Repurposing old drugs as antiviral agents for coronaviruses

Background: New therapeutic options to address the ongoing coronavirus disease 2019 (COVID-19) pandemic are urgently needed. One possible strategy is the repurposing of existing drugs approved for other indications as antiviral agents for severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)....

Full description

Bibliographic Details
Main Authors: Cheng-Wei Yang, Tzu-Ting Peng, Hsing-Yu Hsu, Yue-Zhi Lee, Szu-Huei Wu, Wen-Hsing Lin, Yi-Yu Ke, Tsu-An Hsu, Teng-Kuang Yeh, Wen-Zheng Huang, Jiunn-Horng Lin, Huey-Kang Sytwu, Chiung-Tong Chen, Shiow-Ju Lee
Format: Article
Language:English
Published: Elsevier 2020-08-01
Series:Biomedical Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2319417020300664
_version_ 1811212626175197184
author Cheng-Wei Yang
Tzu-Ting Peng
Hsing-Yu Hsu
Yue-Zhi Lee
Szu-Huei Wu
Wen-Hsing Lin
Yi-Yu Ke
Tsu-An Hsu
Teng-Kuang Yeh
Wen-Zheng Huang
Jiunn-Horng Lin
Huey-Kang Sytwu
Chiung-Tong Chen
Shiow-Ju Lee
author_facet Cheng-Wei Yang
Tzu-Ting Peng
Hsing-Yu Hsu
Yue-Zhi Lee
Szu-Huei Wu
Wen-Hsing Lin
Yi-Yu Ke
Tsu-An Hsu
Teng-Kuang Yeh
Wen-Zheng Huang
Jiunn-Horng Lin
Huey-Kang Sytwu
Chiung-Tong Chen
Shiow-Ju Lee
author_sort Cheng-Wei Yang
collection DOAJ
description Background: New therapeutic options to address the ongoing coronavirus disease 2019 (COVID-19) pandemic are urgently needed. One possible strategy is the repurposing of existing drugs approved for other indications as antiviral agents for severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). Due to the commercial unavailability of SARS-CoV-2 drugs for treating COVID-19, we screened approximately 250 existing drugs or pharmacologically active compounds for their inhibitory activities against feline infectious peritonitis coronavirus (FIPV) and human coronavirus OC43 (HCoV-OC43), a human coronavirus in the same genus (Betacoronavirus) as SARS-CoV-2. Methods: FIPV was proliferated in feline Fcwf-4 cells and HCoV-OC43 in human HCT-8 cells. Viral proliferation was assayed by visualization of cytopathic effects on the infected Fcwf-4 cells and immunofluorescent assay for detection of the nucleocapsid proteins of HCoV-OC43 in the HCT-8 cells. The concentrations (EC50) of each drug necessary to diminish viral activity to 50% of that for the untreated controls were determined. The viabilities of Fcwf-4 and HCT-8 cells were measured by crystal violet staining and MTS/PMS assay, respectively. Results: Fifteen out of the 252 drugs or pharmacologically active compounds screened were found to be active against both FIPV and HCoV-OC43, with EC50 values ranging from 11 nM to 75 μM. They are all old drugs as follows, anisomycin, antimycin A, atovaquone, chloroquine, conivaptan, emetine, gemcitabine, homoharringtonine, niclosamide, nitazoxanide, oligomycin, salinomycin, tilorone, valinomycin, and vismodegib. Conclusion: All of the old drugs identified as having activity against FIPV and HCoV-OC43 have seen clinical use in their respective indications and are associated with known dosing schedules and adverse effect or toxicity profiles in humans. Those, when later confirmed to have an anti-viral effect on SARS-CoV-2, should be considered for immediate uses in COVID-19 patients.
first_indexed 2024-04-12T05:32:19Z
format Article
id doaj.art-4be953e501304c2898e31ca6eb2497df
institution Directory Open Access Journal
issn 2319-4170
language English
last_indexed 2024-04-12T05:32:19Z
publishDate 2020-08-01
publisher Elsevier
record_format Article
series Biomedical Journal
spelling doaj.art-4be953e501304c2898e31ca6eb2497df2022-12-22T03:46:01ZengElsevierBiomedical Journal2319-41702020-08-01434368374Repurposing old drugs as antiviral agents for coronavirusesCheng-Wei Yang0Tzu-Ting Peng1Hsing-Yu Hsu2Yue-Zhi Lee3Szu-Huei Wu4Wen-Hsing Lin5Yi-Yu Ke6Tsu-An Hsu7Teng-Kuang Yeh8Wen-Zheng Huang9Jiunn-Horng Lin10Huey-Kang Sytwu11Chiung-Tong Chen12Shiow-Ju Lee13Institute of Biotechnology and Pharmaceutical Research, National Health Research Institutes, Miaoli, TaiwanAnimal Technology Laboratories, Agricultural Technology Research Institute, Hsinchu, TaiwanInstitute of Biotechnology and Pharmaceutical Research, National Health Research Institutes, Miaoli, TaiwanInstitute of Biotechnology and Pharmaceutical Research, National Health Research Institutes, Miaoli, TaiwanInstitute of Biotechnology and Pharmaceutical Research, National Health Research Institutes, Miaoli, TaiwanInstitute of Biotechnology and Pharmaceutical Research, National Health Research Institutes, Miaoli, TaiwanInstitute of Biotechnology and Pharmaceutical Research, National Health Research Institutes, Miaoli, TaiwanInstitute of Biotechnology and Pharmaceutical Research, National Health Research Institutes, Miaoli, TaiwanInstitute of Biotechnology and Pharmaceutical Research, National Health Research Institutes, Miaoli, TaiwanAnimal Technology Laboratories, Agricultural Technology Research Institute, Hsinchu, TaiwanAnimal Technology Laboratories, Agricultural Technology Research Institute, Hsinchu, TaiwanNational Institute of Infectious Diseases and Vaccinology, National Health Research Institutes, Miaoli, TaiwanInstitute of Biotechnology and Pharmaceutical Research, National Health Research Institutes, Miaoli, Taiwan; Corresponding author. Institute of Biotechnology and Pharmaceutical Research, National Health Research Institutes, 35, Keyan Rd., Zhunan, Miaoli 350, Taiwan.Institute of Biotechnology and Pharmaceutical Research, National Health Research Institutes, Miaoli, Taiwan; Corresponding author. Institute of Biotechnology and Pharmaceutical Research, National Health Research Institutes, 35, Keyan Rd., Zhunan, Miaoli 350, Taiwan.Background: New therapeutic options to address the ongoing coronavirus disease 2019 (COVID-19) pandemic are urgently needed. One possible strategy is the repurposing of existing drugs approved for other indications as antiviral agents for severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). Due to the commercial unavailability of SARS-CoV-2 drugs for treating COVID-19, we screened approximately 250 existing drugs or pharmacologically active compounds for their inhibitory activities against feline infectious peritonitis coronavirus (FIPV) and human coronavirus OC43 (HCoV-OC43), a human coronavirus in the same genus (Betacoronavirus) as SARS-CoV-2. Methods: FIPV was proliferated in feline Fcwf-4 cells and HCoV-OC43 in human HCT-8 cells. Viral proliferation was assayed by visualization of cytopathic effects on the infected Fcwf-4 cells and immunofluorescent assay for detection of the nucleocapsid proteins of HCoV-OC43 in the HCT-8 cells. The concentrations (EC50) of each drug necessary to diminish viral activity to 50% of that for the untreated controls were determined. The viabilities of Fcwf-4 and HCT-8 cells were measured by crystal violet staining and MTS/PMS assay, respectively. Results: Fifteen out of the 252 drugs or pharmacologically active compounds screened were found to be active against both FIPV and HCoV-OC43, with EC50 values ranging from 11 nM to 75 μM. They are all old drugs as follows, anisomycin, antimycin A, atovaquone, chloroquine, conivaptan, emetine, gemcitabine, homoharringtonine, niclosamide, nitazoxanide, oligomycin, salinomycin, tilorone, valinomycin, and vismodegib. Conclusion: All of the old drugs identified as having activity against FIPV and HCoV-OC43 have seen clinical use in their respective indications and are associated with known dosing schedules and adverse effect or toxicity profiles in humans. Those, when later confirmed to have an anti-viral effect on SARS-CoV-2, should be considered for immediate uses in COVID-19 patients.http://www.sciencedirect.com/science/article/pii/S2319417020300664CoronavirusCOVID-19Cytopathic effectHCoV-OC43SARS-CoV-2Drug repurpose
spellingShingle Cheng-Wei Yang
Tzu-Ting Peng
Hsing-Yu Hsu
Yue-Zhi Lee
Szu-Huei Wu
Wen-Hsing Lin
Yi-Yu Ke
Tsu-An Hsu
Teng-Kuang Yeh
Wen-Zheng Huang
Jiunn-Horng Lin
Huey-Kang Sytwu
Chiung-Tong Chen
Shiow-Ju Lee
Repurposing old drugs as antiviral agents for coronaviruses
Biomedical Journal
Coronavirus
COVID-19
Cytopathic effect
HCoV-OC43
SARS-CoV-2
Drug repurpose
title Repurposing old drugs as antiviral agents for coronaviruses
title_full Repurposing old drugs as antiviral agents for coronaviruses
title_fullStr Repurposing old drugs as antiviral agents for coronaviruses
title_full_unstemmed Repurposing old drugs as antiviral agents for coronaviruses
title_short Repurposing old drugs as antiviral agents for coronaviruses
title_sort repurposing old drugs as antiviral agents for coronaviruses
topic Coronavirus
COVID-19
Cytopathic effect
HCoV-OC43
SARS-CoV-2
Drug repurpose
url http://www.sciencedirect.com/science/article/pii/S2319417020300664
work_keys_str_mv AT chengweiyang repurposingolddrugsasantiviralagentsforcoronaviruses
AT tzutingpeng repurposingolddrugsasantiviralagentsforcoronaviruses
AT hsingyuhsu repurposingolddrugsasantiviralagentsforcoronaviruses
AT yuezhilee repurposingolddrugsasantiviralagentsforcoronaviruses
AT szuhueiwu repurposingolddrugsasantiviralagentsforcoronaviruses
AT wenhsinglin repurposingolddrugsasantiviralagentsforcoronaviruses
AT yiyuke repurposingolddrugsasantiviralagentsforcoronaviruses
AT tsuanhsu repurposingolddrugsasantiviralagentsforcoronaviruses
AT tengkuangyeh repurposingolddrugsasantiviralagentsforcoronaviruses
AT wenzhenghuang repurposingolddrugsasantiviralagentsforcoronaviruses
AT jiunnhornglin repurposingolddrugsasantiviralagentsforcoronaviruses
AT hueykangsytwu repurposingolddrugsasantiviralagentsforcoronaviruses
AT chiungtongchen repurposingolddrugsasantiviralagentsforcoronaviruses
AT shiowjulee repurposingolddrugsasantiviralagentsforcoronaviruses