Drug Repurposing for Therapeutic Discovery against Human Metapneumovirus Infection

Annelies Van Den Bergh1, Patrice Guillon1, Mark von Itzstein1

  • 1Institute for Glycomics, Griffith University, Gold Coast Campus, Queensland, Australia.

Insights

Drug repurposing identified 11 compounds to treat human metapneumovirus (HMPV) infection. Mycophenolic acid showed high inhibition by blocking guanosine synthesis, offering a promising antiviral strategy.

Area of Science:

  • Virology
  • Drug Discovery
  • Immunology

Background:

  • Human metapneumovirus (HMPV) causes significant pneumonia globally, particularly in vulnerable populations.
  • Lack of effective antiviral treatments or vaccines for HMPV results in a substantial global health burden.
  • Drug repurposing offers a cost-effective approach to identify new treatments for emerging and endemic diseases.

Purpose of the Study:

  • To develop and implement an in vitro medium-throughput screening assay for identifying novel anti-HMPV drug candidates.
  • To screen approximately 2,400 compounds for their ability to inhibit HMPV infection.
  • To characterize the mechanism of action and cytotoxicity of identified anti-HMPV compounds.

Main Methods:

  • Development of a medium-throughput in vitro screening assay for HMPV inhibition.
  • Screening of ~2,400 diverse chemical compounds.
  • Characterization of antiviral activity, cytotoxicity, and mechanism of action for hit compounds.

Main Results:

  • Identified 11 compounds exhibiting dose-dependent inhibition of HMPV infection.
  • Characterized five compounds with low in vitro cytotoxicity: two entry inhibitors (Evans Blue, aurintricarboxylic acid) and three post-entry inhibitors (mycophenolic acid, mycophenolate mofetil, 2,3,4-trihydroxybenzaldehyde).
  • Mycophenolic acid (MPA) demonstrated potent inhibition by blocking intracellular guanosine synthesis, with effective concentrations below the approved human oral dose.

Conclusions:

  • The drug repurposing strategy successfully identified novel anti-HMPV candidates.
  • Mycophenolic acid shows significant potential for treating HMPV infections due to its efficacy and favorable dosing.
  • Identified compounds provide promising templates for future antiviral drug design against HMPV.