The Hyperlipidaemic Drug Fenofibrate Significantly Reduces Infection by SARS-CoV-2 in Cell Culture Models.

The Hyperlipidaemic Drug Fenofibrate Significantly Reduces Infection by SARS-CoV-2 in Cell Culture Models.
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DOI:
10.3389/fphar.2021.660490
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发表时间:
2021
影响因子:
5.6
通讯作者:
Richardson A
Richardson A
中科院分区:
医学2区
文献类型:
--
作者:
Davies SP;Mycroft-West CJ;Pagani I;Hill HJ;Chen YH;Karlsson R;Bagdonaite I;Guimond SE;Stamataki Z;De Lima MA;Turnbull JE;Yang Z;Vicenzi E;Skidmore MA;Khanim FL;Richardson A

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严重急性呼吸道综合征冠状病毒-2(SARS-CoV-2)大流行已造成大量死亡和全球范围内的破坏。为了确定药物重新用于治疗SARS-CoV-2感染,我们建立了一个筛选来测量血管紧张素转换酶2(ACE2)的二聚化,ACE2是病毒的主要受体。该筛选鉴定了非诺贝特的活性代谢物非诺贝酸。在酶联免疫吸附试验(ELISA)和全细胞结合试验中,非诺贝酸还使病毒刺突蛋白的受体结合结构域(RBD)不稳定,并抑制RBD与ACE 2的结合。非诺贝特和非诺贝酸由两个独立的实验室使用两种不同的SARS-CoV-2分离株检测培养的Vero细胞的感染。在两种药物浓度下(临床上可达到),非诺贝特和非诺贝酸可将病毒感染降低高达70%。结合其广泛的临床使用历史和相对良好的安全性,本研究将非诺贝特确定为治疗SARS-CoV-2感染的潜在治疗药物,需要进行紧急临床评价。
The severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) pandemic has caused a significant number of fatalities and worldwide disruption. To identify drugs to repurpose to treat SARS-CoV-2 infections, we established a screen to measure the dimerization of angiotensin-converting enzyme 2 (ACE2), the primary receptor for the virus. This screen identified fenofibric acid, the active metabolite of fenofibrate. Fenofibric acid also destabilized the receptor-binding domain (RBD) of the viral spike protein and inhibited RBD binding to ACE2 in enzyme-linked immunosorbent assay (ELISA) and whole cell-binding assays. Fenofibrate and fenofibric acid were tested by two independent laboratories measuring infection of cultured Vero cells using two different SARS-CoV-2 isolates. In both settings at drug concentrations, which are clinically achievable, fenofibrate and fenofibric acid reduced viral infection by up to 70%. Together with its extensive history of clinical use and its relatively good safety profile, this study identifies fenofibrate as a potential therapeutic agent requiring an urgent clinical evaluation to treat SARS-CoV-2 infection.
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期刊: Science (New York, N.Y.)
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