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Antimicrobial Agents and Chemotherapy, June 2009, p. 2579-2588, Vol. 53, No. 6
0066-4804/09/$08.00+0 doi:10.1128/AAC.01626-08
Copyright © 2009, American Society for Microbiology. All Rights Reserved.

CRSSA Emile Pardé, Virology Laboratory, La Tronche, France,1 Rega Institute for Medical Research, Virology and Chemotherapy Section, K. U. Leuven, Leuven, Belgium,2 Ecole du Val-de-Grâce, Paris, France3
Received 10 December 2008/ Returned for modification 30 January 2009/ Accepted 12 March 2009
In view of the threat of the potential use of variola virus in a terrorist attack, considerable efforts have been performed to develop new antiviral strategies against orthopoxviruses. Here we report on the use of RNA interference, either alone or in combination with cidofovir, as an approach to inhibit orthopoxvirus replication. Two selected small interfering RNAs (siRNAs), named siB1R-2 and siG7L-1, and a previously reported siRNA, i.e., siD5R-2 (which targets the viral D5R mRNA), were evaluated for antiviral activity against vaccinia virus (VACV) by plaque reduction and virus yield assays. siB1R-2 and siG7L-1, administered before or after viral infection, reduced VACV replication by more than 90%. Also, these two siRNAs decreased monkeypox virus replication by 95% at a concentration of 1 nM. siB1R-2 and siG7L-1 were demonstrated to specifically silence their corresponding transcripts, i.e., B1R and G7L mRNAs, without induction of a beta interferon response. Strong synergistic effects were observed when siB1R-2, siG7L-1, or siD5R-2 was combined with cidofovir. In addition, the antiviral activities of these three siRNAs were evaluated against VACV resistant to cidofovir and other acyclic nucleoside phosphonates. siG7L-1 and siD5R-2 remained active against four of five VACV mutants, while siB1R-2 showed activity against only one of the mutants. Our results showed that siRNAs are potent inhibitory agents in vitro, not only against wild-type VACV but also against several cidofovir-resistant VACV. Furthermore, we showed that a combined therapy using siRNA and cidofovir may be useful in the treatment of poxvirus infections.
Published ahead of print on 23 March 2009.
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