학술논문

Plitidepsin has potent preclinical efficacy against SARS-CoV-2 by targeting the host protein eEF1A
Document Type
article
Source
Science. 371(6532)
Subject
Infectious Diseases
Pneumonia & Influenza
Biotechnology
Vaccine Related
Biodefense
Lung
Orphan Drug
Emerging Infectious Diseases
Rare Diseases
Pneumonia
Prevention
5.1 Pharmaceuticals
5.2 Cellular and gene therapies
Development of treatments and therapeutic interventions
Infection
Good Health and Well Being
Adenosine Monophosphate
Alanine
Animals
Antiviral Agents
COVID-19
Coronavirus Nucleocapsid Proteins
Depsipeptides
Drug Evaluation
Preclinical
Female
HEK293 Cells
Humans
Mice
Inbred C57BL
Mutation
Peptide Elongation Factor 1
Peptides
Cyclic
Phosphoproteins
RNA
Viral
SARS-CoV-2
Virus Replication
COVID-19 Drug Treatment
General Science & Technology
Language
Abstract
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) viral proteins interact with the eukaryotic translation machinery, and inhibitors of translation have potent antiviral effects. We found that the drug plitidepsin (aplidin), which has limited clinical approval, possesses antiviral activity (90% inhibitory concentration = 0.88 nM) that is more potent than remdesivir against SARS-CoV-2 in vitro by a factor of 27.5, with limited toxicity in cell culture. Through the use of a drug-resistant mutant, we show that the antiviral activity of plitidepsin against SARS-CoV-2 is mediated through inhibition of the known target eEF1A (eukaryotic translation elongation factor 1A). We demonstrate the in vivo efficacy of plitidepsin treatment in two mouse models of SARS-CoV-2 infection with a reduction of viral replication in the lungs by two orders of magnitude using prophylactic treatment. Our results indicate that plitidepsin is a promising therapeutic candidate for COVID-19.