Drug repurposing of argatroban, glimepiride and ranolazine shows anti-SARS-CoV-2 activity via diverse mechanisms.

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Tác giả: Ahmed I Abdelaziz, Mahmoud S Ahmed, Mohamed A Ali, Rowan Bahaaeldin, Shereen A El Sobky, Nada El-Ekiaby, Salma A Fahim, Injie O Fawzy, Merna H M Hamad, Ziad A Khalil, Sara H Mahmoud, Ahmed Mostafa, Manon Ragheb, Rana Saad, Hesham A Sadek

Ngôn ngữ: eng

Ký hiệu phân loại:

Thông tin xuất bản: England : Heliyon , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 212661

Despite the vast vaccination campaigns against SARS-CoV-2, vaccine-resistant variants have emerged, and COVID-19 is continuing to spread with the fear of emergence of new variants that are resistant to the currently available anti-viral drugs. Hence, there is an urgent need to discover potential host-directed - rather than virus-directed - therapies against COVID-19. SARS-CoV-2 enters host cells through binding of the viral spike (S)-protein to the host angiotensin-converting enzyme 2 (ACE2) receptor, rendering the viral port of entry an attractive therapeutic target. Accordingly, this study aimed to investigate FDA-approved drugs for their potential repurposing to inhibit the entry point of SARS-CoV-2. Accordingly, the FDA-approved drugs library was enrolled in docking simulations to identify drugs that bind to the Spike-ACE2 interface. The drugs list retrieved by the docking simulations was shortlisted to 19 drugs based on docking scores and safety profiles. These drugs were screened for their ability to prevent binding between ACE2 and S-protein using an ELISA-based Spike-ACE2 binding assay. Five drugs showed statistically significant inhibition of binding between ACE2 and S-protein, ranging from 4 % to 37 %. Of those five, argatroban, glimepiride and ranolazine showed potential antiviral activity at IC
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