Hepatitis C is the main cause of cirrhosis and hence of liver transplants in Brazil, according to the Ministry of Health. Some 50% of liver transplants in São Paulo State are performed on hepatitis B or C patients, according to the state’s health department. Hepatitis C patients alone account for 40% of all liver transplants in São Paulo.
In addition, the therapies available for treatment of hepatitis C patients are expensive, have adverse side effects, and entail viral resistance. Owing to all these issues, studies are needed to develop more efficient antiviral therapies against the disease.
Compounds isolated from animal venom have shown activity against some viruses, such as dengue, yellow fever and measles. Following this line of research, Brazilian scientists affiliated with São Paulo State University (UNESP), the Federal University of Uberlândia (UFU) and the University of São Paulo (USP) have published two articles in which they describe promising results for compounds that combat hepatitis C virus.
The research was conducted at UNESP’s Institute of Biosciences, Letters & Exact Sciences (IBILCE) in São José do Rio Preto, São Paulo State, by the Virology Group at the Genomic Studies Laboratory, led by Professor Paula Rahal, and at the Virology Laboratory of UFU’s Institute of Biomedical Sciences (ICBIM), led by Professor Ana Carolina Gomes Jardim. FAPESP provided funding of various types, as did the National Council for Scientific & Technological Development (CNPq), the Minas Gerais State Agency for Research and Development (FAPEMIG) and the Royal Society’s Newton Fund (UK).
In a series of in vitro experiments with cultured human cells, they tested the antiviral action of the two compounds, both separately and together in the protein complex. They observed the compounds’ effects on human cells (to help prevent infection by the virus) and directly on hepatitis C virus.
“This virus invades the human host cell to replicate, producing new viral particles. Inside the host cell, the virus produces a complementary strand of RNA, from which molecules of viral genome will emerge to constitute the new particles,” Gomes Jardim said.
“Our research showed that phospholipase can intercalate into double-stranded RNA, a virus replication intermediate, inhibiting the production of new viral particles. Intercalation reduced these by 86% compared with their production in the absence of phospholipase.”
When the same experiment was performed using crotoxin, production of viral particles fell 58%.
The second stage of the research consisted of verifying whether the compounds blocked the virus’s entry into cultured human cells. In this case, the results were even more satisfactory: phospholipase blocked 97% of viral cell entry, and crotoxin reduced viral infection by 85%.
Lastly they tested crotapotin, another compound isolated from the same rattlesnake’s venom. Crotapotin had no inhibitory effect on viral entry or replication but did affect another stage of the virus’s life cycle, reducing release of new viral particles from cells by 78%. Treatment with crotoxin achieved 50% inhibition of viral release.
The second article on the action of chemical compounds against hepatitis C virus describes substances derived not from snake venom but from Brazilian flora. The study, also supported by FAPESP, CNPq, FAPEMIG and the Royal Society’s Newton Fund, was published in Scientific Reports.
The authors tested the antiviral potential of flavonoids from Pterogyne nitens, a tree known in Portuguese as amendoim-bravo. Flavonoids are compounds found in fruit, flowers, vegetables, honey and wine.
As with the compounds isolated from rattlesnake venom, the flavonoids were tested for antiviral action in human cells infected with hepatitis C virus and in uninfected cells.
“Sorbifolin blocked viral entry into human cells in 45% of cases, while pedalitin provided more promising results, blocking entry in 79% of cases. The experiment was performed with two genotypes of hepatitis C virus: genotype 2A, the standard type in all studies, and genotype 3, the second most prevalent in Brazil. In both cases, the antiviral action of the flavonoids was equivalent,” Gomes Jardim said.
At the other end of the viral life cycle, the flavonoids had no effect on viral particle replication and did not prevent their release from infected cells.
“The flavonoids from P. nitens are among some 200 tested compounds isolated from Brazilian plants or synthesized using natural structures by Professor Regasini,” Rahal explained.
“These two flavonoids were tested against hepatitis C virus because they’d been shown to have antiviral action in experiments with dengue virus.”
Dengue and hepatitis belong to the same virus family, called Flaviviridae.
Source : By Peter Moon | Agência FAPESP