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Clinical severe acute respiratory syndrome coronavirus 2 isolation and antiviral testing. 临床严重急性呼吸综合征冠状病毒2型分离及抗病毒检测
Q2 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2021-01-01 DOI: 10.1177/20402066211061063
Gregory Mathez, Valeria Cagno

Severe acute respiratory syndrome coronavirus 2 is an RNA virus currently causing a pandemic. Due to errors during replication, mutations can occur and result in cell adaptation by the virus or in the rise of new variants. This can change the attachment receptors' usage, result in different morphology of plaques, and can affect as well antiviral development. Indeed, a molecule can be active on laboratory strains but not necessarily on circulating strains or be effective only against some viral variants. Experiments with clinical samples with limited cell adaptation should be performed to confirm the efficiency of drugs of interest. In this protocol, we present a method to culture severe acute respiratory syndrome coronavirus 2 from nasopharyngeal swabs, obtain a high viral titer while limiting cell adaptation, and assess antiviral efficiency.

严重急性呼吸综合征冠状病毒2是一种RNA病毒,目前正在引起大流行。由于复制过程中的错误,可能发生突变并导致病毒的细胞适应或新变体的出现。这可以改变附着受体的使用,导致斑块的不同形态,并可以影响抗病毒的发展。事实上,一种分子可以对实验室毒株有效,但不一定对循环毒株有效,或者只对某些病毒变体有效。应该用有限细胞适应的临床样品进行实验,以确认感兴趣的药物的效率。在本方案中,我们提出了一种从鼻咽拭子中培养严重急性呼吸综合征冠状病毒2的方法,在限制细胞适应的情况下获得高病毒滴度,并评估抗病毒效率。
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引用次数: 5
Anti-influenza virus activity of the elenolic acid rich olive leaf (Olea europaea L.) extract Isenolic®. 富含油酸的橄榄叶(Olea europaea L.)提取物Isenolic®的抗流感病毒活性。
Q2 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2021-01-01 DOI: 10.1177/20402066211063391
Aurora Salamanca, Paula Almodóvar, Irene Jarama, Daniel González-Hedström, Marin Prodanov, Antonio Manuel Inarejos-García

Seasonal flu is caused by influenza infection, a virus that spreads easily in human population with periodical epidemic outbreaks. The high mutational rate of influenza viruses leads to the emergence of strains resistant to the current treatments. Due to that, scientific research is focusing on the development of new anti-influenza agents as alternative or complementary treatments. Olive tree (Olea europaea L.) has been a source of ancestral remedies due to its antimicrobial activity. Thus, the aim of this study was to test the anti-influenza activity of a standardized olive leaf extract rich in elenolic acid (EA), Isenolic®, compared with oseltamivir. Isenolic® extract was characterized by High Performance Liquid Chromatography (HPLC)-Mass Spectrometry and its content in EA was determined by HPLC. Cytotoxicity, viral neuraminidase inhibitor activity and cell viability protection against influenza infection of Isenolic® were tested in vitro using sialic acid overexpressing Madin-Darby Canine Kidney cells. Isenolic® formulations showed a 4% and 8% dry basis. Oseltamivir and Isenolic® extracts showed anti-influenza activity. The 8% Isenolic® formulation showed a dose-dependent neuraminidase inhibitor activity higher than the 4% formulation, and preserved cell viability under viral infection. Thus, Isenolic® become a promising natural alternative to existing influenza treatments.

季节性流感是由流感感染引起的,这种病毒在人群中很容易传播,并定期爆发流行病。流感病毒的高突变率导致出现对当前治疗具有耐药性的毒株。因此,科学研究的重点是开发新的抗流感药物,作为替代或补充治疗方法。橄榄树(Olea europaea L.)由于其抗菌活性一直是祖传药物的来源。因此,本研究的目的是测试富含烯醇酸(EA)的标准化橄榄叶提取物(Isenolic®)与奥司他韦的抗流感活性。采用高效液相色谱-质谱法对Isenolic®提取物进行表征,并采用HPLC法测定其EA含量。利用唾液酸过表达的Madin-Darby犬肾细胞,研究了Isenolic®的细胞毒性、病毒神经氨酸酶抑制剂活性和抗流感感染的细胞活力保护作用。Isenolic®制剂的干基分别为4%和8%。奥司他韦和Isenolic®提取物具有抗流感活性。8% Isenolic®制剂显示出剂量依赖性神经氨酸酶抑制剂活性高于4%制剂,并在病毒感染下保持细胞活力。因此,Isenolic®成为现有流感治疗的一种有前途的天然替代品。
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引用次数: 5
Assessment of the anti-norovirus activity in cell culture using the mouse norovirus: Early mechanistic studies. 利用小鼠诺如病毒在细胞培养中评估抗诺如病毒活性:早期机制研究。
Q2 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2021-01-01 DOI: 10.1177/20402066211025175
Jana Van Dycke, Jasper Rymenants, Johan Neyts, Joana Rocha-Pereira

Human norovirus is the main cause of viral gastroenteritis, resulting annually in ∼ 700 million infections and 200,000 deaths, of whom most are children <5 years. Mouse norovirus-infected macrophages are the most widely used in vitro system to screen and characterize the antiviral effect of norovirus-targeting small molecules. We have previously established antiviral assays using this system, identified novel inhibitors and performed additional studies in order to have a first insight into their mechanism of action. After the identification of novel small molecules with anti-norovirus activity (part 1 of this protocol), we here describe the logical next step which entails the generation of early information of their mode of action. This information together with a continuous improvement of the potency of compounds will contribute to the optimization of a compound class towards in vivo efficacy and a successful preclinical development.

人类诺如病毒是病毒性肠胃炎的主要原因,每年导致约7亿人感染和20万人死亡,其中大多数是儿童,在体外系统中筛选和表征诺如病毒靶向小分子的抗病毒作用。我们之前已经使用该系统建立了抗病毒试验,确定了新的抑制剂,并进行了额外的研究,以便首次了解其作用机制。在鉴定出具有抗诺如病毒活性的新型小分子(本方案的第1部分)之后,我们在这里描述了合乎逻辑的下一步,即生成其作用模式的早期信息。这些信息与化合物效力的持续改进将有助于优化化合物类别,以实现体内功效和成功的临床前开发。
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引用次数: 2
Killing HIV-infected resting central memory CD4+ T cells by targeting inhibitor of apoptosis proteins-inhibited autophagy. 通过靶向抑制细胞凋亡蛋白抑制的自噬,杀死受艾滋病毒感染的静息中枢记忆 CD4+ T 细胞。
Q2 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2021-01-01 DOI: 10.1177/2040206620980888
Gang Zhang, Xing Huang

Dysfunction of CD4+ T cells by HIV infection can cause serious immune defects. Recently, Campbell and colleagues described an intriguing and simple therapeutic method for HIV-infected resting central memory CD4+ T cells (HIV-TCM), dependently on inhibitor of apoptosis (IAP) family proteins-targeted and second mitochondria-derived activator of caspases (SMAC) mimetics-mediated apoptosis, which is only triggered in HIV-TCM and not uninfected ones. Autophagy induction and subsequent formation of a ripoptosome-like death signaling complex were observed after such treatment, which may partially explain the potential mechanism. However, the direct intracellular inhibitory effects of IAPs on autophagy, as well as the critical roles of autophagy in activating extracellular anti-infection immune responses, warrant further investigation. Thus, this pointer aims to provide potential alternative mechanisms and to suggest important avenues for follow-up study.

艾滋病病毒感染导致的 CD4+ T 细胞功能障碍可造成严重的免疫缺陷。最近,Campbell 及其同事描述了一种针对受 HIV 感染的静息中央记忆 CD4+ T 细胞(HIV-TCM)的有趣而简单的治疗方法,该方法依赖于凋亡抑制因子(IAP)家族蛋白靶向和线粒体衍生的第二个 Caspases 激活因子(SMAC)模拟物介导的细胞凋亡,这种凋亡只在 HIV-TCM 中触发,而非未感染的细胞。在这种处理后,观察到自噬诱导和随后形成的裂殖体样死亡信号复合体,这可能部分解释了潜在的机制。然而,IAPs 对自噬的直接细胞内抑制作用,以及自噬在激活细胞外抗感染免疫反应中的关键作用,还需要进一步研究。因此,本研究旨在提供潜在的替代机制,并提出后续研究的重要途径。
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引用次数: 0
Assessment of the anti-norovirus activity in cell culture using the mouse norovirus: Identification of active compounds. 利用小鼠诺如病毒评估细胞培养中的抗诺如病毒活性:活性化合物的鉴定。
Q2 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2021-01-01 DOI: 10.1177/20402066211026852
Jana Van Dycke, Jasper Rymenants, Johan Neyts, Joana Rocha-Pereira

Human norovirus is the main cause of viral gastroenteritis, resulting annually in ∼ 700 million infections and 200,000 deaths, of whom most are children <5 years. Mouse norovirus-infected macrophages are the most widely used in vitro system to screen and characterize the antiviral effect of norovirus-targeting small molecules. We have previously established antiviral assays using this system, identified novel inhibitors and performed additional studies in order to have a first insight into their mechanism of action. As potent and safe anti-norovirus small molecules are urgently needed, we here describe the detailed protocol for a set of assays that will allow the identification of novel norovirus inhibitors.

人类诺如病毒是病毒性肠胃炎的主要病因,每年造成 7 亿人感染,20 万人死亡,其中大部分是儿童在体外系统中筛选和鉴定诺如病毒靶向小分子的抗病毒效果。此前,我们已利用该系统建立了抗病毒试验,确定了新型抑制剂,并进行了其他研究,以便初步了解其作用机制。由于急需强效安全的抗诺如病毒小分子,我们在此介绍了一套实验的详细方案,这套实验将有助于鉴定新型诺如病毒抑制剂。
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引用次数: 0
Screening and in vitro antiviral assessment of small molecules against fluorescent protein-expressing Bunyamwera virus in a cell-based assay using high-content imaging. 利用高含量成像技术筛选小分子对表达荧光蛋白的Bunyamwera病毒的体外抗病毒评估。
Q2 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2021-01-01 DOI: 10.1177/20402066211033478
Sebastiaan Ter Horst, Winston Chiu, Johan Neyts, Joana Rocha-Pereira

Many species of the order Bunyavirales contain potentially fatal viruses that lack effective medical countermeasures and are therefore collectively a major public health threat. Here, we describe a cell-based assay using Bunyamwera virus (BUNV)-mCherry to identify and characterize new antiviral molecules against bunyaviruses. BUNV is the type species for the genus Orthobunyavirus and has been reported to cause mild symptoms in humans, such as fever, joint pain, and rash. One major benefit of using our fluorescence-based assay over classical CPE-based assays is the fact that the antiviral effect of the tested compounds and their effect on the cell viability can be determined within the same assay well. For that reason, this type of assay could significantly advance our preclinical efforts towards finding new antiviral molecules against bunyaviruses.

布尼亚维拉目的许多物种含有可能致命的病毒,缺乏有效的医疗对策,因此总体上构成重大公共卫生威胁。在这里,我们描述了一种基于细胞的实验,使用Bunyamwera病毒(BUNV)-mCherry来鉴定和表征针对bunyavirus的新抗病毒分子。BUNV是正布尼亚病毒属的型种,据报告在人类中引起轻微症状,如发热、关节疼痛和皮疹。与传统的基于cpe的检测相比,使用我们基于荧光的检测的一个主要好处是,被测化合物的抗病毒效果及其对细胞活力的影响可以在同一检测中很好地确定。因此,这种类型的分析可以显著推进我们在寻找新的抗病毒分子对抗兔病毒的临床前工作。
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引用次数: 3
Insights into bioinformatic approaches for repurposing compounds as anti-viral drugs. 深入了解将化合物重新用作抗病毒药物的生物信息学方法。
Q2 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2021-01-01 DOI: 10.1177/20402066211036822
Wenxiao Zheng, Leonardo D'Aiuto, Matthew J Demers, Vaishali Muralidaran, Joel A Wood, Maribeth Wesesky, Ansuman Chattopadhyay, Vishwajit L Nimgaonkar

Background: Drug repurposing is a cost-effective strategy to identify drugs with novel effects. We searched for drugs exhibiting inhibitory activity to Herpes Simplex virus 1 (HSV-1). Our strategy utilized gene expression data generated from HSV-1-infected cell cultures which was paired with drug effects on gene expression. Gene expression data from HSV-1 infected and uninfected neurons were analyzed using BaseSpace Correlation Engine (Illumina®). Based on the general Signature Reversing Principle (SRP), we hypothesized that the effects of candidate antiviral drugs on gene expression would be diametrically opposite (negatively correlated) to those effects induced by HSV-1 infection.

Results: We initially identified compounds capable of inducing changes in gene expression opposite to those which were consequent to HSV-1 infection. The most promising negatively correlated drugs (Valproic acid, Vorinostat) did not significantly inhibit HSV-1 infection further in African green monkey kidney epithelial cells (Vero cells). Next, we tested Sulforaphane and Menadione which showed effects similar to those caused by viral infections (positively correlated). Intriguingly, Sulforaphane caused a modest but significant inhibition of HSV-1 infection in Vero cells (IC50 = 180.4 µM, p = 0.008), but exhibited toxicity when further explored in human neuronal progenitor cells (NPCs) derived from induced pluripotent stem cells.

Conclusions: These results reveal the limits of the commonly used SRP strategy when applied to the identification of novel antiviral drugs and highlight the necessity to refine the SRP strategy to increase its utility.

背景:药物再利用是一种具有成本效益的策略,可以发现具有新作用的药物。我们正在寻找对单纯疱疹病毒 1(HSV-1)具有抑制活性的药物。我们的策略是利用从感染 HSV-1 的细胞培养物中生成的基因表达数据与药物对基因表达的影响进行配对。我们使用 BaseSpace Correlation Engine (Illumina®) 分析了 HSV-1 感染神经元和未感染神经元的基因表达数据。根据一般的特征逆转原理(SRP),我们假设候选抗病毒药物对基因表达的影响与 HSV-1 感染诱导的影响截然相反(负相关):我们初步确定了能够诱导基因表达发生与 HSV-1 感染相反变化的化合物。最有希望的负相关药物(丙戊酸、伏立诺他)并没有明显抑制非洲绿猴肾上皮细胞(Vero 细胞)进一步感染 HSV-1。接下来,我们测试了红豆杉素(Sulforaphane)和甲萘醌(Menadione),它们显示出与病毒感染(正相关)类似的效果。耐人寻味的是,红豆杉烷对Vero细胞中的HSV-1感染有适度但显著的抑制作用(IC50 = 180.4 µM,p = 0.008),但在诱导多能干细胞衍生的人类神经元祖细胞(NPCs)中进一步检测时却表现出毒性:这些结果揭示了常用的 SRP 策略在鉴定新型抗病毒药物时的局限性,并强调了完善 SRP 策略以提高其实用性的必要性。
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引用次数: 0
Clinical evidences on the antiviral properties of macrolide antibiotics in the COVID-19 era and beyond. COVID-19时代及以后大环内酯类抗生素抗病毒特性的临床证据
Q2 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2020-01-01 DOI: 10.1177/2040206620961712
Dimitri Poddighe, Mohamad Aljofan

Macrolides are a large group of antibiotics characterised by the presence of a macro-lactone ring of variable size. The prototype of macrolide antibiotics, erythromycin was first produced by Streptomyces and associated species more than half a century ago; other related drugs were developed. These drugs have been shown to have several pharmacological properties: in addition to their antibiotic activity, they possess some anti-inflammatory properties and have been also considered against non-bacterial infections. In this review, we analysed the available clinical evidences regarding the potential anti-viral activity of macrolides, by focusing on erythromycin, clarithromycin and azithromycin. Overall, there is no significant evidences so far that macrolides might have a direct benefit on most of viral infections considered in this review (RSV, Influenza, coronaviruses, Ebola and Zika viruses). However, their clinical benefit cannot be ruled out without further and focused clinical studies. Macrolides may improve the clinical course of viral respiratory infections somehow, at least through indirect mechanisms relying on some and variable anti-inflammatory and/or immunomodulatory effects, in addition to their well-known antibacterial activity.

大环内酯类是一大类抗生素,其特征是存在可变大小的大内酯环。红霉素是大环内酯类抗生素的原型,半个多世纪前由链霉菌及其相关物种首次生产;开发了其他相关药物。这些药物已被证明具有几种药理学特性:除了它们的抗生素活性外,它们还具有一些抗炎特性,并且也被认为可以对抗非细菌感染。本文综述了大环内酯类药物潜在抗病毒活性的临床证据,重点介绍了红霉素、克拉霉素和阿奇霉素。总的来说,到目前为止,没有明显的证据表明大环内酯类药物可能对本综述中考虑的大多数病毒感染(RSV、流感、冠状病毒、埃博拉病毒和寨卡病毒)有直接的益处。然而,如果没有进一步和有针对性的临床研究,不能排除它们的临床益处。大环内酯类药物可能在某种程度上改善病毒性呼吸道感染的临床过程,至少通过间接机制依赖于一些和可变的抗炎和/或免疫调节作用,以及它们众所周知的抗菌活性。
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引用次数: 31
Small molecule antivirals - Still our best hope for a cure. 小分子抗病毒药物-仍然是我们治愈的最大希望。
Q2 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2020-01-01 DOI: 10.1177/2040206620963964
Katherine Seley-Radtke
The non-stop daily coverage of the global race for a vaccine would lead one to believe that it is only a matter of time until one or more of the 321 vaccines being developed will be available to solve the SARSCoV-2/COVID-19 crisis. Many of us are of a different opinion. There is no guarantee that an effective vaccine will be discovered, much less available in the quantities needed to vaccinate the entire world in a timely manner. Many of us are of the opinion that a directacting antiviral, or even more likely, a cocktail of direct-acting antivirals, will transform COVID-19 from a potential death sentence to an easily treatable, mild infection that can be properly managed with minimal disruption. Vaccine development has been notoriously unpredictable. Despite decades of research, there is still no vaccine to prevent many serious viruses such as HIV/ AIDS, dengue, Zika, or norovirus (the “cruise ship” virus), among many others. Even vaccines that are available have limitations the annual flu shot is often rendered ineffective because of viral mutations and the numerous strains that circulate each year. Moreover, vaccines are not particularly stable, they require critical infrastructure and human know-how from production to application, and they take a long time to develop, even under accelerated conditions. Most antivirals can be orally self-administered, are stable, and typically straightforward to make. In addition, the immunocompromised, those with underlying health conditions, or who are allergic to the vaccine components cannot get a vaccine. Thus, even if a vaccine is developed, many people will not be able to take it, thus leaving them vulnerable to infection. Antivirals have been highly successful against many viruses; i.e, the numerous drug cocktails developed for HIV/AIDS and HCV are so effective that HIV can remain at undetectable levels for a patient’s entire lifetime, and HCV is now cured in a few weeks in 98% of infected patients. There are currently >20 FDA-approved cocktails available to treat HIV/AIDS that include 2–4 direct-acting drugs. This approach has been highly successful because it is difficult to completely shut down viral replication with only one drug, and because of this, resistance is selected for. As a result, most indications require two or more drugs to successfully reduce the selection for resistance. While the search for a cure continues, there remain concerns among many that just too much attention and funding is focused on vaccines, while ignoring small molecule antivirals. We find ourselves scrambling for a cure today because many funding agencies considered the two previous CoV outbreaks (SARS and MERS) as isolated events unlikely to affect many. As a result, funding for research on CoV antivirals was scarce at best. Clearly that consideration has proven incorrect, and one can argue that it was a fatal mistake for those we’ve lost. As we all work to find answers to this deadly pandemic, it is important not to
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引用次数: 0
Real-world single-center experience with direct-acting antivirals for improvement of the liver fibrosis after chronic hepatitis C treatment. 直接作用抗病毒药物改善慢性丙型肝炎治疗后肝纤维化的真实世界单中心经验
Q2 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2020-01-01 DOI: 10.1177/2040206620974835
Sun Hee Lee, Hyun Phil Shin, Joung Il Lee

Background: Recently, new direct-acting antivirals (DAAs) are known to eradicate chronic hepatitis C (CHC) virus infection and prevent the progression of liver fibrosis. Liver fibrosis may predispose to liver cirrhosis or hepatocellular carcinoma. We investigated the effect of DAAs on liver fibrosis using non-invasive methods, and evaluated the correlations of these methods.

Methods: We retrospectively analyzed 68 patients with CHC who were treated with DAAs and reached sustained virologic response at 12 weeks post-treatment from January 2016 to October 2018. The degree of liver fibrosis was assessed using serum biomarkers, such as AST-to-platelet ratio index (APRI) and fibrosis-4 (FIB-4) index. Liver stiffness was assessed using two-dimensional shear-wave elastography (2 D-SWE). The pre- and post-treatment serum biomarker levels and SWE findings were evaluated and compared.

Results: A total of 68 patients with CHC were enrolled. The median age was 58 years (52.3-73 years) and 37 patients (54.4%) were female. After treatment, the median APRI was decreased from 0.701 to 0.328 (P < 0.0001), and the median FIB-4 was decreased from 2.355 to 1.860 (P < 0.0001). The median kPa in 2 D-SWE significantly reduced from 6.85 to 5.66 (P = 0.013). APRI and FIB-4 were significantly correlated pre- and post-treatment; however, the correlation between the serum biomarkers and 2 D-SWE was partially significant.

Conclusion: The serum fibrosis biomarkers and liver stiffness on 2 D-SWE were shown to be improved after the treatment with DAAs. Further research including larger number of patients is needed to compare the efficacy of each evaluating method.

背景:最近,新的直接作用抗病毒药物(DAAs)被认为可以根除慢性丙型肝炎(CHC)病毒感染并预防肝纤维化的进展。肝纤维化可诱发肝硬化或肝细胞癌。我们使用非侵入性方法研究DAAs对肝纤维化的影响,并评估这些方法的相关性。方法:回顾性分析2016年1月至2018年10月期间接受DAAs治疗并在治疗后12周达到持续病毒学应答的68例CHC患者。采用血清生物标志物评估肝纤维化程度,如ast -血小板比值指数(APRI)和纤维化-4 (FIB-4)指数。采用二维剪切波弹性成像(2d - swe)评估肝脏刚度。评估和比较治疗前后血清生物标志物水平和SWE结果。结果:共纳入68例CHC患者。中位年龄58岁(52.3 ~ 73岁),女性37例(54.4%)。治疗后,中位APRI从0.701降至0.328 (P)。结论:DAAs治疗后,2 D-SWE的血清纤维化生物标志物和肝脏硬度有所改善。需要进一步的研究,包括更多的患者来比较每种评估方法的疗效。
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引用次数: 2
期刊
Antiviral Chemistry and Chemotherapy
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