bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2023,
Volume and Issue:
unknown
Published: July 20, 2023
Abstract
The
development
of
antivirals
with
an
extended
spectrum
activity
is
attractive
possibility
to
protect
against
future
emerging
coronaviruses
(CoVs).
Cyclosporine
A
(CsA),
a
clinically
approved
immunosuppressive
drug,
has
established
antiviral
diverse
unrelated
viruses,
including
several
CoVs.
However,
its
mechanisms
action
CoV
infection
have
remained
elusive,
precluding
the
rational
design
non-immunosuppressive
derivatives
improved
activities.
In
this
study,
we
evaluated
CsA
HCoV-229E
in
human
lung
epithelial
cell
line.
We
demonstrate
that
independent
classical
target
proteins,
cyclophilin
or
B,
which
are
not
required
host
factors
for
A549
cells.
Instead,
treatment
induces
expression
genes
manner
dependent
on
interferon
regulatory
factor
1,
but
responses,
contributes
inhibitory
effect
infection.
Our
results
also
point
role
nucleoprotein
antagonizing
activation
type
I
interferon,
show
does
affect
evasion
innate
immune
signaling
pathways
by
HCoV-229E.
Overall,
our
findings
further
understanding
and
highlight
novel
immunomodulatory
strategy
inhibit
may
inform
drug
efforts.
SARS-CoV-2,
the
causative
agent
of
COVID-19,
has
been
intensely
studied
in
search
effective
antiviral
treatments.
The
immunosuppressant
cyclosporine
A
(CsA)
suggested
to
be
a
pan-coronavirus
inhibitor,
yet
its
underlying
mechanism
remained
largely
unknown.
Here,
we
found
that
non-structural
protein
1
(Nsp1)
SARS-CoV-2
usurped
CsA-suppressed
nuclear
factor
activated
T
cells
(NFAT)
signaling
drive
expression
cellular
DEAD-box
helicase
5
(DDX5),
which
facilitates
viral
replication.
Nsp1
interacted
with
calcineurin
(CnA)
displace
regulatory
regulator
3
(RCAN3)
CnA
for
NFAT
activation.
influence
activation
on
replication
was
also
validated
by
using
Nsp1-deficient
mutant
virus.
Calcineurin
inhibitors,
such
as
CsA
and
VIVIT,
inhibited
exhibited
synergistic
effects
when
used
combination
nirmatrelvir.
Our
study
delineated
molecular
CsA-mediated
inhibition
anti-SARS-CoV-2
action
inhibitors.
Cyclosporine
(CsA),
commonly
inhibit
immune
responses,
is
known
have
activity,
but
mode
remains
elusive.
provide
model
explain
how
antagonizes
through
three
critical
proteins:
DDX5,
NFAT1,
Nsp1.
DDX5
facilitator
replication,
NFAT1
controls
production
DDX5.
absent
from
mature
particle
capable
activating
function
similar
agents
suppress
Nsp1,
exert
their
activity
either
alone
or
Paxlovid.
Drug repurposing,
Journal Year:
2024,
Volume and Issue:
1(1)
Published: July 3, 2024
Background
The
development
and
rollout
of
vaccines
the
use
various
drugs
have
contributed
to
controlling
coronavirus
disease
2019
(Covid-19)
pandemic.
Nevertheless,
challenges
such
as
inequitable
distribution
vaccines,
influence
emerging
viral
lineages
immunoevasive
variants
on
vaccine
efficacy,
inadequate
immune
defense
in
subgroups
population
continue
motivate
new
combat
disease.
Aim
In
this
study,
we
sought
identify,
prioritize,
characterize
drug
repurposing
candidates
appropriate
for
treating
mild,
moderate,
or
severe
Covid-19
using
a
network-based
integrative
approach
that
systematically
integrates
drug-related
data
multi-omics
datasets.
Methods
We
leveraged
used
random
walk
with
restart
algorithm
explore
an
integrated
knowledge
graph
comprising
three
subgraphs:
(i)
graph,
(ii)
(iii)
state-specific
omics
graph.
Results
prioritized
20
US
Food
Drug
Administration-approved
agents
potential
candidate
phases.
Specifically,
could
stimulate
cell
recruitment
activation
including
histamine,
curcumin,
paclitaxel
utility
mild
states
mitigate
progression.
Drugs
like
omacetaxine,
crizotinib,
vorinostat
exhibit
antiviral
properties
inhibit
replication
can
be
considered
moderate
states.
Also,
given
association
between
antioxidant
deficiency
high
inflammatory
factors
trigger
cytokine
storms,
antioxidants
glutathione
potent
anti-inflammatory
effects
(sarilumab
tocilizumab),
corticosteroids
(dexamethasone
hydrocortisone),
immunosuppressives
(sirolimus
cyclosporine)
are
hyperinflammatory
cascade
Covid-19.
Conclusion
Our
study
demonstrates
data-driven
analysis
within
enables
prioritizing
phases,
offering
comprehensive
basis
therapeutic
strategies
brought
market
quickly
their
established
safety
profiles.
Importantly,
implemented
here
prioritize
other
diseases.
Microbiology Spectrum,
Journal Year:
2024,
Volume and Issue:
12(11)
Published: Oct. 15, 2024
ABSTRACT
This
study
aimed
to
explore
the
effect
of
cyclosporine
(CsA)
on
severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2)
infection
in
systemic
lupus
erythematosus
(SLE)
patients
provide
a
valuable
reference
for
clinical
treatment
strategies
context
long-term
risk
SARS-CoV-2
infection.
SLE
who
visited
Rheumatology
Outpatient
Department
Fujian
Medical
University
Union
Hospital
between
1
May
and
31
October
2022
were
included.
Data
November
July
2023
obtained
by
telephone
follow-up.
Patients
divided
into
two
groups
according
whether
CsA
was
used
during
observation
period:
glucocorticoid
or
hydroxychloroquine
group
group.
To
assess
robustness
results,
sets
established
be
analyzed
independently.
Multivariate
logistic
regression
estimate
odds
ratios
(ORs)
95%
confidence
intervals
(CIs)
symptomatic
disease
(COVID-19).
A
total
184
included,
among
whom
129
definite
COVID-19
patients;
29
presumptive
4
had
signs
symptoms
COVID-19,
but
tested
negative
virological
test.
According
multivariable-adjusted
models,
associated
with
lower
(
P
=
0.042,
OR
0.316,
CI:
0.104–0.959
set
0.021,
0.257,
0.081–0.812
2).
is
contracting
COVID-19.
The
use
may
considered
an
appropriate
therapeutic
option
management
rheumatic
diseases
have
activity
persistent
IMPORTANCE
Our
indicated
that
reduce
spite
its
immunosuppressive
effects.
provides
AIIRD
Pharmaceutics,
Journal Year:
2023,
Volume and Issue:
15(3), P. 1023 - 1023
Published: March 22, 2023
This
work
illustrates
the
development
of
a
dry
inhalation
powder
cyclosporine-A
for
prevention
rejection
after
lung
transplantation
and
treatment
COVID-19.
The
influence
excipients
on
spray-dried
powder's
critical
quality
attributes
was
explored.
best-performing
in
terms
dissolution
time
respirability
obtained
starting
from
concentration
ethanol
45%
(v/v)
feedstock
solution
20%
(w/w)
mannitol.
showed
faster
profile
(Weibull
59.5
min)
than
poorly
soluble
raw
material
(169.0
min).
exhibited
fine
particle
fraction
66.5%
an
MMAD
2.97
µm.
inhalable
powder,
when
tested
A549
THP-1,
did
not
show
cytotoxic
effects
up
to
10
µg/mL.
Furthermore,
CsA
efficiency
reducing
IL-6
A549/THP-1
co-culture.
A
reduction
replication
SARS-CoV-2
Vero
E6
cells
observed
adopting
post-infection
or
simultaneous
treatment.
formulation
could
represent
therapeutic
strategy
rejection,
but
is
also
viable
approach
inhibition
COVID-19
pulmonary
inflammatory
process.
Reviews in Medical Virology,
Journal Year:
2023,
Volume and Issue:
33(5)
Published: Aug. 2, 2023
Studies
related
to
clinical
diagnosis
and
research
of
SARS-CoV-2
are
important
in
the
current
pandemic
era.
Although
molecular
biology
has
emphasised
importance
qualitative
analysis,
quantitative
analysis
with
nucleic
acids
relation
needs
be
clearly
emphasised,
which
can
provide
perspective
for
viral
dynamic
studies
SARS-CoV-2.
In
this
regard,
requirement
utilization
digital
PCR
COVID-19
substantially
increased
during
pandemic,
necessitating
aggregation
its
cardinal
applications
future
scopes.
Hence,
meta-review
comprehensively
addresses
emphasises
acid
quantification
RNA
(dPCR).
Various
techniques
significance
like
immunological,
proteomic
acid-based
quantification,
have
been
comparatively
discussed.
Furthermore,
core
part
article
focusses
on
working
principle
advantages
PCR,
along
research.
Several
load
quantitation,
environmental
surveillance
assay
validation
extensively
investigated
Certain
key
scopes
importance,
mortality
prediction,
viral/variant-symbiosis,
antiviral
were
also
identified,
suggesting
several
possible
Experimental and Molecular Pathology,
Journal Year:
2023,
Volume and Issue:
134, P. 104874 - 104874
Published: Sept. 30, 2023
An
increasing
number
of
patients
experiences
prolonged
symptoms,
whose
profile
and
timeline
remain
uncertain,
a
condition
that
has
been
defined
as
post
COVID.
The
majority
recovered
hospitalized
manifests
at
least
one
persistent
symptom
even
sixty
days
after
the
first
clinical
manifestation's
onset.
Particularly,
in
light
COVID-19-related
symptomatology,
it
hypothesized
SARS-CoV-2
might
affect
dopamine
pathway.
However,
no
scientific
evidence
produced
so
far.
To
this
end,
human
iPSC-derived
dopaminergic
neurons
were
infected
with
EU,
Delta
Omicron
variants.
infection
EU
variants,
but
not
Omicron,
results
reduced
intracellular
content
extracellular
release
dopamine.
Indeed,
tyrosine
hydroxylase
was
found
to
be
significantly
upregulated
mRNA
level,
while
being
greatly
protein
level.
major
downstream
synthetic
enzyme
DOPA-decarboxylase
transporter
downregulated
both
Notably,
vitro
also
associated
an
altered
MAP2
TAU
expression
increased
presence
neuronal
stress
markers.
These
preliminary
observations
suggest
metabolism
production
are
affected
by
SARS-CoV-2,
partially
explaining
some
neurological
symptoms
manifested.
Molecular Pharmacology,
Journal Year:
2023,
Volume and Issue:
104(6), P. 239 - 254
Published: Oct. 12, 2023
Identification
and
development
of
effective
therapeutics
for
coronavirus
disease
2019
(COVID-19)
are
still
urgently
needed.
The
CD147-spike
interaction
is
involved
in
the
severe
acute
respiratory
syndrome
(SARS-CoV)-2
invasion
process
addition
to
angiotensin-converting
enzyme
2
(ACE2).
Cyclophilin
A
(CyPA),
extracellular
ligand
CD147,
has
been
found
play
a
role
infection
replication
coronaviruses.
In
this
study,
our
results
show
that
CyPA
inhibitors
such
as
cyclosporine
(CsA)
STG-175
can
suppress
intracellular
SARS-CoV-2
by
inhibiting
binding
nucleocapsid
C-terminal
domain
(N-CTD),
IC50
0.23
μM
0.17
μM,
respectively.
Due
high
homology,
CsA
also
had
inhibitory
effects
on
SARS-CoV
Middle
East
(MERS-CoV),
3.2
2.8
Finally,
we
generated
formulation
phosphatidylserine
(PS)-liposome-CsA
pulmonary
drug
delivery.
These
findings
provide
scientific
basis
identifying
potential
target
treatment
COVID-19
well
broad-spectrum
via
targeting
CyPA.
Highlights:
1)
infects
cells
its
S
protein
CD147;
2)
N
essential
viral
replication;
3)
CD147
therapeutic
targets
SARS-CoV-2;
4)
strategy
interrupting
CD147/CyPA
interactions.
SIGNIFICANCE
STATEMENT:
New
variants
other
pathogenic
coronaviruses
(CoVs)
continually
emerging,
new
anti-CoV
therapy
We
sites
cyclophilin
A/cyclosporin
(CyPA/CsA)
overlap
with
CyPA/N-CTD
(nucleocapsid
domain),
which
shows
during
infection.
Here,
evidence
developing
inhibition
CoVs.
Molecules,
Journal Year:
2022,
Volume and Issue:
27(11), P. 3552 - 3552
Published: May 31, 2022
The
core
of
Cyclolinopeptide
A
(CLA,
cyclo(LIILVPPFF)),
responsible
for
its
high
immunosuppressive
activity,
contains
a
Pro-Pro-Phe-Phe
sequence.
newly
synthesized
cyclic
tetrapeptide,
cyclo(Pro-Pro-β3-HoPhe-Phe)
(denoted
as
4B8M)
bearing
the
active
sequence
CLA,
was
recently
shown
to
exhibit
wide
array
anti-inflammatory
properties
in
mouse
models.
In
this
investigation,
we
demonstrate
that
peptide
significantly
inhibits
replication
human
adenovirus
C
serotype
5
(HAdV-5)
and
Herpes
simplex
virus
type-1
(HSV-1)
epithelial
lung
cell
line
A-549,
applying
Cidofovir
Acyclovir
reference
drugs.
Based
on
previously
established
mechanism
action,
propose
may
inhibit
by
induction
PGE2
acting
via
EP2/EP4
receptors
cells.
summary,
reveal
new,
antiviral
property
peptide.
Viruses,
Journal Year:
2022,
Volume and Issue:
14(11), P. 2346 - 2346
Published: Oct. 25, 2022
Coronavirus
disease
2019
is
a
rather
heterogeneous
caused
by
severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2).
The
ongoing
pandemic
global
threat
with
increasing
death
tolls
worldwide.
SARS-CoV-2
belongs
to
lineage
B
β-CoV,
subgroup
of
Sarbecovirus.
These
enveloped,
large,
positive-sense
single-stranded
RNA
viruses
are
easily
spread
among
individuals,
mainly
via
the
system
and
droplets.
Although
has
been
gradually
controlled
in
many
countries,
once
social
restrictions
relaxed
virus
may
rebound,
leading
more
uncontrollable
situation
again,
as
occurred
Shanghai,
China,
2022.
current
health
calls
for
urgent
development
effective
therapeutic
options
treatment
prevention
infection.
This
systematic
overview
possible
strategies
from
2022
indicates
three
potential
targets:
entry,
replication,
immune
system.
information
provided
this
review
will
aid
potent
specific
antiviral
compounds.
Background:
The
development
and
roll-out
of
vaccines,
the
use
various
drugs
have
contributed
to
controlling
COVID-19
pandemic.
Nevertheless,
challenges
such
as
inequitable
distribution
influence
emerging
viral
lineages
immune
evasive
variants
on
vaccine
efficacy,
inadequate
defense
in
subgroups
population
continue
motivate
new
combat
disease.
Aim:
In
this
study,
we
sought
identify,
prioritize,
characterize
drug
repurposing
candidates
appropriate
for
treating
mild,
moderate,
or
severe
using
a
network-based
integrative
approach
that
systematically
integrates
drug-related
data
multi-omics
datasets.
Methods
:
We
leveraged
data,
used
random
walk
restart
algorithm
explore
an
integrated
knowledge
graph
comprised
three
sub-graphs:
(i)
graph,
(ii)
(iii)
disease-state
specific
omics
graph.
Results:
prioritized
twenty
FDA-approved
agents
potential
candidate
disease
phases.
Specifically,
could
stimulate
cell
recruitment
activation
including
histamine,
curcumin,
paclitaxel
utility
mild
states
mitigate
progression.
Drugs
like
omacetaxine,
crizotinib,
vorinostat
exhibit
antiviral
properties
inhibit
replication
can
be
considered
moderate
states.
Also,
given
association
between
antioxidant
deficiency
high
inflammatory
factors
trigger
cytokine
storms,
antioxidants
glutathione
potent
anti-inflammatory
effects
(sarilumab
tocilizumab),
corticosteroids
(dexamethasone
hydrocortisone),
immunosuppressives
(sirolimus
cyclosporine)
are
hyperinflammatory
cascade
COVID-19.
Conclusion:
Our
study
demonstrates
data-driven
analysis
within
enables
prioritizing
phases,
offering
comprehensive
basis
therapeutic
strategies
brought
market
quickly
their
established
safety
profiles.
Importantly,
implemented
here
prioritize
other
diseases.