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Ribavirin regulates hepatitis C virus replication through enhancing interferon-stimulated genes and interleukin 8.

AbstractBACKGROUND:
The manner in which ribavirin (RBV) enhances the antiviral effects of interferon (IFN) against hepatitis C virus (HCV) remains unknown. We investigated whether RBV modifies IFN-stimulated genes (ISGs) in vivo and in vitro.
METHODS:
We measured the messenger RNA (mRNA) levels of ISGs in T lymphocytes from patients with HCV infection who were receiving IFN-α therapy with or without RBV. We added RBV and/or IFN-α to a plasmid-based HCV replication system containing a full-length HCV genotype 1a sequence in HepG2 and Huh7 cell lines and the JFH-1 HCV genotype 2a sequence in Huh7 cell lines and measured levels of ISGs and autocrine IFN-β.
RESULTS:
The expression of protein kinase R and myxovirus resistance A mRNA was enhanced more with IFN-α and RBV than by IFN-α alone in assays in vivo and in vitro. Such enhancement depended on autocrine IFN-β being enhanced by RBV. RBV upregulated interleukin 8 (IL-8) in the absence of IFN-α. The IL-8 upregulation induced by RBV was responsible for the activation of activator protein 1 (AP-1).
CONCLUSIONS:
Ribavirin augments the anti-HCV effects of IFN-α induced by ISGs through enhancing autocrine IFN-β. Moreover, RBV can enhance IL-8 through activating AP-1. Improved understanding of ISG modulation by RBV would help to establish a means of eliminating HCV.
AuthorsYoshio Tokumoto, Yoichi Hiasa, Kazuhiro Uesugi, Takao Watanabe, Toshie Mashiba, Masanori Abe, Teru Kumagi, Yoshio Ikeda, Bunzo Matsuura, Morikazu Onji
JournalThe Journal of infectious diseases (J Infect Dis) Vol. 205 Issue 7 Pg. 1121-30 (Apr 01 2012) ISSN: 1537-6613 [Electronic] United States
PMID22357660 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Antiviral Agents
  • CXCL8 protein, human
  • Interferon-alpha
  • Interleukin-8
  • Ribavirin
  • Interferon-beta
Topics
  • Adult
  • Aged
  • Antiviral Agents (administration & dosage, pharmacology)
  • Female
  • Gene Expression Profiling
  • Hepacivirus (drug effects, growth & development, immunology)
  • Hepatitis C (drug therapy, immunology, virology)
  • Humans
  • Interferon-alpha (administration & dosage, pharmacology)
  • Interferon-beta (biosynthesis, immunology)
  • Interleukin-8 (biosynthesis, immunology)
  • Male
  • Middle Aged
  • Ribavirin (administration & dosage, pharmacology)
  • T-Lymphocytes (immunology)
  • Transcriptional Activation
  • Virus Replication (drug effects)

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