Journal
ANTIVIRAL RESEARCH
Volume 124, Issue -, Pages 77-82Publisher
ELSEVIER SCIENCE BV
DOI: 10.1016/j.antiviral.2015.10.006
Keywords
Hand, foot and mouth disease virus; Capsid binding; Drug resistance; Fitness; VP1 pocket
Categories
Funding
- University of Leeds PhD studentship from Sanofi Pasteur
- Medical Research Council [G100099]
- Medical Research Council [G1000099, MR/N00065X/1, G1100525] Funding Source: researchfish
- MRC [MR/N00065X/1, G1000099] Funding Source: UKRI
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Enterovirus 71 (EV71) and Coxsackievirus A16 (CVA16) are the two major causative agents of hand, foot and mouth disease (HFMD), for which there are currently no licenced treatments. Here, the acquisition of resistance towards two novel capsid-binding compounds, NLD and ALD, was studied and compared to the analogous compound GPP3. During serial passage, EV71 rapidly became resistant to each compound and mutations at residues I113 and V123 in VP1 were identified. A mutation at residue 113 was also identified in CVA16 after passage with GPP3. The mutations were associated with reduced thermostability and were rapidly lost in the absence of inhibitors. In silico modelling suggested that the mutations prevented the compounds from binding the VP1 pocket in the capsid. Although both viruses developed resistance to these potent pocket-binding compounds, the acquired mutations were associated with large fitness costs and reverted to WT phenotype and sequence rapidly in the absence of inhibitors. The most effective inhibitor, NLD, had a very large selectivity index, showing interesting pharmacological properties as a novel anti-EV71 agent. (C) 2015 The Authors. Published by Elsevier B.V.
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