Why the study?
Zoonotic coronavirus spillover risks require pan-coronavirus antivirals, but the efficacy of analogs like remdesivir is reduced by the viral proofreading exonuclease NSP14-NSP10 complex.
Inhibition of the viral proofreading exonuclease NSP14-NSP10 complex by compounds like sofalcone synergistically enhances the antiviral efficacy of remdesivir against coronaviruses in vitro.
Answers are grounded in this paper and cite their sources.
Do not add sofalcone to remdesivir clinically; leaves open in vivo testing of NSP14-NSP10 inhibitors for pan-CoV use.
The risk of zoonotic coronavirus spillover into the human population, as highlighted by the SARS-CoV-2 pandemic, demands the development of pan-coronavirus antivirals. The efficacy of existing antiviral ribonucleoside/ribonucleotide analogs, such as remdesivir, is decreased by the viral proofreading exonuclease NSP14-NSP10 complex. Here, using a novel assay and in silico modeling and screening, we identified NSP14-NSP10 inhibitors that increase remdesivir's potency. A model compound, sofalcone, both inhibits the exonuclease activity of SARS-CoV-2, SARS-CoV, and MERS-CoV in vitro, and synergistically enhances the antiviral effect of remdesivir, suppressing the replication of SARS-CoV-2 and the related human coronavirus OC43. The validation of top hits from our primary screenings using cellular systems provides proof-of-concept for the NSP14 complex as a therapeutic target.
No takes yet. Share an insight, caveat, or question.
Róna et al. (2021) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: