HPMPC, A BROAD-SPECTRUM TOPICAL ANTIVIRAL AGENT, INHIBITS HERPES-SIMPLEX VIRUS TYPE-1 REPLICATION AND PROMOTES HEALING OF DENDRITIC KERATITIS IN THE NEW-ZEALAND RABBIT OCULAR MODEL
Yj. Gordon et al., HPMPC, A BROAD-SPECTRUM TOPICAL ANTIVIRAL AGENT, INHIBITS HERPES-SIMPLEX VIRUS TYPE-1 REPLICATION AND PROMOTES HEALING OF DENDRITIC KERATITIS IN THE NEW-ZEALAND RABBIT OCULAR MODEL, Cornea, 13(6), 1994, pp. 516-520
Previously, we demonstrated that HPMPC, a new, broad-spectrum antivira
l agent, inhibited adenovirus type 5 in the New Zealand (NZ) rabbit oc
ular model (Cornea 1992; 11:529-33). Historically, no antiviral agent
has been demonstrated to be effective against both herpes simplex viru
s type 1 (HSV-1) and adenovirus eye infections in an experimental anim
al model. In this study, we compared topical 0.2% HPMPC to 1% trifluri
dine and vehicle control in the NZ rabbit HSV-1 keratitis model. Using
a double-masked, two-eye design, NZ rabbits were inoculated in both e
yes with HSV-1 W strain (10(5) pfu/eye), and dendritic keratitis and H
SV-1 ocular titers were measured serially. Compared with the control g
roup, both topical 0.2% HPMPC and 1% trifluridine significantly reduce
d healing time of HSV-1 dendritic keratitis, lowered HSV-1 ocular tite
rs on days 3 through 11, and shortened duration of HSV-1 shedding in t
he tear film. For all outcome parameters measured, topical 0.2% HPMPC
was as effective as 1% trifluridine. A new concept of a broad-spectrum
topical antiviral agent was shown to be effective against HSV-1 in an
NZ rabbit keratitis model, and further development toward clinical ap
plication appears desirable.