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10.1038/s41564-020-00802-x

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33028965!ä!33028965

suck abstract from ncbi


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pmid33028965      Nat+Microbiol 2020 ; 5 (11): 1439-1448
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  • Metallodrug ranitidine bismuth citrate suppresses SARS-CoV-2 replication and relieves virus-associated pneumonia in Syrian hamsters #MMPMID33028965
  • Yuan S; Wang R; Chan JF; Zhang AJ; Cheng T; Chik KK; Ye ZW; Wang S; Lee AC; Jin L; Li H; Jin DY; Yuen KY; Sun H
  • Nat Microbiol 2020[Nov]; 5 (11): 1439-1448 PMID33028965show ga
  • SARS-CoV-2 is causing a pandemic of COVID-19, with high infectivity and significant mortality(1). Currently, therapeutic options for COVID-19 are limited. Historically, metal compounds have found use as antimicrobial agents, but their antiviral activities have rarely been explored. Here, we test a set of metallodrugs and related compounds, and identify ranitidine bismuth citrate, a commonly used drug for the treatment of Helicobacter pylori infection, as a potent anti-SARS-CoV-2 agent, both in vitro and in vivo. Ranitidine bismuth citrate exhibited low cytotoxicity and protected SARS-CoV-2-infected cells with a high selectivity index of 975. Importantly, ranitidine bismuth citrate suppressed SARS-CoV-2 replication, leading to decreased viral loads in both upper and lower respiratory tracts, and relieved virus-associated pneumonia in a golden Syrian hamster model. In vitro studies showed that ranitidine bismuth citrate and its related compounds exhibited inhibition towards both the ATPase (IC(50) = 0.69 microM) and DNA-unwinding (IC(50) = 0.70 microM) activities of the SARS-CoV-2 helicase via an irreversible displacement of zinc(II) ions from the enzyme by bismuth(III) ions. Our findings highlight viral helicase as a druggable target and the clinical potential of bismuth(III) drugs or other metallodrugs for the treatment of SARS-CoV-2 infection.
  • |Animals[MESH]
  • |Antiviral Agents/*pharmacology[MESH]
  • |Betacoronavirus/*drug effects/physiology[MESH]
  • |Bismuth/*pharmacology[MESH]
  • |COVID-19[MESH]
  • |COVID-19 Drug Treatment[MESH]
  • |Chemokines/metabolism[MESH]
  • |Chlorocebus aethiops[MESH]
  • |Coronavirus Infections/drug therapy/*virology[MESH]
  • |Cytokines/metabolism[MESH]
  • |Disease Models, Animal[MESH]
  • |HEK293 Cells[MESH]
  • |Humans[MESH]
  • |Lung/pathology/virology[MESH]
  • |Mesocricetus[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/drug therapy/*virology[MESH]
  • |RNA Helicases/metabolism[MESH]
  • |Ranitidine/*analogs & derivatives/pharmacology[MESH]
  • |SARS-CoV-2[MESH]
  • |Vero Cells[MESH]
  • |Viral Load[MESH]


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