小柯机器人

科学家通过大规模化合物再利用发现SARS-CoV-2药物
2020-07-28 15:14

美国Sanford Burnham Prebys医学研究所Sumit K. Chanda等研究人员合作,通过大规模化合物再利用发现SARS-CoV-2抗病毒药物。2020年7月24日,《自然》在线发表了这一成果。

研究人员表示,2019年出现的新型SARS冠状病毒2(SARS-CoV-2)引发了严重的肺炎样疾病(称为2019冠状病毒病,COVID-19)的全球大流行。疫苗的开发可能需要至少12-18个月,而批准一种新型抗病毒治疗药物的典型时间表可能会超过10年。因此,重新利用已知药物可以大大加速COVID-19新疗法的开发。
 
为此,研究人员建立了一个已知药物库,其中包含约12000个临床阶段或FDA批准的小分子。研究人员鉴定了抑制病毒复制的100个分子,其中包括21种表现出剂量反应关系的已知药物。其中有13种有效浓度可能与患者可达到的治疗剂量相当,包括PIKfyve激酶抑制剂apilimod、半胱氨酸蛋白酶抑制剂MDL-28170、Z LVG CHN2、VBY-825和ONO 5334。
 
值得注意的是,MDL-28170、ONO 5334和apilimod被发现可拮抗人iPSC衍生的肺细胞样细胞中的病毒复制,并且PIKfyve抑制剂在原代人肺外植体模型中也显示出抗病毒功效。由于这项研究中鉴定出的大多数分子已经进入临床,因此这些化合物的已知药理学和人类安全性概况将有助于加速这些药物用于COVID-19治疗的临床前和临床评估。
 
附:英文原文

Title: Discovery of SARS-CoV-2 antiviral drugs through large-scale compound repurposing

Author: Laura Riva, Shuofeng Yuan, Xin Yin, Laura Martin-Sancho, Naoko Matsunaga, Lars Pache, Sebastian Burgstaller-Muehlbacher, Paul D. De Jesus, Peter Teriete, Mitchell V. Hull, Max W. Chang, Jasper Fuk-Woo Chan, Jianli Cao, Vincent Kwok-Man Poon, Kristina M. Herbert, Kuoyuan Cheng, Tu-Trinh H. Nguyen, Andrey Rubanov, Yuan Pu, Courtney Nguyen, Angela Choi, Raveen Rathnasinghe, Michael Schotsaert, Lisa Miorin, Marion Dejosez, Thomas P. Zwaka, Ko-Yung Sit, Luis Martinez-Sobrido, Wen-Chun Liu, Kris M. White, Mackenzie E. Chapman, Emma K. Lendy, Richard J. Glynne, Randy Albrecht, Eytan Ruppin, Andrew D. Mesecar, Jeffrey R. Johnson, Christopher Benner, Ren Sun, Peter G. Schultz, Andrew I. Su, Adolfo Garca-Sastre, Arnab K. Chatterjee, Kwok-Yung Yuen, Sumit K. Chanda

Issue&Volume: 2020-07-24

Abstract: The emergence of the novel SARS coronavirus 2 (SARS-CoV-2) in 2019 has triggered an ongoing global pandemic of severe pneumonia-like disease designated as coronavirus disease 2019 (COVID-19)1. The development of a vaccine is likely to require at least 12-18 months, and the typical timeline for approval of a novel antiviral therapeutic can exceed 10 years. Thus, repurposing of known drugs could significantly accelerate the deployment of novel therapies for COVID-19. Towards this end, we profiled a library of known drugs encompassing approximately 12,000 clinical-stage or FDA-approved small molecules. We report the identification of 100 molecules that inhibit viral replication, including 21 known drugs that exhibit dose response relationships. Of these, thirteen were found to harbor effective concentrations likely commensurate with achievable therapeutic doses in patients, including the PIKfyve kinase inhibitor apilimod2–4, and the cysteine protease inhibitors MDL-28170, Z LVG CHN2, VBY-825, and ONO 5334. Notably, MDL-28170, ONO 5334, and apilimod were found to antagonize viral replication in human iPSC-derived pneumocyte-like cells, and the PIKfyve inhibitor also demonstrated antiviral efficacy in a primary human lung explant model. Since most of the molecules identified in this study have already advanced into the clinic, the known pharmacological and human safety profiles of these compounds will enable accelerated preclinical and clinical evaluation of these drugs for the treatment of COVID-19.

DOI: 10.1038/s41586-020-2577-1

Source: https://www.nature.com/articles/s41586-020-2577-1

Nature:《自然》,创刊于1869年。隶属于施普林格·自然出版集团,最新IF:69.504
官方网址:http://www.nature.com/
投稿链接:http://www.nature.com/authors/submit_manuscript.html


本期文章:《自然》:Online/在线发表

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