%0 Journal Article %T Up-regulation of glycolipid transfer protein by bicyclol causes spontaneous restriction of hepatitis C virus replication %A Hu Li %A Jianrui Li %A Jinhua Chen %A Junjun Cheng %A Lihua Wang %A Limin Zhao %A Meng-Hao Huang %A Pei Lan %A Qiang Li %A Rong Xue %A Wenjing Li %A Xiaoqin Lv %A Yongfeng Yang %A Zhouyi Wu %A Zonggen Peng %J Archive of "Acta Pharmaceutica Sinica. B". %D 2019 %R 10.1016/j.apsb.2019.01.013 %X Bicyclol is a synthetic drug for hepatoprotection in clinic since 2004. Preliminary clinical observations suggest that bicyclol might be active against hepatitis C virus (HCV) with unknown mechanism. Here, we showed that bicyclol significantly inhibited HCV replication in vitro and in hepatitis C patients. Using bicyclol as a probe, we identified glycolipid transfer protein (GLTP) to be a novel restrictive factor for HCV replication. The GLTP preferentially bound host vesicle-associated membrane protein-associated protein-A (VAP-A) in competition with the HCV NS5A, causing an interruption of the complex formation between VAP-A and HCV NS5A. As the formation of VAP-A/NS5A complex is essential for viral RNA replication, up-regulation of GLTP by bicyclol reduced the level of VAP-A/NS5A complex and thus inhibited HCV replication. Bicyclol also exhibited an inhibition on HCV variants resistant to direct-acting antiviral agents (DAAs) with an efficacy identical to that on wild type HCV. In combination with bicyclol, DAAs inhibited HCV replication in a synergistic fashion. GLTP appears to be a newly discovered host restrictive factor for HCV replication, Up-regulation of GLTP causes spontaneous restriction of HCV replication %K Bicyclol %K Hepatitis C virus %K Glycolipid transfer protein %K Host restrictive factor %K Protein interaction %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6663943/