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10.1021/acsptsci.0c00131

http://scihub22266oqcxt.onion/10.1021/acsptsci.0c00131
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C7571299!7571299!33330842
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suck abstract from ncbi


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pmid33330842      ACS+Pharmacol+Transl+Sci 2020 ; 3 (6): 1278-92
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  • Virtual and In Vitro Antiviral Screening Revive Therapeutic Drugs for COVID-19 #MMPMID33330842
  • Bocci G; Bradfute SB; Ye C; Garcia MJ; Parvathareddy J; Reichard W; Surendranathan S; Bansal S; Bologa CG; Perkins DJ; Jonsson CB; Sklar LA; Oprea TI
  • ACS Pharmacol Transl Sci 2020[Dec]; 3 (6): 1278-92 PMID33330842show ga
  • The urgent need for a cure for early phase COVID-19 infected patients critically underlines drug repositioning strategies able to efficiently identify new and reliable treatments by merging computational, experimental, and pharmacokinetic expertise. Here we report new potential therapeutics for COVID-19 identified with a combined virtual and experimental screening strategy and selected among already approved drugs. We used hydroxychloroquine (HCQ), one of the most studied drugs in current clinical trials, as a reference template to screen for structural similarity against a library of almost 4000 approved drugs. The top-ranked drugs, based on structural similarity to HCQ, were selected for in vitro antiviral assessment. Among the selected drugs, both zuclopenthixol and nebivolol efficiently block SARS-CoV-2 infection with EC50 values in the low micromolar range, as confirmed by independent experiments. The anti-SARS-CoV-2 potential of ambroxol, amodiaquine, and its active metabolite (N-monodesethyl amodiaquine) is also discussed. In trying to understand the ?hydroxychloroquine? mechanism of action, both pKa and the HCQ aromatic core may play a role. Further, we show that the amodiaquine metabolite and, to a lesser extent, zuclopenthixol and nebivolol are active in a SARS-CoV-2 titer reduction assay. Given the need for improved efficacy and safety, we propose zuclopenthixol, nebivolol, and amodiaquine as potential candidates for clinical trials against the early phase of the SARS-CoV-2 infection and discuss their potential use as adjuvant to the current (i.e., remdesivir and favipiravir) COVID-19 therapeutics.
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