Open Access Highly Accessed Open Badges Research

Inhibition of HIV-1 gene expression by Ciclopirox and Deferiprone, drugs that prevent hypusination of eukaryotic initiation factor 5A

Mainul Hoque1, Hartmut M Hanauske-Abel23, Paul Palumbo37, Deepti Saxena37, Darlene D'Alliessi Gandolfi4, Myung Hee Park5, Tsafi Pe'ery16* and Michael B Mathews1*

Author Affiliations

1 Department of Biochemistry & Molecular Biology, UMDNJ-New Jersey Medical School, NJ 07103, USA

2 Department of Obstetrics, Gynecology & Women's Health, UMDNJ-New Jersey Medical School, NJ 07103, USA

3 Department of Pediatrics, UMDNJ-New Jersey Medical School, NJ 07103, USA

4 Department of Chemistry, Manhattanville College, NY 10577, USA

5 National Institute for Dental and Craniofacial Research, NIH, MD 20892, USA

6 Department of Medicine, UMDNJ-New Jersey Medical School, NJ 07103, USA

7 Current Address: Section of Infectious Diseases and International Health, Dartmouth Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA

For all author emails, please log on.

Retrovirology 2009, 6:90  doi:10.1186/1742-4690-6-90

Published: 13 October 2009



Eukaryotic translation initiation factor eIF5A has been implicated in HIV-1 replication. This protein contains the apparently unique amino acid hypusine that is formed by the post-translational modification of a lysine residue catalyzed by deoxyhypusine synthase and deoxyhypusine hydroxylase (DOHH). DOHH activity is inhibited by two clinically used drugs, the topical fungicide ciclopirox and the systemic medicinal iron chelator deferiprone. Deferiprone has been reported to inhibit HIV-1 replication in tissue culture.


Ciclopirox and deferiprone blocked HIV-1 replication in PBMCs. To examine the underlying mechanisms, we investigated the action of the drugs on eIF5A modification and HIV-1 gene expression in model systems. At early times after drug exposure, both drugs inhibited substrate binding to DOHH and prevented the formation of mature eIF5A. Viral gene expression from HIV-1 molecular clones was suppressed at the RNA level independently of all viral genes. The inhibition was specific for the viral promoter and occurred at the level of HIV-1 transcription initiation. Partial knockdown of eIF5A-1 by siRNA led to inhibition of HIV-1 gene expression that was non-additive with drug action. These data support the importance of eIF5A and hypusine formation in HIV-1 gene expression.


At clinically relevant concentrations, two widely used drugs blocked HIV-1 replication ex vivo. They specifically inhibited expression from the HIV-1 promoter at the level of transcription initiation. Both drugs interfered with the hydroxylation step in the hypusine modification of eIF5A. These results have profound implications for the potential therapeutic use of these drugs as antiretrovirals and for the development of optimized analogs.