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J Gen Virol 87 (2006), 1947-1952; DOI 10.1099/vir.0.81655-0

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© 2006 Society for General Microbiology

Short Communication

Inhibition of dengue virus replication by mycophenolic acid and ribavirin

Ratree Takhampunya1,2, Sukathida Ubol2, Huo-Shu Houng3, Craig E. Cameron4 and Radhakrishnan Padmanabhan1

1 Department of Microbiology and Immunology, Georgetown University School of Medicine, 3900 Reservoir Road, Washington, DC 20057, USA
2 Department of Microbiology, Faculty of Science, Mahidol University, 272 Rama VI Road, Bangkok 10400, Thailand
3 Department of Virus Diseases, Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA
4 Department of Biochemistry and Molecular Biology, Pennsylvania State University, University Park, PA 16802, USA

Correspondence
Radhakrishnan Padmanabhan
rp55{at}georgetown.edu

Dengue viruses (DEN), mosquito-borne members of the family Flaviviridae, are human pathogens of global significance. The effects of mycophenolic acid (MPA) and ribavirin (RBV) on DEN replication in monkey kidney (LLC-MK2) cells were examined. MPA (IC50=0.4±0.3 µM) and RBV (IC50=50.9±18 µM) inhibited DEN2 replication. Quantitative real-time RT-PCR of viral RNA and plaque assays of virions from DEN2-infected and MPA (10 µM)- and RBV (>=200 µM)-treated cells showed a fivefold increase in defective viral RNA production by cells treated with each drug. Moreover, a dramatic reduction of intracellular viral replicase activity was seen by in vitro replicase assays. Guanosine reversed the inhibition of these compounds, suggesting that one mode of antiviral action of MPA and RBV is by inhibition of inosine monophosphate dehydrogenase and thereby depletion of the intracellular GTP pool. In addition, RBV may act by competing with guanine-nucleotide precursors in viral RNA translation, replication and 5' capping.




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