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Nitazoxanide, an antiviral thiazolide, depletes ATP-sensitive intracellular Ca(2+) stores
Omodele Ashiru1, Jonathon D Howe1, Terry D Butters1
1Oxford Glycobiology Institute, Department of Biochemistry, University of Oxford, South Parks Road, Oxford, Oxfordshire OX1 3QU, UK.
Abstract:
Nitazoxanide (NTZ) inhibits influenza, Japanese encephalitis, hepatitis B and hepatitis C virus replication but effects on the replication of other members of the Flaviviridae family has yet to be defined. The pestivirus bovine viral diarrhoea virus (BVDV) is a surrogate model for HCV infection and NTZ induced PKR and eIF2α phosphorylation in both uninfected and BVDV-infected cells. This led to the observation that NTZ depletes ATP-sensitive intracellular Ca(2+) stores. In addition to PKR and eIF2α phosphorylation, consequences of NTZ-mediated Ca(2+) mobilisation included induction of chronic sub-lethal ER stress as well as perturbation of viral protein N-linked glycosylation and trafficking. To adapt to NTZ-mediated ER stress, NTZ treated cells upregulated translation of Ca(2+)-binding proteins, including the ER chaperone Bip and the cytosolic pro-survival and anti-viral protein TCTP. Depletion of intracellular Ca(2+) stores is the primary consequence of NTZ treatment and is likely to underpin all antiviral mechanisms attributed to the thiazolide.
Insights
Nitazoxanide (NTZ) depletes intracellular calcium stores, impacting viral replication. This mechanism underlies NTZ
Area of Science:
- Virology
- Cell Biology
- Drug Discovery
Background:
- Nitazoxanide (NTZ) is known to inhibit replication of several viruses.
- Its effects on Flaviviridae family members, beyond Hepatitis C virus (HCV), are not well-defined.
- Bovine viral diarrhoea virus (BVDV) serves as a surrogate model for HCV.
Purpose of the Study:
- To investigate the effects of NTZ on BVDV replication.
- To elucidate the molecular mechanisms underlying NTZ's antiviral activity.
Main Methods:
- Treatment of cells with NTZ, with and without BVDV infection.
- Measurement of PKR and eIF2α phosphorylation.
- Assessment of intracellular calcium levels.
- Analysis of ER stress markers and viral protein glycosylation/trafficking.
Main Results:
- NTZ induced PKR and eIF2α phosphorylation in both uninfected and BVDV-infected cells.
- NTZ treatment led to the depletion of ATP-sensitive intracellular calcium stores.
- NTZ caused ER stress, altered viral protein N-linked glycosylation, and affected protein trafficking.
- Cells adapted to ER stress by upregulating Ca(2+)-binding proteins like Bip and TCTP.
Conclusions:
- Depletion of intracellular calcium stores is the primary consequence of NTZ treatment.
- This calcium depletion is likely the key mechanism behind NTZ's antiviral effects against BVDV and potentially other viruses.
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