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Comparative study of a 3CLpro inhibitor and remdesivir against both major SARS-CoV-2 clades in human airway models
Maren de Vries; Adil Mohamed; Rachel Anne Prescott; Ana Valero-Jimenez; Ludovic Desvignes; Claire Steppan; Joseph Cooper Devlin; Ellie Ivanova; Alberto Herrera; Austin Schinlever; Paige Loose; Kelly Ruggles; Sergei Koralov; Annaliesa Anderson; Joseph Binder; Meike Dittmann.
Afiliación
  • Maren de Vries; NYU Grossman School of Medicine
  • Adil Mohamed; NYU Grossman School of Medicine
  • Rachel Anne Prescott; NYU Grossman School of Medicine
  • Ana Valero-Jimenez; NYU Grossman School of Medicine
  • Ludovic Desvignes; NYU Grossman School of Medicine
  • Claire Steppan; Pfizer Discovery Sciences
  • Joseph Cooper Devlin; New York University Langone Health
  • Ellie Ivanova; NYU Grossman School of Medicine
  • Alberto Herrera; NYU Grossman School of Medicine
  • Austin Schinlever; NYU Grossman School of Medicine
  • Paige Loose; NYU Grossman School of Medicine
  • Kelly Ruggles; NYU Grossman School of Medicine
  • Sergei Koralov; NYU Grossman School of Medicine
  • Annaliesa Anderson; Pfizer Vaccine Research and Development
  • Joseph Binder; Pfizer Oncology Research and Development
  • Meike Dittmann; NYU Grossman School of Medicine
Preprint en En | PREPRINT-BIORXIV | ID: ppbiorxiv-272880
ABSTRACT
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the etiological agent of Coronavirus Disease 2019 (COVID-19). There is a dire need for novel effective antivirals to treat COVID-19, as the only approved direct-acting antiviral to date is remdesivir, targeting the viral polymerase complex. A potential alternate target in the viral life cycle is the main SARS-CoV-2 protease 3CLpro (Mpro). The drug candidate PF-00835231 is the active compound of the first anti-3CLpro regimen in clinical trials. Here, we perform a comparative analysis of PF-00835231, the pre-clinical 3CLpro inhibitor GC-376, and the polymerase inhibitor remdesivir, in alveolar basal epithelial cells modified to express ACE2 (A549+ACE2 cells). We find PF-00835231 with at least similar or higher potency than remdesivir or GC-376. A time-of-drug-addition approach delineates the timing of early SARS-CoV-2 life cycle steps in A549+ACE2 cells and validates PF-00835231s early time of action. In a model of the human polarized airway epithelium, both PF-00835231 and remdesivir potently inhibit SARS-CoV-2 at low micromolar concentrations. Finally, we show that the efflux transporter P-glycoprotein, which was previously suggested to diminish PF-00835231s efficacy based on experiments in monkey kidney Vero E6 cells, does not negatively impact PF-00835231 efficacy in either A549+ACE2 cells or human polarized airway epithelial cultures. Thus, our study provides in vitro evidence for the potential of PF-00835231 as an effective SARS-CoV-2 antiviral and addresses concerns that emerged based on prior studies in non-human in vitro models. ImportanceThe arsenal of SARS-CoV-2 specific antiviral drugs is extremely limited. Only one direct-acting antiviral drug is currently approved, the viral polymerase inhibitor remdesivir, and it has limited efficacy. Thus, there is a substantial need to develop additional antiviral compounds with minimal side effects and alternate viral targets. One such alternate target is its main protease, 3CLpro (Mpro), an essential component of the SARS-CoV-2 life cycle processing the viral polyprotein into the components of the viral polymerase complex. In this study, we characterize a novel antiviral drug, PF-00835231, which is the active component of the first-in-class 3CLpro-targeting regimen in clinical trials. Using 3D in vitro models of the human airway epithelium, we demonstrate the antiviral potential of PF-00835231 for inhibition of SARS-CoV-2.
Licencia
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Texto completo: 1 Colección: 09-preprints Base de datos: PREPRINT-BIORXIV Tipo de estudio: Etiology_studies / Prognostic_studies Idioma: En Año: 2020 Tipo del documento: Preprint
Texto completo: 1 Colección: 09-preprints Base de datos: PREPRINT-BIORXIV Tipo de estudio: Etiology_studies / Prognostic_studies Idioma: En Año: 2020 Tipo del documento: Preprint