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Updated: Jun 21, 2026

Use of Viral Entry Assays and Molecular Docking Analysis for the Identification of Antiviral Candidates against Coxsackievirus A16
Published on: July 15, 2019
NAE inhibitor MLN4924 effectively suppresses Coxsackievirus B3 replication
Siwei Li1, Jianwei Wei2, Yanyan Dong2
1Department of Cell Biology, School of Basic Medical Sciences, Harbin Medical University, 157 Baojian Road, Harbin, 150081, China; Department of Cardiology, The Second Affiliated Hospital of Harbin Medical University, Harbin, 150086, China; Heilongjiang Provincial Key Laboratory of Panvascular Disease, Harbin, 150086, China.
MLN4924, a neddylation inhibitor, shows potent antiviral effects against Coxsackievirus B (CVB) infection by targeting viral replication and boosting the immune response. This offers a promising therapeutic strategy for myocarditis and cardiomyopathy caused by CVB.
Area of Science:
- Virology
- Cardiology
- Pharmacology
Background:
- Myocarditis, often caused by Coxsackievirus B (CVB), is a major cause of dilated cardiomyopathy and sudden cardiac death.
- Current treatment options for CVB-induced myocarditis are limited due to the lack of approved antiviral drugs.
- Viral protein neddylation, specifically of the 3Dpol RNA-dependent RNA polymerase, enhances CVB replication.
Purpose of the Study:
- To investigate the antiviral efficacy of MLN4924, a selective neddylation inhibitor, against CVB infection.
- To explore the therapeutic potential of targeting viral protein neddylation for treating CVB-related cardiovascular diseases.
Main Methods:
- In vitro and in vivo studies using CVB3 infection models.
- Treatment with MLN4924, a selective neddylation inhibitor.
- Assessment of viral replication, myocardial damage, inflammatory markers, and protein neddylation levels.
- Analysis of nuclear factor erythroid 2-related factor 2 (NRF2) pathway modulation.
Main Results:
- MLN4924 demonstrated potent antiviral activity against CVB3 with low cytotoxicity, particularly when administered early.
- MLN4924 significantly inhibited viral replication in vitro and in the myocardium of infected mice.
- Treatment alleviated myocardial damage and reduced inflammation.
- MLN4924 suppressed 3Dpol neddylation and promoted its degradation, while upregulating NRF2 by inhibiting its ubiquitination.
Conclusions:
- MLN4924 exhibits significant antiviral effects against CVB infection, both in vitro and in vivo.
- Targeting viral protein neddylation with MLN4924 is a viable therapeutic strategy for CVB-induced myocarditis.
- The antiviral mechanism involves inhibiting viral replication and modulating the host immune response via NRF2 upregulation.
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