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Papaverine targets STAT signaling: a dual-action therapy option against SARS-CoV-2
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  • Philipp Reus,
  • Emma Torbica,
  • Tamara Rothenburger,
  • Marco Bechtel,
  • Joshua Kandler,
  • Sandra Ciesek,
  • Philip Gribbon,
  • Aimo Kannt,
  • Jindrich Cinatl,
  • Denisa Bojkova
Philipp Reus
Fraunhofer-Institut fur Translationale Medizin und Pharmakologie ITMP Drug Discovery Research ScreeningPort
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Emma Torbica
Klinikum der Johann Wolfgang Goethe-Universitat Frankfurt pharmazentrum frankfurt
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Tamara Rothenburger
Klinikum der Johann Wolfgang Goethe-Universitat Frankfurt pharmazentrum frankfurt
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Marco Bechtel
Klinikum der Johann Wolfgang Goethe-Universitat Frankfurt pharmazentrum frankfurt
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Joshua Kandler
Klinikum der Johann Wolfgang Goethe-Universitat Frankfurt pharmazentrum frankfurt
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Sandra Ciesek
Klinikum der Johann Wolfgang Goethe-Universitat Frankfurt pharmazentrum frankfurt
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Philip Gribbon
Fraunhofer-Institut fur Translationale Medizin und Pharmakologie ITMP Drug Discovery Research ScreeningPort
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Aimo Kannt
Fraunhofer-Institut fur Translationale Medizin und Pharmakologie ITMP
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Jindrich Cinatl
Klinikum der Johann Wolfgang Goethe-Universitat Frankfurt pharmazentrum frankfurt
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Denisa Bojkova
Klinikum der Johann Wolfgang Goethe-Universitat Frankfurt pharmazentrum frankfurt

Corresponding Author:bojkova@em.uni-frankfurt.de

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Abstract

Papaverine (PV) has been previously identified as a promising candidate in SARS-CoV-2 repurposing screens. In this study, we further investigated both its antiviral and immunomodulatory properties. PV displayed antiviral efficacy against SARS-CoV-2 and influenza A virus (IAV) H1N1 and H5N1 in single infection as well as in co-infection. We demonstrated PV´s activity against various SARS-CoV-2 variants and identified its action at post-entry stage of the viral life cycle. Notably, treatment of air-liquid interface (ALI) cultures of primary bronchial epithelial cells with PV significantly inhibited SARS-CoV-2 levels. Additionally, PV was found to attenuate interferon (IFN) signaling independently of viral infection. Mechanistically, PV decreased the activation of the IFN-stimulated response element (ISRE) following stimulation with all three IFN types by suppressing STAT1 and STAT2 phosphorylation and nuclear translocation. Furthermore, the combination of PV with approved COVID-19 therapeutics molnupiravir and remdesivir demonstrated synergistic effects. Given its immunomodulatory effects and clinical availability, PV shows promising potential as a component for combination therapy against COVID-19.
16 Nov 2024Submitted to Journal of Medical Virology
18 Nov 2024Submission Checks Completed
18 Nov 2024Assigned to Editor
18 Nov 2024Review(s) Completed, Editorial Evaluation Pending
01 Dec 2024Reviewer(s) Assigned
05 Jan 2025Editorial Decision: Revise Major