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Communications Biology
Article . 2022 . Peer-reviewed
License: CC BY
Data sources: Crossref
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Communications Biology
Article . 2022
Data sources: DOAJ
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Combination of antiviral drugs inhibits SARS-CoV-2 polymerase and exonuclease and demonstrates COVID-19 therapeutic potential in viral cell culture

Authors: Xuanting Wang; Carolina Q. Sacramento; Steffen Jockusch; Otávio Augusto Chaves; Chuanjuan Tao; Natalia Fintelman-Rodrigues; Minchen Chien; +12 Authors

Combination of antiviral drugs inhibits SARS-CoV-2 polymerase and exonuclease and demonstrates COVID-19 therapeutic potential in viral cell culture

Abstract

AbstractSARS-CoV-2 has an exonuclease-based proofreader, which removes nucleotide inhibitors such as Remdesivir that are incorporated into the viral RNA during replication, reducing the efficacy of these drugs for treating COVID-19. Combinations of inhibitors of both the viral RNA-dependent RNA polymerase and the exonuclease could overcome this deficiency. Here we report the identification of hepatitis C virus NS5A inhibitors Pibrentasvir and Ombitasvir as SARS-CoV-2 exonuclease inhibitors. In the presence of Pibrentasvir, RNAs terminated with the active forms of the prodrugs Sofosbuvir, Remdesivir, Favipiravir, Molnupiravir and AT-527 were largely protected from excision by the exonuclease, while in the absence of Pibrentasvir, there was rapid excision. Due to its unique structure, Tenofovir-terminated RNA was highly resistant to exonuclease excision even in the absence of Pibrentasvir. Viral cell culture studies also demonstrate significant synergy using this combination strategy. This study supports the use of combination drugs that inhibit both the SARS-CoV-2 polymerase and exonuclease for effective COVID-19 treatment.

Keywords

Exonucleases, Pyrrolidines, Proline, QH301-705.5, Viral Nonstructural Proteins, Antiviral Agents, Article, Cell Line, Tumor, Chlorocebus aethiops, Animals, Humans, Anilides, Amino Acid Sequence, Biology (General), Vero Cells, Base Sequence, SARS-CoV-2, COVID-19, Drug Synergism, Valine, RNA-Dependent RNA Polymerase, RNA, Viral, Benzimidazoles

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
68
Top 1%
Top 10%
Top 1%
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