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Title: Hepatitis C virus dynamics and cellular gene expression in uPA-SCID chimeric mice with humanized livers during intravenous silibinin monotherapy

Journal Article · · Journal of Viral Hepatitis
DOI:https://doi.org/10.1111/jvh.12551· OSTI ID:1325641
 [1];  [2];  [2];  [2];  [2];  [3];  [4];  [5];  [6];  [7];  [8];  [7];  [2]
  1. Loyola Univ. Medical Center, Maywood, IL (United States). Dept. of Medicine. Division of Hepatology. The Program for Experimental and Theoretical Modeling; Univ. of South Carolina Beaufort, Bluffton, SC (United States). Dept. of Mathematics and Computational Science
  2. Hiroshima Univ. (Japan). Inst. of Biomedical and Health Sciences. Dept. of Gastroenterology and Metabolism
  3. Loyola Univ. Medical Center, Maywood, IL (United States). Dept. of Medicine. Division of Hepatology. The Program for Experimental and Theoretical Modeling; Univ. of Edinburgh, Scotland (United Kingdom). Centre for Immunity, Infection and Evolution
  4. Los Alamos National Lab. (LANL), Los Alamos, NM (United States). Theoretical Biology and Biophysics
  5. German Association of Phytotherapy, Speyer (Germany)
  6. Rottapharm Biotech SRL, Monza (Italy)
  7. Loyola Univ. Medical Center, Maywood, IL (United States). Dept. of Medicine. Division of Hepatology. The Program for Experimental and Theoretical Modeling
  8. PhoenixBio Co. Ltd., Higashihiroshima (Japan)

Summary Legalon SIL ( SIL ) is a chemically hydrophilized version of silibinin, an extract of milk thistle ( Silybum marianum ) seeds that has exhibited hepatoprotective and antiviral effectiveness against hepatitis C virus ( HCV ) in patients leading to viral clearance in combination with ribavirin. To elucidate the incompletely understood mode of action of SIL against HCV , mathematical modelling of HCV kinetics and human hepatocyte gene expression studies were performed in uPA ‐ SCID ‐chimeric mice with humanized livers. Chronically HCV ‐infected mice ( n = 15) were treated for 14 days with daily intravenous SIL at 469, 265 or 61.5 mg/kg. Serum HCV and human albumin ( hA lb) were measured frequently, and liver HCV RNA was analysed at days 3 and 14. Microarray analysis of human hepatocyte gene expression was performed at days 0, 3 and 14 of treatment. While hA lb remained constant, a biphasic viral decline in serum was observed consisting of a rapid 1st phase followed by a second slower phase (or plateau with the two lower SIL dosings). SIL effectiveness in blocking viral production was similar among dosing groups (median ε = 77%). However, the rate of HCV ‐infected hepatocyte decline, δ, was dose‐dependent. Intracellular HCV RNA levels correlated ( r = 0.66, P = 0.01) with serum HCV RNA . Pathway analysis revealed increased anti‐inflammatory and antiproliferative gene expression in human hepatocytes in SIL ‐treated mice. The results suggest that SIL could lead to a continuous second‐phase viral decline, that is potentially viral clearance, in the absence of adaptive immune response along with increased anti‐inflammatory and antiproliferative gene expression in human hepatocytes.

Research Organization:
Los Alamos National Laboratory (LANL), Los Alamos, NM (United States)
Sponsoring Organization:
USDOE; National Inst. of Health (NIH) (United States); PhoenixBio Co. Ltd. (Japan); Biotechnology and Biological Sciences Research Council (BBSRC) (United Kingdom)
Contributing Organization:
PhoenixBio Co. Ltd., Higashihiroshima (Japan); German Association of Phytotherapy, Speyer (Germany); Rottapharm Biotech SRL, Monza (Italy)
Grant/Contract Number:
AC52-06NA25396; P20-GM103452; R01-AI028433; R01-AI011095; R01-AI078881; 1698:BB/L001330/1; DE‐AC52‐06NA25396
OSTI ID:
1325641
Alternate ID(s):
OSTI ID: 1401679
Report Number(s):
LA-UR-15-28931
Journal Information:
Journal of Viral Hepatitis, Vol. 23, Issue 9; ISSN 1352-0504
Publisher:
WileyCopyright Statement
Country of Publication:
United States
Language:
English
Citation Metrics:
Cited by: 13 works
Citation information provided by
Web of Science

References (45)

Successful prevention of hepatitis C virus (HCV) liver graft reinfection by silibinin mono-therapy journal June 2010
Identification of transferrin receptor 1 as a hepatitis C virus entry factor journal June 2013
Cellular response to conditional expression of hepatitis C virus core protein in Huh7 cultured human hepatoma cells journal May 2002
Serum amyloid A has antiviral activity against hepatitis C virus by inhibiting virus entry in a cell culture system journal December 2006
Intravenous silibinin monotherapy shows significant antiviral activity in HCV-infected patients in the peri-transplantation period journal March 2013
Silibinin Is a Potent Antiviral Agent in Patients With Chronic Hepatitis C Not Responding to Pegylated Interferon/Ribavirin Therapy journal November 2008
Progression of fibrosis in chronic hepatitis C journal January 2003
Silymarin Inhibits In Vitro T-Cell Proliferation and Cytokine Production in Hepatitis C Virus Infection journal February 2010
Silibinin modulates lipid homeostasis and inhibits nuclear factor kappa B activation in experimental nonalcoholic steatohepatitis journal June 2012
limma: Linear Models for Microarray Data book January 2005
Anti-Cancer Efficacy of Silybin Derivatives - A Structure-Activity Relationship journal March 2013
Ledipasvir and sofosbuvir fixed-dose combination with and without ribavirin for 12 weeks in treatment-naive and previously treated Japanese patients with genotype 1 hepatitis C: an open-label, randomised, phase 3 trial journal June 2015
Ledipasvir and sofosbuvir in patients with genotype 1 hepatitis C virus infection and compensated cirrhosis: An integrated safety and efficacy analysis: HEPATOLOGY, Vol. XX, No. X, 2015 journal May 2015
Human Serum Amyloid A Protein Inhibits Hepatitis C Virus Entry into Cells journal February 2007
Hepatoprotective and antiviral functions of silymarin components in hepatitis C virus infection journal February 2013
Near Completely Humanized Liver in Mice Shows Human-Type Metabolic Responses to Drugs journal September 2004
Ledipasvir-sofosbuvir with or without ribavirin to treat patients with HCV genotype 1 infection and cirrhosis non-responsive to previous protease-inhibitor therapy: a randomised, double-blind, phase 2 trial (SIRIUS) journal April 2015
Antiviral activity and safety profile of silibinin in HCV patients with advanced fibrosis after liver transplantation: a randomized clinical trial journal May 2014
Practical evaluation of a mouse with chimeric human liver model for hepatitis C virus infection using an NS3-4A protease inhibitor journal February 2010
The iron regulatory hormone hepcidin inhibits expression of iron release as well as iron uptake proteins in J774 cells journal December 2012
Therapeutic Efficacy of Silibinin on Human Neuroblastoma Cells: Akt and NF-κB Expressions May Play an Important Role in Silibinin-Induced Response journal June 2012
Legalon® SIL: The Antidote of Choice in Patients with Acute Hepatotoxicity from Amatoxin Poisoning journal July 2012
Rescue therapy with intravenous silibinin in liver transplant recipients with recurrent HCV hepatitis – two case reports journal January 2014
Infection of human hepatocyte chimeric mouse with genetically engineered hepatitis B virus journal November 2005
Inhibition of T-Cell Inflammatory Cytokines, Hepatocyte NF-κB Signaling, and HCV Infection by Standardized Silymarin journal May 2007
Multiple effects of silymarin on the hepatitis C virus lifecycle journal February 2010
Hepcidin directly inhibits transferrin receptor 1 expression in astrocytes via a cyclic AMP-protein kinase a pathway journal March 2011
Hepatitis C Viral Dynamics in Vivo and the Antiviral Efficacy of Interferon- Therapy journal October 1998
The Impact of Infection on Population Health: Results of the Ontario Burden of Infectious Diseases Study journal September 2012
Intravenous silibinin as ‘rescue treatment’ for on-treatment non-responders to pegylated interferon/ribavirin combination therapy journal January 2011
Silibinin and Related Compounds Are Direct Inhibitors of Hepatitis C Virus RNA-Dependent RNA Polymerase journal March 2010
Sofosbuvir and Ribavirin for Hepatitis C in Patients With HIV Coinfection journal July 2014
Osteopontin is up-regulated in chronic hepatitis C and is associated with cellular permissiveness for hepatitis C virus replication journal February 2014
Silymarin Suppresses Cellular Inflammation By Inducing Reparative Stress Signaling journal July 2015
Inhibition of HIV by Legalon-SIL is independent of its effect on cellular metabolism journal January 2014
Combination therapies with NS5A, NS3 and NS5B inhibitors on different genotypes of hepatitis C virus in human hepatocyte chimeric mice journal January 2013
Elimination of hepatitis C virus by short term NS3-4A and NS5B inhibitor combination therapy in human hepatocyte chimeric mice journal May 2011
Severity of liver disease affects HCV kinetics in patients treated with intravenous silibinin monotherapy journal January 2014
Sustained virological response with intravenous silibinin: individualized IFN-free therapy via real-time modelling of HCV kinetics journal October 2014
Suppression of Dual Specificity Phosphatase I Expression Inhibits Hepatitis C Virus Replication journal March 2015
Understanding silibinin’s modes of action against HCV using viral kinetic modeling journal May 2012
Analysis of hepatitis C virus resistance to silibinin in vitro and in vivo points to a novel mechanism involving nonstructural protein 4B journal February 2013
Modeling Subgenomic Hepatitis C Virus RNA Kinetics during Treatment with Alpha Interferon journal April 2009
Structural proteins of Hepatitis C virus induce interleukin 8 production and apoptosis in human endothelial cells journal December 2005
Silibinin inhibits hepatitis C virus entry into hepatocytes by hindering clathrin-dependent trafficking: Silibinin inhibition of viral entry journal June 2013

Cited By (2)

Lignans and Their Derivatives from Plants as Antivirals journal January 2020
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