Journal: Journal of Medical Virology
Article Title: Preclinical Screening Platform Identifies Azatadine‐Dimaleate as a Potent Repurposed Therapeutic Against SARS‐CoV‐2 Infection
doi: 10.1002/jmv.70713
Figure Lengend Snippet: Azatadine‐Dimaleate exhibits dose‐dependent antiviral activity and synergistic enhancement with Remdesivir. (A) Cell viability assessment in uninfected Calu‐3 cells treated with DMSO control, Azatadine‐Dimaleate (25 µM), Remdesivir (1 µM), or the combination (Remdesivir 1 µM + Azatadine 25 µM) for 72 h. No cytotoxic effects were observed with any treatment. (B) Release of infectious virus was quantified by plaque assay. Calu‐3 cells were pretreated with Azatadine‐Dimaleate (5 & 25 µM) or Remdesivir (1 µM) 24 h before infection with SARS‐CoV‐2 PHE (MOI = 0.1). (C) Levels of viral NSP12 RNA was measured by RT‐qPCR following treatment with Azatadine‐Dimaleate at (5 & 25 µM) or Remdesivir (1 µM) 24 h before infection with SARS‐CoV‐2 (PHE MOI = 0.1). Data bars represent mean ± SEM of n = 3 independent experiments. Statistical analysis by one‐way ANOVA, *** p ≤ 0.001 vs DMSO control. (D) A concentration gradient of Remdesivir, Azatadine‐Dimaleate, or combined drugs was used to determine EC50s with 95% confidence intervals for these conditions in infected Calu‐3 cells pretreated 24 h before infection (PHE MOI = 0.1), with either Remdesivir (starting at 5 µM), Azatadine‐Dimaleate (starting at 40 µM), or a combination of the two with Remdesivir (starting at 1 µM) and Azatadine‐Dimaleate (starting at 25 µM). DMSO alone was used as a negative control. At 72 hpi viral titres were determined by plaque assay. Data points represent an average of 3 separate repeat experiments ±SEM.
Article Snippet: Combination with Remdesivir synergistically enhanced antiviral activity, reducing the EC50 of both drugs by > 60%.
Techniques: Activity Assay, Control, Virus, Plaque Assay, Infection, Quantitative RT-PCR, Concentration Assay, Negative Control