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Favipiravir Inhibits Hepatitis A Virus Infection in Human Hepatocytes.

Abstract
Hepatitis A virus (HAV) is a causative agent of acute hepatitis and can occasionally induce acute liver failure. However, specific potent anti-HAV drug is not available on the market currently. Thus, we investigated several novel therapeutic drugs through a drug repositioning approach, targeting ribonucleic acid (RNA)-dependent RNA polymerase and RNA-dependent deoxyribonucleic acid polymerase. In the present study, we examined the anti-HAV activity of 18 drugs by measuring the HAV subgenomic replicon and HAV HA11-1299 genotype IIIA replication in human hepatoma cell lines, using a reporter assay and real-time reverse transcription polymerase chain reaction, respectively. Mutagenesis of the HAV 5' untranslated region was also examined by next-generation sequencing. These specific parameters were explored because lethal mutagenesis has emerged as a novel potential therapeutic approach to treat RNA virus infections. Favipiravir inhibited HAV replication in both Huh7 and PLC/PRF/5 cells, although ribavirin inhibited HAV replication in only Huh7 cells. Next-generation sequencing demonstrated that favipiravir could introduce nucleotide mutations into the HAV genome more than ribavirin. In conclusion, favipiravir could introduce nucleotide mutations into the HAV genome and work as an antiviral against HAV infection. Provided that further in vivo experiments confirm its efficacy, favipiravir would be useful for the treatment of severe HAV infection.
AuthorsReina Sasaki-Tanaka, Toshikatsu Shibata, Hiroaki Okamoto, Mitsuhiko Moriyama, Tatsuo Kanda
JournalInternational journal of molecular sciences (Int J Mol Sci) Vol. 23 Issue 5 (Feb 27 2022) ISSN: 1422-0067 [Electronic] Switzerland
PMID35269774 (Publication Type: Journal Article)
Chemical References
  • Amides
  • Hepatitis A Antibodies
  • Nucleotides
  • Pyrazines
  • RNA, Viral
  • Ribavirin
  • favipiravir
Topics
  • Amides
  • Hepatitis A
  • Hepatitis A Antibodies (therapeutic use)
  • Hepatitis A virus (genetics)
  • Hepatocytes
  • Humans
  • Nucleotides
  • Pyrazines
  • RNA, Viral (genetics)
  • Ribavirin (therapeutic use)
  • Virus Replication

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