Old Drugs with New Tricks: Efficacy of Fluoroquinolones to Suppress Replication of Flaviviruses

Repurposing FDA-approved compounds could provide the fastest route to alleviate the burden of disease caused by flaviviruses. In this study, three fluoroquinolones, enoxacin, difloxacin and ciprofloxacin, curtailed replication of flaviviruses Zika (ZIKV), dengue (DENV), Langat (LGTV) and Modoc (MODV...

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Main Authors: Stacey L. P. Scroggs, Christy C. Andrade, Ramesh Chinnasamy, Sasha R. Azar, Erin E. Schirtzinger, Erin I. Garcia, Jeffrey B. Arterburn, Kathryn A. Hanley, Shannan L. Rossi
Format: Article
Language:English
Published: MDPI AG 2020-09-01
Series:Viruses
Subjects:
Online Access:https://www.mdpi.com/1999-4915/12/9/1022
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author Stacey L. P. Scroggs
Christy C. Andrade
Ramesh Chinnasamy
Sasha R. Azar
Erin E. Schirtzinger
Erin I. Garcia
Jeffrey B. Arterburn
Kathryn A. Hanley
Shannan L. Rossi
author_facet Stacey L. P. Scroggs
Christy C. Andrade
Ramesh Chinnasamy
Sasha R. Azar
Erin E. Schirtzinger
Erin I. Garcia
Jeffrey B. Arterburn
Kathryn A. Hanley
Shannan L. Rossi
author_sort Stacey L. P. Scroggs
collection DOAJ
description Repurposing FDA-approved compounds could provide the fastest route to alleviate the burden of disease caused by flaviviruses. In this study, three fluoroquinolones, enoxacin, difloxacin and ciprofloxacin, curtailed replication of flaviviruses Zika (ZIKV), dengue (DENV), Langat (LGTV) and Modoc (MODV) in HEK-293 cells at low micromolar concentrations. Time-of-addition assays suggested that enoxacin suppressed ZIKV replication at an intermediate step in the virus life cycle, whereas ciprofloxacin and difloxacin had a wider window of efficacy. A129 mice infected with 1 × 10<sup>5</sup> plaque-forming units (pfu) ZIKV FSS13025 (<i>n</i> = 20) or phosphate buffered saline (PBS) (<i>n</i> = 11) on day 0 and treated with enoxacin at 10 mg/kg or 15 mg/kg or diluent orally twice daily on days 1–5 did not differ in weight change or virus titer in serum or brain. However, mice treated with enoxacin showed a significant, five-fold decrease in ZIKV titer in testes relative to controls. Mice infected with 1 × 10<sup>2</sup> pfu ZIKV (<i>n</i> = 13) or PBS (<i>n</i> = 13) on day 0 and treated with 15 mg/kg oral enoxacin or diluent twice daily pre-treatment and days 1–5 post-treatment also did not differ in weight and viral load in the serum, brain, and liver, but mice treated with enoxacin showed a significant, 2.5-fold decrease in ZIKV titer in testes relative to controls. ZIKV can be sexually transmitted, so reduction of titer in the testes by enoxacin should be further investigated.
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spelling doaj.art-1ab7b3d2e4044ce293442d92772815512023-11-20T13:34:25ZengMDPI AGViruses1999-49152020-09-01129102210.3390/v12091022Old Drugs with New Tricks: Efficacy of Fluoroquinolones to Suppress Replication of FlavivirusesStacey L. P. Scroggs0Christy C. Andrade1Ramesh Chinnasamy2Sasha R. Azar3Erin E. Schirtzinger4Erin I. Garcia5Jeffrey B. Arterburn6Kathryn A. Hanley7Shannan L. Rossi8Department of Biology, New Mexico State University, Las Cruces, NM 88003, USADepartment of Biology, New Mexico State University, Las Cruces, NM 88003, USADepartment of Chemistry and Biochemistry, New Mexico State University, Las Cruces, NM 88003, USAInstitute for Translational Sciences, The University of University of Texas Medical Branch, Galveston, TX 77555, USADepartment of Biology, New Mexico State University, Las Cruces, NM 88003, USADepartment of Biology, New Mexico State University, Las Cruces, NM 88003, USADepartment of Chemistry and Biochemistry, New Mexico State University, Las Cruces, NM 88003, USADepartment of Biology, New Mexico State University, Las Cruces, NM 88003, USADepartment of Pathology, The University of Texas Medical Branch, Galveston, TX 77555, USARepurposing FDA-approved compounds could provide the fastest route to alleviate the burden of disease caused by flaviviruses. In this study, three fluoroquinolones, enoxacin, difloxacin and ciprofloxacin, curtailed replication of flaviviruses Zika (ZIKV), dengue (DENV), Langat (LGTV) and Modoc (MODV) in HEK-293 cells at low micromolar concentrations. Time-of-addition assays suggested that enoxacin suppressed ZIKV replication at an intermediate step in the virus life cycle, whereas ciprofloxacin and difloxacin had a wider window of efficacy. A129 mice infected with 1 × 10<sup>5</sup> plaque-forming units (pfu) ZIKV FSS13025 (<i>n</i> = 20) or phosphate buffered saline (PBS) (<i>n</i> = 11) on day 0 and treated with enoxacin at 10 mg/kg or 15 mg/kg or diluent orally twice daily on days 1–5 did not differ in weight change or virus titer in serum or brain. However, mice treated with enoxacin showed a significant, five-fold decrease in ZIKV titer in testes relative to controls. Mice infected with 1 × 10<sup>2</sup> pfu ZIKV (<i>n</i> = 13) or PBS (<i>n</i> = 13) on day 0 and treated with 15 mg/kg oral enoxacin or diluent twice daily pre-treatment and days 1–5 post-treatment also did not differ in weight and viral load in the serum, brain, and liver, but mice treated with enoxacin showed a significant, 2.5-fold decrease in ZIKV titer in testes relative to controls. ZIKV can be sexually transmitted, so reduction of titer in the testes by enoxacin should be further investigated.https://www.mdpi.com/1999-4915/12/9/1022Zika virusdengue virusflavivirusantiviralfluoroquinoloneciprofloxacin
spellingShingle Stacey L. P. Scroggs
Christy C. Andrade
Ramesh Chinnasamy
Sasha R. Azar
Erin E. Schirtzinger
Erin I. Garcia
Jeffrey B. Arterburn
Kathryn A. Hanley
Shannan L. Rossi
Old Drugs with New Tricks: Efficacy of Fluoroquinolones to Suppress Replication of Flaviviruses
Viruses
Zika virus
dengue virus
flavivirus
antiviral
fluoroquinolone
ciprofloxacin
title Old Drugs with New Tricks: Efficacy of Fluoroquinolones to Suppress Replication of Flaviviruses
title_full Old Drugs with New Tricks: Efficacy of Fluoroquinolones to Suppress Replication of Flaviviruses
title_fullStr Old Drugs with New Tricks: Efficacy of Fluoroquinolones to Suppress Replication of Flaviviruses
title_full_unstemmed Old Drugs with New Tricks: Efficacy of Fluoroquinolones to Suppress Replication of Flaviviruses
title_short Old Drugs with New Tricks: Efficacy of Fluoroquinolones to Suppress Replication of Flaviviruses
title_sort old drugs with new tricks efficacy of fluoroquinolones to suppress replication of flaviviruses
topic Zika virus
dengue virus
flavivirus
antiviral
fluoroquinolone
ciprofloxacin
url https://www.mdpi.com/1999-4915/12/9/1022
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