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Published on: May 9, 2025
Farnesoid X receptor agonists as broad-acting antivirals: Evidence from hepatitis viruses and beyond?
Barnault Romain1, Vicente-Navarro Inés1, Lotteau Vincent1
1CIRI, Centre International de Recherche en Infectiologie, Univ Lyon, Inserm, U1111, Université Claude Bernard Lyon 1, CNRS, UMR5308, ENS de Lyon, F-69007, Lyon, France.
Abstract:
As intracellular organisms, viruses exploit host metabolism to replicate and propagate. The farnesoid X receptor alpha (FXRα) is a bile acid-activated nuclear receptor that regulates bile acid, glucose and lipid metabolism, as well as inflammation and immunity. Since its discovery in 1995, numerous ligands have been developed to treat metabolism-related syndromes. More recently, FXRα has been shown to modulate the life cycle of various viruses that infect human. This review provides a comprehensive summary of the literature regarding the effect of FXRα agonism in viral infections caused by hepatotropic viruses, enteric viruses and other viral pathogens. Rather than acting through a single antiviral mechanism, FXRα has been reported to influence many steps of viral replication, including entry, transcription and particle secretion. The established safety profiles of FXRα agonists and their clinical use for other pathologies could pave the way for their re-purposing as broad-spectrum antivirals.
Insights
Farnesoid X receptor alpha (FXRα) agonists show broad-spectrum antiviral potential by influencing multiple steps of viral replication. Their established safety profile suggests repurposing for viral infections.
Area of Science:
- Molecular biology
- Virology
- Metabolic regulation
Background:
- Viruses rely on host cell metabolism for replication.
- Farnesoid X receptor alpha (FXRα) is a nuclear receptor regulating metabolism and immunity.
- FXRα ligands are used for metabolic syndrome treatments.
Purpose of the Study:
- To review the literature on FXRα agonism's role in viral infections.
- To explore FXRα's potential as a broad-spectrum antiviral agent.
Main Methods:
- Comprehensive literature review of studies investigating FXRα and viral pathogens.
- Analysis of reported mechanisms of FXRα in modulating viral life cycles.
Main Results:
- FXRα agonism impacts the replication of various viruses, including hepatotropic and enteric viruses.
- FXRα influences multiple stages of viral replication, such as entry, transcription, and particle release.
- FXRα does not appear to act through a single antiviral mechanism.
Conclusions:
- FXRα plays a significant role in modulating viral life cycles.
- FXRα agonists demonstrate potential as broad-spectrum antivirals.
- Existing FXRα agonists, with established safety profiles, could be repurposed for antiviral therapies.
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