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    In vitro efficacy of artemisinin-based treatments against SARS-CoV-2 (2021)

    Art
    Zeitschriftenartikel / wissenschaftlicher Beitrag
    Autoren
    Zhou, Yuyong
    Gilmore, Kerry
    Ramirez, Santseharay
    Settels, Eva
    Gammeltoft, Karen A.
    Pham, Long V.
    Fahnøe, Ulrik
    Feng, Shan
    Offersgaard, Anna
    Trimpert, Jakob (WE 5)
    Bukh, Jens
    Osterrieder, Klaus (WE 5)
    Gottwein, Judith M.
    Seeberger, Peter H.
    Quelle
    Scientific reports
    Bandzählung: 11
    Heftzählung: 1
    Seiten: Article number: 14571
    ISSN: 2045-2322
    Sprache
    Englisch
    Verweise
    URL (Volltext): https://www.nature.com/articles/s41598-021-93361-y
    DOI: 10.1038/s41598-021-93361-y
    Pubmed: 34272426
    Kontakt
    Institut für Virologie

    Robert-von-Ostertag-Str. 7-13
    14163 Berlin
    +49 30 838 51833
    virologie@vetmed.fu-berlin.de

    Abstract / Zusammenfassung

    Effective and affordable treatments for patients suffering from coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), are needed. We report in vitro efficacy of Artemisia annua extracts as well as artemisinin, artesunate, and artemether against SARS-CoV-2. The latter two are approved active pharmaceutical ingredients of anti-malarial drugs. Concentration-response antiviral treatment assays, based on immunostaining of SARS-CoV-2 spike glycoprotein, revealed that treatment with all studied extracts and compounds inhibited SARS-CoV-2 infection of VeroE6 cells, human hepatoma Huh7.5 cells and human lung cancer A549-hACE2 cells, without obvious influence of the cell type on antiviral efficacy. In treatment assays, artesunate proved most potent (range of 50% effective concentrations (EC50) in different cell types: 7-12 µg/mL), followed by artemether (53-98 µg/mL), A. annua extracts (83-260 µg/mL) and artemisinin (151 to at least 208 µg/mL). The selectivity indices (SI), calculated based on treatment and cell viability assays, were mostly below 10 (range 2 to 54), suggesting a small therapeutic window. Time-of-addition experiments in A549-hACE2 cells revealed that artesunate targeted SARS-CoV-2 at the post-entry level. Peak plasma concentrations of artesunate exceeding EC50 values can be achieved. Clinical studies are required to further evaluate the utility of these compounds as COVID-19 treatment.