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rologie i - European Congress of Virology

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5 th <strong>European</strong> <strong>Congress</strong> <strong>of</strong> <strong>Virology</strong>used in both a pre- and post-exposure scenario. Currently, the precisemechanism <strong>of</strong> action <strong>of</strong> T-705 has still to be unraveled. We provide firstexperimental pro<strong>of</strong> that a single mutation in the RNA-dependent RNApolymerase (RdRP) is responsible for phenotypic resistance to T-705.To that end we generated CHIKV variants that were resistant to T-705and its analogue T-1105 and were found to bear mutations in viral nonstructuralproteins. Moreover, by reverse genetics a single K291R aminoacid change in the F1 motif <strong>of</strong> the viral RdRP could be shown to be responsiblefor full (∼2-fold) phenotypic resistance to the antiviral effect <strong>of</strong>T-705.This research was funded by the <strong>European</strong> Union (FP7/2007-2013 SIL-VER n o 260644).REF 129Anti-H5N1 Specific Polyclonal Immunoglobulins are Efficient to Neutralizeand to Block H5N1 Infection: A New Approach for the ClinicalManagement <strong>of</strong> H5N1 Infected PatientsC.H. HERBRETEAU 1 , P. BUCHY 2 , F. JACQUOT 3 , C. DURAND 1 ,S. RITH 2 , L. VACHER 1 , M. JOLIVET 1 , V. LOTTEAU 1 , H. RAOUL 3 ,V. DEUBEL 2 , J.F. SALUZZO 1 , B. LÉPINE 11 Fab’entech, Lyon, FRANCE; 2 Institut Pasteur in Cambodia, Phnom Penh,CAMBODIA; 3 INSERM Jean Mérieux BSL4 Laboratory, Lyon, FRANCEHighly pathogenic avian influenza virus (H5N1) remains a major globalhealth concern, with over 630 human cases reported since 2003.In this context, Fab’entech has developed an anti-H5N1 post-exposuretreatment based on the use <strong>of</strong> highly purified specific polyclonal immunoglobulinsfragments (Fabenflu ® ). Microneutralization in vitro assay wasused to investigate the neutralization activity <strong>of</strong> anti-H5N1 immunoglobulinfragments derived from horse plasma immunized against H5N1A/Vietnam/1194/04. 100 TCID50 <strong>of</strong> 21 H5N1 strains belonging to variousclades were incubated with a range <strong>of</strong> dilution <strong>of</strong> immunoglobulins andthen transferred onto MDCK cells for neutralization analysis. The resultsshowed a high level <strong>of</strong> neutralization <strong>of</strong> all the strains, isolated in differentpart <strong>of</strong> the world and representative <strong>of</strong> 10 years evolution <strong>of</strong> the avianH5N1 virus, thus confirming the excellent cross-neutralization activity<strong>of</strong> this product against a large panel <strong>of</strong> H5N1 strains. Efficacy was alsoinvestigated in multiple in vivo experiments in BALB/c mouse intranasallyinfected at Day 0 with 1LD50 or 10LD50 <strong>of</strong> A/Vietnam/1194/04 strain.An administration protocol consisting <strong>of</strong> 5 consecutive injections followingvirus inoculation (Day1 to Day 5) and an optimal dose <strong>of</strong> 10 IU/kgin mice was demonstrated to be efficient in reducing and delaying animalmortality. These data, associated with safety and pharmacokinetics data <strong>of</strong>a phase 1 clinical trial, demonstrate the excellent potential <strong>of</strong> Fabenflu ® tomarkedly reduce the mortality and morbidity associated with H5N1 avianinfluenza infection in human.S154 Vi<strong>rologie</strong>, Vol 17, supplément 2, septembre 2013

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