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Reduced hepatitis B and D viral entry using clinically applied drugs as novel inhibitors of the bile acid transporter NTCP
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Abstract The sodium taurocholate co-transporting polypeptide (NTCP,SLC10A1) is the main hepatic transporter of conjugated bile acids, and the entry receptor for hepatitis B virus (HBV) and hepatitis delta virus (HDV). Myrcludex B, a synthetic peptide mimicking the NTCP-binding domain of HBV, effectively blocks HBV and HDV infection. In addition, Myrcludex B inhibits NTCP-mediated bile acid uptake, suggesting that also other NTCP inhibitors could potentially be a novel treatment of HBV/HDV infection. This study aims to identify clinically-applied compounds intervening with NTCP-mediated bile acid transport and HBV/HDV infection. 1280 FDA/EMA-approved drugs were screened to identify compounds that reduce uptake of taurocholic acid and lower Myrcludex B-binding in U2OS cells stably expressing human NTCP. HBV/HDV viral entry inhibition was studied in HepaRG cells. The four most potent inhibitors of human NTCP were rosiglitazone (IC505.1 µM), zafirlukast (IC506.5 µM), TRIAC (IC506.9 µM), and sulfasalazine (IC509.6 µM). Chicago sky blue 6B (IC507.1 µM) inhibited both NTCP and ASBT, a distinct though related bile acid transporter. Rosiglitazone, zafirlukast, TRIAC, sulfasalazine, and chicago sky blue 6B reduced HBV/HDV infection in HepaRG cells in a dose-dependent manner. Five out of 1280 clinically approved drugs were identified that inhibit NTCP-mediated bile acid uptake and HBV/HDV infectionin vitro.
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Several drugs such as rosiglitazone, zafirlukast and sulfasalazine inhibit NTCP.
“Moreover, several drugs such as rosiglitazone, zafirlukast and sulfasalazine inhibit NTCP.205”
From Novel therapeutic targets for cholestatic and fatty liver disease (2022) · cites this paper as [205]
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“Similarly, it has been shown in vitro that other drugs can also inhibit NTCP [88 – 90], so concomitant use (e.g., sulfasalazine, irbesar-tan, ezetimibe, ritonavir, and ciclosporin A) is not recommended [39].”
BackgroundErgosterol peroxide blocks HDV infection as a novel entry inhibitor by targeting human NTCP receptor
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Metadata
- Authors
- Donkers, J. M., Zehnder, B., van Westen, G. J. P., Kwakkenbos, M. J., IJzerman, A. P., Oude Elferink, R. P. J., Beuers, U., Urban, S., & van de Graaf, S. F. J.
- Affiliations
- Amsterdam UMC Location University of Amsterdam (NL)
- University Hospital Heidelberg (DE)
- AIMM Therapeutics (Netherlands) (NL)
- Leiden University (NL)
- Heidelberg University (DE)
- ORCID
- Venue
- Scientific Reports
- Published
- 2017-11-10
- Volume
- 7
- Issue
- 1
- Pages
- 15307-15307
- ISSN
- 2045-2322 (ISSN-L)
- PMC
- PMC5681660
- OpenAlex
- W2767255832
- Cited by
- 90
- References
- 47
- Citations by year
- 2026: 6 · 2025: 3 · 2024: 6 · 2023: 9 · 2022: 13 · 2021: 14 · 2020: 15 · 2019: 17 · 2018: 6 · 2017: 1
- FWCI
- 8.35
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Scientific Reports (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Leiden Repository (Leiden University) (submittedVersion, cc-by)
- Pure Amsterdam UMC (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Epidemiology › Hepatitis B Virus Studies
- Health Sciences › Medicine › Oncology › Drug Transport and Resistance Mechanisms
- Health Sciences › Medicine › Hepatology › Hepatitis C virus research
- Keywords
- normal tissue complication probability, sodium taurocholate cotransporting polypeptide, SLC10A1, hepatitis B virus, hepatitis delta virus, viral entry inhibition, bile acid transport, Myrcludex B, rosiglitazone, zafirlukast, triac, sulfasalazine, ASBT, drug repurposing
- MeSH terms
- Rosiglitazone, Animals, Antiviral Agents, Hepatitis Delta Virus, Hepatitis D, Dogs, Hepatitis B, Hepatitis B virus, Humans, Indoles, Sulfasalazine, Sulfonamides, Tosyl Compounds, Triiodothyronine, Trypan Blue, Symporters, Organic Anion Transporters, Sodium-Dependent, Phenylcarbamates, Virus Internalization, Lipopeptides, Madin Darby Canine Kidney Cells
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