Potential anti-COVID-19 agents, cepharanthine and nelfinavir, and their usage for combination treatment

Antiviral treatments targeting the coronavirus disease 2019 are urgently required. We screened a panel of already approved drugs in a cell culture model of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and identified two new agents having higher antiviral potentials than the drug cand...

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Main Authors: Ohashi, H, Watashi, K, Saso, W, Shionoya, K, Iwanami, S, Hirokawa, T, Shirai, T, Kanaya, S, Ito, Y, Kim, KS, Nomura, T, Suzuki, T, Nishioka, K, Ando, S, Ejima, K, Koizumi, Y, Tanaka, T, Aoki, S, Kuramochi, K, Hashiguchi, T, Maenaka, K, Matano, T, Muramatsu, M, Saijo, M, Aihara, K, Iwami, S, Takeda, M, McKeating, JA, Wakita, T
Format: Journal article
Language:English
Published: Cell Press 2021
_version_ 1797102261936062464
author Ohashi, H
Watashi, K
Saso, W
Shionoya, K
Iwanami, S
Hirokawa, T
Shirai, T
Kanaya, S
Ito, Y
Kim, KS
Nomura, T
Suzuki, T
Nishioka, K
Ando, S
Ejima, K
Koizumi, Y
Tanaka, T
Aoki, S
Kuramochi, K
Suzuki, T
Hashiguchi, T
Maenaka, K
Matano, T
Muramatsu, M
Saijo, M
Aihara, K
Iwami, S
Takeda, M
McKeating, JA
Wakita, T
author_facet Ohashi, H
Watashi, K
Saso, W
Shionoya, K
Iwanami, S
Hirokawa, T
Shirai, T
Kanaya, S
Ito, Y
Kim, KS
Nomura, T
Suzuki, T
Nishioka, K
Ando, S
Ejima, K
Koizumi, Y
Tanaka, T
Aoki, S
Kuramochi, K
Suzuki, T
Hashiguchi, T
Maenaka, K
Matano, T
Muramatsu, M
Saijo, M
Aihara, K
Iwami, S
Takeda, M
McKeating, JA
Wakita, T
author_sort Ohashi, H
collection OXFORD
description Antiviral treatments targeting the coronavirus disease 2019 are urgently required. We screened a panel of already approved drugs in a cell culture model of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and identified two new agents having higher antiviral potentials than the drug candidates such as remdesivir and chroloquine in VeroE6/TMPRSS2 cells: the anti-inflammatory drug cepharanthine and human immunodeficiency virus protease inhibitor nelfinavir. Cepharanthine inhibited SARS-CoV-2 entry through the blocking of viral binding to target cells, while nelfinavir suppressed viral replication partly by protease inhibition. Consistent with their different modes of action, synergistic effect of this combined treatment to limit SARS-CoV-2 proliferation was highlighted. Mathematical modeling in vitro antiviral activity coupled with the calculated total drug concentrations in the lung predicts that nelfinavir will shorten the period until viral clearance by 4.9 days and the combining cepharanthine/nelfinavir enhanced their predicted efficacy. These results warrant further evaluation of the potential anti-SARS-CoV-2 activity of cepharanthine and nelfinavir.
first_indexed 2024-03-07T06:03:27Z
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spelling oxford-uuid:ed049037-ca8e-4e9f-8101-be532060e7532022-03-27T11:21:53ZPotential anti-COVID-19 agents, cepharanthine and nelfinavir, and their usage for combination treatmentJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:ed049037-ca8e-4e9f-8101-be532060e753EnglishSymplectic ElementsCell Press2021Ohashi, HWatashi, KSaso, WShionoya, KIwanami, SHirokawa, TShirai, TKanaya, SIto, YKim, KSNomura, TSuzuki, TNishioka, KAndo, SEjima, KKoizumi, YTanaka, TAoki, SKuramochi, KSuzuki, THashiguchi, TMaenaka, KMatano, TMuramatsu, MSaijo, MAihara, KIwami, STakeda, MMcKeating, JAWakita, TAntiviral treatments targeting the coronavirus disease 2019 are urgently required. We screened a panel of already approved drugs in a cell culture model of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and identified two new agents having higher antiviral potentials than the drug candidates such as remdesivir and chroloquine in VeroE6/TMPRSS2 cells: the anti-inflammatory drug cepharanthine and human immunodeficiency virus protease inhibitor nelfinavir. Cepharanthine inhibited SARS-CoV-2 entry through the blocking of viral binding to target cells, while nelfinavir suppressed viral replication partly by protease inhibition. Consistent with their different modes of action, synergistic effect of this combined treatment to limit SARS-CoV-2 proliferation was highlighted. Mathematical modeling in vitro antiviral activity coupled with the calculated total drug concentrations in the lung predicts that nelfinavir will shorten the period until viral clearance by 4.9 days and the combining cepharanthine/nelfinavir enhanced their predicted efficacy. These results warrant further evaluation of the potential anti-SARS-CoV-2 activity of cepharanthine and nelfinavir.
spellingShingle Ohashi, H
Watashi, K
Saso, W
Shionoya, K
Iwanami, S
Hirokawa, T
Shirai, T
Kanaya, S
Ito, Y
Kim, KS
Nomura, T
Suzuki, T
Nishioka, K
Ando, S
Ejima, K
Koizumi, Y
Tanaka, T
Aoki, S
Kuramochi, K
Suzuki, T
Hashiguchi, T
Maenaka, K
Matano, T
Muramatsu, M
Saijo, M
Aihara, K
Iwami, S
Takeda, M
McKeating, JA
Wakita, T
Potential anti-COVID-19 agents, cepharanthine and nelfinavir, and their usage for combination treatment
title Potential anti-COVID-19 agents, cepharanthine and nelfinavir, and their usage for combination treatment
title_full Potential anti-COVID-19 agents, cepharanthine and nelfinavir, and their usage for combination treatment
title_fullStr Potential anti-COVID-19 agents, cepharanthine and nelfinavir, and their usage for combination treatment
title_full_unstemmed Potential anti-COVID-19 agents, cepharanthine and nelfinavir, and their usage for combination treatment
title_short Potential anti-COVID-19 agents, cepharanthine and nelfinavir, and their usage for combination treatment
title_sort potential anti covid 19 agents cepharanthine and nelfinavir and their usage for combination treatment
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