Guangzhou National Laboratory, Guangzhou International Bio-Island, Guangzhou 510005, China.
State Key Laboratory of Respiratory Disease, Guangzhou Medical University, Guangzhou 511400, China.
Viruses. 2023 Jul 31;15(8):1666. doi: 10.3390/v15081666.
Novel coronavirus disease 2019 (COVID-19), a respiratory disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has brought an unprecedented public health crisis and continues to threaten humanity due to the persistent emergence of new variants. Therefore, developing more effective and broad-spectrum therapeutic and prophylactic drugs against infection by SARS-CoV-2 and its variants, as well as future emerging CoVs, is urgently needed. In this study, we screened several US FDA-approved drugs and identified phenothiazine derivatives with the ability to potently inhibit the infection of pseudotyped SARS-CoV-2 and distinct variants of concern (VOCs), including B.1.617.2 (Delta) and currently circulating Omicron sublineages XBB and BQ.1.1, as well as pseudotyped SARS-CoV and MERS-CoV. Mechanistic studies suggested that phenothiazines predominantly inhibited SARS-CoV-2 pseudovirus (PsV) infection at the early stage and potentially bound to the spike (S) protein of SARS-CoV-2, which may prevent the proteolytic cleavage of the S protein, thereby exhibiting inhibitory activity against SARS-CoV-2 infection. In summary, our findings suggest that phenothiazines can serve as a potential broad-spectrum therapeutic drug for the treatment of SARS-CoV-2 infection as well as the infection of future emerging human coronaviruses (HCoVs).
新型冠状病毒病 2019(COVID-19)是一种由严重急性呼吸系统综合症冠状病毒 2(SARS-CoV-2)引起的呼吸道疾病,由于新变种的持续出现,它带来了前所未有的公共卫生危机,继续威胁着人类。因此,迫切需要开发针对 SARS-CoV-2 及其变体以及未来出现的 CoV 的更有效和广谱的治疗和预防感染的药物。在这项研究中,我们筛选了几种美国食品和药物管理局(FDA)批准的药物,并鉴定出具有抑制假型 SARS-CoV-2 以及包括 B.1.617.2(Delta)在内的不同关注变体(VOCs)、目前流行的奥密克戎亚系 XBB 和 BQ.1.1 以及假型 SARS-CoV 和 MERS-CoV 感染的有效能力的吩噻嗪衍生物。机制研究表明,吩噻嗪类药物主要在早期抑制 SARS-CoV-2 假病毒(PsV)感染,并且可能与 SARS-CoV-2 的刺突(S)蛋白结合,这可能阻止 S 蛋白的蛋白水解裂解,从而对 SARS-CoV-2 感染表现出抑制活性。总之,我们的研究结果表明,吩噻嗪类药物可以作为一种潜在的广谱治疗药物,用于治疗 SARS-CoV-2 感染以及未来出现的人类冠状病毒(HCoV)感染。
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