) and BSA). CSIR1.1 also failedto inhibit HIV-1 pseudotyped with VSV-G protein and showedno toxicity in vitro, even at concentration (500 nM), which was5 · higher than one used for virus inhibition assays.Conclusions: Aptamers showed significant efficacy againstHIV-1 subtype C isolates and specificity to gp120 withoutcausing cytoxicity effects. These properties make aptamers at-tractive candidates for prevention of HIV-1.

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