Natural products for the management of the hepatitis C virus: a biochemical review

Arch Physiol Biochem. 2020 May;126(2):116-128. doi: 10.1080/13813455.2018.1498902. Epub 2018 Sep 29.

Abstract

Chronic hepatitis C virus (HCV) infection is a significant public health problem, with a worldwide prevalence of approximately 170 million. Current therapy for HCV infection includes the prolonged administration of a combination of ribavirin and PEGylated interferon-α, for over a decade. This regimen is expensive and often associated with a poor antiviral response and unwanted side effects. A highly effective combination treatment is likely required for the future management of HCV infections and entry inhibitors could play an important role. Currently, no entry inhibitor has been licensed for the prophylactic treatment of hepatitis C. Therefore, additional agents that combat HCV infection are urgently needed and must be developed. Many phytochemical constituents have been identified that display considerable inhibition of HCV at some stage of the life cycle. This review will summarise the current state of knowledge on natural products and their possible activities in the context of HCV infection.

Keywords: Hepatitis C virus (HCV); NS5B; RNA-dependent RNA polymerase; anti-HCV therapy; herbal extract; viral replication.

Publication types

  • Review

MeSH terms

  • Antiviral Agents / chemistry
  • Antiviral Agents / isolation & purification
  • Antiviral Agents / therapeutic use*
  • Aquatic Organisms / chemistry
  • Biological Products / chemistry
  • Biological Products / isolation & purification
  • Biological Products / therapeutic use*
  • Clinical Trials as Topic
  • Drug Therapy, Combination
  • Flavonoids / isolation & purification
  • Flavonoids / therapeutic use*
  • Hepacivirus / drug effects*
  • Hepacivirus / genetics
  • Hepacivirus / growth & development
  • Hepacivirus / metabolism
  • Hepatitis C, Chronic / drug therapy*
  • Hepatitis C, Chronic / pathology
  • Hepatitis C, Chronic / virology
  • Humans
  • Interferon-alpha / therapeutic use
  • Plant Extracts / chemistry
  • Ribavirin / therapeutic use

Substances

  • Antiviral Agents
  • Biological Products
  • Flavonoids
  • Interferon-alpha
  • Plant Extracts
  • Ribavirin