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Nat Commun. 2019 May 16;10(1):2184. doi: 10.1038/s41467-019-10200-5.
Ciclopirox inhibits Hepatitis B Virus secretion by blocking capsid assembly.
Kang JA1, Kim S1, Park M2, Park HJ1, Kim JH1, Park S1, Hwang JR1, Kim YC1, Jun Kim Y3, Cho Y4, Sun Jin M5, Park SG6.
Author information
1
School of Life Sciences, Gwangju Institute of Science and Technology, Gwangju, 61005, Republic of Korea.
2
Department of Internal Medicine, CHA Gangnam Medical Center, CHA University School of Medicine, Seoul, 06125, Republic of Korea.
3
Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, 03080, Republic of Korea.
4
Department of Internal Medicine, CHA Gangnam Medical Center, CHA University School of Medicine, Seoul, 06125, Republic of Korea. [email protected].
5
School of Life Sciences, Gwangju Institute of Science and Technology, Gwangju, 61005, Republic of Korea. [email protected].
6
School of Life Sciences, Gwangju Institute of Science and Technology, Gwangju, 61005, Republic of Korea. [email protected].
Abstract
Chronic hepatitis B virus (HBV) infection can cause cirrhosis and hepatocellular carcinoma and is therefore a serious public health problem. Infected patients are currently treated with nucleoside/nucleotide analogs and interferon α, but this approach is not curative. Here, we screen 978 FDA-approved compounds for their ability to inhibit HBV replication in HBV-expressing HepG2.2.15 cells. We find that ciclopirox, a synthetic antifungal agent, strongly inhibits HBV replication in cells and in mice by blocking HBV capsid assembly. The crystal structure of the HBV core protein and ciclopirox complex reveals a unique binding mode at dimer-dimer interfaces. Ciclopirox synergizes with nucleoside/nucleotide analogs to prevent HBV replication in cells and in a humanized liver mouse model. Therefore, orally-administered ciclopirox may provide a novel opportunity to combat chronic HBV infection by blocking HBV capsid assembly.
PMID:
31097716
DOI:
10.1038/s41467-019-10200-5
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