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Updated: Mar 2, 2026

High-throughput Antiviral Assays to Screen for Inhibitors of Zika Virus Replication
Published on: October 30, 2021
Pediatric Drug Nitazoxanide: A Potential Choice for Control of Zika
Rui-Yuan Cao1, Yong-Fen Xu1, Tian-Hong Zhang1
1Beijing Institute of Pharmacology and Toxicology, China.
Insights
Nitazoxanide, an approved drug safe for children, shows potential against Zika virus (ZIKV) infection. This repurposed medication may combat ZIKV by interfering with viral entry into cells.
Area of Science:
- Virology
- Infectious Diseases
- Drug Discovery
Background:
- Zika virus (ZIKV) infection poses significant health risks, including congenital malformations like microcephaly and neurological disorders in adults.
- Currently, no specific antiviral drugs are approved for treating ZIKV infections, necessitating urgent therapeutic solutions.
- Drug repurposing offers a rapid strategy for identifying effective treatments during public health emergencies.
Purpose of the Study:
- To identify an existing, safe drug that can be repurposed for the treatment of Zika virus infection.
- To evaluate the anti-ZIKV potential of nitazoxanide and its metabolite, tizoxanide.
Main Methods:
- In vitro assessment of nitazoxanide and tizoxanide against ZIKV.
- Investigation of the mechanism of antiviral action.
Main Results:
- Nitazoxanide and its active metabolite, tizoxanide, demonstrated antiviral activity against ZIKV in laboratory studies.
- The antiviral effect appears to be mediated by targeting the virus's postattachment phase.
Conclusions:
- Nitazoxanide, a US FDA-approved drug safe for pediatric use, exhibits promising anti-ZIKV properties.
- This repurposed drug represents a potential therapeutic option for Zika virus infections, possibly by inhibiting viral entry.
Abstract:
Zika virus (ZIKV) infection can be the cause of congenital malformations, including microcephaly in infants and can cause other disorders such as Guillain-Barré syndrome, meningoencephalitis, and myelitis, which can also occur in some infected adults. However, at this time, there is no drug approved to treat ZIKV infection. Drug repurposing is the promptest way to obtain an effective drug during a global public health emergency such as the spread of Zika virus. In this study, we report a US Food and Drug Admistration-approved drug that is safe for pediatric use. Nitazoxanide and its bioactive metabolite, tizoxanide, have anti-ZIKV potential in vitro, and we identified that they exerts antiviral effect possibly by targeting the viral postattachment step.
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