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Antiviral Activity of Emetine Dihydrochloride Against Dengue Virus Infection

June Su Yin Low, Karen Caiyun Chen, Kan Xing Wu, Mary Mah-Lee Ng and Justin Jang Hann Chu*
Department of Microbiology, Yong Loo Lin School of Medicine, National University Health System, 5 Science Drive 2, National University of Singapore, Singapore 117597
*Corresponding author: Dr. Justin Jang Hann Chu,
Department of Microbiology, Yong Loo Lin School of Medicine,
National University Health System, 5 Science Drive 2,
National University of Singapore, Singapore 117597,
Phone : +65-65163278,
Fax      : +65-67766872,
E-mail : miccjh@nus.edu.sg  or  justin_chu@nuhs.edu.sg
Received October 09, 2009; Accepted November 09, 2009; Published November 10, 2009
Citation: Yin Low JS, Chen KC, Wu KX, Mah-Lee Ng M, Hann Chu JJ (2009) Antiviral Activity of Emetine Dihydrochloride Against Dengue Virus Infection. J Antivir Antiretrovir 1: 062-071. doi:10.4172/jaa.1000009
 
Copyright: © 2009 Yin Low JS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract

Dengue fever has become a global concern as dengue infections are prevalent in the tropics and the subtropics, and can lead to a severe life-threatening illness. Currently, there is a widespread interest to search for vaccine or antiviral therapy to combat DENV infection. In this study, we have identified emetine dihydrochloride with potent antiviral activity against DENV infection. Emetine was also shown to inhibit DENV replication consistently in all the dengue serotypes. Experiments were designed to define the stage of viral replication cycle at which emetine blocked DENV infection. Emetine did not target the entry process of DENV into cells as inhibitory effect of emetine on DENV infectivity remained when naked dengue viral RNA were transfected directly into the cells. Thus, we further investigated the inhibitory effect of emetine through timecourse studies and emetine was shown to strongly inhibit DENV infection at early stage of viral replication cycle by either affecting the synthesis viral RNA pathway or viral protein translation pathway. Quantitative RT-PCR assay indicated that emetine strongly reduced the production of positive-strand and negative-strand of DENV RNA. Ultrastructural analysis of emetine-treated cells further revealed that the formations of membranous replication complexes of DENV within cells were aborted in the presence of emetine. Together, these results suggest that emetine can inhibit DENV infection by impeding viral RNA synthesis therefore emetine could be further assessed and developed as a potential antiviral therapeutic agent against DENV infection.

 
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