近日,Science Translational Medicine 发表了来自美国北卡罗莱大学Timothy P. Sheahan等研究人员的研究成果。研究发现目前临床开发用于埃博拉病毒病治疗的药物GS-5734,可以抑制SARS冠状病毒和MERS冠状病毒的复制,也能有效对抗蝙蝠冠状病毒,流行性蝙蝠冠状病毒,以及人冠状病毒,表现出广谱抗病毒活性。该研究成果对于冠状病毒病的预防和治疗,以及应对新发冠状病毒病,都具有潜在意义。
附文献摘要:
Title:Broad-spectrum antiviral GS-5734 inhibits both epidemic and zoonotic coronaviruses
Abstract:Emerging viral infections are difficult to control because heterogeneous members periodically cycle in and out of humans and zoonotic hosts, complicating the development of specific antiviral therapies and vaccines. Coronaviruses(CoVs) have a proclivity to spread rapidly into new host species causing severe disease. Severe acute respiratory syndromeCoV (SARS-CoV) and Middle East respiratory syndrome CoV (MERS-CoV) successively emerged, causing severe epidemic respiratory disease in immunologically naïve human populations throughout the globe. Broad-spectrum therapies capable of inhibiting CoV infections would address an immediate unmet medical need and could be invaluable in the treatment of emerging and endemic CoV infections. We show that a nucleotide prodrug, GS-5734, currently in clinical development for treatment of Ebola virus disease, can inhibit SARS-CoV and MERS-CoV replication in multiple in vitro systems, including primary human airway epithelial cell cultures with submicromolar IC50 values. GS-5734 was also effective against bat CoVs, prepandemic bat CoVs, and circulating contemporary human CoV in primary human lung cells, thus demonstrating broad-spectrum anti-CoV activity. In amousemodel of SARS-CoV pathogenesis, prophylactic and early therapeutic administration of GS-5734 significantly reduced lung viral load and improved clinical signs of disease as well as respiratory function. These data provide substantive evidence that GS-5734 may prove effective against endemic MERSCoV in the Middle East, circulating human CoV, and, possibly most importantly, emerging CoV of the future.