Pharmacological effect of cepharanthine on SARS-CoV-2-induced disease in a Syrian hamster model

Takayuki Uematsu1, Reiko Takai-Todaka2, Kei Haga2

  • 1Biomedical Laboratory, Division of Biomedical Research, Kitasato University Medical Center, Arai, Kitamoto, Saitama, Japan.

Abstract

Insights

Cepharanthine shows promise in treating COVID-19. This study found that cepharanthine, administered before or after infection, reduced disease severity and viral load in a hamster model, suggesting its potential as a COVID-19 therapeutic.

Area of Science:

  • Virology
  • Pharmacology
  • Infectious Diseases

Background:

  • Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, continues to be a global health concern.
  • New SARS-CoV-2 variants necessitate novel therapeutics with distinct mechanisms of action.
  • Cepharanthine, derived from Stephania cepharantha, has demonstrated in vitro inhibition of SARS-CoV-2 replication.

Purpose of the Study:

  • To investigate the in vivo prophylactic and therapeutic potential of cepharanthine against SARS-CoV-2 infection.
  • To evaluate the effects of cepharanthine on disease progression in a Syrian hamster model.

Main Methods:

  • Syrian hamsters were infected with SARS-CoV-2 and treated with cepharanthine intranasally, either pre- or post-infection.
  • Outcomes assessed included body weight changes, lung pathology, viral load, and inflammatory markers.

Main Results:

  • Pre-infection cepharanthine administration led to reduced weight loss, lower lung virus titers, and decreased inflammation.
  • Post-infection administration of cepharanthine also demonstrated therapeutic benefits.
  • Histopathological analysis revealed alleviated lung damage in cepharanthine-treated hamsters.

Conclusions:

  • Both prophylactic and therapeutic administration of cepharanthine effectively mitigated COVID-19 pathogenesis in a hamster model.
  • Cepharanthine presents a potential therapeutic candidate for managing COVID-19.
  • Further research into cepharanthine's efficacy and safety is warranted.