TUESDAY, May 6 (HealthDay News) -- The grapefruit flavonoid
naringenin inhibits the secretion of Hepatitis C virus (HCV) in
infected cells and could offer a new approach for treating the
disease, according to a Harvard Medical School study.
About 3 percent of the global population is infected with HCV,
which can lead to cirrhosis and liver cancer. The current standard
therapy of interferon and ribavirin is only effective in about 50
percent of cases and can cause major side effects, according to
background information in the study.
Recent research suggests that HVC may be "hitching a ride" along
the lipoprotein life cycle, and that compounds and dietary
supplements that influence lipoprotein metabolism may also affect
HCV.
In this new study, researchers demonstrated that HCV is actively
secreted by infected cells while bound to a very low-density
lipoprotein.
"Silencing apolipoprotein B (Apo-B) mRNA in infected cells
causes a 70 percent reduction in the secretion of both ApoB-100 and
HCV. This ApoB-dependent HCV secretion pathway suggests a novel
therapeutic approach for the treatment of HCV infection," the
researchers wrote.
They then tested the grapefruit flavonoid naringenin and found
it reduced HCV secretion in infected cells by 80 percent.
"The concept of supplementing HCV patients' diets with
naringenin is appealing," the researchers wrote. But they noted the
intestinal wall doesn't absorb naringenin well, which means
therapeutic doses of the flavonoid would have to be given by
injection or combined with other compounds to boost its absorption
by the intestines.
The researchers also noted that naringenin and several other
compounds in grapefruit have significant drug-drug
interactions.
"Future studies would focus on long-term ability of naringenin
and perhaps other citrus flavonoids to reduce viral load in animal
models and long-term cultures of primary human hepatocytes," the
researchers concluded.
The study was published in the May issue of
Hepatology.
More information
The U.S. Centers for Disease Control and Prevention has more
about
hepatitis C.