The DHODH inhibitor PTC299 arrests SARS-CoV-2 replication and suppresses induction of inflammatory cytokines.

Abstract:

:The coronavirus disease 2019 (COVID-19) pandemic has created an urgent need for therapeutics that inhibit the SARS-COV-2 virus and suppress the fulminant inflammation characteristic of advanced illness. Here, we describe the anti-COVID-19 potential of PTC299, an orally bioavailable compound that is a potent inhibitor of dihydroorotate dehydrogenase (DHODH), the rate-limiting enzyme of the de novo pyrimidine nucleotide biosynthesis pathway. In tissue culture, PTC299 manifests robust, dose-dependent, and DHODH-dependent inhibition of SARS-COV-2 replication (EC50 range, 2.0-31.6 nM) with a selectivity index >3,800. PTC299 also blocked replication of other RNA viruses, including Ebola virus. Consistent with known DHODH requirements for immunomodulatory cytokine production, PTC299 inhibited the production of interleukin (IL)-6, IL-17A (also called IL-17), IL-17 F, and vascular endothelial growth factor (VEGF) in tissue culture models. The combination of anti-SARS-CoV-2 activity, cytokine inhibitory activity, and previously established favorable pharmacokinetic and human safety profiles render PTC299 a promising therapeutic for COVID-19.

journal_name

Virus Res

journal_title

Virus research

authors

Luban J,Sattler RA,Mühlberger E,Graci JD,Cao L,Weetall M,Trotta C,Colacino JM,Bavari S,Strambio-De-Castillia C,Suder EL,Wang Y,Soloveva V,Cintron-Lue K,Naryshkin NA,Pykett M,Welch EM,O'Keefe K,Kong R,Goodwin E,Jac

doi

10.1016/j.virusres.2020.198246

subject

Has Abstract

pub_date

2021-01-15 00:00:00

pages

198246

eissn

0168-1702

issn

1872-7492

pii

S0168-1702(20)31153-9

journal_volume

292

pub_type

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