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Published in: Journal of Translational Medicine 1/2011

Open Access 01-12-2011 | Research

Glycyrrhizin as antiviral agent against Hepatitis C Virus

Authors: Usman A Ashfaq, Muhammad S Masoud, Zafar Nawaz, Sheikh Riazuddin

Published in: Journal of Translational Medicine | Issue 1/2011

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Abstract

Background

Hepatitis C virus is a major cause of chronic liver diseases which can lead to permanent liver damage, hepatocellular carcinoma and death. The presently available treatment with interferon plus ribavirin, has limited benefits due to adverse side effects such as anemia, depression, fatigue, and "flu-like" symptoms. Herbal plants have been used for centuries against different diseases including viral diseases and have become a major source of new compounds to treat bacterial and viral diseases.

Material

The present study was design to study the antiviral effect of Glycyrrhizin (GL) against HCV. For this purpose, HCV infected liver cells were treated with GL at non toxic doses and HCV titer was measured by Quantitative real time RT-PCR.

Results and Discussion

Our results demonstrated that GL inhibit HCV titer in a dose dependent manner and resulted in 50% reduction of HCV at a concentration of 14 ± 2 μg. Comparative studies were made with interferon alpha to investigate synergistic effects, if any, between antiviral compound and interferon alpha 2a. Our data showed that GL exhibited synergistic effect when combined with interferon. Moreover, these results were verified by transiently transfecting the liver cells with HCV 3a core plasmid. The results proved that GL dose dependently inhibit the expression of HCV 3a core gene both at mRNA and protein levels while the GAPDH remained constant.

Conclusion

Our results suggest that GL inhibit HCV full length viral particles and HCV core gene expression or function in a dose dependent manner and had synergistic effect with interferon. In future, GL along with interferon will be better option to treat HCV infection.
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Literature
1.
2.
go back to reference Manns MP, McHutchison JG, Gordon SC, Rustgi VK, Shiffman M, Reindollar R, Goodman ZD, Koury K, Ling M, Albrecht JK: Peginterferon alfa-2b plus ribavirin compared with interferon alfa-2b plus ribavirin for initial treatment of chronic hepatitis C: a randomised trial. Lancet. 2001, 358: 958-965. 10.1016/S0140-6736(01)06102-5.CrossRefPubMed Manns MP, McHutchison JG, Gordon SC, Rustgi VK, Shiffman M, Reindollar R, Goodman ZD, Koury K, Ling M, Albrecht JK: Peginterferon alfa-2b plus ribavirin compared with interferon alfa-2b plus ribavirin for initial treatment of chronic hepatitis C: a randomised trial. Lancet. 2001, 358: 958-965. 10.1016/S0140-6736(01)06102-5.CrossRefPubMed
3.
go back to reference Robertson B, Myers G, Howard C, Brettin T, Bukh J, Gaschen B, Gojobori T, Maertens G, Mizokami M, Nainan O: Classification, nomenclature, and database development for hepatitis C virus (HCV) and related viruses: proposals for standardization. International Committee on Virus Taxonomy. Arch Virol. 1998, 143: 2493-2503. 10.1007/s007050050479.CrossRefPubMed Robertson B, Myers G, Howard C, Brettin T, Bukh J, Gaschen B, Gojobori T, Maertens G, Mizokami M, Nainan O: Classification, nomenclature, and database development for hepatitis C virus (HCV) and related viruses: proposals for standardization. International Committee on Virus Taxonomy. Arch Virol. 1998, 143: 2493-2503. 10.1007/s007050050479.CrossRefPubMed
4.
5.
go back to reference Reed KE, Rice CM: Overview of hepatitis C virus genome structure, polyprotein processing, and protein properties. Curr Top Microbiol Immunol. 2000, 242: 55-84.PubMed Reed KE, Rice CM: Overview of hepatitis C virus genome structure, polyprotein processing, and protein properties. Curr Top Microbiol Immunol. 2000, 242: 55-84.PubMed
6.
go back to reference Kimura M, Watanabe H, Abo T: Selective activation of extrathymic T cells in the liver by glycyrrhizin. Biotherapy. 1992, 5: 167-176. 10.1007/BF02171049.CrossRefPubMed Kimura M, Watanabe H, Abo T: Selective activation of extrathymic T cells in the liver by glycyrrhizin. Biotherapy. 1992, 5: 167-176. 10.1007/BF02171049.CrossRefPubMed
7.
go back to reference Crance JM, Leveque F, Biziagos E, van Cuyck-Gandre H, Jouan A, Deloince R: Studies on mechanism of action of glycyrrhizin against hepatitis A virus replication in vitro. Antiviral Res. 1994, 23: 63-76.CrossRefPubMed Crance JM, Leveque F, Biziagos E, van Cuyck-Gandre H, Jouan A, Deloince R: Studies on mechanism of action of glycyrrhizin against hepatitis A virus replication in vitro. Antiviral Res. 1994, 23: 63-76.CrossRefPubMed
8.
go back to reference Sato H, Goto W, Yamamura J, Kurokawa M, Kageyama S, Takahara T, Watanabe A, Shiraki K: Therapeutic basis of glycyrrhizin on chronic hepatitis B. Antiviral Res. 1996, 30: 171-177. 10.1016/0166-3542(96)00942-4.CrossRefPubMed Sato H, Goto W, Yamamura J, Kurokawa M, Kageyama S, Takahara T, Watanabe A, Shiraki K: Therapeutic basis of glycyrrhizin on chronic hepatitis B. Antiviral Res. 1996, 30: 171-177. 10.1016/0166-3542(96)00942-4.CrossRefPubMed
9.
go back to reference Yoshida T, Abe K, Ikeda T, Matsushita T, Wake K, Sato T, Sato T, Inoue H: Inhibitory effect of glycyrrhizin on lipopolysaccharide and d-galactosamine-induced mouse liver injury. Eur J Pharmacol. 2007, 576: 136-142. 10.1016/j.ejphar.2007.08.012.CrossRefPubMed Yoshida T, Abe K, Ikeda T, Matsushita T, Wake K, Sato T, Sato T, Inoue H: Inhibitory effect of glycyrrhizin on lipopolysaccharide and d-galactosamine-induced mouse liver injury. Eur J Pharmacol. 2007, 576: 136-142. 10.1016/j.ejphar.2007.08.012.CrossRefPubMed
10.
go back to reference Zekri AR, Bahnassy AA, El-Din HM, Salama HM: Consensus siRNA for inhibition of HCV genotype-4 replication. Virol J. 2009, 6: 13-10.1186/1743-422X-6-13.PubMedCentralCrossRefPubMed Zekri AR, Bahnassy AA, El-Din HM, Salama HM: Consensus siRNA for inhibition of HCV genotype-4 replication. Virol J. 2009, 6: 13-10.1186/1743-422X-6-13.PubMedCentralCrossRefPubMed
11.
go back to reference el-Awady MK, Tabll AA, el-Abd YS, Bahgat MM, Shoeb HA, Youssef SS, Bader el-Din NG, Redwan el RM, el-Demellawy M, Omran MH: HepG2 cells support viral replication and gene expression of hepatitis C virus genotype 4 in vitro. World J Gastroenterol. 2006, 12: 4836-4842.PubMedCentralPubMed el-Awady MK, Tabll AA, el-Abd YS, Bahgat MM, Shoeb HA, Youssef SS, Bader el-Din NG, Redwan el RM, el-Demellawy M, Omran MH: HepG2 cells support viral replication and gene expression of hepatitis C virus genotype 4 in vitro. World J Gastroenterol. 2006, 12: 4836-4842.PubMedCentralPubMed
12.
go back to reference McHutchison JG, Gordon SC, Schiff ER, Shiffman ML, Lee WM, Rustgi VK, Goodman ZD, Ling MH, Cort S, Albrecht JK: Interferon alfa-2b alone or in combination with ribavirin as initial treatment for chronic hepatitis C. Hepatitis Interventional Therapy Group. N Engl J Med. 1998, 339: 1485-1492. 10.1056/NEJM199811193392101.CrossRefPubMed McHutchison JG, Gordon SC, Schiff ER, Shiffman ML, Lee WM, Rustgi VK, Goodman ZD, Ling MH, Cort S, Albrecht JK: Interferon alfa-2b alone or in combination with ribavirin as initial treatment for chronic hepatitis C. Hepatitis Interventional Therapy Group. N Engl J Med. 1998, 339: 1485-1492. 10.1056/NEJM199811193392101.CrossRefPubMed
13.
go back to reference Moore MM, Elpern DJ, Carter DJ: Severe, generalized nummular eczema secondary to interferon alfa-2b plus ribavirin combination therapy in a patient with chronic hepatitis C virus infection. Arch Dermatol. 2004, 140: 215-217. 10.1001/archderm.140.2.215.CrossRefPubMed Moore MM, Elpern DJ, Carter DJ: Severe, generalized nummular eczema secondary to interferon alfa-2b plus ribavirin combination therapy in a patient with chronic hepatitis C virus infection. Arch Dermatol. 2004, 140: 215-217. 10.1001/archderm.140.2.215.CrossRefPubMed
14.
go back to reference Amoros M, Fauconnier B, Girre RL: In vitro antiviral activity of a saponin from Anagallis arvensis, Primulaceae, against herpes simplex virus and poliovirus. Antiviral Res. 1987, 8: 13-25. 10.1016/0166-3542(87)90084-2.CrossRefPubMed Amoros M, Fauconnier B, Girre RL: In vitro antiviral activity of a saponin from Anagallis arvensis, Primulaceae, against herpes simplex virus and poliovirus. Antiviral Res. 1987, 8: 13-25. 10.1016/0166-3542(87)90084-2.CrossRefPubMed
15.
go back to reference Yao XJ, Wainberg MA, Parniak MA: Mechanism of inhibition of HIV-1 infection in vitro by purified extract of Prunella vulgaris. Virology. 1992, 187: 56-62. 10.1016/0042-6822(92)90294-Y.CrossRefPubMed Yao XJ, Wainberg MA, Parniak MA: Mechanism of inhibition of HIV-1 infection in vitro by purified extract of Prunella vulgaris. Virology. 1992, 187: 56-62. 10.1016/0042-6822(92)90294-Y.CrossRefPubMed
16.
go back to reference Yoshikawa M, Matsui Y, Kawamoto H, Umemoto N, Oku K, Koizumi M, Yamao J, Kuriyama S, Nakano H, Hozumi N: Effects of glycyrrhizin on immune-mediated cytotoxicity. J Gastroenterol Hepatol. 1997, 12: 243-248. 10.1111/j.1440-1746.1997.tb00416.x.CrossRefPubMed Yoshikawa M, Matsui Y, Kawamoto H, Umemoto N, Oku K, Koizumi M, Yamao J, Kuriyama S, Nakano H, Hozumi N: Effects of glycyrrhizin on immune-mediated cytotoxicity. J Gastroenterol Hepatol. 1997, 12: 243-248. 10.1111/j.1440-1746.1997.tb00416.x.CrossRefPubMed
17.
go back to reference Shiki Y, Shirai K, Saito Y, Yoshida S, Mori Y, Wakashin M: Effect of glycyrrhizin on lysis of hepatocyte membranes induced by anti-liver cell membrane antibody. J Gastroenterol Hepatol. 1992, 7: 12-16. 10.1111/j.1440-1746.1992.tb00927.x.CrossRefPubMed Shiki Y, Shirai K, Saito Y, Yoshida S, Mori Y, Wakashin M: Effect of glycyrrhizin on lysis of hepatocyte membranes induced by anti-liver cell membrane antibody. J Gastroenterol Hepatol. 1992, 7: 12-16. 10.1111/j.1440-1746.1992.tb00927.x.CrossRefPubMed
18.
go back to reference Abe Y, Ueda T, Kato T, Kohli Y: [Effectiveness of interferon, glycyrrhizin combination therapy in patients with chronic hepatitis C]. Nippon Rinsho. 1994, 52: 1817-1822.PubMed Abe Y, Ueda T, Kato T, Kohli Y: [Effectiveness of interferon, glycyrrhizin combination therapy in patients with chronic hepatitis C]. Nippon Rinsho. 1994, 52: 1817-1822.PubMed
19.
go back to reference Shaneyfelt ME, Burke AD, Graff JW, Jutila MA, Hardy ME: Natural products that reduce rotavirus infectivity identified by a cell-based moderate-throughput screening assay. Virol J. 2006, 3: 68-10.1186/1743-422X-3-68.PubMedCentralCrossRefPubMed Shaneyfelt ME, Burke AD, Graff JW, Jutila MA, Hardy ME: Natural products that reduce rotavirus infectivity identified by a cell-based moderate-throughput screening assay. Virol J. 2006, 3: 68-10.1186/1743-422X-3-68.PubMedCentralCrossRefPubMed
20.
go back to reference Iino S, Tango T, Matsushima T, Toda G, Miyake K, Hino K, Kumada H, Yasuda K, Kuroki T, Hirayama C, Suzuki H: Therapeutic effects of stronger neo-minophagen C at different doses on chronic hepatitis and liver cirrhosis. Hepatol Res. 2001, 19: 31-40. 10.1016/S1386-6346(00)00079-6.CrossRefPubMed Iino S, Tango T, Matsushima T, Toda G, Miyake K, Hino K, Kumada H, Yasuda K, Kuroki T, Hirayama C, Suzuki H: Therapeutic effects of stronger neo-minophagen C at different doses on chronic hepatitis and liver cirrhosis. Hepatol Res. 2001, 19: 31-40. 10.1016/S1386-6346(00)00079-6.CrossRefPubMed
21.
go back to reference Kumada H: Long-term treatment of chronic hepatitis C with glycyrrhizin [stronger neo-minophagen C (SNMC)] for preventing liver cirrhosis and hepatocellular carcinoma. Oncology. 2002, 62 (Suppl 1): 94-100.CrossRefPubMed Kumada H: Long-term treatment of chronic hepatitis C with glycyrrhizin [stronger neo-minophagen C (SNMC)] for preventing liver cirrhosis and hepatocellular carcinoma. Oncology. 2002, 62 (Suppl 1): 94-100.CrossRefPubMed
22.
go back to reference Okuno T, Arai K, Shindo M: [Efficacy of interferon combined glycyrrhizin therapy in patients with interferon-resistant chronic hepatitis C]. Nippon Rinsho. 1995, 53 (Suppl): 1022-1025.PubMed Okuno T, Arai K, Shindo M: [Efficacy of interferon combined glycyrrhizin therapy in patients with interferon-resistant chronic hepatitis C]. Nippon Rinsho. 1995, 53 (Suppl): 1022-1025.PubMed
23.
go back to reference Mori K, Sakai H, Suzuki S, Sugai K, Akutsu Y, Ishikawa M, Seino Y, Ishida N, Uchida T, Kariyone S: Effects of glycyrrhizin (SNMC: stronger Neo-Minophagen C) in hemophilia patients with HIV infection. Tohoku J Exp Med. 1989, 158: 25-35. 10.1620/tjem.158.25.CrossRefPubMed Mori K, Sakai H, Suzuki S, Sugai K, Akutsu Y, Ishikawa M, Seino Y, Ishida N, Uchida T, Kariyone S: Effects of glycyrrhizin (SNMC: stronger Neo-Minophagen C) in hemophilia patients with HIV infection. Tohoku J Exp Med. 1989, 158: 25-35. 10.1620/tjem.158.25.CrossRefPubMed
24.
go back to reference Thyagarajan SP, Jayaram S, Gopalakrishnan V, Hari R, Jeyakumar P, Sripathi MS: Herbal medicines for liver diseases in India. J Gastroenterol Hepatol. 2002, 17 (Suppl 3): S370-376.CrossRefPubMed Thyagarajan SP, Jayaram S, Gopalakrishnan V, Hari R, Jeyakumar P, Sripathi MS: Herbal medicines for liver diseases in India. J Gastroenterol Hepatol. 2002, 17 (Suppl 3): S370-376.CrossRefPubMed
25.
go back to reference Sekizawa T, Yanagi K, Itoyama Y: Glycyrrhizin increases survival of mice with herpes simplex encephalitis. Acta Virol. 2001, 45: 51-54.PubMed Sekizawa T, Yanagi K, Itoyama Y: Glycyrrhizin increases survival of mice with herpes simplex encephalitis. Acta Virol. 2001, 45: 51-54.PubMed
26.
go back to reference Hoever G, Baltina L, Michaelis M, Kondratenko R, Baltina L, Tolstikov GA, Doerr HW, Cinatl J: Antiviral activity of glycyrrhizic acid derivatives against SARS-coronavirus. J Med Chem. 2005, 48: 1256-1259. 10.1021/jm0493008.CrossRefPubMed Hoever G, Baltina L, Michaelis M, Kondratenko R, Baltina L, Tolstikov GA, Doerr HW, Cinatl J: Antiviral activity of glycyrrhizic acid derivatives against SARS-coronavirus. J Med Chem. 2005, 48: 1256-1259. 10.1021/jm0493008.CrossRefPubMed
27.
go back to reference Mosmann T: Rapid colorimetric assay for cellular growth and survival: application to proliferation and cytotoxicity assays. J Immunol Methods. 1983, 65: 55-63. 10.1016/0022-1759(83)90303-4.CrossRefPubMed Mosmann T: Rapid colorimetric assay for cellular growth and survival: application to proliferation and cytotoxicity assays. J Immunol Methods. 1983, 65: 55-63. 10.1016/0022-1759(83)90303-4.CrossRefPubMed
28.
go back to reference Guha C, Lee SW, Chowdhury NR, Chowdhury JR: Cell culture models and animal models of viral hepatitis. Part II: hepatitis C. Lab Anim (NY). 2005, 34: 39-47.CrossRef Guha C, Lee SW, Chowdhury NR, Chowdhury JR: Cell culture models and animal models of viral hepatitis. Part II: hepatitis C. Lab Anim (NY). 2005, 34: 39-47.CrossRef
29.
go back to reference Ashfaq UA, Ansar M, Sarwar M, Javed T, Rehman S, Riazuddin S: Post-transcriptional inhibition of hepatitis C virus replication through small interference RNA. Virol J. 2011, 8: Ashfaq UA, Ansar M, Sarwar M, Javed T, Rehman S, Riazuddin S: Post-transcriptional inhibition of hepatitis C virus replication through small interference RNA. Virol J. 2011, 8:
30.
go back to reference Buck M: Direct infection and replication of naturally occurring hepatitis C virus genotypes 1, 2, 3 and 4 in normal human hepatocyte cultures. PLoS One. 2008, 3: e2660-10.1371/journal.pone.0002660.PubMedCentralCrossRefPubMed Buck M: Direct infection and replication of naturally occurring hepatitis C virus genotypes 1, 2, 3 and 4 in normal human hepatocyte cultures. PLoS One. 2008, 3: e2660-10.1371/journal.pone.0002660.PubMedCentralCrossRefPubMed
31.
go back to reference Penin F, Dubuisson J, Rey FA, Moradpour D, Pawlotsky JM: Structural biology of hepatitis C virus. Hepatology. 2004, 39: 5-19. 10.1002/hep.20032.CrossRefPubMed Penin F, Dubuisson J, Rey FA, Moradpour D, Pawlotsky JM: Structural biology of hepatitis C virus. Hepatology. 2004, 39: 5-19. 10.1002/hep.20032.CrossRefPubMed
32.
go back to reference Moriya K, Fujie H, Shintani Y, Yotsuyanagi H, Tsutsumi T, Ishibashi K, Matsuura Y, Kimura S, Miyamura T, Koike K: The core protein of hepatitis C virus induces hepatocellular carcinoma in transgenic mice. Nat Med. 1998, 4: 1065-1067. 10.1038/2053.CrossRefPubMed Moriya K, Fujie H, Shintani Y, Yotsuyanagi H, Tsutsumi T, Ishibashi K, Matsuura Y, Kimura S, Miyamura T, Koike K: The core protein of hepatitis C virus induces hepatocellular carcinoma in transgenic mice. Nat Med. 1998, 4: 1065-1067. 10.1038/2053.CrossRefPubMed
33.
go back to reference Nunez O, Fernandez-Martinez A, Majano PL, Apolinario A, Gomez-Gonzalo M, Benedicto I, Lopez-Cabrera M, Bosca L, Clemente G, Garcia-Monzon C, Martin-Sanz P: Increased intrahepatic cyclooxygenase 2, matrix metalloproteinase 2, and matrix metalloproteinase 9 expression is associated with progressive liver disease in chronic hepatitis C virus infection: role of viral core and NS5A proteins. Gut. 2004, 53: 1665-1672. 10.1136/gut.2003.038364.PubMedCentralCrossRefPubMed Nunez O, Fernandez-Martinez A, Majano PL, Apolinario A, Gomez-Gonzalo M, Benedicto I, Lopez-Cabrera M, Bosca L, Clemente G, Garcia-Monzon C, Martin-Sanz P: Increased intrahepatic cyclooxygenase 2, matrix metalloproteinase 2, and matrix metalloproteinase 9 expression is associated with progressive liver disease in chronic hepatitis C virus infection: role of viral core and NS5A proteins. Gut. 2004, 53: 1665-1672. 10.1136/gut.2003.038364.PubMedCentralCrossRefPubMed
34.
go back to reference Koga H, Sakisaka S, Ohishi M, Kawaguchi T, Taniguchi E, Sasatomi K, Harada M, Kusaba T, Tanaka M, Kimura R: Expression of cyclooxygenase-2 in human hepatocellular carcinoma: relevance to tumor dedifferentiation. Hepatology. 1999, 29: 688-696. 10.1002/hep.510290355.CrossRefPubMed Koga H, Sakisaka S, Ohishi M, Kawaguchi T, Taniguchi E, Sasatomi K, Harada M, Kusaba T, Tanaka M, Kimura R: Expression of cyclooxygenase-2 in human hepatocellular carcinoma: relevance to tumor dedifferentiation. Hepatology. 1999, 29: 688-696. 10.1002/hep.510290355.CrossRefPubMed
35.
go back to reference Rahman MA, Dhar DK, Yamaguchi E, Maruyama S, Sato T, Hayashi H, Ono T, Yamanoi A, Kohno H, Nagasue N: Coexpression of inducible nitric oxide synthase and COX-2 in hepatocellular carcinoma and surrounding liver: possible involvement of COX-2 in the angiogenesis of hepatitis C virus-positive cases. Clin Cancer Res. 2001, 7: 1325-1332.PubMed Rahman MA, Dhar DK, Yamaguchi E, Maruyama S, Sato T, Hayashi H, Ono T, Yamanoi A, Kohno H, Nagasue N: Coexpression of inducible nitric oxide synthase and COX-2 in hepatocellular carcinoma and surrounding liver: possible involvement of COX-2 in the angiogenesis of hepatitis C virus-positive cases. Clin Cancer Res. 2001, 7: 1325-1332.PubMed
36.
go back to reference Polyak SJ, Morishima C, Shuhart MC, Wang CC, Liu Y, Lee DY: Inhibition of T-cell inflammatory cytokines, hepatocyte NF-kappaB signaling, and HCV infection by standardized Silymarin. Gastroenterology. 2007, 132: 1925-1936. 10.1053/j.gastro.2007.02.038.CrossRefPubMed Polyak SJ, Morishima C, Shuhart MC, Wang CC, Liu Y, Lee DY: Inhibition of T-cell inflammatory cytokines, hepatocyte NF-kappaB signaling, and HCV infection by standardized Silymarin. Gastroenterology. 2007, 132: 1925-1936. 10.1053/j.gastro.2007.02.038.CrossRefPubMed
37.
go back to reference Harada S: The broad anti-viral agent glycyrrhizin directly modulates the fluidity of plasma membrane and HIV-1 envelope. Biochem J. 2005, 392: 191-199.PubMedCentralCrossRefPubMed Harada S: The broad anti-viral agent glycyrrhizin directly modulates the fluidity of plasma membrane and HIV-1 envelope. Biochem J. 2005, 392: 191-199.PubMedCentralCrossRefPubMed
Metadata
Title
Glycyrrhizin as antiviral agent against Hepatitis C Virus
Authors
Usman A Ashfaq
Muhammad S Masoud
Zafar Nawaz
Sheikh Riazuddin
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Journal of Translational Medicine / Issue 1/2011
Electronic ISSN: 1479-5876
DOI
https://doi.org/10.1186/1479-5876-9-112

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