论文标题

针对SARS-COV-2病毒对潜在具有临床意义的HIV药物组合的筛查和评估

Screening and evaluation of potential clinically significant HIV drug combinations against SARS-CoV-2 virus

论文作者

Tomić, Draško, Skala, Karolj, Szasz, Attila Marcel, Rezeli, Melinda, Vrca, Vesna Bačić, Pirkić, Boris, Petrik, Jozsef, Janđel, Vladimir, Periša, Marija Milković, Rogina, Branka Medved, Mesarić, Josip, Davidović, Davor, Lipić, Tomislav

论文摘要

在这项研究中,我们研究了使用HIV药物及其组合抑制SARS-COV-2尖峰糖蛋白。该糖蛋白对于繁殖SARS-COV-2病毒至关重要,因此其抑制作用为治疗Covid-19疾病患者的治疗开辟了新的途径。在此过程中,我们在癌症的硅模型中使用了Vini,通过与NCI-60碱基的现有结果相比,在体外证实了它们在寻找有效药物及其组合方面的高度准确性,并且通过与现有的临床试验结果进行比较。第一步,VINI模型计算了使用44种FDA批准的抗病毒药物对SARS-COV-2峰糖蛋白的抑制效率。在这些药物中,艾滋病毒药物已被证明是有效的,而其他药物主要显示出弱或没有效率。随后,VINI模型计算了所有可能的双重和三重HIV药物组合的抑制效率,其中鉴定出十个具有最高抑制效率的效率。通过Medscape Drug-prug相互作用软件和词典药物相互作用分析了这十种组合。当可能的毒性需要剂量调整/降低时,除了Cobicistat_abacavir_rilpivirine的组合外,所有组合似乎都具有严重的相互作用(风险评级类别D)。最后,Vini模型比较了Cobicistat_abacivir_rilpivirine组合的抑制效率与已经使用或计划针对SARS-COV-2测试的鸡尾酒和单个药物。 Cobicistat_abacivir_rilpivirine组合表明,SARS-COV-2峰值糖蛋白比其他人最高的抑制作用。因此,这种组合似乎是进一步的体外测试和临床试验的有前途的候选人。

In this study, we investigated the inhibition of SARS-CoV-2 spike glycoprotein with HIV drugs and their combinations. This glycoprotein is essential for the reproduction of the SARS-COV-2 virus, so its inhibition opens new avenues for the treatment of patients with COVID-19 disease. In doing so, we used the VINI in silico model of cancer, whose high accuracy in finding effective drugs and their combinations was confirmed in vitro by comparison with existing results from NCI-60 bases, and in vivo by comparison with existing clinical trial results. In the first step, the VINI model calculated the inhibition efficiency of SARS-CoV-2 spike glycoprotein with 44 FDA-approved antiviral drugs. Of these drugs, HIV drugs have been shown to be effective, while others mainly have shown weak or no efficiency. Subsequently, the VINI model calculated the inhibition efficiency of all possible double and triple HIV drug combinations, and among them identified ten with the highest inhibition efficiency. These ten combinations were analyzed by Medscape drug-drug interaction software and LexiComp Drug Interactions. All combinations except the combination of cobicistat_abacavir_rilpivirine appear to have serious interactions (risk rating category D) when dosage adjustments/reductions are required for possible toxicity. Finally, the VINI model compared the inhibition efficiency of cobicistat_abacivir_rilpivirine combination with cocktails and individual drugs already used or planned to be tested against SARS-CoV-2. Combination cobicistat_abacivir_rilpivirine demonstrated the highest inhibition of SARS-CoV-2 spike glycoprotein over others. Thus, this combination seems to be a promising candidate for the further in vitro testing and clinical trials.

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