Department of Molecular and Medical Virology, Ruhr-University Bochum, 44801 Bochum, Germany.
European Virus Bioinformatics Center (EVBC), 07743 Jena, Germany.
Viruses. 2021 Jul 20;13(7):1411. doi: 10.3390/v13071411.
Treatment options for COVID-19, a disease caused by Coronavirus 2 (SARS-CoV-2) infection, are currently severely limited. Therefore, antiviral drugs that efficiently reduce SARS-CoV-2 replication or alleviate COVID-19 symptoms are urgently needed. Inhaled glucocorticoids are currently being discussed in the context of treatment for COVID-19, partly based on a previous study that reported reduced recovery times in cases of mild COVID-19 after inhalative administration of the glucocorticoid budesonide. Given various reports that describe the potential antiviral activity of glucocorticoids against respiratory viruses, we aimed to analyze a potential antiviral activity of budesonide against SARS-CoV-2 and circulating variants of concern (VOC) B.1.1.7 (alpha) and B.1.351 (beta). We demonstrate a dose-dependent inhibition of SARS-CoV-2 that was comparable between all viral variants tested while cell viability remains unaffected. Our results are encouraging as they could indicate a multimodal mode of action of budesonide against SARS-CoV-2 and COVID-19, which could contribute to an improved clinical performance.
治疗 COVID-19 的方法目前严重受限,COVID-19 是由 冠状病毒 2 (SARS-CoV-2)感染引起的。因此,急需能够有效降低 SARS-CoV-2 复制或缓解 COVID-19 症状的抗病毒药物。吸入性糖皮质激素目前正在讨论用于 COVID-19 的治疗,部分原因是基于一项先前的研究,该研究报告称,吸入糖皮质激素布地奈德可缩短轻度 COVID-19 患者的康复时间。鉴于各种报告描述了糖皮质激素对呼吸道病毒的潜在抗病毒活性,我们旨在分析布地奈德对 SARS-CoV-2 以及循环的关注变异株(VOC)B.1.1.7(alpha)和 B.1.351(beta)的潜在抗病毒活性。我们证明了布地奈德对 SARS-CoV-2 的剂量依赖性抑制作用,在所有测试的病毒变异体之间具有可比性,而细胞活力不受影响。我们的结果令人鼓舞,因为它们可能表明布地奈德对 SARS-CoV-2 和 COVID-19 的多模式作用机制,这可能有助于改善临床疗效。