Volume 20, Issue 6, 1 June 2015, Pages 11474-11489
a 
Laboratório de Virologia Molecular, Departamento de Genética, 
Instituto de Biologia, Universidade Federal do Rio de Janeiro, Avenida 
Carlos Chagas Filho 373, Predio CCS Bloco A, Ilha do Fundão, Rio de 
Janeiro, Brazil
b Grupo de Bioinformática Estrutural, Centro de Biotecnologia, Universidade Federal do Rio Grande do Sul, Avenida Bento Goncalves 9500, Porto Alegre, Brazil
b Grupo de Bioinformática Estrutural, Centro de Biotecnologia, Universidade Federal do Rio Grande do Sul, Avenida Bento Goncalves 9500, Porto Alegre, Brazil
Abstract
Ipecac alkaloids are secondary metabolites produced in the medicinal plant Psychotria ipecacuanha. Emetine is the main alkaloid of ipecac and one of the active compounds in syrup of Ipecac
 with emetic property. Here we evaluated emetine's potential as an 
antiviral agent against Human Immunodeficiency Virus. We performed in 
vitro Reverse Transcriptase (RT) Assay and Natural Endogenous Reverse 
Transcriptase Activity Assay (NERT) to evaluate HIV RT inhibition. 
Emetine molecular docking on HIV-1 RT was also analyzed. Phenotypic 
assays were performed in non-lymphocytic and in Peripheral Blood 
Mononuclear Cells (PBMC) with HIV-1 wild-type and HIV-harboring 
RT-resistant mutation to Nucleoside Reverse Transcriptase Inhibitors 
(M184V). Our results showed that HIV-1 RT was blocked in the presence of
 emetine in both models: in vitro reactions with isolated HIV-1 RT and 
intravirion, measured by NERT. Emetine revealed a strong potential of 
inhibiting HIV-1 replication in both cellular models, reaching 80% of 
reduction in HIV-1 infection, with low cytotoxic effect. Emetine also 
blocked HIV-1 infection of RT M184V mutant. These results suggest that 
emetine is able to penetrate in intact HIV particles, and bind and block
 reverse transcription reaction, suggesting that it can be used as 
anti-HIV microbicide. Taken together, our findings provide additional 
pharmacological information on the potential therapeutic effects of 
emetine. © 2015 by the authors; licensee.
Author keywords
Emetine; HIV-1; PBMC; Resistance; Reverse transcriptase