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Published anti-SARS-CoV-2 in vitro hits share common mechanisms of action that synergize with antivirals

Xing et al., Briefings in Bioinformatics, doi:10.1093/bib/bbab249
Jul 2021  
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Review of transcriptomic profiles showing that one-third of published anti-SARS-CoV-2 compounds regulate cholesterol homeostasis and microtubule cytoskeleton organization genes. Authors found that expression of these genes is associated with COVID-19 severity and has predictive power on anti-SARS-CoV-2 efficacy in vitro. The analysis led to the discovery of monensin as an inhibitor of SARS-CoV-2 replication. Authors report that drugs co-targeting cholesterol homeostasis and microtubule processes are more likely to synergize with antivirals. Authors propose that potential therapeutics could combine targeting these host processes with antiviral drugs.
Xing et al., 9 Jul 2021, peer-reviewed, 9 authors. Contact: chenbi12@msu.edu.
This PaperMiscellaneousAll
Published anti-SARS-CoV-2 in vitro hits share common mechanisms of action that synergize with antivirals
Jing Xing, Shreya Paithankar, Ke Liu, Katie Uhl, Xiaopeng Li, Meehyun Ko, Seungtaek Kim, Jeremy Haskins, Bin Chen
Briefings in Bioinformatics, doi:10.1093/bib/bbab249
The global efforts in the past year have led to the discovery of nearly 200 drug repurposing candidates for COVID-19. Gaining more insights into their mechanisms of action could facilitate a better understanding of infection and the development of therapeutics. Leveraging large-scale drug-induced gene expression profiles, we found 36% of the active compounds regulate genes related to cholesterol homeostasis and microtubule cytoskeleton organization. Following bioinformatics analyses revealed that the expression of these genes is associated with COVID-19 patient severity and has predictive power on anti-SARS-CoV-2 efficacy in vitro. Monensin, a top new compound that regulates these genes, was further confirmed as an inhibitor of SARS-CoV-2 replication in Vero-E6 cells. Interestingly, drugs co-targeting cholesterol homeostasis and microtubule cytoskeleton organization processes more likely present a synergistic effect with antivirals. Therefore, potential therapeutics could be centered around combinations of targeting these processes and viral proteins.
Supplementary Data Supplementary data are available online at Briefings in Bioinformatics. Contributions J.X. and B.C. conceived the study. J.X. led and performed all the analyses with the input from S.P., K.L., J.H., and B.C., K.U. and X.L. performed the experiments in human lung primary small airway cells. M.K. and S.K. performed in vitro efficacy studies. J.X. and B.C. wrote the manuscript with the input from all co-authors. B.C. supervised the study.
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