Lethal Mutagenesis of Hepatitis C Virus Induced by Favipiravir

PLoS One. 2016 Oct 18;11(10):e0164691. doi: 10.1371/journal.pone.0164691. eCollection 2016.

Abstract

Lethal mutagenesis is an antiviral approach that consists in extinguishing a virus by an excess of mutations acquired during replication in the presence of a mutagen. Here we show that favipiravir (T-705) is a potent mutagenic agent for hepatitis C virus (HCV) during its replication in human hepatoma cells. T-705 leads to an excess of G → A and C → U transitions in the mutant spectrum of preextinction HCV populations. Infectivity decreased significantly in the presence of concentrations of T-705 which are 2- to 8-fold lower than its cytotoxic concentration 50 (CC50). Passaging the virus five times in the presence of 400 μM T-705 resulted in virus extinction. Since T-705 has undergone advanced clinical trials for approval for human use, the results open a new approach based on lethal mutagenesis to treat hepatitis C virus infections. If proven effective for HCV in vivo, this new anti-HCV agent may be useful in patient groups that fail current therapeutic regimens.

MeSH terms

  • Amides / pharmacology*
  • Antiviral Agents / pharmacology*
  • Cell Line, Tumor
  • Cell Survival / drug effects
  • Hepacivirus / drug effects*
  • Hepacivirus / genetics
  • Hepacivirus / physiology
  • High-Throughput Nucleotide Sequencing
  • Humans
  • Mutation
  • Pyrazines / pharmacology*
  • RNA, Viral / chemistry
  • RNA, Viral / isolation & purification
  • RNA, Viral / metabolism
  • Sequence Analysis, RNA
  • Virus Replication / drug effects

Substances

  • Amides
  • Antiviral Agents
  • Pyrazines
  • RNA, Viral
  • favipiravir