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10.1128/AAC.02479-20

http://scihub22266oqcxt.onion/10.1128/AAC.02479-20
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33558299!8097421!33558299
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suck abstract from ncbi


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pmid33558299      Antimicrob+Agents+Chemother 2021 ; 65 (4): ä
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  • AT-527, a Double Prodrug of a Guanosine Nucleotide Analog, Is a Potent Inhibitor of SARS-CoV-2 In Vitro and a Promising Oral Antiviral for Treatment of COVID-19 #MMPMID33558299
  • Good SS; Westover J; Jung KH; Zhou XJ; Moussa A; La Colla P; Collu G; Canard B; Sommadossi JP
  • Antimicrob Agents Chemother 2021[Mar]; 65 (4): ä PMID33558299show ga
  • The impact of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), the causative agent of COVID-19, is global and unprecedented. Although remdesivir has recently been approved by the FDA to treat SARS-CoV-2 infection, no oral antiviral is available for outpatient treatment. AT-527, an orally administered double prodrug of a guanosine nucleotide analog, was previously shown to be highly efficacious and well tolerated in hepatitis C virus (HCV)-infected subjects. Here, we report the potent in vitro activity of AT-511, the free base of AT-527, against several coronaviruses, including SARS-CoV-2. In normal human airway epithelial cells, the concentration of AT-511 required to inhibit replication of SARS-CoV-2 by 90% (EC(90)) was 0.47 muM, very similar to its EC(90) against human coronavirus (HCoV)-229E, HCoV-OC43, and SARS-CoV in Huh-7 cells. Little to no cytotoxicity was observed for AT-511 at concentrations up to 100 muM. Substantial levels of the active triphosphate metabolite AT-9010 were formed in normal human bronchial and nasal epithelial cells incubated with 10 muM AT-511 (698 +/- 15 and 236 +/- 14 muM, respectively), with a half-life of at least 38 h. Results from steady-state pharmacokinetic and tissue distribution studies of nonhuman primates administered oral doses of AT-527, as well as pharmacokinetic data from subjects given daily oral doses of AT-527, predict that twice daily oral doses of 550 mg AT-527 will produce AT-9010 trough concentrations in human lung that exceed the EC(90) observed for the prodrug against SARS-CoV-2 replication. This suggests that AT-527 may be an effective treatment option for COVID-19.
  • |*COVID-19 Drug Treatment[MESH]
  • |Administration, Oral[MESH]
  • |Animals[MESH]
  • |Antiviral Agents/*pharmacology[MESH]
  • |COVID-19/virology[MESH]
  • |Cell Line[MESH]
  • |Cell Line, Tumor[MESH]
  • |Chlorocebus aethiops[MESH]
  • |Coronavirus 229E, Human/metabolism[MESH]
  • |Coronavirus OC43, Human/metabolism[MESH]
  • |Cricetinae[MESH]
  • |Epithelial Cells/virology[MESH]
  • |Guanosine Monophosphate/*analogs & derivatives/pharmacology[MESH]
  • |Guanosine/*pharmacology[MESH]
  • |Humans[MESH]
  • |Lung/virology[MESH]
  • |Phosphoramides/*pharmacology[MESH]
  • |Prodrugs/*pharmacology[MESH]
  • |SARS-CoV-2/*drug effects/metabolism[MESH]
  • |Vero Cells[MESH]


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