
There is an urgent need for specific antiviral treatments directed against SARS-CoV-2 to prevent the most severe forms of COVID-19. By drug repurposing, affordable therapeutics could be supplied worldwide in the present pandemic context. Targeting the nucleoprotein N of the SARS-CoV-2 coronavirus could be a strategy to impede viral replication and possibly other essential functions associated with viral N. The antiviral properties of naproxen, a non-steroidal anti-inflammatory drug (NSAID) that was previously demonstrated to be active against Influenza A virus, were evaluated against SARS-CoV-2. Intrinsic fluorescence spectroscopy, fluorescence anisotropy, and dynamic light scattering assays demonstrated naproxen binding to the nucleoprotein of SARS-Cov-2 as predicted by molecular modeling. Naproxen impeded recombinant N oligomerization and inhibited viral replication in infected cells. In VeroE6 cells and reconstituted human primary respiratory epithelium models of SARS-CoV-2 infection, naproxen specifically inhibited viral replication and protected the bronchial epithelia against SARS-CoV-2-induced damage. No inhibition of viral replication was observed with paracetamol or the COX-2 inhibitor celecoxib. Thus, among the NSAID tested, only naproxen combined antiviral and anti-inflammatory properties. Naproxen addition to the standard of care could be beneficial in a clinical setting, as tested in an ongoing clinical study.
570, [SDV]Life Sciences [q-bio], 610, Organic chemistry, Virus Replication, Antiviral Agents, Article, oligomerization, Cell Line, Viral Proteins, QD241-441, Naproxen, [CHIM] Chemical Sciences, Chlorocebus aethiops, [CHIM]Chemical Sciences, Animals, Humans, Vero Cells, nucleoprotein, drug repurposing, SARS-CoV-2, Anti-Inflammatory Agents, Non-Steroidal, Drug Repositioning, antiviral, 620, COVID-19 Drug Treatment, [SDV] Life Sciences [q-bio], Molecular Docking Simulation, Nucleoproteins, inflammation, structure-based drug design, influenza
570, [SDV]Life Sciences [q-bio], 610, Organic chemistry, Virus Replication, Antiviral Agents, Article, oligomerization, Cell Line, Viral Proteins, QD241-441, Naproxen, [CHIM] Chemical Sciences, Chlorocebus aethiops, [CHIM]Chemical Sciences, Animals, Humans, Vero Cells, nucleoprotein, drug repurposing, SARS-CoV-2, Anti-Inflammatory Agents, Non-Steroidal, Drug Repositioning, antiviral, 620, COVID-19 Drug Treatment, [SDV] Life Sciences [q-bio], Molecular Docking Simulation, Nucleoproteins, inflammation, structure-based drug design, influenza
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