Antiviral Evaluation of UV-4B and Interferon-Alpha Combination Regimens against Dengue Virus

Dengue virus (DENV) is a flavivirus associated with clinical manifestations ranging in severity from self-limiting dengue fever, to the potentially life threatening condition, severe dengue. There are currently no approved antiviral therapies for the treatment of DENV. Here, we evaluated the antivir...

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Main Authors: Evelyn J. Franco, Camilly P. Pires de Mello, Ashley N. Brown
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/13/5/771
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author Evelyn J. Franco
Camilly P. Pires de Mello
Ashley N. Brown
author_facet Evelyn J. Franco
Camilly P. Pires de Mello
Ashley N. Brown
author_sort Evelyn J. Franco
collection DOAJ
description Dengue virus (DENV) is a flavivirus associated with clinical manifestations ranging in severity from self-limiting dengue fever, to the potentially life threatening condition, severe dengue. There are currently no approved antiviral therapies for the treatment of DENV. Here, we evaluated the antiviral potential of four broad-spectrum antivirals, UV-4B, interferon-alpha (IFN), sofosbuvir (SOF), and favipiravir (FAV) against DENV serotype 2 as mono- and combination therapy in cell lines that are physiologically relevant to human infection. Cell lines derived from human liver (HUH-7), neurons (SK-N-MC), and skin (HFF-1) were infected with DENV and treated with UV-4B, IFN, SOF, or FAV. Viral supernatant was sampled daily and infectious viral burden was quantified by plaque assay on Vero cells. Drug effect on cell proliferation in uninfected and infected cells was also assessed. UV-4B inhibited DENV in HUH-7, SK-N-MC, and HFF-1 cells yielding EC<sub>50</sub> values of 23.75, 49.44, and 37.38 µM, respectively. Clinically achievable IFN concentrations substantially reduced viral burden in HUH-7 (EC<sub>50</sub> = 102.7 IU/mL), SK-N-MC (EC<sub>50</sub> = 86.59 IU/mL), and HFF-1 (EC<sub>50</sub> = 163.1 IU/mL) cells. SOF potently inhibited DENV in HUH-7 cells but failed to produce the same effect in SK-N-MC and HFF-1 cells. Finally, FAV provided minimal suppression in HUH-7 and SK-N-MC cells, but was ineffective in HFF-1 cells. The two most potent anti-DENV agents, UV-4B and IFN, were also assessed in combination. UV-4B + IFN treatment enhanced antiviral activity in HUH-7, SK-N-MC, and HFF-1 cells relative to monotherapy. Our results demonstrate the antiviral potential of UV-4B and IFN against DENV in multiple physiologically relevant cell types.
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spelling doaj.art-79be2d47a6124270b23273c0c4d378602023-11-21T17:23:33ZengMDPI AGViruses1999-49152021-04-0113577110.3390/v13050771Antiviral Evaluation of UV-4B and Interferon-Alpha Combination Regimens against Dengue VirusEvelyn J. Franco0Camilly P. Pires de Mello1Ashley N. Brown2Institute for Therapeutic Innovation, Department of Medicine, College of Medicine, University of Florida, Orlando, FL 32827, USAInstitute for Therapeutic Innovation, Department of Medicine, College of Medicine, University of Florida, Orlando, FL 32827, USAInstitute for Therapeutic Innovation, Department of Medicine, College of Medicine, University of Florida, Orlando, FL 32827, USADengue virus (DENV) is a flavivirus associated with clinical manifestations ranging in severity from self-limiting dengue fever, to the potentially life threatening condition, severe dengue. There are currently no approved antiviral therapies for the treatment of DENV. Here, we evaluated the antiviral potential of four broad-spectrum antivirals, UV-4B, interferon-alpha (IFN), sofosbuvir (SOF), and favipiravir (FAV) against DENV serotype 2 as mono- and combination therapy in cell lines that are physiologically relevant to human infection. Cell lines derived from human liver (HUH-7), neurons (SK-N-MC), and skin (HFF-1) were infected with DENV and treated with UV-4B, IFN, SOF, or FAV. Viral supernatant was sampled daily and infectious viral burden was quantified by plaque assay on Vero cells. Drug effect on cell proliferation in uninfected and infected cells was also assessed. UV-4B inhibited DENV in HUH-7, SK-N-MC, and HFF-1 cells yielding EC<sub>50</sub> values of 23.75, 49.44, and 37.38 µM, respectively. Clinically achievable IFN concentrations substantially reduced viral burden in HUH-7 (EC<sub>50</sub> = 102.7 IU/mL), SK-N-MC (EC<sub>50</sub> = 86.59 IU/mL), and HFF-1 (EC<sub>50</sub> = 163.1 IU/mL) cells. SOF potently inhibited DENV in HUH-7 cells but failed to produce the same effect in SK-N-MC and HFF-1 cells. Finally, FAV provided minimal suppression in HUH-7 and SK-N-MC cells, but was ineffective in HFF-1 cells. The two most potent anti-DENV agents, UV-4B and IFN, were also assessed in combination. UV-4B + IFN treatment enhanced antiviral activity in HUH-7, SK-N-MC, and HFF-1 cells relative to monotherapy. Our results demonstrate the antiviral potential of UV-4B and IFN against DENV in multiple physiologically relevant cell types.https://www.mdpi.com/1999-4915/13/5/771DENVantiviralfavipiravirsofosbuvirinterferonUV-4B
spellingShingle Evelyn J. Franco
Camilly P. Pires de Mello
Ashley N. Brown
Antiviral Evaluation of UV-4B and Interferon-Alpha Combination Regimens against Dengue Virus
Viruses
DENV
antiviral
favipiravir
sofosbuvir
interferon
UV-4B
title Antiviral Evaluation of UV-4B and Interferon-Alpha Combination Regimens against Dengue Virus
title_full Antiviral Evaluation of UV-4B and Interferon-Alpha Combination Regimens against Dengue Virus
title_fullStr Antiviral Evaluation of UV-4B and Interferon-Alpha Combination Regimens against Dengue Virus
title_full_unstemmed Antiviral Evaluation of UV-4B and Interferon-Alpha Combination Regimens against Dengue Virus
title_short Antiviral Evaluation of UV-4B and Interferon-Alpha Combination Regimens against Dengue Virus
title_sort antiviral evaluation of uv 4b and interferon alpha combination regimens against dengue virus
topic DENV
antiviral
favipiravir
sofosbuvir
interferon
UV-4B
url https://www.mdpi.com/1999-4915/13/5/771
work_keys_str_mv AT evelynjfranco antiviralevaluationofuv4bandinterferonalphacombinationregimensagainstdenguevirus
AT camillyppiresdemello antiviralevaluationofuv4bandinterferonalphacombinationregimensagainstdenguevirus
AT ashleynbrown antiviralevaluationofuv4bandinterferonalphacombinationregimensagainstdenguevirus