Key result
6-thioguanine significantly inhibited EV71 replication in vitro with an IC50 of 0.9302 µM by reducing BIRC3-mediated complete autophagy.
Why the study?
EV71 can cause severe complications and fatality in young children without specific clinical medication, and the anti-EV71 activity of 6-thioguanine is largely unknown.
Does 6-thioguanine inhibit EV71 replication in HT-29 cells?
Does 6-thioguanine inhibit EV71 replication in HT-29 cells?
Effect estimate: IC50 0.9302 µM
6-thioguanine demonstrates potent in vitro antiviral activity against EV71 by attenuating BIRC3-mediated autophagy, suggesting potential as a therapeutic agent for hand, foot, and mouth disease.
Enterovirus 71 (EV71) is one of the major causative agents of hand, foot, and mouth disease (HFMD), and can cause severe cerebral complications and even fatality in children younger than 5 years old. However, there is no specific medication for EV71 infection in clinical practice. Our previous studies had identified the 6-thioguanine (6-TG), an FDA-approved anticancer drug, as a potential antiviral agent, but its anti-EV71 activity is largely unknown, therefore, we aim to explore the antiviral effect of 6-TG on EV71. 6-TG significantly suppressed EV71 mRNA level, VP1 protein expression, and viral progeny production in HT-29 cells. In EV71-infected HT-29 cells, the 50% cytotoxicity concentration of 6-TG (CC50) was > 2000 µM and the 50% inhibitory concentration of 6-TG against EV71 (IC50) was 0.9302 µM. Interestingly, the selectivity index (SI) value of 6-TG against EV71 was > 2150.1, which was higher than the SI value (> 66.7) of ribavirin. Mechanistically, 6-TG treatment reduced the expression of baculoviral IAP repeat containing 3 (BIRC3), and further inhibited EV71 replication by attenuating BIRC3-mediated the complete autophagy. 6-TG exerted a significant inhibitory effect on EV71 infection in vitro and prevented EV71-induced the complete autophagy by decreasing BIRC3 expression. Our work provided a basis for the further development of 6-TG as a therapy for EV71-associated HFMD.
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You et al. (2025) studied Enterovirus 71 (EV71) infection. 6-thioguanine (6-TG) vs. Untreated cells or ribavirin was evaluated on 50% inhibitory concentration (IC50) against EV71 (IC50 0.9302 µM). 6-thioguanine significantly inhibited EV71 replication in vitro with an IC50 of 0.9302 µM by reducing BIRC3-mediated complete autophagy.
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