Journal: ACS Infectious Diseases
Article Title: Antiviral Potential of the Antimicrobial Drug Atovaquone against SARS-CoV-2 and Emerging Variants of Concern
doi: 10.1021/acsinfecdis.1c00278
Figure Lengend Snippet: Atovaquone partially requires TMPRSS2 to drive its antiviral action against SARS-CoV-2 and reduces the interaction between the spike protein and its surface receptor ACE2. (A) Schematic of atovaquone administration. (B) VeroE6 hTMPRSS2 cells were treated with atovaquone (10 μM) for 2 h before infection (full time), at the time of infection (entry), or 1 h after infection (postentry), before challenging with original SARS-CoV-2 at an MOI of 0.1. Infection was carried out for 48 h in the presence of the drug and for all conditions. Infection was assessed by immunoblotting of the spike protein within cell lysates. (C) Structure of constructs for a split NanoLuc-based bioreporter. RBD or S1 from either SARS-CoV1 or SARS-CoV2 was linked to Large BiT (LgBiT) on its N-terminus to form LgBiT-RBD or LgBiT-S1; similarly, the Small BiT (SmBiT) peptide was linked to human ACE2 to form SmBiT-ACE2. ACE2 and RBD or S1 constructs were transfected separately or cotransfected into HEK293 cells for 48 h and lysed with a passive lysis buffer. Mixed lysates or lysates from cotransfected cells were incubated with coelenterazine, and the luminescence measured using a plate reader. (D) Following plasmid transfection into HEK293 cells, the cells were lysed in a NanoLuc-compatible passive lysis buffer and lysates were dispensed into a 96-well plate, to which atovaquone was added at a final concentration of 4 μM. The impact of atovaquone on SARS receptor binding was assessed in two ways: (1) with atovaquone added to LgBiT-RBD or LgBiT-S1 for 50 min followed by the addition of an equal quantity of SmBiT-ACE2 for another 10 min (“mixed lysates)” or (2) with atovaquone added to the preformed SmBiT-ACE2 + LgBiT-RBD/S1 complex for 1 h (“cotransfected).” Following incubation, a nanoluciferase substrate was added and the luminescence was measured. HEK293 cells were also transfected with a nanoluciferase control plasmid and lysates were incubated with 4 μM atovaquone. N = 4 per condition. The graph shows % bioreporter luminescence with the highest value in each of the respective untreated conditions taken as 100% ( N = 4 per condition, the p values were determined using a t -test). (E, F). The different cell lines mentioned were subjected to immunoblotting (E) and flow cytometry analysis (F) of TMPRSS2 and ACE2 expression. For ACE2, unstained samples of the matched cell line were used as a control. For TMPRSS2, secondary antibody-stained samples of the matched cell line were used as a control. Controls for the A549 hACE2 cell line are represented in the figure. The same controls were used for all cell lines studied. (G) Vero hTMPRSS2, Calu-3, and A549 hACE2 cells were pretreated with atovaquone (100 μM) for 2 h before infection with the original SARS-CoV-2 (MOI of 0.1). Viral RNA levels were determined 48 h postinfection by qPCR. The data represent the means ± SEM of one experiment performed in biological triplicates. (H) HEK293T cells expressing hACE2 cells were mock-transfected or transfected with a plasmid encoding hTMPRSS2. Twenty-four hours post-transfection, cells were seeded in 96-well plates and preincubated with the different drugs E64d (10 μM), camostat (25 μM), and atovaquone (100 μM) + 5 μg/mL polybrene for 1 h before infection with purified SARS-CoV-2 pseudotypes. LacZ + cells were quantified using the Beta-Glo assay system and luminescence measurement. The data are the means ± SEM of two experiments performed in biological triplicates. Similar results were obtained by X-gal staining. (I) Effector cells (zipV2+) expressing SARS-CoV-2 spike and target cells (zipV1+) expressing ACE2 with or without TMPRSS2 were cocultured for 3 h in the presence of the indicated concentration of drugs or DMSO. Cell–cell fusion was assessed by measuring the fluorescence of the Venus protein complementation (zipV1 + zipV2). Data were normalized to the fusion obtained with target cells expressing ACE2 but not TMPRSS2 (ACE2 + TMPRSS2) and are the means ± SEM of two experiments performed in triplicates. The p values were calculated using a t -test where * p < 0.05, ** p < 0.01, *** p < 0.001.
Article Snippet: The assay was initiated with 2 μL of recombinant active human TMPRSS2 (Cusabio Biotech) at 10 μM, after which the 384-well plate was shaken at 500 rpm for 1 min for complete mixing.
Techniques: Infection, Western Blot, Construct, Transfection, Lysis, Incubation, Plasmid Preparation, Concentration Assay, Binding Assay, Control, Flow Cytometry, Expressing, Staining, Purification, Glo Assay, Fluorescence