New therapeutic perspective in the prevention of congenital cytomegalovirus infection

Copyright © 2023 Elsevier B.V. All rights reserved..

INTRODUCTION: Hyperimmune globulin Cytotect CP® is a candidate for cytomegalovirus congenital infection prevention. We previously demonstrated its efficacy to prevent villi infection in our first-trimester placenta explants up to day 7, but with an inefficiency at day 14 (Coste-Mazeau et al., Microorganisms, 2021). As this could impact clinical efficacy, we now study the effect of weekly administration of Cytotect CP® on the prevention of villi infection.

METHODS: Human embryonic lung fibroblast cells were infected at confluence with the endothelial strain TB40/E. Placentae were collected from voluntary pregnancy terminations (8-14 weeks of gestation) from cytomegalovirus-seronegative women. After 5 days of infection of the cells, villi explants were simultaneously added on sponges with Cytotect CP® at various concentrations. After 7 days, Cytotect CP® was renewed in only half of the plates. Villi were collected at days 7 and 14 with or without medium renewal. We compared the viral load by duplex quantitative PCR cytomegalovirus/albumin and the toxicity by measuring β-hCG concentrations in the supernatants with and without medium renewal.

RESULTS: We did not find any efficacy of Cytotect CP® at day 14 when Cytotect CP® is not renewed, but a regular decrease of the viral load when the immunoglobulins were renewed at day 7, with an EC50 = 0.52 U/mL. We did not observed toxicity of Cytotect CP® with or without renewal of the molecule.

CONCLUSION: Cytotect CP® is more effective when renewed at day 7. The prevention of congenital cytomegalovirus infection could be enhanced by reducing the spacing of doses.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:216

Enthalten in:

Antiviral research - 216(2023) vom: 01. Aug., Seite 105661

Sprache:

Englisch

Beteiligte Personen:

Coste Mazeau, Perrine [VerfasserIn]
Berto, Laurie [VerfasserIn]
Andouard, Déborah [VerfasserIn]
El Hamel, Chahrazed [VerfasserIn]
Chianea, Thierry [VerfasserIn]
Hantz, Sébastien [VerfasserIn]
Alain, Sophie [VerfasserIn]

Links:

Volltext

Themen:

Congenital cytomegalovirus
Cytotect CP®
Hyperimmune immunoglobulins
Journal Article

Anmerkungen:

Date Completed 01.08.2023

Date Revised 01.08.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.antiviral.2023.105661

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM358942918