金刚烷胺具有治疗 COVID-19 的潜力,因为它可以抑制由 SARS-CoV-2 编码的已知和新型离子通道。

Amantadine has potential for the treatment of COVID-19 because it inhibits known and novel ion channels encoded by SARS-CoV-2.

机构信息

Department of Biomedical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.

Department of Neuroscience, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.

出版信息

Commun Biol. 2021 Dec 1;4(1):1347. doi: 10.1038/s42003-021-02866-9.

Abstract

The dire need for COVID-19 treatments has inspired strategies of repurposing approved drugs. Amantadine has been suggested as a candidate, and cellular as well as clinical studies have indicated beneficial effects of this drug. We demonstrate that amantadine and hexamethylene-amiloride (HMA), but not rimantadine, block the ion channel activity of Protein E from SARS-CoV-2, a conserved viroporin among coronaviruses. These findings agree with their binding to Protein E as evaluated by solution NMR and molecular dynamics simulations. Moreover, we identify two novel viroporins of SARS-CoV-2; ORF7b and ORF10, by showing ion channel activity in a X. laevis oocyte expression system. Notably, amantadine also blocks the ion channel activity of ORF10, thereby providing two ion channel targets in SARS-CoV-2 for amantadine treatment in COVID-19 patients. A screen of known viroporin inhibitors on Protein E, ORF7b, ORF10 and Protein 3a from SARS-CoV-2 revealed inhibition of Protein E and ORF7b by emodin and xanthene, the latter also blocking Protein 3a. This illustrates a general potential of well-known ion channel blockers against SARS-CoV-2 and specifically a dual molecular basis for the promising effects of amantadine in COVID-19 treatment. We therefore propose amantadine as a novel, cheap, readily available and effective way to treat COVID-19.

摘要

迫切需要 COVID-19 治疗方法,这激发了人们对已批准药物进行再利用的策略。金刚烷胺已被提议作为候选药物,细胞和临床研究表明该药物具有有益作用。我们证明金刚烷胺和六亚甲基-阿米洛利(HMA),而不是金刚烷胺,可阻断来自 SARS-CoV-2 的蛋白 E 的离子通道活性,这是冠状病毒中一种保守的 viroporin。这些发现与它们与蛋白 E 的结合一致,这是通过溶液 NMR 和分子动力学模拟评估的。此外,我们通过在非洲爪蟾卵母细胞表达系统中显示离子通道活性,鉴定出 SARS-CoV-2 的两个新的 viroporins;ORF7b 和 ORF10。值得注意的是,金刚烷胺还阻断了 ORF10 的离子通道活性,从而为 COVID-19 患者的金刚烷胺治疗提供了 SARS-CoV-2 中的两个离子通道靶标。对来自 SARS-CoV-2 的蛋白 E、ORF7b、ORF10 和蛋白 3a 的已知 viroporin 抑制剂进行筛选,发现大黄素和呫吨抑制蛋白 E 和 ORF7b,后者也抑制蛋白 3a。这说明了针对 SARS-CoV-2 的众所周知的离子通道阻滞剂的一般潜力,特别是金刚烷胺在 COVID-19 治疗中具有良好效果的双重分子基础。因此,我们建议将金刚烷胺作为一种新型、廉价、易于获得且有效的 COVID-19 治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b981/8636635/f75a3f9b067f/42003_2021_2866_Fig1_HTML.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索