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Updated: Sep 26, 2025

Isolation of Fidelity Variants of RNA Viruses and Characterization of Virus Mutation Frequency
Published on: June 16, 2011
Lethal Mutagenesis of RNA Viruses and Approved Drugs with Antiviral Mutagenic Activity
Ikbel Hadj Hassine1, Manel Ben M'hadheb1, Luis Menéndez-Arias2
1Unité de Recherche UR17ES30 "Génomique, Biotechnologie et Stratégies Antivirales", Institut Supérieur de Biotechnologie, Université de Monastir, Monastir 5000, Tunisia.
Abstract:
In RNA viruses, a small increase in their mutation rates can be sufficient to exceed their threshold of viability. Lethal mutagenesis is a therapeutic strategy based on the use of mutagens, driving viral populations to extinction. Extinction catastrophe can be experimentally induced by promutagenic nucleosides in cell culture models. The loss of HIV infectivity has been observed after passage in 5-hydroxydeoxycytidine or 5,6-dihydro-5-aza-2'-deoxycytidine while producing a two-fold increase in the viral mutation frequency. Among approved nucleoside analogs, experiments with polioviruses and other RNA viruses suggested that ribavirin can be mutagenic, although its mechanism of action is not clear. Favipiravir and molnupiravir exert an antiviral effect through lethal mutagenesis. Both drugs are broad-spectrum antiviral agents active against RNA viruses. Favipiravir incorporates into viral RNA, affecting the G→A and C→U transition rates. Molnupiravir (a prodrug of β-d-N4-hydroxycytidine) has been recently approved for the treatment of SARS-CoV-2 infection. Its triphosphate derivative can be incorporated into viral RNA and extended by the coronavirus RNA polymerase. Incorrect base pairing and inefficient extension by the polymerase promote mutagenesis by increasing the G→A and C→U transition frequencies. Despite having remarkable antiviral action and resilience to drug resistance, carcinogenic risks and genotoxicity are important concerns limiting their extended use in antiviral therapy.
Insights
Lethal mutagenesis uses mutagens to increase viral mutation rates, causing extinction. Drugs like molnupiravir show promise against RNA viruses but carry carcinogenic risks.
Area of Science:
- Virology
- Molecular Biology
- Drug Discovery
Background:
- RNA viruses have low mutation thresholds, making them vulnerable to increased mutation rates.
- Lethal mutagenesis is a strategy to induce viral extinction by increasing mutation frequency.
- Promutagenic nucleosides can experimentally trigger extinction events in viral populations.
Purpose of the Study:
- To explore lethal mutagenesis as an antiviral strategy against RNA viruses.
- To review the mechanisms and efficacy of nucleoside analogs in inducing viral extinction.
- To assess the potential and limitations of drugs like favipiravir and molnupiravir.
Main Methods:
- Investigating the effects of promutagenic nucleosides (e.g., 5-hydroxydeoxycytidine) on viral infectivity.
- Analyzing the mutagenic potential of approved nucleoside analogs like ribavirin, favipiravir, and molnupiravir.
- Examining the incorporation and impact of molnupiravir on viral RNA and replication fidelity.
Main Results:
- Loss of HIV infectivity observed with specific nucleoside analogs, correlating with increased mutation rates.
- Favipiravir and molnupiravir demonstrated broad-spectrum antiviral activity via lethal mutagenesis.
- Molnupiravir increases G→A and C→U transition frequencies in SARS-CoV-2 RNA through incorporation and polymerase extension errors.
Conclusions:
- Lethal mutagenesis is a viable strategy for combating RNA viruses, including HIV and SARS-CoV-2.
- Nucleoside analogs like favipiravir and molnupiravir are effective broad-spectrum antiviral agents.
- Carcinogenic risks and genotoxicity necessitate caution for widespread use of these mutagenic antiviral therapies.
Related Concept Videos
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Mutagenicity and Carcinogenicity
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