FDA-approved drug repurposing screen identifies inhibitors of SARS-CoV-2 pseudovirus entry

Manisha Singh1, Shruthi Shanmukha2, Raghda E Eldesouki3

  • 1Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, United States.

PubMed
Abstract

Insights

Researchers screened FDA-approved drugs to find new COVID-19 treatments. Four novel drug candidates were identified that inhibit SARS-CoV-2 viral entry, offering a promising strategy for combination therapy.

Area of Science:

  • Virology
  • Drug Discovery
  • Molecular Biology

Background:

  • The COVID-19 pandemic necessitates urgent research into SARS-CoV-2 mechanisms and treatments.
  • Understanding viral entry pathways is crucial for developing effective therapeutic interventions.

Purpose of the Study:

  • To identify FDA-approved drugs that can inhibit SARS-CoV-2 entry into host cells.
  • To explore drug repurposing as a rapid strategy for COVID-19 treatment development.

Main Methods:

  • Established a cell line expressing human ACE2 as a model for SARS-CoV-2 entry.
  • Utilized pseudotyped viral entry assays with MLV displaying SARS-CoV-2 spike protein.
  • Screened an FDA-approved compound library for inhibitors of ACE2-dependent viral entry.

Main Results:

  • Identified 18 drug candidates inhibiting viral entry, including 4 novel compounds.
  • Pyridoxal 5'-phosphate, Dovitinib, Adefovir dipivoxil, and Biapenem showed potent inhibition (IC50 values < 200 nM).
  • These drugs target the ACE2-dependent entry mechanism of SARS-CoV-2.

Conclusions:

  • Identified four novel FDA-approved drug candidates for potential anti-SARS-CoV-2 combination therapy.
  • Drug repurposing is a viable and rapid strategy for developing COVID-19 treatments.
  • Findings support further investigation of these candidates for clinical application.