TY - JOUR A1 - Bojkova, Denisa A1 - Westhaus, Sandra A1 - Costa, Rui A1 - Timmer, Lejla A1 - Funkenberg, Nora A1 - Korencak, Marek A1 - Streeck, Hendrik A1 - Vondran, Florian A1 - Bröring, Ruth A1 - Heinrichs, Stefan A1 - Lang, Karl Sebastian A1 - Ciesek, Sandra T1 - Sofosbuvir activates EGFR-Dependent pathways in hepatoma cells with implications for liver-related pathological processes T2 - Cells N2 - Direct acting antivirals (DAAs) revolutionized the therapy of chronic hepatitis C infection. However, unexpected high recurrence rates of hepatocellular carcinoma (HCC) after DAA treatment became an issue in patients with advanced cirrhosis and fibrosis. In this study, we aimed to investigate an impact of DAA treatment on the molecular changes related to HCC development and progression in hepatoma cell lines and primary human hepatocytes. We found that treatment with sofosbuvir (SOF), a backbone of DAA therapy, caused an increase in EGFR expression and phosphorylation. As a result, enhanced translocation of EGFR into the nucleus and transactivation of factors associated with cell cycle progression, B-MYB and Cyclin D1, was detected. Serine/threonine kinase profiling identified additional pathways, especially the MAPK pathway, also activated during SOF treatment. Importantly, the blocking of EGFR kinase activity by erlotinib during SOF treatment prevented all downstream events. Altogether, our findings suggest that SOF may have an impact on pathological processes in the liver via the induction of EGFR signaling. Notably, zidovudine, another nucleoside analogue, exerted a similar cell phenotype, suggesting that the observed effects may be induced by additional members of this drug class. KW - direct-acting antivirals KW - HCV KW - HCC recurrence KW - nucleotide analogue KW - EGFR pathway Y1 - 2020 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/55297 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-552976 SN - 2073-4409 N1 - © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). VL - 9 IS - 4, art. 1003 SP - 1 EP - 18 PB - MDPI CY - Basel ER -