| Literature DB >> 28262699 |
Michael K Lo1, Robert Jordan2, Aaron Arvey2, Jawahar Sudhamsu2, Punya Shrivastava-Ranjan1, Anne L Hotard1, Mike Flint1, Laura K McMullan1, Dustin Siegel2, Michael O Clarke2, Richard L Mackman2, Hon C Hui2, Michel Perron2, Adrian S Ray2, Tomas Cihlar2, Stuart T Nichol1, Christina F Spiropoulou1.
Abstract
GS-5734 is a monophosphate prodrug of an adenosine nucleoside analog that showed therapeutic efficacy in a non-human primate model of Ebola virus infection. It has been administered under compassionate use to two Ebola patients, both of whom survived, and is currently in Phase 2 clinical development for treatment of Ebola virus disease. Here we report the antiviral activities of GS-5734 and the parent nucleoside analog across multiple virus families, providing evidence to support new indications for this compound against human viruses of significant public health concern.Entities:
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Year: 2017 PMID: 28262699 PMCID: PMC5338263 DOI: 10.1038/srep43395
Source DB: PubMed Journal: Sci Rep ISSN: 2045-2322 Impact factor: 4.379
Mean in vitro antiviral activities of Nuc and GS-5734 across 7 virus families.
| Virus Family | Virus | Strain | Assay Type | Nuc EC50/EC90 (μM)/[SI] | GS-5734 EC50/EC90 (μM)/[SI] |
|---|---|---|---|---|---|
| Filo- | EBOV | Rec. Mayinga-GFP | REP | 1.6/6.7/[31] | 0.066/0.203/[151] |
| Rec. Mayinga-Gluc | REP | 3.1/11/[16] | 0.021/0.053/[476] | ||
| Rec. Makona-ZSG | REP | 1.3/3.3/[38] | 0.014/0.045/[714] | ||
| Makona | VTR | 1.0/2.5/[50]# | 0.003/0.019/[666]‡ | ||
| MARV | Rec. Bat371-Gluc | REP | NT | 0.019/0.052/[526] | |
| Rec. Bat371-GFP | REP | 1.9/4.6/[26] | 0.014/0.047/[714] | ||
| Paramyxo- | NiV | Rec. M-Luc2AM | REP | 1.5/5.7/[33] | 0.045/0.126/[184] |
| Rec. M-GFP2AM | REP | 2.2/4.0 [22] | 0.029/0.053/[286] | ||
| M-1999 | VTR | 0.49/1.4/[102]# | 0.047/0.083/[180]‡ | ||
| B-2004 | VTR/CPE | 0.83/2.2/[60]† | 0.032/0.106/[259] | ||
| HeV | 1996 | VTR/CPE | 1.0/1.8/[50]† | 0.055/0.117/[150] | |
| hPIV3 | Rec. JS-GFP | REP | 0.51/1.0/[98] | 0.018/0.35/[461] | |
| MV | Rec. rMVEZGFP(3) | REP | 1.0/2.6/[50] | 0.037/0.073/[224] | |
| EZ vaccine | AG | 2.0/5.1/[25] | NT | ||
| MuV | IA 2006 | AG | 9.7/26.3/[5] | 0.79/3.4/[10] | |
| Pneumo- | RSV | Rec. rgRSV224 (A2) | REP | 0.63/2.2/[79] | 0.021/0.059/[395] |
| hMPV | Rec. CAN97-83-GFP | REP | 0.73/1.7/[NT] | NT | |
| Bunya- | RVFV | Rec. ZH501-GFP | REP | No inhibition | No inhibition |
| CCHF | Rec. IbAr 10200 | AG | No inhibition | No inhibition | |
| ANDV | Chile 9717869 | AG | NT | 7.0/10.1/[1.4] | |
| Arena- | LASV | Josiah | AG | No inhibition | 4.5/5.1/[2.2] |
| Rhabdo- | VSV | New Jersey | CPE | No inhibition | No inhibition |
| Flavi- | AHFV | 200300001 | CPE | 49.9/ > 150/[NT] | 4.2/17.6/[2.4] |
| KFDV | P9605 | CPE | 46.3/ > 350/[NT] | 1.8/3.4/[5.6] | |
| TBEV | Hypr | CPE | 51.2/ > 150/[NT] | 2.1/3.5/[4.8] | |
| OHFV | Bogoluvovska | CPE | 50.6/ > 350 [NT] | 1.2/3.9/[8.3] |
VTR: virus titer reduction assay; AG: antigen reduction assay; REP: Reporter assay; CPE: cytopathic effect assay; SI: Selective Index = CC50/EC50; NT: Not tested; Rec.: recombinant. †>1 log10 reduction in virus yield at 24 hours post-infection; ‡>4 log10 reduction in virus yield at 48 (NiV) or 72 (EBOV) hours post-infection; #>5 log10 reduction in virus yield at 48 (NiV) or 72 (EBOV) hours post-infection.
Figure 1Structural analysis of viral RdRPs nucleotide binding domains.
(A) Structure of nucleotide binding domain of HCV RdRP showing structural elements (motifs A and B) that interact directly with the nucleotide. (B) Structural alignment of nucleotide binding domains of viral RdRPs shows high similarity between numerous structures. (C) Structural alignment of HCV and DenV RdRP nucleotide binding domains. (D) Structural alignment of HCV and VSV RdRP nucleotide binding domains.
Figure 2GS-5734 potently inhibits multiple virus families.
Clustering by sequence similarity of the nucleotide-interacting regions (motifs A and B) of viral RNA-dependent RNA polymerases correlates with activity of GS-5734 (indicated by color in legend). The tree branches do not necessarily reflect evolutionary relationships (or lack thereof). For details regarding methodology, please refer to methods. †GS-5734 EC50 against MuV is higher than 100 nM, with EC50 of 0.79 μM. ‡GS-5734 is potent (EC50 < 4.5 μM) against AHFV, KFDV, TBEV, and OHFV. The parent nucleoside (Nuc) of GS-5734 is also active against DenV and HCV, but not WNV or YFV3.