A combination of doxycycline and ribavirin alleviated chikungunya infection

Lack of vaccine and effective antiviral drugs against chikungunya virus (CHIKV) outbreaks have led to significant impact on health care in the developing world. Here, we evaluated the antiviral effects of tetracycline (TETRA) derivatives and other common antiviral agents against CHIKV. Our results s...

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Main Authors: Rothan, H.A., Bahrani, H., Mohamed, Z., Teoh, T.C., Shankar, E.M., Rahman, N.A., Yusof, R.
Format: Article
Language:English
Published: 2017
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spelling my.uniten.dspace-35092020-07-20T03:54:54Z A combination of doxycycline and ribavirin alleviated chikungunya infection Rothan, H.A. Bahrani, H. Mohamed, Z. Teoh, T.C. Shankar, E.M. Rahman, N.A. Yusof, R. Lack of vaccine and effective antiviral drugs against chikungunya virus (CHIKV) outbreaks have led to significant impact on health care in the developing world. Here, we evaluated the antiviral effects of tetracycline (TETRA) derivatives and other common antiviral agents against CHIKV. Our results showed that within the TETRA derivatives group, Doxycycline (DOXY) exhibited the highest inhibitory effect against CHIKV replication in Vero cells. On the other hand, in the antiviral group Ribavirin (RIBA) showed higher inhibitory effects against CHIKV replication compared to Aciclovir (ACIC). Interestingly, RIBA inhibitory effects were also higher than all but DOXY within the TETRA derivatives group. Docking studies of DOXY to viral cysteine protease and E2 envelope protein showed non-competitive interaction with docking energy of -6.6±0.1 and -6.4±0.1 kcal/mol respectively. The 50% effective concentration (EC50) of DOXY and RIBA was determined to be 10.95±2.12 μM and 15.51±1.62 μM respectively, while DOXY+RIBA (1:1 combination) showed an EC<inf>50</inf> of 4.52±1.42 μM. When compared, DOXY showed higher inhibition of viral infectivity and entry than RIBA. In contrast however, RIBA showed higher inhibition against viral replication in target cells compared to DOXY. Assays using mice as animal models revealed that DOXY+RIBA effectively inhibited CHIKV replication and attenuated its infectivity in vivo. Further experimental and clinical studies are warranted to investigate their potential application for clinical intervention of CHIKV disease. © 2015 Rothan et al. 2017-10-27T06:14:31Z 2017-10-27T06:14:31Z 2015 Article 10.1371/journal.pone.0126360 en PLoS ONE Volume 10, Issue 5, 13 May 2015, Article number e0126360
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description Lack of vaccine and effective antiviral drugs against chikungunya virus (CHIKV) outbreaks have led to significant impact on health care in the developing world. Here, we evaluated the antiviral effects of tetracycline (TETRA) derivatives and other common antiviral agents against CHIKV. Our results showed that within the TETRA derivatives group, Doxycycline (DOXY) exhibited the highest inhibitory effect against CHIKV replication in Vero cells. On the other hand, in the antiviral group Ribavirin (RIBA) showed higher inhibitory effects against CHIKV replication compared to Aciclovir (ACIC). Interestingly, RIBA inhibitory effects were also higher than all but DOXY within the TETRA derivatives group. Docking studies of DOXY to viral cysteine protease and E2 envelope protein showed non-competitive interaction with docking energy of -6.6±0.1 and -6.4±0.1 kcal/mol respectively. The 50% effective concentration (EC50) of DOXY and RIBA was determined to be 10.95±2.12 μM and 15.51±1.62 μM respectively, while DOXY+RIBA (1:1 combination) showed an EC<inf>50</inf> of 4.52±1.42 μM. When compared, DOXY showed higher inhibition of viral infectivity and entry than RIBA. In contrast however, RIBA showed higher inhibition against viral replication in target cells compared to DOXY. Assays using mice as animal models revealed that DOXY+RIBA effectively inhibited CHIKV replication and attenuated its infectivity in vivo. Further experimental and clinical studies are warranted to investigate their potential application for clinical intervention of CHIKV disease. © 2015 Rothan et al.
format Article
author Rothan, H.A.
Bahrani, H.
Mohamed, Z.
Teoh, T.C.
Shankar, E.M.
Rahman, N.A.
Yusof, R.
spellingShingle Rothan, H.A.
Bahrani, H.
Mohamed, Z.
Teoh, T.C.
Shankar, E.M.
Rahman, N.A.
Yusof, R.
A combination of doxycycline and ribavirin alleviated chikungunya infection
author_facet Rothan, H.A.
Bahrani, H.
Mohamed, Z.
Teoh, T.C.
Shankar, E.M.
Rahman, N.A.
Yusof, R.
author_sort Rothan, H.A.
title A combination of doxycycline and ribavirin alleviated chikungunya infection
title_short A combination of doxycycline and ribavirin alleviated chikungunya infection
title_full A combination of doxycycline and ribavirin alleviated chikungunya infection
title_fullStr A combination of doxycycline and ribavirin alleviated chikungunya infection
title_full_unstemmed A combination of doxycycline and ribavirin alleviated chikungunya infection
title_sort combination of doxycycline and ribavirin alleviated chikungunya infection
publishDate 2017
_version_ 1674069785986465792
score 13.211869