Programmable antivirals targeting critical conserved viral RNA secondary structures from influenza A virus and SARS-CoV-2.

Programmable antivirals targeting critical conserved viral RNA secondary structures from influenza A virus and SARS-CoV-2.
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DOI:
10.1038/s41591-022-01908-x
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发表时间:
2022-09
期刊:
影响因子:
82.9
通讯作者:
Glenn, Jeffrey S.
Glenn, Jeffrey S.
中科院分区:
医学1区
文献类型:
--
作者:
Hagey, Rachel J.;Elazar, Menashe;Pham, Edward A.;Tian, Siqi;Ben-Avi, Lily;Bernardin-Souibgui, Claire;Yee, Matthew F.;Moreira, Fernando R.;Rabinovitch, Meirav Vilan;Meganck, Rita M.;Fram, Benjamin;Beck, Aimee;Gibson, Scott A.;Lam, Grace;Devera, Josephine;Kladwang, Wipapat;Nguyen, Khanh;Xiong, Anming;Schaffert, Steven;Avisar, Talia;Liu, Ping;Rustagi, Arjun;Fichtenbaum, Carl J.;Pang, Phillip S.;Khatri, Purvesh;Tseng, Chien-Te;Taubenberger, Jeffery K.;Blish, Catherine A.;Hurst, Brett L.;Sheahan, Timothy P.;Das, Rhiju;Glenn, Jeffrey S.

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Influenza A virus (IAV)’s frequent genetic changes challenge vaccine strategies and engender resistance to current drugs. We sought to identify conserved and essential RNA secondary structures within IAV’s genome predicted to have greater constraints on mutation in response to therapeutic targeting. We identified and genetically validated a RNA structure (PSL2) that mediates in vitro packaging and in vivo disease, and is conserved across all known IAV isolates. A PSL2-targeting locked nucleic acid (LNA) administered 3 days after, or 14 days before, a lethal IAV inoculum provided 100% survival in mice, lead to the development of strong immunity to rechallenge with a ten-fold lethal inoculum, evaded attempts to select for resistance, and retained full potency against neuraminidase inhibitor (NAI)-resistant virus. Using an analogous approach to target SARS-CoV-2, prophylactic administration of LNAs specific for highly conserved RNA structures in the viral genome protected hamsters from efficient transmission of the SARS-CoV-2 USA_WA1/2020 variant. These findings highlight the potential applicability of this approach to any virus of interest via a process we term “programmable antivirals”, with implications for antiviral prophylaxis and post-exposure therapy.
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