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Published on: October 29, 2015
Inhibition of cyclooxygenase activity blocks cell-to-cell spread of human cytomegalovirus
1Department of Molecular Biology, Princeton University, Princeton, NJ 08540, USA.
Abstract:
Human cytomegalovirus has previously been shown to induce the accumulation of cyclooxygenase-2 RNA, protein, and enzyme activity. High doses of cyclooxygenase inhibitors substantially block viral replication in cultured fibroblasts. However, doses corresponding to the level of drug achieved in the plasma of patients have little effect on the replication of human cytomegalovirus in cultured cells. Here, we demonstrate that two nonsteroidal anti-inflammatory drugs, tolfenamic acid and indomethacin, markedly reduce direct cell-to-cell spread of human cytomegalovirus in cultured fibroblasts. The block is reversed by addition of prostaglandin E2, proving that it results from the action of the drugs on cyclooxygenase activity. Because direct cell-to-cell spread likely contributes importantly to pathogenesis of the virus, we suggest that nonsteroidal anti-inflammatory drugs might help to control human cytomegalovirus infections in conjunction with other anti-viral treatments.
Insights
Nonsteroidal anti-inflammatory drugs, like tolfenamic acid and indomethacin, can inhibit human cytomegalovirus (HCMV) cell-to-cell spread. This finding suggests NSAIDs may aid in controlling HCMV infections when used with other antiviral therapies.
Area of Science:
- Virology
- Pharmacology
- Immunology
Background:
- Human cytomegalovirus (HCMV) increases cyclooxygenase-2 (COX-2) RNA, protein, and activity.
- High doses of COX inhibitors significantly impede viral replication in fibroblasts.
- Therapeutic drug levels of COX inhibitors have minimal impact on HCMV replication in cell cultures.
Purpose of the Study:
- To investigate the effect of nonsteroidal anti-inflammatory drugs (NSAIDs) on human cytomegalovirus (HCMV) spread.
- To determine if NSAIDs can inhibit HCMV cell-to-cell transmission.
- To explore the potential of NSAIDs in managing HCMV infections.
Main Methods:
- Utilized cultured fibroblasts to study HCMV replication and spread.
- Administered NSAIDs, specifically tolfenamic acid and indomethacin, to infected cell cultures.
- Assessed viral spread inhibition and reversed effects with prostaglandin E2.
Main Results:
- Tolfenamic acid and indomethacin significantly reduced direct cell-to-cell spread of HCMV in fibroblasts.
- The observed inhibition of viral spread was reversed by the addition of prostaglandin E2.
- This indicates the effect is mediated through cyclooxygenase activity.
Conclusions:
- NSAIDs, acting via cyclooxygenase inhibition, effectively reduce HCMV cell-to-cell spread.
- Cell-to-cell spread is a significant factor in HCMV pathogenesis.
- NSAIDs may be a valuable adjunct therapy for controlling HCMV infections alongside other antivirals.
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