Transport theory for HIV diffusion through in vivo distributions of topical microbicide gels.

Abstract:

:Topical microbicide products are being developed for the prevention of sexually transmitted infections. These include vaginally-applied gels that deliver anti-HIV molecules. Gels may also provide partial barriers that slow virion diffusion from semen to vulnerable epithelium, increasing the time during which anti-HIV molecules can act. To explore the barrier function of microbicide gels, we developed a deterministic mathematical model for HIV diffusion through realistic gel distributions. We applied the model to experimental data for in vivo coating distributions of two vaginal gels in women. Time required for a threshold number of virions to reach the tissue surface was used as a metric for comparing different scenarios. Results delineated how time to threshold increased with increasing gel layer thickness and with decreasing diffusion coefficient. We note that for gel layers with average thickness > approximately 100 microm, the fractional area coated, rather than the gel layer thickness, was the primary determinant of time to threshold. For gel layers < approximately 100 microm, time to threshold was brief, regardless of fractional area coated. Application of the model to vaginal coating data showed little difference in time to threshold between the two gels tested. However, the protocol after gel application (i.e., with or without simulated coitus) had a much more significant effect. This study suggests that gel distribution in layers of thickness >100 microm and fractional area coated >0.8 is critical in determining the ability of the gel to serve as a barrier to HIV diffusion.

journal_name

Biophys J

journal_title

Biophysical journal

authors

Lai BE,Henderson MH,Peters JJ,Walmer DK,Katz DF

doi

10.1016/j.bpj.2009.08.010

subject

Has Abstract

pub_date

2009-11-04 00:00:00

pages

2379-87

issue

9

eissn

0006-3495

issn

1542-0086

pii

S0006-3495(09)01366-6

journal_volume

97

pub_type

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