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Updated: Apr 17, 2026

Quantitative Structure-Activity Relationship, Activity Prediction, and Molecular Dynamics of Non-nucleotide Reverse Transcriptase Inhibitors
Published on: May 9, 2025
The anti-obesity drug orlistat reveals anti-viral activity
Elisabeth Ammer1, Sandor Nietzsche2, Christian Rien1
1Institute of Virology and Antiviral Therapy, Jena University Hospital, Friedrich Schiller University Jena, Hans-Knöll-Str. 2, 07745, Jena, Germany.
Abstract:
The administration of drugs to inhibit metabolic pathways not only reduces the risk of obesity-induced diseases in humans but may also hamper the replication of different viral pathogens. In order to investigate the value of the US Food and Drug Administration-approved anti-obesity drug orlistat in view of its anti-viral activity against different human-pathogenic viruses, several anti-viral studies, electron microscopy analyses as well as fatty acid uptake experiments were performed. The results indicate that administrations of non-cytotoxic concentrations of orlistat reduced the replication of coxsackievirus B3 (CVB3) in different cell types significantly. Moreover, orlistat revealed cell protective effects and modified the formation of multi-layered structures in CVB3-infected cells, which are necessary for viral replication. Lowering fatty acid uptake from the extracellular environment by phloretin administrations had only marginal impact on CVB3 replication. Finally, orlistat reduced also the replication of varicella-zoster virus moderately but had no significant influence on the replication of influenza A viruses. The data support further experiments into the value of orlistat as an inhibitor of the fatty acid synthase to develop new anti-viral compounds, which are based on the modulation of cellular metabolic pathways.
Insights
The anti-obesity drug orlistat significantly inhibits coxsackievirus B3 replication by affecting viral structures. This study suggests orlistat
Area of Science:
- Virology
- Drug Discovery
- Metabolic Pathways
Background:
- Metabolic pathway inhibitors can reduce obesity-related diseases and viral infections.
- Orlistat is an FDA-approved anti-obesity drug with potential antiviral properties.
Purpose of the Study:
- To evaluate the antiviral activity of orlistat against human-pathogenic viruses.
- To explore orlistat's mechanism of action in viral replication inhibition.
Main Methods:
- In vitro antiviral assays.
- Electron microscopy for structural analysis.
- Fatty acid uptake experiments.
Main Results:
- Orlistat significantly reduced coxsackievirus B3 (CVB3) replication in various cell types at non-cytotoxic concentrations.
- Orlistat demonstrated cell-protective effects and altered viral replication structures in CVB3-infected cells.
- Orlistat showed moderate inhibition of varicella-zoster virus but no significant effect on influenza A viruses.
Conclusions:
- Orlistat's ability to inhibit viral replication warrants further investigation for developing novel antiviral therapies.
- Modulating cellular metabolic pathways, specifically fatty acid synthase, presents a promising strategy for antiviral drug development.
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