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Repurposing Niclosamide as a Novel Anti-SARS-CoV-2 Drug by Restricting Entry Protein CD147

Yang et al., Biomedicines, doi:10.3390/biomedicines11072019
Jul 2023  
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In Vitro study showing that niclosamide reduces CD147 protein levels and inhibits SARS-CoV-2-induced upregulation of CD147 in A549-ACE2 cells. Authors find that the RNA-binding protein HuR binds to the 3'-UTR of BSG mRNA and upregulates CD147 expression. Niclosamide inhibits the nucleocytoplasmic translocation of HuR and reduces CD147 levels in various cell lines, including respiratory cell lines WI-38, NL20, and H460. Niclosamide also effectively suppressed the SARS-CoV-2-induced increase in the highly glycosylated form of CD147, which has been implicated in COVID-19 disease progression and post-COVID-19 cardiac complications.
8 preclinical studies support the efficacy of niclosamide for COVID-19:
Yang et al., 18 Jul 2023, peer-reviewed, 9 authors. Contact: xul@ku.edu (corresponding author), ejones11@kumc.edu.
In Vitro studies are an important part of preclinical research, however results may be very different in vivo.
This PaperNiclosamideAll
Repurposing Niclosamide as a Novel Anti-SARS-CoV-2 Drug by Restricting Entry Protein CD147
Zhe Yang, Qi Zhang, Xiaoqing Wu, Siyuan Hao, Xinbao Hao, Elizabeth Jones, Yuxia Zhang, Jianming Qiu, Liang Xu
Biomedicines, doi:10.3390/biomedicines11072019
The outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has led to the global coronavirus disease 2019 (COVID-19) pandemic, and the search for effective treatments has been limited. Furthermore, the rapid mutations of SARS-CoV-2 have posed challenges to existing vaccines and neutralizing antibodies, as they struggle to keep up with the increased viral transmissibility and immune evasion. However, there is hope in targeting the CD147-spike protein, which serves as an alternative point for the entry of SARS-CoV-2 into host cells. This protein has emerged as a promising therapeutic target for the development of drugs against COVID-19. Here, we demonstrate that the RNA-binding protein Human-antigen R (HuR) plays a crucial role in the post-transcriptional regulation of CD147 by directly binding to its 3 -untranslated region (UTR). We observed a decrease in CD147 levels across multiple cell lines upon HuR depletion. Furthermore, we identified that niclosamide can reduce CD147 by lowering the cytoplasmic translocation of HuR and reducing CD147 glycosylation. Moreover, our investigation revealed that SARS-CoV-2 infection induces an upregulation of CD147 in ACE2-expressing A549 cells, which can be effectively neutralized by niclosamide in a dose-dependent manner. Overall, our study unveils a novel regulatory mechanism of regulating CD147 through HuR and suggests niclosamide as a promising therapeutic option against COVID-19.
Author Contributions: Z.Y. contributed to experimental design, execution, and data analysis as well as the writing of this manuscript; Q.Z. contributed to experimental execution, data analysis, and manuscript revision; S.H. contributed to the SARS-CoV-2 infection assay; X.H. contributed to experimental design and execution. E.J. contributed to the immunohistochemical staining assay; Y.Z., X.W., and J.Q. provided material support, assisted with experimental design, and revised the manuscript; L.X. oversaw all experimental design, execution, analysis, interpretation, and communication of results as well as manuscript revision. All authors have read and agreed to the published version of the manuscript. Abbreviations
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