Targeting Host Cell Surface Nucleolin for RSV Therapy: Challenges and Opportunities

Peter Mastrangelo1, Michael J Norris2,3, Wenming Duan4

  • 1Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON M5S 1A8, Canada. peter.mastrangelo@utoronto.ca.

Vaccines
|September 20, 2017
PubMed

Insights

Repurposing the anti-cancer drug AS1411 showed modest effects against respiratory syncytial virus (RSV) by targeting nucleolin (NCL). Further research is needed to explore NCL as a therapeutic target for RSV infection.

Area of Science:

  • Virology
  • Pharmacology
  • Immunology

Background:

  • Nucleolin (NCL) is identified as a cellular receptor for human respiratory syncytial virus (RSV).
  • AS1411 is an anti-cancer compound known to bind cell surface NCL.

Purpose of the Study:

  • To investigate the potential of repurposing AS1411 as a novel therapeutic strategy against RSV infection.
  • To evaluate the efficacy of AS1411 in vitro and in vivo models of RSV.

Main Methods:

  • AS1411 was administered to RSV-infected epithelial cell cultures (HEp-2, MDCK) and RSV-infected mice and cotton rats.
  • In vitro assays assessed the reduction in virus-positive cells.
  • In vivo studies measured lung viral titers, airway inflammation, and cytokine profiles (IL-4/IFN-γ).

Main Results:

  • AS1411 treatment resulted in decreased numbers of RSV-positive cells in vitro at micromolar concentrations.
  • Intranasal AS1411 administration (50 mg/kg) led to partial reductions in lung viral titers in mice and cotton rats.
  • AS1411 treatment was associated with decreased airway inflammation and altered IL-4/IFN-γ ratios in vivo.

Conclusions:

  • Therapeutic use of AS1411 demonstrated modest effects on RSV replication and the host immune response.
  • Targeting cell surface NCL presents challenges for RSV therapy but remains a potential strategy.
  • These findings highlight the potential of NCL as a therapeutic target for RSV infections.