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Medical Forum / Diseases and Disorders / Hepatitis / May 2008

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NEWS: Aspirin Reduces HCV Load

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Thomas Wagner - 05 May 2008 16:31 GMT
Acetylsalicylic acid inhibits hepatitis C virus RNA and protein
expression through cyclooxygenase 2 signaling pathways.

Trujillo-Murillo K, Rincón-Sánchez AR, Martínez-Rodríguez H,
Bosques-Padilla F, Ramos-Jiménez J, Barrera-Saldaña HA, Rojkind M,
Rivas-Estilla AM.
Department of Biochemistry, School of Medicine and University Hospital,
Autonomous University of Nuevo Leon, Monterrey, Nuevo Leon, Mexico.

It has been reported that salicylates (sodium salicylate and aspirin)
inhibit the replication of flaviviruses, such as Japanese encephalitis
virus and dengue virus. Therefore, we considered it important to test
whether acetylsalicylic acid (ASA) had anti-hepatitis C virus (HCV)
activity. To this end, we examined the effects of ASA on viral
replication and protein expression, using an HCV subgenomic replicon
cell culture system. We incubated Huh7 replicon cells with 2-8 mM ASA
for different times and measured HCV-RNA and protein levels by northern
blot, real-time polymerase chain reaction, and western analysis,
respectively. We found that ASA had a suppressive effect on HCV-RNA and
protein levels (nearly 58%). ASA-dependent inhibition of HCV expression
was not mediated by the 5'-internal ribosome entry site or
3'-untranslated regions, as determined by transfection assays using
bicistronic constructs containing these regulatory regions. However, we
found that HCV-induced cyclooxygenase 2 (COX-2) messenger RNA and
protein levels and activity and these effects were down-regulated by
ASA, possibly by a nuclear factor kappa B-independent mechanism. We also
observed that the ASA-dependent inhibition of viral replication was due
in part to inhibition of COX-2 and activation of p38 and
mitogen-activated protein kinase/extracellular signal-regulated kinase
kinase 1/2 (MEK1/2) mitogen-activated protein kinases (MAPKs).
Inhibition of these kinases by SB203580 and U0126, respectively, and by
short interfering RNA silencing of p38 and MEK1 MAPK prevented the
antiviral effect of ASA. Taken together, our findings suggest that the
anti-HCV effect of ASA in the Huh7 replicon cells is due to its
inhibitory effect on COX-2 expression, which is mediated in part by the
activation of MEK1/2/p38 MAPK. CONCLUSION: These findings suggest the
possibility that ASA could be an excellent adjuvant in the treatment of
chronic HCV infection.
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Cactus Jammies - 05 May 2008 18:23 GMT
Thomas,
 This is quite interesting.  Remember Sulfasalazine?  Someone from outside
the usual correspondents on this list, when informed that perhaps
Sulfasalzine could aid in reducing or reversing fibrosis damage, responded
"too bad that it is bound with Aspirin..." or words to that effect.  This
gets one wondering... as if I ever stop wondering...

Thanks

cactus jammies

> Acetylsalicylic acid inhibits hepatitis C virus RNA and protein
> expression through cyclooxygenase 2 signaling pathways.
[quoted text clipped - 34 lines]
> possibility that ASA could be an excellent adjuvant in the treatment of
> chronic HCV infection.
eileen - 06 May 2008 00:53 GMT
On May 5, 1:23 pm, "Cactus Jammies" <cactusjamm...@retinal.circus.orb>
wrote:
> Thomas,
>   This is quite interesting.  Remember Sulfasalazine?  Someone from outside
[quoted text clipped - 6 lines]
>
> cactus jammies

Jammy Man,

When I was first dx'd with HCV in 1998 I went over to the U of P in
Philadelphia. I met a girl there who just finished a trial with
Interferon and with Ketoprofen. It was her second try but she
cleared.  I'm not sure even if they were using Riba with it back then.
It seemed odd to me at the time because Ketoprofen is a NSAID but then
I was new to HCV and knew very little at that time, even as a nurse.
It's funny how you ponder something and years down the road you find
the interstate............ never stop wondering..........yikes that
was 10 years ago.
eileen  <~~~~~~~~~~~~~ a crumpled cookie but clear at 6 months post
treatment.

> > Acetylsalicylic acid inhibits hepatitis C virus RNA and protein
> > expression through cyclooxygenase 2 signaling pathways.
[quoted text clipped - 38 lines]
>
> - Show quoted text -
Normin - 06 May 2008 02:04 GMT
LET'S HEAR IT FOR EILEEN, THE DRAGON SLAYER!

way to go Eileen :)  I am so happy to read that news!

and you'll keep getting better day by day, I know you will.

lotsa hugs
Sara

On May 5, 1:23 pm, "Cactus Jammies"
<cactusjamm...@retinal.circus.orb>
wrote:
> Thomas,
> This is quite interesting. Remember Sulfasalazine? Someone from
[quoted text clipped - 10 lines]
>
> cactus jammies

Jammy Man,

When I was first dx'd with HCV in 1998 I went over to the U of P
in
Philadelphia. I met a girl there who just finished a trial with
Interferon and with Ketoprofen. It was her second try but she
cleared.  I'm not sure even if they were using Riba with it back
then.
It seemed odd to me at the time because Ketoprofen is a NSAID but
then
I was new to HCV and knew very little at that time, even as a
nurse.
It's funny how you ponder something and years down the road you
find
the interstate............ never stop wondering..........yikes
that
was 10 years ago.
eileen  <~~~~~~~~~~~~~ a crumpled cookie but clear at 6 months
post
treatment.

> "Thomas Wagner" <t...@capecod.com> wrote in message
>
[quoted text clipped - 73 lines]
>
> - Show quoted text -
eileen - 16 May 2008 19:58 GMT
> LET'S HEAR IT FOR EILEEN, THE DRAGON SLAYER!
>
[quoted text clipped - 124 lines]
>
> - Show quoted text -

Thanks Sara, Couldn't have done it without our cookies!  Waiting on my
new Detroit Music you promised.
You above all others have been my cheerleader, Thank You.  Now we need
to see more of the cookies. ;)
eileen
greyhackles - 06 May 2008 02:08 GMT
[...]
>eileen  <~~~~~~~~~~~~~ a crumpled cookie but clear at 6 months post
>treatment.

So *that* is the way the cookie crumples! :-)

Excellent news, Eileen! Glad to hear this!

Cheers! (and <golf claps!>)

/greyhackles
eileen - 16 May 2008 20:02 GMT
> [...]
>
[quoted text clipped - 8 lines]
>
> /greyhackles

Thanks Grey
As usual your contributions to everyone here is so valuable. I
ThankYou for your kindness to me and sharing your knowledge with all.
eileen
greyhackles - 06 May 2008 02:27 GMT
>On May 5, 1:23 pm, "Cactus Jammies" <cactusjamm...@retinal.circus.orb>
>wrote:
[quoted text clipped - 22 lines]
>eileen  <~~~~~~~~~~~~~ a crumpled cookie but clear at 6 months post
>treatment.

fwiw:
It appears the most recent trial combining Interferon with Ketoprofen was
conducted in 2003, comparing that combo with Interferon monotherapy. SVR rates
were roughly tripled with that combo vs IFN monotherapy (32.5% vs 10%).
Issues with epigastric pain was significantly higher with the combo therapy
(as one might imagine).
Thumbnail here:
http://www.blackwell-synergy.com/doi/abs/10.1046/j.1365-2893.2003.00449.x?journa
lCode=jvh


Going back in time, this study published in 1999 also showed roughly triple
the SVR rates with Interferon + Ketoprofen vs IFN Monotherapy (26% vs 10%)
while pointing out potential NSAID hepatotoxicity with the Ketoprofen:
http://gut.bmj.com/cgi/content/abstract/46/3/427

Published the same year, this study showed no significant difference in SVR
rates for Interferon w/or wo Ketoprofen (in fact the without arm did slightly
better):
http://www.blackwell-synergy.com/doi/pdf/10.1046/j.1365-2036.1999.00613.x

And this study using IFN + Ketoprofen on previous IFN monotherapy
non-responders showed zero success:
http://www.ncbi.nlm.nih.gov/pubmed/9218853

So it looks like Ketoprofen was relegated to the dustbin when Peg-IFN +
Ribavirin studies showed far better results...

/greyhackles
Dwight - 06 May 2008 03:05 GMT
> Jammy Man,
>
[quoted text clipped - 9 lines]
> eileen  <~~~~~~~~~~~~~ a crumpled cookie but clear at 6 months post
> treatment.

Eileen, glad to hear the news.

Dwight
eileen - 16 May 2008 20:05 GMT
> > Jammy Man,
>
[quoted text clipped - 13 lines]
>
> Dwight

Dwight, Dwight!
Always there giving me help, without ever knowing you made my day!
Hope the new house is everything your gang and zoo need.
eileen
Kozure Ookami - 09 May 2008 21:56 GMT
>eileen  <~~~~~~~~~~~~~ a crumpled cookie but clear at 6 months post
>treatment.

Congrats on the SVR!  A costly one but I'll bet over time things will
improve.

Don
eileen - 16 May 2008 20:09 GMT
> >eileen  <~~~~~~~~~~~~~ a crumpled cookie but clear at 6 months post
> >treatment.
[quoted text clipped - 3 lines]
>
> Don

Don,

I am kook oz u re ? do I have it right?
Thanks for your cheerleading too, it means alot.

eileen
Thip - 06 May 2008 02:40 GMT
Somebody want to translate that for me?  I've got brain fog.

> Acetylsalicylic acid inhibits hepatitis C virus RNA and protein
> expression through cyclooxygenase 2 signaling pathways.
[quoted text clipped - 34 lines]
> possibility that ASA could be an excellent adjuvant in the treatment of
> chronic HCV infection.
Cactus Jammies - 06 May 2008 03:32 GMT
> Somebody want to translate that for me?  I've got brain fog.

Hi Thip,
 The bottom line is what you want to look for in these abstracts.  In the
orginal posting (see below) the scientists posited that ASA looks promising
as an adjuvant in concert with treatments as they are.  Adjuvants are
frequently used in some types of Cancer therapies.

- cactus jammies
Adjuvant
From Wikipedia, the free encyclopedia
Adjuvants are pharmacological or immunological agents that modify the effect
of other agents (e.g., drugs, vaccines) while having few if any direct
effects when given by themselves. In this sense, they are roughly analogous
to chemical catalysts. Types of adjuvants include:

 a.. Pharmaceutic adjuvant
 b.. In pharmacology, adjuvants are drugs that have few or no
pharmacological effects by themselves, but may increase the efficacy or
potency of other drugs when given at the same time.

 c.. Immunologic adjuvant
 d.. Agricultural spray adjuvant
 e.. Adjuvant chemotherapy
 f.. Adjuvants for dermatalogical products, including cosmetics and
toiletries

>> CONCLUSION: These findings suggest the
>> possibility that ASA could be an excellent adjuvant in the treatment of
>> chronic HCV infection.
Thip - 07 May 2008 02:20 GMT
Well, durn it all, CJ.  And here I thought you were gonna tell me I'd live a
normal life span if I ate half a bottle of aspirin every day.  :-)

Thanks for the info, friend.

>> Somebody want to translate that for me?  I've got brain fog.
>
[quoted text clipped - 26 lines]
>>> possibility that ASA could be an excellent adjuvant in the treatment of
>>> chronic HCV infection.
Kozure Ookami - 09 May 2008 22:00 GMT
>Well, durn it all, CJ.  And here I thought you were gonna tell me I'd live a
>normal life span if I ate half a bottle of aspirin every day.  :-)

That and about 10 or so grapefruits a day just might be the answer. As
long as you are diligent with the bloodletting that is.

Don
Thip - 09 May 2008 23:50 GMT
>>Well, durn it all, CJ.  And here I thought you were gonna tell me I'd live
>>a
[quoted text clipped - 4 lines]
>
> Don

Set  up a regimen and I'll see if I can find a test sucker--um,  make that a
test subject--to try it out.
Russian - 23 May 2008 07:49 GMT
Don't forget not to miss any doses of the Laetrile, as well... :)

>> Well, durn it all, CJ.  And here I thought you were gonna tell me I'd live a
>> normal life span if I ate half a bottle of aspirin every day.  :-)
[quoted text clipped - 3 lines]
>
> Don

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