Nucleoside analogue 2'-C-methylcytidine inhibits hepatitis E virus replication but antagonizes ribavirin

Arch Virol. 2017 Oct;162(10):2989-2996. doi: 10.1007/s00705-017-3444-8. Epub 2017 Jun 16.

Abstract

Hepatitis E virus (HEV) infection has emerged as a global health issue, but no approved medication is available. The nucleoside analogue 2'-C-methylcytidine (2CMC), a viral polymerase inhibitor, has been shown to inhibit infection with a variety of viruses, including hepatitis C virus (HCV). Here, we report that 2CMC significantly inhibits the replication of HEV in a subgenomic replication model and in a system using a full-length infectious virus. Importantly, long-term treatment with 2CMC did not result in a loss of antiviral potency, indicating a high barrier to drug resistance development. However, the combination of 2CMC with ribavirin, an off-label treatment for HEV, exerts antagonistic effects. Our results indicate that 2CMC serves as a potential antiviral drug against HEV infection.

MeSH terms

  • Antiviral Agents / pharmacokinetics
  • Antiviral Agents / pharmacology
  • Cell Line
  • Cytidine / analogs & derivatives*
  • Cytidine / pharmacokinetics
  • Cytidine / pharmacology
  • Hepatitis E virus / physiology*
  • Humans
  • Ribavirin / antagonists & inhibitors
  • Ribavirin / pharmacokinetics*
  • Ribavirin / pharmacology*
  • Virus Replication / drug effects*

Substances

  • Antiviral Agents
  • 2'-C-methylcytidine
  • Ribavirin
  • Cytidine