[HTML][HTML] Ciclopirox inhibits Hepatitis B Virus secretion by blocking capsid assembly

JA Kang, S Kim, M Park, HJ Park, JH Kim… - Nature …, 2019 - nature.com
JA Kang, S Kim, M Park, HJ Park, JH Kim, S Park, JR Hwang, YC Kim, Y Jun Kim, Y Cho
Nature communications, 2019nature.com
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 …
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.
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