Ivermectin Inhibits HBV Entry into the Nucleus by Suppressing KPNA2

Hepatitis B virus (HBV) specifically infects human hepatocytes and increases the risks of cirrhosis and liver cancer. Currently, nucleic acid analogs are the main therapeutics for chronic hepatitis caused by HBV infection. Although nucleic acid analogs can eliminate HBV DNA by inhibiting HBV reverse...

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Main Authors: Anna Nakanishi, Hiroki Okumura, Tadahiro Hashita, Aya Yamashita, Yuka Nishimura, Chihiro Watanabe, Sakina Kamimura, Sanae Hayashi, Shuko Murakami, Kyoko Ito, Takahiro Iwao, Akari Ikeda, Tomoyasu Hirose, Toshiaki Sunazuka, Yasuhito Tanaka, Tamihide Matsunaga
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Viruses
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Online Access:https://www.mdpi.com/1999-4915/14/11/2468
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author Anna Nakanishi
Hiroki Okumura
Tadahiro Hashita
Aya Yamashita
Yuka Nishimura
Chihiro Watanabe
Sakina Kamimura
Sanae Hayashi
Shuko Murakami
Kyoko Ito
Takahiro Iwao
Akari Ikeda
Tomoyasu Hirose
Toshiaki Sunazuka
Yasuhito Tanaka
Tamihide Matsunaga
author_facet Anna Nakanishi
Hiroki Okumura
Tadahiro Hashita
Aya Yamashita
Yuka Nishimura
Chihiro Watanabe
Sakina Kamimura
Sanae Hayashi
Shuko Murakami
Kyoko Ito
Takahiro Iwao
Akari Ikeda
Tomoyasu Hirose
Toshiaki Sunazuka
Yasuhito Tanaka
Tamihide Matsunaga
author_sort Anna Nakanishi
collection DOAJ
description Hepatitis B virus (HBV) specifically infects human hepatocytes and increases the risks of cirrhosis and liver cancer. Currently, nucleic acid analogs are the main therapeutics for chronic hepatitis caused by HBV infection. Although nucleic acid analogs can eliminate HBV DNA by inhibiting HBV reverse transcriptase, they cannot lead to negative conversion of covalently closed circular DNA (cccDNA) and hepatitis B surface antigen (HBsAg). In this study, we revealed that the antifilarial drug ivermectin suppresses HBV production by a different mechanism from the nucleic acid analog entecavir or Na<sup>+</sup> taurocholate co-transporting polypeptide-mediated entry inhibitor cyclosporin A. Ivermectin reduced the levels of several HBV markers, including HBsAg, in HBV-infected human hepatocellular carcinoma cells (HepG2-hNTCP-C4 cells) and humanized mouse hepatocytes (PXB hepatocytes). In addition, ivermectin significantly decreased the expression of HBV core protein and the nuclear transporter karyopherin α2 (KPNA2) in the nuclei of HepG2-hNTCP-C4 cells. Furthermore, depletion of KPNA1–6 suppressed the production of cccDNA. These results suggest that KPNA1–6 is involved in the nuclear import of HBV and that ivermectin suppresses the nuclear import of HBV by inhibiting KPNA2. This study demonstrates the potential of ivermectin as a novel treatment for hepatitis B.
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spelling doaj.art-c8cb069c76e847feb81b286bbed863992023-11-24T07:17:44ZengMDPI AGViruses1999-49152022-11-011411246810.3390/v14112468Ivermectin Inhibits HBV Entry into the Nucleus by Suppressing KPNA2Anna Nakanishi0Hiroki Okumura1Tadahiro Hashita2Aya Yamashita3Yuka Nishimura4Chihiro Watanabe5Sakina Kamimura6Sanae Hayashi7Shuko Murakami8Kyoko Ito9Takahiro Iwao10Akari Ikeda11Tomoyasu Hirose12Toshiaki Sunazuka13Yasuhito Tanaka14Tamihide Matsunaga15Department of Clinical Pharmacy, Graduate School of Pharmaceutical Sciences, Nagoya City University, Nagoya 467-8603, JapanDepartment of Clinical Pharmacy, Graduate School of Pharmaceutical Sciences, Nagoya City University, Nagoya 467-8603, JapanDepartment of Clinical Pharmacy, Graduate School of Pharmaceutical Sciences, Nagoya City University, Nagoya 467-8603, JapanEducational Research Center for Clinical Pharmacy, Faculty of Pharmaceutical Sciences, Nagoya City University, Nagoya 467-8603, JapanEducational Research Center for Clinical Pharmacy, Faculty of Pharmaceutical Sciences, Nagoya City University, Nagoya 467-8603, JapanEducational Research Center for Clinical Pharmacy, Faculty of Pharmaceutical Sciences, Nagoya City University, Nagoya 467-8603, JapanEducational Research Center for Clinical Pharmacy, Faculty of Pharmaceutical Sciences, Nagoya City University, Nagoya 467-8603, JapanDepartment of Virology and Liver Unit, Graduate School of Medical Sciences, Nagoya City University, Nagoya 467-8601, JapanDepartment of Virology and Liver Unit, Graduate School of Medical Sciences, Nagoya City University, Nagoya 467-8601, JapanDepartment of Virology and Liver Unit, Graduate School of Medical Sciences, Nagoya City University, Nagoya 467-8601, JapanDepartment of Clinical Pharmacy, Graduate School of Pharmaceutical Sciences, Nagoya City University, Nagoya 467-8603, JapanŌmura Satoshi Memorial Institute, Graduate School of Infection Control Sciences, Kitasato University, Tokyo 108-8641, JapanŌmura Satoshi Memorial Institute, Graduate School of Infection Control Sciences, Kitasato University, Tokyo 108-8641, JapanŌmura Satoshi Memorial Institute, Graduate School of Infection Control Sciences, Kitasato University, Tokyo 108-8641, JapanDepartment of Virology and Liver Unit, Graduate School of Medical Sciences, Nagoya City University, Nagoya 467-8601, JapanDepartment of Clinical Pharmacy, Graduate School of Pharmaceutical Sciences, Nagoya City University, Nagoya 467-8603, JapanHepatitis B virus (HBV) specifically infects human hepatocytes and increases the risks of cirrhosis and liver cancer. Currently, nucleic acid analogs are the main therapeutics for chronic hepatitis caused by HBV infection. Although nucleic acid analogs can eliminate HBV DNA by inhibiting HBV reverse transcriptase, they cannot lead to negative conversion of covalently closed circular DNA (cccDNA) and hepatitis B surface antigen (HBsAg). In this study, we revealed that the antifilarial drug ivermectin suppresses HBV production by a different mechanism from the nucleic acid analog entecavir or Na<sup>+</sup> taurocholate co-transporting polypeptide-mediated entry inhibitor cyclosporin A. Ivermectin reduced the levels of several HBV markers, including HBsAg, in HBV-infected human hepatocellular carcinoma cells (HepG2-hNTCP-C4 cells) and humanized mouse hepatocytes (PXB hepatocytes). In addition, ivermectin significantly decreased the expression of HBV core protein and the nuclear transporter karyopherin α2 (KPNA2) in the nuclei of HepG2-hNTCP-C4 cells. Furthermore, depletion of KPNA1–6 suppressed the production of cccDNA. These results suggest that KPNA1–6 is involved in the nuclear import of HBV and that ivermectin suppresses the nuclear import of HBV by inhibiting KPNA2. This study demonstrates the potential of ivermectin as a novel treatment for hepatitis B.https://www.mdpi.com/1999-4915/14/11/2468hepatitis B virusivermectinimportin α/βkaryopherin αhepatitis B surface antigenhepatitis B core protein
spellingShingle Anna Nakanishi
Hiroki Okumura
Tadahiro Hashita
Aya Yamashita
Yuka Nishimura
Chihiro Watanabe
Sakina Kamimura
Sanae Hayashi
Shuko Murakami
Kyoko Ito
Takahiro Iwao
Akari Ikeda
Tomoyasu Hirose
Toshiaki Sunazuka
Yasuhito Tanaka
Tamihide Matsunaga
Ivermectin Inhibits HBV Entry into the Nucleus by Suppressing KPNA2
Viruses
hepatitis B virus
ivermectin
importin α/β
karyopherin α
hepatitis B surface antigen
hepatitis B core protein
title Ivermectin Inhibits HBV Entry into the Nucleus by Suppressing KPNA2
title_full Ivermectin Inhibits HBV Entry into the Nucleus by Suppressing KPNA2
title_fullStr Ivermectin Inhibits HBV Entry into the Nucleus by Suppressing KPNA2
title_full_unstemmed Ivermectin Inhibits HBV Entry into the Nucleus by Suppressing KPNA2
title_short Ivermectin Inhibits HBV Entry into the Nucleus by Suppressing KPNA2
title_sort ivermectin inhibits hbv entry into the nucleus by suppressing kpna2
topic hepatitis B virus
ivermectin
importin α/β
karyopherin α
hepatitis B surface antigen
hepatitis B core protein
url https://www.mdpi.com/1999-4915/14/11/2468
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