Enhancing the Antiviral Potency of Nucleobases for Potential Broad-Spectrum Antiviral Therapies

Broad-spectrum antiviral therapies hold promise as a first-line defense against emerging viruses by blunting illness severity and spread until vaccines and virus-specific antivirals are developed. The nucleobase favipiravir, often discussed as a broad-spectrum inhibitor, was not effective in recent...

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Main Authors: Ruben Soto-Acosta, Tiffany C. Edwards, Christine D. Dreis, Venkatramana D. Krishna, Maxim C-J. Cheeran, Li Qiu, Jiashu Xie, Laurent F. Bonnac, Robert J. Geraghty
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Viruses
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Online Access:https://www.mdpi.com/1999-4915/13/12/2508
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author Ruben Soto-Acosta
Tiffany C. Edwards
Christine D. Dreis
Venkatramana D. Krishna
Maxim C-J. Cheeran
Li Qiu
Jiashu Xie
Laurent F. Bonnac
Robert J. Geraghty
author_facet Ruben Soto-Acosta
Tiffany C. Edwards
Christine D. Dreis
Venkatramana D. Krishna
Maxim C-J. Cheeran
Li Qiu
Jiashu Xie
Laurent F. Bonnac
Robert J. Geraghty
author_sort Ruben Soto-Acosta
collection DOAJ
description Broad-spectrum antiviral therapies hold promise as a first-line defense against emerging viruses by blunting illness severity and spread until vaccines and virus-specific antivirals are developed. The nucleobase favipiravir, often discussed as a broad-spectrum inhibitor, was not effective in recent clinical trials involving patients infected with Ebola virus or SARS-CoV-2. A drawback of favipiravir use is its rapid clearance before conversion to its active nucleoside-5′-triphosphate form. In this work, we report a synergistic reduction of flavivirus (dengue, Zika), orthomyxovirus (influenza A), and coronavirus (HCoV-OC43 and SARS-CoV-2) replication when the nucleobases favipiravir or T-1105 were combined with the antimetabolite 6-methylmercaptopurine riboside (6MMPr). The 6MMPr/T-1105 combination increased the C-U and G-A mutation frequency compared to treatment with T-1105 or 6MMPr alone. A further analysis revealed that the 6MMPr/T-1105 co-treatment reduced cellular purine nucleotide triphosphate synthesis and increased conversion of the antiviral nucleobase to its nucleoside-5′-monophosphate, -diphosphate, and -triphosphate forms. The 6MMPr co-treatment specifically increased production of the active antiviral form of the nucleobases (but not corresponding nucleosides) while also reducing levels of competing cellular NTPs to produce the synergistic effect. This in-depth work establishes a foundation for development of small molecules as possible co-treatments with nucleobases like favipiravir in response to emerging RNA virus infections.
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spelling doaj.art-4ed7d485443143e19662aa390f9377fb2023-11-23T10:58:58ZengMDPI AGViruses1999-49152021-12-011312250810.3390/v13122508Enhancing the Antiviral Potency of Nucleobases for Potential Broad-Spectrum Antiviral TherapiesRuben Soto-Acosta0Tiffany C. Edwards1Christine D. Dreis2Venkatramana D. Krishna3Maxim C-J. Cheeran4Li Qiu5Jiashu Xie6Laurent F. Bonnac7Robert J. Geraghty8Center for Drug Design, College of Pharmacy, University of Minnesota, Minneapolis, MN 55455, USACenter for Drug Design, College of Pharmacy, University of Minnesota, Minneapolis, MN 55455, USACenter for Drug Design, College of Pharmacy, University of Minnesota, Minneapolis, MN 55455, USADepartment of Veterinary Population Medicine, College of Veterinary Medicine, University of Minnesota, St. Paul, MN 55108, USADepartment of Veterinary Population Medicine, College of Veterinary Medicine, University of Minnesota, St. Paul, MN 55108, USACenter for Drug Design, College of Pharmacy, University of Minnesota, Minneapolis, MN 55455, USACenter for Drug Design, College of Pharmacy, University of Minnesota, Minneapolis, MN 55455, USACenter for Drug Design, College of Pharmacy, University of Minnesota, Minneapolis, MN 55455, USACenter for Drug Design, College of Pharmacy, University of Minnesota, Minneapolis, MN 55455, USABroad-spectrum antiviral therapies hold promise as a first-line defense against emerging viruses by blunting illness severity and spread until vaccines and virus-specific antivirals are developed. The nucleobase favipiravir, often discussed as a broad-spectrum inhibitor, was not effective in recent clinical trials involving patients infected with Ebola virus or SARS-CoV-2. A drawback of favipiravir use is its rapid clearance before conversion to its active nucleoside-5′-triphosphate form. In this work, we report a synergistic reduction of flavivirus (dengue, Zika), orthomyxovirus (influenza A), and coronavirus (HCoV-OC43 and SARS-CoV-2) replication when the nucleobases favipiravir or T-1105 were combined with the antimetabolite 6-methylmercaptopurine riboside (6MMPr). The 6MMPr/T-1105 combination increased the C-U and G-A mutation frequency compared to treatment with T-1105 or 6MMPr alone. A further analysis revealed that the 6MMPr/T-1105 co-treatment reduced cellular purine nucleotide triphosphate synthesis and increased conversion of the antiviral nucleobase to its nucleoside-5′-monophosphate, -diphosphate, and -triphosphate forms. The 6MMPr co-treatment specifically increased production of the active antiviral form of the nucleobases (but not corresponding nucleosides) while also reducing levels of competing cellular NTPs to produce the synergistic effect. This in-depth work establishes a foundation for development of small molecules as possible co-treatments with nucleobases like favipiravir in response to emerging RNA virus infections.https://www.mdpi.com/1999-4915/13/12/2508nucleobaseantiviralfavipiravirbroad-spectrumemerging virusesantimetabolite
spellingShingle Ruben Soto-Acosta
Tiffany C. Edwards
Christine D. Dreis
Venkatramana D. Krishna
Maxim C-J. Cheeran
Li Qiu
Jiashu Xie
Laurent F. Bonnac
Robert J. Geraghty
Enhancing the Antiviral Potency of Nucleobases for Potential Broad-Spectrum Antiviral Therapies
Viruses
nucleobase
antiviral
favipiravir
broad-spectrum
emerging viruses
antimetabolite
title Enhancing the Antiviral Potency of Nucleobases for Potential Broad-Spectrum Antiviral Therapies
title_full Enhancing the Antiviral Potency of Nucleobases for Potential Broad-Spectrum Antiviral Therapies
title_fullStr Enhancing the Antiviral Potency of Nucleobases for Potential Broad-Spectrum Antiviral Therapies
title_full_unstemmed Enhancing the Antiviral Potency of Nucleobases for Potential Broad-Spectrum Antiviral Therapies
title_short Enhancing the Antiviral Potency of Nucleobases for Potential Broad-Spectrum Antiviral Therapies
title_sort enhancing the antiviral potency of nucleobases for potential broad spectrum antiviral therapies
topic nucleobase
antiviral
favipiravir
broad-spectrum
emerging viruses
antimetabolite
url https://www.mdpi.com/1999-4915/13/12/2508
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