TMPRSS2 inhibitors with broad-spectrum efficacy against SARS-CoV-2 (JN.1) and influenza A (H1N1) viruses protect mice from influenza A infection.

Human TMPRSS2 is a type II transmembrane serine protease and an essential host factor for SARS-CoV-2 and influenza A virus (IAV H1N1) infections. It facilitates the cleavage of viral surface glycoproteins, which are required for membrane fusion. This importance makes it an attractive target for host-directed antiviral therapies. We previously identified N-0385 and N-0920 as nanomolar TMPRSS2 inhibitors and demonstrated their antiviral potency against several SARS-CoV-2 variants. Here, we screened another twelve N-0385/N-0920 analogs with improved pharmacokinetics. Compounds 9 and 10 showed strong inhibition of TMPRSS2 activity and viral entry: they blocked pseudoviruses and authentic SARS-CoV-2 JN.1 and IAV H1N1 in Calu-3 cells. Compound 9 displayed a synergistic effect with baloxavir during IAV H1N1 infection. Both compounds highly reduced H1N1 infection in air-liquid interface cultures and mouse models, thus highlighting their broad antiviral potential. The discovery of broad-spectrum, host-directed antivirals against current and emerging human viruses is critical in preparing for future pandemics.
Chronic respiratory disease
Care/Management

Authors

Presley Presley, Pérez-Vargas Pérez-Vargas, Saintigny Saintigny, Villanueva Villanueva, Ho Ho, Fone Fone, Brinsden Brinsden, Kaushik Kaushik, Olver Olver, Thompson Thompson, Bautista-Sánchez Bautista-Sánchez, Ennis Ennis, Chen Chen, McCallum McCallum, Brown Brown, Ferková Ferková, Hetrick Hetrick, Veesler Veesler, Leduc Leduc, Niikura Niikura, Boudreault Boudreault, Warner Warner, Jean Jean
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