A human-airway-on-a-chip for the rapid identification of candidate antiviral therapeutics and prophylactics.

A human-airway-on-a-chip for the rapid identification of candidate antiviral therapeutics and prophylactics.
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DOI:
10.1038/s41551-021-00718-9
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发表时间:
2021-08
影响因子:
28.1
通讯作者:
Ingber DE
Ingber DE
中科院分区:
工程技术1区
文献类型:
--
作者:
Si L;Bai H;Rodas M;Cao W;Oh CY;Jiang A;Moller R;Hoagland D;Oishi K;Horiuchi S;Uhl S;Blanco-Melo D;Albrecht RA;Liu WC;Jordan T;Nilsson-Payant BE;Golynker I;Frere J;Logue J;Haupt R;McGrath M;Weston S;Zhang T;Plebani R;Soong M;Nurani A;Kim SM;Zhu DY;Benam KH;Goyal G;Gilpin SE;Prantil-Baun R;Gygi SP;Powers RK;Carlson KE;Frieman M;tenOever BR;Ingber DE

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The rapid repurposing of antivirals is particularly pressing during pandemics. However, rapid assays for assessing candidate drugs typically involve in vitro screens and cell lines that do not recapitulate human physiology at the tissue and organ levels. Here, we show that a microfluidic bronchial-airway-on-a-chip lined by highly differentiated human bronchial-airway epithelium and pulmonary endothelium can model viral infection, strain-dependent virulence, cytokine production, and the recruitment of circulating immune cells. In airway chips infected with influenza A, the co-administration of nafamostat with oseltamivir doubled the treatment-time window for oseltamivir. In chips infected with pseudotyped SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2), clinically relevant doses of the antimalarial drug amodiaquine inhibited infection, but clinical doses of hydroxychloroquine and other antiviral drugs that inhibit the entry of pseudotyped SARS-CoV-2 in cell lines under static conditions did not. We also show that amodiaquine showed substantial prophylactic and therapeutic activities in hamsters challenged with native SARS-CoV-2. The human airway-on-a-chip may accelerate the identification of therapeutics and prophylactics with repurposing potential. A microfluidic bronchial-airway-on-a-chip lined by human bronchial-airway epithelium and pulmonary endothelium can be used to rapidly identify antiviral therapeutics and prophylactics with repurposing potential.
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