Isocotoin suppresses hepatitis E virus replication through inhibition of heat shock protein 90. Author Ila Nimgaonkar, Nicholas Archer, Isabelle Becher, Mohammad Shahrad, Robert LeDesma, André Mateus, Javier Caballero-Gómez, Andrew Berneshawi, Qiang Ding, Florian Douam, Jenna Gaska, Mikhail Savitski, Hahn Kim, Alexander Ploss Publication Year 2021 Type Journal Article Abstract Hepatitis E virus (HEV) causes 14 million infections and 60,000 deaths per year globally, with immunocompromised persons and pregnant women experiencing severe symptoms. Although ribavirin can be used to treat chronic hepatitis E, toxicity in pregnant patients and the emergence of resistant strains are major concerns. Therefore there is an imminent need for effective HEV antiviral agents. The aims of this study were to develop a drug screening platform and to discover novel approaches to targeting steps within the viral life cycle. We developed a screening platform for molecules inhibiting HEV replication and selected a candidate, isocotoin. Isocotoin inhibits HEV replication through interference with heat shock protein 90 (HSP90), a host factor not previously known to be involved in HEV replication. Additional work is required to understand the compound's translational potential, however this suggests that HSP90-modulating molecules, which are in clinical development as anti-cancer agents, may be promising therapies against HEV. Keywords Humans, Protein Binding, High-Throughput Screening Assays, Cell Line, Tumor, Virus Replication, Drug Discovery, Hepatitis E virus, Antiviral Agents, Hepatitis E, Drug Evaluation, Preclinical, Host Microbial Interactions, HSP90 Heat-Shock Proteins Journal Antiviral Res Volume 185 Pages 104997 Date Published 2021 Jan ISSN Number 1872-9096 DOI 10.1016/j.antiviral.2020.104997 Alternate Journal Antiviral Res PMCID PMC8649941 PMID 33326835 PubMedPubMed CentralGoogle ScholarBibTeXEndNote X3 XML