A rationally designed 2C inhibitor prevents enterovirus D68-infected mice from developing paralysis

Kan Li1, Michael J Rudy2, Yanmei Hu1

  • 1Department of Medicinal Chemistry, Ernest Mario School of Pharmacy, Rutgers, the State University of New Jersey, Piscataway, NJ, USA.

PubMed

Insights

Researchers developed Jun6504, a novel antiviral targeting Enterovirus D68 (EV-D68) 2C protein. This drug shows promise in treating EV-D68-induced paralysis in mice, offering hope for a new therapeutic option.

Area of Science:

  • Virology
  • Drug Discovery
  • Neuroscience

Background:

  • Enterovirus D68 (EV-D68) causes respiratory illness, paralysis, and death, with no existing vaccines or antivirals.
  • The viral 2C protein is essential for viral replication and serves as a potential therapeutic target.

Purpose of the Study:

  • To rationally design and identify inhibitors of the EV-D68 2C protein.
  • To evaluate the efficacy of a novel compound, Jun6504, against EV-D68 infection and associated paralysis.

Main Methods:

  • Structure-based drug design was employed to identify viral 2C inhibitors.
  • Jun6504's antiviral activity was tested against multiple enterovirus strains (EV-D68, EV-A71, CVB3).
  • Efficacy was assessed in a neonatal mouse model of EV-D68 infection, evaluating paralysis scores, weight gain, and viral titers.

Main Results:

  • Jun6504 demonstrated potent and broad-spectrum antiviral activity against EV-D68, EV-A71, and CVB3.
  • The compound exhibited favorable in vitro and in vivo pharmacokinetic properties.
  • Administration of Jun6504 improved paralysis scores and weight gain in infected mice, even when delayed by 24 hours.
  • Jun6504 significantly reduced viral loads in the spinal cord and muscle tissue.

Conclusions:

  • Jun6504 is a promising antiviral candidate targeting the EV-D68 2C protein.
  • The compound effectively ameliorates EV-D68-induced paralysis in a preclinical mouse model.
  • Further development of Jun6504 as an EV-D68 therapeutic is warranted.