Jagst M, et al. Antiviral Research, 2024, 227, 105922.
This study investigated the antiviral efficacy of sofosbuvir against Hepatitis E virus (HEV) in extrahepatic neuronal-derived cells. Neuronal cell lines were infected with HEV and treated with sofosbuvir or NITD008, both known viral polymerase inhibitors. Viral replication levels were quantified using RT-qPCR to assess intracellular HEV RNA, while immunofluorescence assays confirmed viral protein expression. Compared to hepatoma cells, sofosbuvir demonstrated a significantly reduced antiviral effect in neuronal cells, indicating cell-type-dependent differences in drug responsiveness. Despite diminished efficacy, sofosbuvir was able to inhibit HEV replication to a measurable extent in neuronal models, highlighting its potential for addressing HEV-related neurological manifestations. These findings underscore the importance of evaluating direct-acting antivirals like sofosbuvir across diverse cell types, particularly those representing extrahepatic viral reservoirs.