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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