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1.
Antiviral Res ; 165: 47-54, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30902704

RESUMO

Hepatitis B virus (HBV) replicates its DNA genome through reverse transcription of an RNA intermediate. The lack of proofreading capacity of the viral DNA polymerase results in a high mutation rate of HBV genome. Under the selective pressure created by the nucleos(t)ide analogue (NA) antiviral drugs, viruses with resistance mutations are selected. However, the replication fitness of NA-resistant mutants is markedly reduced compared to wild-type. Compensatory mutations in HBV polymerase, which restore the viral replication capacity, have been reported to arise under continuous treatment with lamivudine (LMV). We have previously identified a highly replicative LMV-resistant HBV isolate from a chronic hepatitis B patient experiencing acute disease exacerbation. Besides the common YMDD drug-resistant mutations, this isolate possesses multiple additional mutations in polymerase and core regions. The transcomplementation assay demonstrated that the enhanced viral replication is due to the mutations of core protein. Further mutagenesis study revealed that the P5T mutation of core protein plays an important role in the enhanced viral replication through increasing the levels of capsid formation and pregenomic RNA encapsidation. However, the LMV-resistant virus harboring compensatory core mutations remains sensitive to capsid assembly modulators (CpAMs). Taken together, our study suggests that the enhanced HBV nucleocapsid formation resulting from core mutations represents an important viral strategy to surmount the antiviral drug pressure and contribute to viral pathogenesis, and CpAMs hold promise for developing the combinational antiviral therapy for hepatitis B.


Assuntos
Antivirais/farmacologia , Farmacorresistência Viral , Vírus da Hepatite B/genética , Lamivudina/farmacologia , Proteínas do Core Viral/genética , Capsídeo/efeitos dos fármacos , Capsídeo/metabolismo , DNA Viral/efeitos dos fármacos , Vírus da Hepatite B/efeitos dos fármacos , Humanos , Mutação , Proteínas do Core Viral/efeitos dos fármacos , Montagem de Vírus/efeitos dos fármacos , Montagem de Vírus/fisiologia , Replicação Viral/efeitos dos fármacos
2.
Sci Rep ; 6: 21662, 2016 Feb 26.
Artigo em Inglês | MEDLINE | ID: mdl-26916998

RESUMO

Nucleoprotein (NP) is the most abundant type of RNA-binding viral protein in influenza A virus-infected cells and is necessary for viral RNA transcription and replication. Recent studies demonstrated that influenza NP is a valid target for antiviral drug development. The surface of the groove, covered with numerous conserved residues between the head and body domains of influenza A NP, plays a crucial role in RNA binding. To explore the mechanism by which NP binds RNA, we performed a series of site-directed mutagenesis in the RNA-binding groove, followed by surface plasmon resonance (SPR), to characterize the interactions between RNA and NP. Furthermore, a role of Y148 in NP stability and NP-RNA binding was evaluated. The aromatic residue of Y148 was found to stack with a nucleotide base. By interrupting the stacking interaction between Y148 and an RNA base, we identified an influenza virus NP inhibitor, (E, E)-1,7-bis(4-hydroxy-3-methoxyphenyl) -1,6-heptadiene-3,5-dione; this inhibitor reduced the NP's RNA-binding affinity and hindered viral replication. Our findings will be useful for the development of new drugs that disrupt the interaction between RNA and viral NP in the influenza virus.


Assuntos
Antivirais/farmacologia , Curcumina/análogos & derivados , Vírus da Influenza A/efeitos dos fármacos , Proteínas de Ligação a RNA/genética , Proteínas do Core Viral/genética , Células A549 , Antivirais/química , Curcumina/química , Curcumina/farmacologia , Humanos , Vírus da Influenza A/metabolismo , Mutagênese Sítio-Dirigida , Proteínas do Nucleocapsídeo , Estrutura Terciária de Proteína , RNA/metabolismo , Motivos de Ligação ao RNA , Proteínas de Ligação a RNA/efeitos dos fármacos , Proteínas de Ligação a RNA/metabolismo , Alinhamento de Sequência , Proteínas do Core Viral/efeitos dos fármacos , Proteínas do Core Viral/metabolismo
3.
J Viral Hepat ; 20(1): 65-71, 2013 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-23231086

RESUMO

During viral assembly, viral proteins are released into plasma and can be used to infer viral load. The Architect hepatitis C virus (HCV) core antigen (Ag) assay is a potential alternative to HCV RNA quantification for measuring response to therapy and predicting an end of treatment viral response (EOTR). The HCVp22Ag assay was used to infer viral load in 68 window RNA-containing samples and in 284 samples from baseline to week 14 of ribavirin/interferon treatment in 23 patients with EOTR including three who relapsed, 20 not achieving EOTR and 11 controls. HCV Ag and RNA correlated well (r = 0.86) with linear dose responses on dilution. In patients on therapy and control patients, plasma HCV antigen was detected in 51 of 54 with an interpolated LOD cut off between 10(3) and 10(4) RNA IU/mL. Plasma HCV antigenaemia and plasma RNA levels were significantly different in EOTR from non-EOTR patients at 3 days after treatment start and all times thereafter. Positive and negative EOTR predictive values for HCV RNA >2 log drop and HCV Ag loss at 12 weeks were 70% and 74%, 85% and 93% respectively. HCV Ag reactivity has a linear dose response independent of genotype and correlates well with HCV RNA. The failure to clear HCV Ag is as accurate as the failure to clear HCV RNA at twelve weeks into therapy in predicting the likelihood of failure to achieve EOTR. HCV Ag potentially offers a convenient alternative to RNA measurement for defining a futility flag in HCV therapy.


Assuntos
Antivirais/uso terapêutico , Hepacivirus/imunologia , Antígenos da Hepatite C/sangue , Hepatite C/tratamento farmacológico , RNA Viral/sangue , Proteínas do Core Viral/sangue , Quimioterapia Combinada , Genótipo , Hepacivirus/efeitos dos fármacos , Hepatite C/virologia , Humanos , Interferon-alfa/uso terapêutico , Estimativa de Kaplan-Meier , Polietilenoglicóis/uso terapêutico , Valor Preditivo dos Testes , Ribavirina/administração & dosagem , Ribavirina/uso terapêutico , Resultado do Tratamento , Proteínas do Core Viral/efeitos dos fármacos , Carga Viral
4.
J Med Virol ; 82(4): 575-82, 2010 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-20166188

RESUMO

Substitution of amino acid (aa) 70 and 91 in the core region of hepatitis C virus (HCV) genotype 1b can predict the response to pegylated interferon (PEG-IFN)/ribavirin combination therapy, but its impact on triple therapy of telaprevir/PEG-IFN/ribavirin is not clear. The aims of this study were to investigate the rate of HCV RNA loss following 12-week triple therapy, and determine the effect of aa substitutions on very early (within 48 hr) viral dynamics. Sixty-seven patients infected with HCV genotype 1b (HCV-1b) and high viral load who received 12-week triple therapy were studied. RNA loss could be achieved in 2%, 34%, 80%, 92%, 95%, 94%, and 90% of the patients after 1, 2, 4, 6, 8, 10, and 12 weeks of triple therapy, respectively. After 24-hr treatment, the proportion of patients with Arg70 and Leu91 substitutions with > or = 3.0 log fall in HCV RNA was significantly higher than those with < 3.0 log fall (P = 0.008). However, the aa substitution patterns in the core region did not influence the fall in HCV RNA after 48-hr treatment. Multivariate analysis identified substitutions of aa 70 and 91 (P = 0.014) and level of viremia at baseline (> or = 7.0 log IU/ml; P = 0.085) as independent parameters that determined the > or = 3.0 log fall in HCV RNA level after 24-hr triple therapy. It is concluded that 12-week triple therapy achieved high rates of loss of HCV RNA in Japanese patients infected with HCV-1b and high viral load, and that the aa substitution pattern in the core region seems to influence very early viral dynamics.


Assuntos
Substituição de Aminoácidos , Antivirais/uso terapêutico , Hepatite C/virologia , Interferon-alfa/uso terapêutico , Oligopeptídeos/uso terapêutico , Polietilenoglicóis/uso terapêutico , Ribavirina/uso terapêutico , Proteínas do Core Viral/genética , Adulto , Idoso , Quimioterapia Combinada , Feminino , Genótipo , Hepacivirus/isolamento & purificação , Hepatite C/tratamento farmacológico , Humanos , Interferon alfa-2 , Masculino , Pessoa de Meia-Idade , Proteínas Recombinantes , Resultado do Tratamento , Proteínas do Core Viral/efeitos dos fármacos , Carga Viral , Adulto Jovem
5.
Liver Int ; 30(4): 554-9, 2010 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-19951380

RESUMO

BACKGROUND: Liver steatosis and hepatic oxidative stress are the histopathological features of chronic hepatitis C. Hepatitis C virus (HCV) genotype 1 core protein induces hepatic steatosis and reactive oxygen species production in transgenic mice. The amino acid substitutions in the HCV core region appear to be related to hepatocarcinogenesis. AIMS: The aim of this study was to clarify the impact of mutations in the HCV core region on oxidative stress and lipid metabolism in patients with chronic hepatitis C. METHODS: Sixty-seven patients (35 men, 32 women; mean age, 58.4 +/- 10.2 years) with chronic hepatitis C with high titres (>5 log IU/ml) were enrolled. Substitutions in amino acids 70, 75 and 91 of the HCV genotype 1b core region, the percentage of hepatic steatosis, and hepatic 8-hydroxy-2'-deoxyguanosine (8-OHdG) levels were investigated in all patients. Urinary 8-OHdG levels were measured in 35 patients. RESULTS: Body mass index, alanine aminotransferase, gamma-glutamyl transferase, and triglyceride levels and substitutions of amino acid 70/Q (glutamine) were significantly associated with the presence of steatosis on univariate analysis. Multivariate analysis showed that substitution of amino acid 70 of glutamine and triglyceride levels were the independent factors related to liver steatosis. Hepatic and urinary 8-OHdG levels were significantly higher in patients with methionine at amino acid 91 of the HCV core region than in those with leucine. CONCLUSION: Substitutions in the amino acids of the HCV genotype1b core region are associated with hepatic steatosis and oxidative stress in patients with chronic hepatitis C.


Assuntos
Substituição de Aminoácidos , Fígado Gorduroso/virologia , Hepacivirus/genética , Hepatite C Crônica/genética , Estresse Oxidativo/efeitos dos fármacos , Proteínas do Core Viral/genética , 8-Hidroxi-2'-Desoxiguanosina , Idoso , Substituição de Aminoácidos/efeitos dos fármacos , Antivirais/uso terapêutico , Biópsia por Agulha , Estudos de Coortes , Desoxiguanosina/análogos & derivados , Desoxiguanosina/genética , Desoxiguanosina/metabolismo , Fígado Gorduroso/epidemiologia , Fígado Gorduroso/genética , Fígado Gorduroso/patologia , Feminino , Genótipo , Hepacivirus/efeitos dos fármacos , Hepatite C Crônica/tratamento farmacológico , Hepatite C Crônica/patologia , Humanos , Imuno-Histoquímica , Testes de Função Hepática , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Estresse Oxidativo/genética , Reação em Cadeia da Polimerase/métodos , Prognóstico , RNA Viral/genética , Estudos Retrospectivos , Medição de Risco , Índice de Gravidade de Doença , Estatísticas não Paramétricas , Proteínas do Core Viral/efeitos dos fármacos
6.
Mol Cancer Res ; 7(10): 1672-85, 2009 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-19808906

RESUMO

The mechanism responsible for hepatitis B virus (HBV) exacerbation during chemotherapy and radiotherapy remains unknown. We investigated whether the activation of DNA repair pathways influences HBV replication. The upregulation of the promyelocytic leukemia (PML) protein and its associated PML nuclear body (PML-NB) by chemotherapy and irradiation-induced DNA repair signaling correlated with the upregulation of HBV pregenomic transcription, HBV-core expression, and HBV DNA replication. The HBV-core protein and HBV DNA localized to PML-NBs, where they associated with PML and histone deacetylase 1 (HDAC1). Chemotherapy and radiotherapy affected the interactions between PML, HBV-core, and HDAC1. The enhanced protein-protein interaction between PML and HBV-core inhibited PML-mediated apoptosis and decreased PML-associated HDAC activity. The reversal of HDAC-mediated repression on the HBV covalently closed circular DNA basal core promoter resulted in the amplification of HBV-core and pregenomic expression. These results suggest that PML in PML-NBs links the DNA damage response with HBV replication and may cooperate with HBV-core and HDAC1 on the HBV covalently closed circular DNA basal core promoter to form a positive feedback loop for HBV exacerbation during chemotherapy and radiotherapy.


Assuntos
Reparo do DNA/genética , Vírus da Hepatite B/genética , Hepatite B/genética , Hepatite B/virologia , Proteínas Nucleares/genética , Fatores de Transcrição/genética , Proteínas Supressoras de Tumor/genética , Replicação Viral/genética , Linhagem Celular Tumoral , Núcleo Celular/efeitos dos fármacos , Núcleo Celular/efeitos da radiação , Núcleo Celular/ultraestrutura , Reparo do DNA/efeitos dos fármacos , Reparo do DNA/efeitos da radiação , DNA Circular/efeitos dos fármacos , DNA Circular/genética , DNA Circular/efeitos da radiação , DNA Viral/efeitos dos fármacos , DNA Viral/genética , DNA Viral/efeitos da radiação , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos , Retroalimentação Fisiológica/efeitos dos fármacos , Retroalimentação Fisiológica/fisiologia , Retroalimentação Fisiológica/efeitos da radiação , Hepatite B/induzido quimicamente , Vírus da Hepatite B/efeitos dos fármacos , Vírus da Hepatite B/efeitos da radiação , Histona Desacetilase 1/genética , Humanos , Regiões Promotoras Genéticas/efeitos dos fármacos , Regiões Promotoras Genéticas/genética , Regiões Promotoras Genéticas/efeitos da radiação , Proteína da Leucemia Promielocítica , Radioterapia/efeitos adversos , Ativação Transcricional/efeitos dos fármacos , Ativação Transcricional/genética , Ativação Transcricional/efeitos da radiação , Proteínas do Core Viral/efeitos dos fármacos , Proteínas do Core Viral/genética , Proteínas do Core Viral/efeitos da radiação , Replicação Viral/efeitos dos fármacos , Replicação Viral/efeitos da radiação
7.
FASEB J ; 22(10): 3638-47, 2008 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-18614582

RESUMO

The threat of a pandemic outbreak of influenza virus A H5N1 has become a major concern worldwide. The nucleoprotein (NP) of the virus binds the RNA genome and acts as a key adaptor between the virus and the host cell. It, therefore, plays an important structural and functional role and represents an attractive drug target. Here, we report the 3.3-A crystal structure of H5N1 NP, which is composed of a head domain, a body domain, and a tail loop. Our structure resolves the important linker segments (residues 397-401, 429-437) that connect the tail loop with the remainder of the molecule and a flexible, basic loop (residues 73-91) located in an arginine-rich groove surrounding Arg150. Using surface plasmon resonance, we found the basic loop and arginine-rich groove, but mostly a protruding element containing Arg174 and Arg175, to be important in RNA binding by NP. We also used our crystal structure to build a ring-shaped assembly of nine NP subunits to model the miniribonucleoprotein particle previously visualized by electron microscopy. Our study of H5N1 NP provides insight into the oligomerization interface and the RNA-binding groove, which are attractive drug targets, and it identifies the epitopes that might be used for universal vaccine development.


Assuntos
Virus da Influenza A Subtipo H5N1/química , Vacinas contra Influenza , Nucleoproteínas/química , Proteínas do Core Viral/química , Sequência de Aminoácidos , Antivirais/química , Antivirais/farmacologia , Cristalografia por Raios X , Desenho de Fármacos , Virus da Influenza A Subtipo H5N1/efeitos dos fármacos , Virus da Influenza A Subtipo H5N1/imunologia , Vacinas contra Influenza/química , Vacinas contra Influenza/imunologia , Dados de Sequência Molecular , Nucleoproteínas/efeitos dos fármacos , Nucleoproteínas/imunologia , Conformação Proteica , RNA/química , Proteínas do Core Viral/efeitos dos fármacos , Proteínas do Core Viral/imunologia
8.
J Gen Virol ; 89(Pt 4): 939-948, 2008 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-18343835

RESUMO

Peptide-conjugated phosphorodiamidate morpholino oligomers (PPMO) are single-stranded nucleic acid-analogue antisense agents that enter cells readily and can reduce gene expression by steric blocking of complementary RNA (cRNA) sequences. Here, we tested a panel of PPMO designed to target conserved sequences in the RNA genome segments encoding polymerase subunits of a highly pathogenic mouse-adapted influenza A virus (SC35M; H7N7). Three PPMO, targeting the translation start site region of PB1 or NP mRNA or the 3'-terminal region of NP viral RNA (vRNA), potently inhibited virus replication in MDCK cells. Primer extension assays showed that treatment with any of the effective PPMO led to markedly reduced levels of mRNA, cRNA and vRNA. Initially, the potential toxicity of a range of intranasally administered PPMO doses was evaluated, by measuring their effect on body weight of uninfected mice. Subsequently, a non-toxic dosing regimen was used to investigate the effect of various PPMO on SC35M infection in a mouse model. Mice administered intranasal treatment of PPMO targeting the PB1-AUG region or NP vRNA, at 3 mug per dose, given once 3 h before and once 2 days after intranasal infection with 10xLD(50) of SC35M, showed a 2 log(10) reduction of viral titre in the lungs and 50 % survival for the 16 day duration of the experiment, whereas the NP-AUG-targeted PPMO treatment resulted in 30 % survival of an otherwise lethal infection. These data suggest that PPMO provide a useful reagent to investigate influenza virus molecular biology and may constitute a therapeutic strategy against highly pathogenic influenza viruses.


Assuntos
Anti-Infecciosos/uso terapêutico , Vírus da Influenza A Subtipo H7N7 , Vírus da Influenza A , Morfolinas/uso terapêutico , Nucleoproteínas/efeitos dos fármacos , Infecções por Orthomyxoviridae/prevenção & controle , Peptídeos/uso terapêutico , Proteínas de Ligação a RNA/efeitos dos fármacos , Proteínas do Core Viral/efeitos dos fármacos , Proteínas Virais/efeitos dos fármacos , Administração Intranasal , Animais , Anti-Infecciosos/administração & dosagem , Anti-Infecciosos/síntese química , Anti-Infecciosos/toxicidade , Linhagem Celular , Cães , Relação Dose-Resposta a Droga , Esquema de Medicação , Avaliação Pré-Clínica de Medicamentos , Marcação de Genes , Genes Virais/genética , Vírus da Influenza A/genética , Camundongos , Camundongos Endogâmicos BALB C , Morfolinas/administração & dosagem , Morfolinas/síntese química , Morfolinas/toxicidade , Morfolinos , Proteínas do Nucleocapsídeo , Nucleoproteínas/genética , Peptídeos/administração & dosagem , Peptídeos/síntese química , Proteínas de Ligação a RNA/genética , Proteínas do Core Viral/genética , Proteínas Virais/genética , Proteínas Virais/toxicidade
9.
World J Gastroenterol ; 13(30): 4131-5, 2007 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-17696236

RESUMO

AIM: To explore the molecular mechanisms of action of paclitaxel and NM-3 on human gastric cancer in severe combined immune deficiency (SCID) mice. METHODS: Human gastric cancer cells SGC-7901 were implanted into SCID mice and mice were treated with paclitaxel and NM-3. The effects of paclitaxel and NM-3 on apoptosis of human gastric cancer cells were analyzed using flow cytometry, TUNEL assays, and DNA fragment analyses. RESULTS: Apoptosis of SGC-7901 cells was successfully induced by paclitaxel, NM-3, and the combination of paclitaxel and NM-3 24 h after injection as shown by the presence of apoptotic hypodiploid peaks on the flow cytometer before G1-S and a characteristic apoptotic band pattern in the DNA electrophoresis. The apoptotic rate detected by TUNEL assay was found to be significantly higher in the paclitaxel/NM-3 compared to the control group (38.5% +/- 5.14% vs 13.2% +/- 1.75%, P < 0.01). CONCLUSION: Paclitaxel in combination with NM-3 is able to induce apoptosis of the human gastric cancer cells in SCID mice effectively and synergistically.


Assuntos
Adenocarcinoma/tratamento farmacológico , Antineoplásicos/farmacologia , Apoptose/efeitos dos fármacos , Isocumarinas/farmacologia , Paclitaxel/farmacologia , Neoplasias Gástricas/tratamento farmacológico , Adenocarcinoma/patologia , Animais , Antígenos Virais de Tumores/efeitos dos fármacos , Antígenos Virais de Tumores/genética , Linhagem Celular Tumoral , Modelos Animais de Doenças , Sinergismo Farmacológico , Quimioterapia Combinada , Humanos , Masculino , Camundongos , Camundongos Nus , Camundongos SCID , Neoplasias Gástricas/patologia , Proteínas do Core Viral/efeitos dos fármacos , Proteínas do Core Viral/genética , Ensaios Antitumorais Modelo de Xenoenxerto
10.
Biofactors ; 31(1): 1-15, 2007.
Artigo em Inglês | MEDLINE | ID: mdl-18806304

RESUMO

Influenza, one of the oldest and most common infections, poses a serious health problem causing significant morbidity and mortality, and imposing substantial economic costs. The efficacy of current drugs is limited and improved therapies are needed. A unique nutrient mixture (NM), containing ascorbic acid, green tea extract, lysine, proline, N-acetyl cysteine, selenium among other micronutrients, has been shown to exert anti-carcinogenic and anti-atherogenic activity both in vitro and in vivo. Many of the constituents of NM have been shown to have an inhibitory effect on replication of influenza virus and HIV. This prompted us to study the effect of NM on influenza A virus multiplication in infected cells and neuraminidase activity (NA) in virus particles. Addition of NM to Vero or MDCK cells post infection resulted in dose-dependent inhibition of viral nucleoprotein (NP) production in infected cells. NM-mediated inhibition of viral NP was selective and not due to cytotoxicity towards host cells. This antiviral effect was enhanced by pretreatment of virus with the nutrient mixture. Individual components of NM, namely ascorbic acid and green tea extract, also blocked viral NP production, conferring enhanced inhibition when tested in combination. Incubation of cell-free virus with NM resulted in dose-dependent inhibition of associated NA enzyme activity. In conclusion, the nutrient mixture exerts an antiviral effect against influenza A virus by lowering viral protein production in infected cells and diminishing viral enzymatic activity in cell-free particles.


Assuntos
Acetilcisteína/farmacologia , Ácido Ascórbico/farmacologia , Vírus da Influenza A/imunologia , Lisina/farmacologia , Neuraminidase/antagonistas & inibidores , Prolina/farmacologia , Proteínas de Ligação a RNA/biossíntese , Chá , Proteínas do Core Viral/biossíntese , Animais , Antígenos Virais/biossíntese , Linhagem Celular , Sobrevivência Celular/efeitos dos fármacos , Chlorocebus aethiops , Meios de Cultura/farmacologia , Cães , Flavonoides/farmacologia , Vírus da Influenza A/efeitos dos fármacos , Vírus da Influenza A/enzimologia , Proteínas do Nucleocapsídeo , Fenóis/farmacologia , Polifenóis , Proteínas de Ligação a RNA/efeitos dos fármacos , Células Vero , Proteínas do Core Viral/efeitos dos fármacos
11.
Liver Int ; 26(1): 90-6, 2006 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-16420514

RESUMO

OBJECTIVE: The clinical usefulness of hepatitis B virus core-related antigen (HBVcrAg) assay was compared with that of HBV DNA assay in predicting the occurrence of lamivudine resistance in patients with chronic hepatitis B. PATIENTS: Of a total of 81 patients who were treated with lamivudine, 25 (31%) developed lamivudine resistance during a median follow-up period of 19.3 months. RESULTS: The pretreatment positive rate of HBe antigen, or pretreatment levels of HBVcrAg or HBV DNA did not differ between patients with and without lamivudine resistance. Levels of both HBVcrAg and HBV DNA decreased after the initiation of lamivudine administration; however, the level of HBVcrAg decreased significantly more slowly than that of HBV DNA. The occurrence of lamivudine resistance was significantly less frequent in the 56 patients whose HBV DNA level was less than 2.6 log copy/ml at 6 months of treatment than in the remaining 25 patients. The cumulative rate of lamivudine resistance was as high as 70% within 2 years in the latter group, while it was only 28% in the former group. Lamivudine resistance did not occur during the follow-up period in the 19 patients whose HBVcrAg level was less than 4.6 log U/ml at 6 months of treatment, while it did occur in 50% of the remaining patients within 2 years. CONCLUSION: These results suggest that measurement of HBV DNA is valuable for identifying patients who are at high risk of developing lamivudine resistance, and that, conversely, measurement of HBVcrAg is valuable for identifying those who are at low risk of lamivudine resistance.


Assuntos
Resistência a Medicamentos , Antígenos E da Hepatite B/imunologia , Vírus da Hepatite B/imunologia , Hepatite B/tratamento farmacológico , Lamivudina/uso terapêutico , Proteínas do Core Viral/imunologia , Adulto , Idoso , Estudos de Coortes , DNA Viral/análise , Feminino , Hepatite B/imunologia , Hepatite B/patologia , Antígenos E da Hepatite B/análise , Humanos , Testes de Função Hepática , Masculino , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Probabilidade , Prognóstico , Estudos Retrospectivos , Medição de Risco , Sensibilidade e Especificidade , Índice de Gravidade de Doença , Estatísticas não Paramétricas , Proteínas do Core Viral/efeitos dos fármacos
12.
J Viral Hepat ; 12(5): 481-7, 2005 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-16108762

RESUMO

SUMMARY: Early virological response may predict outcome following treatment with peginterferon alpha-2a and ribavirin in patients chronically infected with hepatitis C virus (HCV). As total HCV core antigen may constitute an alternative direct marker to HCV RNA for assessing the levels of viraemia in such patients, we evaluated the correlation between HCV core antigen and HCV RNA, and whether HCV core antigen at baseline, 4 and 12 weeks after treatment could predict sustained virological response (SVR) to combined therapy, in comparison with HCV RNA. A total of 290 serum samples from 58 previously treatment naïve chronic HCV patients were examined for HCV core antigen and HCV-RNA by means of quantitative HCV RNA when receiving combination therapy for the first time. SVR was significantly associated with basal HCV core antigen but not with HCV RNA. There was a good correlation between HCV core antigen and HCV RNA (r(2) = 0.781). The negative predictive value of HCV core antigen testing in predicting nonresponse at weeks 4 and 12 were 75 and 100%, and for undetectable or a 2-log drop in HCV RNA were 69.6 and 75% respectively. HCV core antigen detection is quick, and easy to perform alternative to HCV RNA, and could be used as a marker of HCV viraemia for monitoring the progress of therapy.


Assuntos
Antivirais/uso terapêutico , Hepacivirus/metabolismo , Hepatite C Crônica/tratamento farmacológico , Interferon-alfa/uso terapêutico , Polietilenoglicóis/uso terapêutico , Ribavirina/uso terapêutico , Quimioterapia Combinada , Hepacivirus/genética , Hepacivirus/imunologia , Hepatite C Crônica/sangue , Hepatite C Crônica/virologia , Humanos , Interferon alfa-2 , RNA Viral/sangue , Proteínas Recombinantes , Resultado do Tratamento , Proteínas do Core Viral/análise , Proteínas do Core Viral/sangue , Proteínas do Core Viral/efeitos dos fármacos , Viremia/tratamento farmacológico , Viremia/virologia
13.
Proteomics ; 5(8): 2227-37, 2005 May.
Artigo em Inglês | MEDLINE | ID: mdl-15846844

RESUMO

Hepatitis C virus (HCV) is a causative agent of chronic hepatitis and hepatocellular carcinoma. The core protein of HCV packages the viral RNA genome to form a nucleocapsid. In addition to its function as a structural protein, core protein is involved in regulation of cellular transcription, virus-induced transformation, and pathogenesis. To gain insights into cellular functions of the core protein by identification of cellular proteins interacting with the core protein, we employed a proteomic approach. Hepatocytes soluble cytoplasmic proteins were applied to the core proteins immobilized on Ni-nitrilotriacetic resin and total bound cellular proteins were resolved by 2-DE. Analyses of interacting proteins by matrix-assisted laser desorption/ionization-time of flight mass spectrometry allowed identification of 14 cellular proteins binding to the core protein. These proteins include DEAD-box polypeptide 5, similar in function to a known protein identified previously by yeast two-hybrid screening and 13 newly identified cellular proteins. Interestingly, nine protein spots were identified as intermediate microfilament proteins, including cytokeratins (five spots for cytokeratin 8, two for cytokeratin 19, and one for cytokeratin 18) and vimentin. Cytokeratin 8 and vimentin, which were previously shown to be involved in the infection processes of other viruses, were further analyzed to confirm their in vivo interactions with the core protein by immunoblotting and immunofluorescence microscopy. We discuss the functional implications of the interactions of the core protein with newly identified cellular proteins in HCV infection and pathogenesis.


Assuntos
Hepacivirus/química , Proteínas/química , Proteômica/métodos , Proteínas do Core Viral/química , Proteínas do Core Viral/metabolismo , Animais , Western Blotting , Carcinoma Hepatocelular/patologia , Bovinos , Técnicas de Cultura de Células , Linhagem Celular Tumoral , Citoplasma/química , Eletroforese em Gel Bidimensional , Hepatócitos/patologia , Humanos , Processamento de Imagem Assistida por Computador , Imuno-Histoquímica , Queratinas/metabolismo , Espectrometria de Massas , Níquel/química , Ácido Nitrilotriacético/química , Testes de Precipitina , Proteínas/metabolismo , Proteínas Recombinantes/química , Proteínas Recombinantes/isolamento & purificação , Proteínas Recombinantes/metabolismo , Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz , Tripsina/farmacologia , Vimentina/metabolismo , Proteínas do Core Viral/efeitos dos fármacos , Proteínas do Core Viral/genética , Proteínas do Core Viral/isolamento & purificação
14.
Am J Gastroenterol ; 98(11): 2505-15, 2003 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-14638356

RESUMO

OBJECTIVES: Hepatitis B virus (HBV) is a noncytopathic virus, and hepatocellular injury is mediated by a defective host antiviral immune response. We have previously shown that antiviral immunity can be modulated through oral feeding of viral proteins. The aims of this study were to determine the safety and efficacy of treatment of patients with chronic HBV by means of p.o. administration of HBV envelope proteins. METHODS: A total of 42 chronic HBV patients were treated p.o. with HBV envelope proteins (HBsAg+preS1+preS2), three times/wk for 20-30 wk, and followed for an additional 20 wk. Patients were monitored for HBV-DNA levels, liver enzymes, and liver histology. HBV-directed T cell immune modulation was assessed in vitro by HBV specific T cell-proliferation, cytotoxicity, IFN gamma, and IL10 ELISPOT assays, and reverse transcription-polymerase chain reaction cytokines assay. RESULTS: Favorable response in one of the primary endpoints was achieved in 28/42 patients (66.6%) by means of p.o. immune regulation. A significant decrease in viral load was observed in 15 patients (35.7%). HBsAg/HBcAg biopsy scores improved in 41% and 57.1% of patients, respectively. Histological improvement in liver necroinflammatory score was noted in 12/40 patients (30%). In all, 80% showed biochemical response. Five of 19 HBeAg positive patients (26.3%) became negative for HBeAg. A favorable augmentation in anti-HBV specific T cell response, with increased HbsAg specific T cell proliferation (78%), cytotoxicity (75%), and IFN gamma positive T cell clones (62.9%) was noted. In addition, a decrease in the IL10 gamma positive T cell clones was achieved (48.1%). Natural killer T (NKT) lymphocytes increased significantly in all treated patients. CONCLUSIONS: Immune regulation of the anti-HBV immune response via p.o. administration of HBV envelope proteins alleviated the immune-mediated liver injury while augmenting the effective antiviral immunity.


Assuntos
Antígenos de Superfície da Hepatite B/uso terapêutico , Vírus da Hepatite B/isolamento & purificação , Hepatite B Crônica/terapia , Tolerância Imunológica/fisiologia , Proteínas do Core Viral/efeitos dos fármacos , Administração Oral , Adolescente , Adulto , Idoso , Relação Dose-Resposta a Droga , Esquema de Medicação , Feminino , Seguimentos , Hepatite B Crônica/diagnóstico , Humanos , Imunoterapia/métodos , Masculino , Pessoa de Meia-Idade , Probabilidade , Estudos Prospectivos , Medição de Risco , Estatísticas não Paramétricas , Resultado do Tratamento
15.
J Viral Hepat ; 10(4): 318-23, 2003 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-12823600

RESUMO

To study the correlation between total Hepatitis C virus (HCV) Core antigen (Ag) and HCV-RNA, and to assess the proficiency of HCV Core Ag testing in monitoring and predicting virologic response during and after pegylated interferon (PEG-IFN) and ribavirin combination therapy. A total of 307 samples from treated and untreated patients were used to assess the correlation between the total HCV Core Ag test and quantitative HCV-RNA assays (Superquant, and Quantiplex branched DNA 2.0 assay). Twenty-four patients received combination therapy for 48 weeks. Blood samples were collected at day 0, and week 2, 4, 12, 24, 48 and 72 for virologic evaluation. A linear relation exists between total HCV Core Ag and HCV-RNA levels. At 3 months the positive predictive value (PPV) of response to therapy was 100% with either HCV Core Ag or HCV-RNA. For HCV Core Ag the negative predictive value (NPV) was 100% whereas for HCV-RNA the NPV was 80% (P > 0.05). At month 1, the PPV was 95% and 100% when determined by HCV Core Ag and HCV-RNA, respectively. The NPV value was 100% for HCV Core Ag and 33% for HCV-RNA (P = 0.005). HCV Core Ag quantification could be useful in clinical practice to predict a sustained virological response early during therapy (4 weeks), reaching an optimal performance at month 3. The determination of total HCV Core Ag levels in serum, constitutes an accurate and reliable alternative to HCV-RNA for monitoring and predicting treatment outcome in patients receiving PEG-IFN/Ribavirin combination therapy.


Assuntos
Antígenos Virais/sangue , Hepacivirus/imunologia , Hepatite C/tratamento farmacológico , Hepatite C/imunologia , Ribavirina/uso terapêutico , Proteínas do Core Viral/efeitos dos fármacos , Antivirais/uso terapêutico , Estudos de Casos e Controles , Feminino , Seguimentos , Hepacivirus/efeitos dos fármacos , Antígenos da Hepatite C/sangue , Humanos , Masculino , Monitorização Fisiológica/métodos , Valor Preditivo dos Testes , Probabilidade , RNA Viral/sangue , Medição de Risco , Resultado do Tratamento , Proteínas do Core Viral/análise , Carga Viral
16.
J Gastroenterol Hepatol ; 18(6): 630-7, 2003 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-12753143

RESUMO

AIMS: The aim of the present study was to examine the catalytic domains of the polymerase gene, the basal core promoter and the precore and core regions of the hepatitis B virus (HBV) genome for specific mutations. These may account for the response to interferon alpha (IFN-alpha) treatment, which may have prognostic value. METHODS: Multiple serum samples were collected prospectively from 30 patients with chronic active hepatitis B who were treated with IFN-alpha. Patients were assigned to one of three groups: group A (n = 11) and group B (n = 10) individuals were hepatitis B e antigen (HBeAg)-positive prior to treatment. Group A patients underwent HBeAg seroconversion after treatment while group B patients did not. Group C (n = 9) patients were HBeAg-negative prior to treatment. The HBV DNA was extracted from the sera collected before, during and after treatment and the various genomic regions were amplified, sequenced and examined for mutations. RESULTS: During IFN-alpha therapy, multiple changes were found in the catalytic domains of the HBV polymerase gene in all groups. The frequency of mutations and associated amino acid changes were highest in virus from group C patients and lowest in group A patients. The interdomain regions of the viral polymerase were the most affected. Multiple mutations were also found in the precore, core and core promoter regions. However, no specific mutations were associated with clinical response or outcome. CONCLUSIONS: During IFN-alpha treatment, multiple mutations occurred in the HBV genome, including the catalytic domains of the polymerase gene. Changes that did occur could not be correlated to the clinical response or treatment outcome. However, no mutations were found that have been linked to lamivudine escape, indicating that lamivudine therapy would be effective in IFN-alpha non-responder patients.


Assuntos
Antivirais/uso terapêutico , Domínio Catalítico/efeitos dos fármacos , Domínio Catalítico/genética , DNA Polimerase Dirigida por DNA/efeitos dos fármacos , DNA Polimerase Dirigida por DNA/genética , Genoma Viral , Antígenos do Núcleo do Vírus da Hepatite B/efeitos dos fármacos , Antígenos do Núcleo do Vírus da Hepatite B/genética , Vírus da Hepatite B/efeitos dos fármacos , Vírus da Hepatite B/genética , Hepatite B Crônica/tratamento farmacológico , Hepatite B Crônica/genética , Interferon-alfa/uso terapêutico , Regiões Promotoras Genéticas/efeitos dos fármacos , Regiões Promotoras Genéticas/genética , Proteínas do Core Viral/efeitos dos fármacos , Proteínas do Core Viral/genética , Adulto , Sequência de Aminoácidos , Austrália , Sequência de Bases , Códon de Terminação/genética , DNA Viral/genética , DNA Viral/isolamento & purificação , Farmacorresistência Viral/efeitos dos fármacos , Farmacorresistência Viral/genética , Feminino , Seguimentos , Genótipo , Antígenos de Superfície da Hepatite B/efeitos dos fármacos , Antígenos de Superfície da Hepatite B/genética , Antígenos E da Hepatite B/efeitos dos fármacos , Antígenos E da Hepatite B/genética , Humanos , Lamivudina/uso terapêutico , Masculino , Pessoa de Meia-Idade , Mutação Puntual/efeitos dos fármacos , Mutação Puntual/genética , Reação em Cadeia da Polimerase , Estudos Prospectivos , Inibidores da Transcriptase Reversa/uso terapêutico , Estatística como Assunto , Resultado do Tratamento , Carga Viral
17.
J Virol ; 74(13): 6198-202, 2000 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10846106

RESUMO

Mature human immunodeficiency virus type 1 (HIV-1) virions contain a typically cone-shaped core that encases the viral genome. In this study, we established conditions which allowed the efficient isolation of morphologically intact HIV-1 cores from virions. The isolated cores consisted mostly of cones which appeared uniformly capped at both ends but were heterogeneous with respect to the shape of the broad cap as well as the dimensions and angle of the cone. Vpr, a nonstructural virion component implicated in the nuclear import of the viral genome, was recovered in core preparations of HIV-1 and simian immunodeficiency viruses from African green monkeys. Unexpectedly, p6(gag), a structural protein required for the incorporation of Vpr, was absent from HIV-1 core preparations. Taken together, our results indicate that the incorporation of Vpr into the virion core is a conserved feature of primate lentiviruses and that the interactions required for the uptake of Vpr into assembling particles differ from those which confine Vpr within the core.


Assuntos
Produtos do Gene gag/metabolismo , Produtos do Gene vpr/metabolismo , HIV-1/metabolismo , Animais , Capsídeo/efeitos dos fármacos , Capsídeo/ultraestrutura , Linhagem Celular Transformada , Detergentes/farmacologia , HIV-1/efeitos dos fármacos , HIV-1/isolamento & purificação , HIV-1/ultraestrutura , Humanos , Nucleocapsídeo/efeitos dos fármacos , Nucleocapsídeo/ultraestrutura , Peptidilprolil Isomerase/metabolismo , Polietilenoglicóis/farmacologia , Vírus da Imunodeficiência Símia/isolamento & purificação , Vírus da Imunodeficiência Símia/metabolismo , Proteínas do Core Viral/efeitos dos fármacos , Proteínas do Core Viral/isolamento & purificação , Proteínas do Core Viral/metabolismo , Proteínas do Core Viral/ultraestrutura , Produtos do Gene gag do Vírus da Imunodeficiência Humana , Produtos do Gene vpr do Vírus da Imunodeficiência Humana
18.
Parasitology ; 116 ( Pt 6): 533-8, 1998 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-9651936

RESUMO

Saliva of blood-feeding arthropods promotes infection by the vector-borne pathogens they transmit. To investigate this phenomenon in vitro, cultures of mouse L cells were treated with a salivary gland extract (SGE) prepared from feeding ticks and then infected with vesicular stomatitis virus (VSV). At low input doses of VSV, viral yield was increased 100-fold to 10,000-fold by 16-23 h post-infection compared with untreated cultures, and depending on the SGE concentration. SGE-mediated acceleration of viral yield corresponded with the earlier appearance of VSV nucleocapsid protein as detected by 2-dimensional electrophoresis of infected cells. The observation that physiological doses of virus (i.e. doses likely to be inoculated by an infected arthropod vector into its vertebrate host during blood-feeding) respond to SGE treatment in vitro provides a new opportunity for identifying the factors in tick saliva that promote virus transmission in vivo.


Assuntos
Glândulas Salivares/química , Carrapatos/virologia , Extratos de Tecidos/farmacologia , Vírus da Estomatite Vesicular Indiana/efeitos dos fármacos , Animais , Células do Tecido Conjuntivo , Eletroforese em Gel de Poliacrilamida , Técnicas In Vitro , Células L , Camundongos , Fatores de Tempo , Vírus da Estomatite Vesicular Indiana/crescimento & desenvolvimento , Proteínas do Core Viral/análise , Proteínas do Core Viral/efeitos dos fármacos
19.
Hepatology ; 24(4): 766-73, 1996 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-8855174

RESUMO

Long-term antiviral chemotherapy using the nucleoside analogue ganciclovir was undertaken with the aim of eliminating hepadnaviral covalently closed circular (CCC) DNA from the livers of ducks that were congenitally infected with the duck hepatitis B virus (DHBV). Twenty-four weeks of ganciclovir therapy caused a substantial reduction in viremia, intrahepatic viral DNA replicative intermediates, and viral core proteins. Unfortunately, ganciclovir therapy did not substantially affect CCC DNA or viral RNA levels, and the treatment resulted in an increase in the intrahepatic expression of the viral envelope proteins, pre-S and S. By the completion of therapy, the viral envelope proteins had assembled into large aggregates within the cytoplasm of most hepatocytes. Viral replication in the bile duct epithelial cells and in the extrahepatic sites was likewise not affected by long-term ganciclovir therapy. In conclusion, 24 weeks of ganciclovir therapy decreased most viral replication markers within the liver, except for those of viral CCC DNA, RNA, and envelope proteins. Long-term therapeutic strategies using nucleoside analogs such as ganciclovir should be used with caution in chronic hepatitis B virus (HBV) infection. The careful monitoring of serum and hepatic markers of viral replication may therefore be important to avoid possible toxic consequences, such as the selective accumulation of viral proteins.


Assuntos
Antivirais/uso terapêutico , DNA Circular/efeitos dos fármacos , DNA Viral/efeitos dos fármacos , Patos/virologia , Ganciclovir/uso terapêutico , Vírus da Hepatite B do Pato/efeitos dos fármacos , Hepatite B/veterinária , Hepatite Viral Animal/tratamento farmacológico , Proteínas do Core Viral/efeitos dos fármacos , Proteínas do Envelope Viral/efeitos dos fármacos , Animais , Antivirais/farmacologia , DNA Circular/genética , DNA Viral/genética , Ganciclovir/farmacologia , Hepatite B/tratamento farmacológico , Hepatite B/virologia , Vírus da Hepatite B do Pato/química , Vírus da Hepatite B do Pato/genética , Hibridização In Situ , Fígado/virologia , RNA Viral/efeitos dos fármacos , RNA Viral/genética , Proteínas do Core Viral/análise , Proteínas do Envelope Viral/análise
20.
Proc Natl Acad Sci U S A ; 93(3): 969-73, 1996 Feb 06.
Artigo em Inglês | MEDLINE | ID: mdl-8577770

RESUMO

Several disulfide benzamides have been shown to possess wide-spectrum antiretroviral activity in cell culture at low micromolar to submicromolar concentrations, inhibiting human immunodeficiency virus (HIV) type 1 (HIV-1) clinical and drug-resistant strains along with HIV-2 and simian immunodeficiency virus [Rice, W. G., Supko, J. G., Malspeis, L., Buckheit, R. W., Jr., Clanton, D., Bu, M., Graham, L., Schaeffer, C. A., Turpin, J. A., Domagala, J., Gogliotti, R., Bader, J. P., Halliday, S. M., Coren, L., Sowder, R. C., II, Arthur, L. O. & Henderson, L. E. (1995) Science 270, 1194-1197]. Rice and coworkers have proposed that the compounds act by "attacking" the two zinc fingers of HIV nucleocapsid protein. Shown here is evidence that low micromolar concentrations of the anti-HIV disulfide benzamides eject zinc from HIV nucleocapsid protein (NCp7) in vitro, as monitored by the zinc-specific fluorescent probe N-(6-methoxy-8-quinoyl)-p-toluenesulfonamide (TSQ). Structurally similar disulfide benzamides that do not inhibit HIV-1 in culture do not eject zinc, nor do analogs of the antiviral compounds with the disulfide replaced with a methylene sulfide. The kinetics of NCp7 zinc ejection by disulfide benzamides were found to be nonsaturable and biexponential, with the rate of ejection from the C-terminal zinc finger 7-fold faster than that from the N-terminal. The antiviral compounds were found to inhibit the zinc-dependent binding of NCp7 to HIV psi RNA, as studied by gel-shift assays, and the data correlated well with the zinc ejection data. Anti-HIV disulfide benzamides specifically eject NCp7 zinc and abolish the protein's ability to bind psi RNA in vitro, providing evidence for a possible antiretroviral mechanism of action of these compounds. Congeners of this class are under advanced preclinical evaluation as a potential chemotherapy for acquired immunodeficiency syndrome.


Assuntos
Antivirais/farmacologia , Benzamidas/farmacologia , Capsídeo/metabolismo , Dissulfetos/farmacologia , HIV-1/metabolismo , Proteínas do Core Viral/metabolismo , Zinco/metabolismo , Sequência de Aminoácidos , Aminoquinolinas , Capsídeo/efeitos dos fármacos , Clonagem Molecular , Corantes Fluorescentes , HIV-1/efeitos dos fármacos , Humanos , Cinética , Dados de Sequência Molecular , Proteínas Recombinantes/efeitos dos fármacos , Proteínas Recombinantes/metabolismo , Relação Estrutura-Atividade , Compostos de Tosil , Triptofano , Proteínas do Core Viral/efeitos dos fármacos
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