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An orally bioavailable broad-spectrum antiviral inhibits SARS-CoV-2 in human airway epithelial cell cultures and multiple coronaviruses in mice

Identifieur interne : 000A00 ( Main/Exploration ); précédent : 000999; suivant : 000A01

An orally bioavailable broad-spectrum antiviral inhibits SARS-CoV-2 in human airway epithelial cell cultures and multiple coronaviruses in mice

Auteurs : Timothy P. Sheahan [États-Unis] ; Amy C. Sims [États-Unis] ; Shuntai Zhou [États-Unis] ; Rachel L. Graham [États-Unis] ; Andrea J. Pruijssers [États-Unis] ; Maria L. Agostini [États-Unis] ; Sarah R. Leist [États-Unis] ; Alexandra Sch Fer [États-Unis] ; Kenneth H. Dinnon [États-Unis] ; Laura J. Stevens [États-Unis] ; James D. Chappell [États-Unis] ; Xiaotao Lu [États-Unis] ; Tia M. Hughes [États-Unis] ; Amelia S. George [États-Unis] ; Collin S. Hill [États-Unis] ; Stephanie A. Montgomery [États-Unis] ; Ariane J. Brown [États-Unis] ; Gregory R. Bluemling [États-Unis] ; Michael G. Natchus [États-Unis] ; Manohar Saindane [États-Unis] ; Alexander A. Kolykhalov [États-Unis] ; George Painter [États-Unis] ; Jennifer Harcourt ; Azaibi Tamin ; Natalie J. Thornburg ; Ronald Swanstrom [États-Unis] ; Mark R. Denison [États-Unis] ; Ralph S. Baric [États-Unis]

Source :

RBID : PMC:7164393

Abstract

Coronaviruses (CoVs) traffic frequently between species resulting in novel disease outbreaks, most recently exemplified by the newly emerged SARS-CoV-2, the causative agent of COVID-19. Herein, we show that the ribonucleoside analog β-D-N4-hydroxycytidine (NHC, EIDD-1931) has broad spectrum antiviral activity against SARS-CoV-2, MERS-CoV, SARS-CoV, and related zoonotic group 2b or 2c Bat-CoVs, as well as increased potency against a coronavirus bearing resistance mutations to the nucleoside analog inhibitor remdesivir. In mice infected with SARS-CoV or MERS-CoV, both prophylactic and therapeutic administration of EIDD-2801, an orally bioavailable NHC-prodrug (β-D-N4-hydroxycytidine-5′-isopropyl ester), improved pulmonary function, and reduced virus titer and body weight loss. Decreased MERS-CoV yields in vitro and in vivo were associated with increased transition mutation frequency in viral but not host cell RNA, supporting a mechanism of lethal mutagenesis in CoV. The potency of NHC/EIDD-2801 against multiple coronaviruses and oral bioavailability highlight its potential utility as an effective antiviral against SARS-CoV-2 and other future zoonotic coronaviruses.


Url:
DOI: 10.1126/scitranslmed.abb5883
PubMed: 32253226
PubMed Central: 7164393


Affiliations:


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Le document en format XML

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<name sortKey="George, Amelia S" sort="George, Amelia S" uniqKey="George A" first="Amelia S." last="George">Amelia S. George</name>
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<name sortKey="Hill, Collin S" sort="Hill, Collin S" uniqKey="Hill C" first="Collin S." last="Hill">Collin S. Hill</name>
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<name sortKey="Brown, Ariane J" sort="Brown, Ariane J" uniqKey="Brown A" first="Ariane J." last="Brown">Ariane J. Brown</name>
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<name sortKey="Natchus, Michael G" sort="Natchus, Michael G" uniqKey="Natchus M" first="Michael G." last="Natchus">Michael G. Natchus</name>
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<name sortKey="Saindane, Manohar" sort="Saindane, Manohar" uniqKey="Saindane M" first="Manohar" last="Saindane">Manohar Saindane</name>
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<name sortKey="Kolykhalov, Alexander A" sort="Kolykhalov, Alexander A" uniqKey="Kolykhalov A" first="Alexander A." last="Kolykhalov">Alexander A. Kolykhalov</name>
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<name sortKey="Painter, George" sort="Painter, George" uniqKey="Painter G" first="George" last="Painter">George Painter</name>
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<nlm:aff id="aff8">Department of Pharmacology and Chemical Biology, Emory University, Atlanta, GA, 30322, USA.</nlm:aff>
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<wicri:regionArea>Department of Pharmacology and Chemical Biology, Emory University, Atlanta, GA, 30322</wicri:regionArea>
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<name sortKey="Harcourt, Jennifer" sort="Harcourt, Jennifer" uniqKey="Harcourt J" first="Jennifer" last="Harcourt">Jennifer Harcourt</name>
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<name sortKey="Tamin, Azaibi" sort="Tamin, Azaibi" uniqKey="Tamin A" first="Azaibi" last="Tamin">Azaibi Tamin</name>
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<name sortKey="Thornburg, Natalie J" sort="Thornburg, Natalie J" uniqKey="Thornburg N" first="Natalie J." last="Thornburg">Natalie J. Thornburg</name>
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<name sortKey="Swanstrom, Ronald" sort="Swanstrom, Ronald" uniqKey="Swanstrom R" first="Ronald" last="Swanstrom">Ronald Swanstrom</name>
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<nlm:aff id="aff10">Department of Biochemistry and Biophysics, University of North Carolina at Chapel Hill, Chapel Hill, NC</nlm:aff>
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<name sortKey="Baric, Ralph S" sort="Baric, Ralph S" uniqKey="Baric R" first="Ralph S." last="Baric">Ralph S. Baric</name>
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<nlm:aff id="aff1">Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">États-Unis</country>
<wicri:regionArea>Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599</wicri:regionArea>
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<nlm:aff id="aff4">Department of Microbiology and Immunology, University of North Carolina at Chapel Hill, Chapel Hill, NC</nlm:aff>
<country xml:lang="fr">États-Unis</country>
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<region type="state">Caroline du Nord</region>
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<title xml:lang="en" level="a" type="main">An orally bioavailable broad-spectrum antiviral inhibits SARS-CoV-2 in human airway epithelial cell cultures and multiple coronaviruses in mice</title>
<author>
<name sortKey="Sheahan, Timothy P" sort="Sheahan, Timothy P" uniqKey="Sheahan T" first="Timothy P." last="Sheahan">Timothy P. Sheahan</name>
<affiliation wicri:level="4">
<nlm:aff id="aff1">Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">États-Unis</country>
<wicri:regionArea>Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599</wicri:regionArea>
<orgName type="university">Université de Caroline du Nord à Chapel Hill</orgName>
<placeName>
<settlement type="city">Chapel Hill (Caroline du Nord)</settlement>
<region type="state">Caroline du Nord</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Sims, Amy C" sort="Sims, Amy C" uniqKey="Sims A" first="Amy C." last="Sims">Amy C. Sims</name>
<affiliation wicri:level="4">
<nlm:aff id="aff1">Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">États-Unis</country>
<wicri:regionArea>Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599</wicri:regionArea>
<orgName type="university">Université de Caroline du Nord à Chapel Hill</orgName>
<placeName>
<settlement type="city">Chapel Hill (Caroline du Nord)</settlement>
<region type="state">Caroline du Nord</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Zhou, Shuntai" sort="Zhou, Shuntai" uniqKey="Zhou S" first="Shuntai" last="Zhou">Shuntai Zhou</name>
<affiliation wicri:level="4">
<nlm:aff id="aff2">Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">États-Unis</country>
<wicri:regionArea>Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599</wicri:regionArea>
<orgName type="university">Université de Caroline du Nord à Chapel Hill</orgName>
<placeName>
<settlement type="city">Chapel Hill (Caroline du Nord)</settlement>
<region type="state">Caroline du Nord</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Graham, Rachel L" sort="Graham, Rachel L" uniqKey="Graham R" first="Rachel L." last="Graham">Rachel L. Graham</name>
<affiliation wicri:level="4">
<nlm:aff id="aff1">Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">États-Unis</country>
<wicri:regionArea>Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599</wicri:regionArea>
<orgName type="university">Université de Caroline du Nord à Chapel Hill</orgName>
<placeName>
<settlement type="city">Chapel Hill (Caroline du Nord)</settlement>
<region type="state">Caroline du Nord</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Pruijssers, Andrea J" sort="Pruijssers, Andrea J" uniqKey="Pruijssers A" first="Andrea J." last="Pruijssers">Andrea J. Pruijssers</name>
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<nlm:aff id="aff3">Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, TN, 37232,USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, TN, 37232</wicri:regionArea>
<wicri:noRegion>37232</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Agostini, Maria L" sort="Agostini, Maria L" uniqKey="Agostini M" first="Maria L." last="Agostini">Maria L. Agostini</name>
<affiliation wicri:level="1">
<nlm:aff id="aff3">Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, TN, 37232,USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, TN, 37232</wicri:regionArea>
<wicri:noRegion>37232</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Leist, Sarah R" sort="Leist, Sarah R" uniqKey="Leist S" first="Sarah R." last="Leist">Sarah R. Leist</name>
<affiliation wicri:level="4">
<nlm:aff id="aff1">Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">États-Unis</country>
<wicri:regionArea>Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599</wicri:regionArea>
<orgName type="university">Université de Caroline du Nord à Chapel Hill</orgName>
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<settlement type="city">Chapel Hill (Caroline du Nord)</settlement>
<region type="state">Caroline du Nord</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Sch Fer, Alexandra" sort="Sch Fer, Alexandra" uniqKey="Sch Fer A" first="Alexandra" last="Sch Fer">Alexandra Sch Fer</name>
<affiliation wicri:level="4">
<nlm:aff id="aff1">Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">États-Unis</country>
<wicri:regionArea>Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599</wicri:regionArea>
<orgName type="university">Université de Caroline du Nord à Chapel Hill</orgName>
<placeName>
<settlement type="city">Chapel Hill (Caroline du Nord)</settlement>
<region type="state">Caroline du Nord</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Dinnon, Kenneth H" sort="Dinnon, Kenneth H" uniqKey="Dinnon K" first="Kenneth H." last="Dinnon">Kenneth H. Dinnon</name>
<affiliation wicri:level="4">
<nlm:aff id="aff1">Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">États-Unis</country>
<wicri:regionArea>Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599</wicri:regionArea>
<orgName type="university">Université de Caroline du Nord à Chapel Hill</orgName>
<placeName>
<settlement type="city">Chapel Hill (Caroline du Nord)</settlement>
<region type="state">Caroline du Nord</region>
</placeName>
</affiliation>
<affiliation wicri:level="2">
<nlm:aff id="aff4">Department of Microbiology and Immunology, University of North Carolina at Chapel Hill, Chapel Hill, NC</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Caroline du Nord</region>
</placeName>
<wicri:cityArea>Department of Microbiology and Immunology, University of North Carolina at Chapel Hill, Chapel Hill</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Stevens, Laura J" sort="Stevens, Laura J" uniqKey="Stevens L" first="Laura J." last="Stevens">Laura J. Stevens</name>
<affiliation wicri:level="1">
<nlm:aff id="aff3">Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, TN, 37232,USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, TN, 37232</wicri:regionArea>
<wicri:noRegion>37232</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Chappell, James D" sort="Chappell, James D" uniqKey="Chappell J" first="James D." last="Chappell">James D. Chappell</name>
<affiliation wicri:level="1">
<nlm:aff id="aff3">Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, TN, 37232,USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, TN, 37232</wicri:regionArea>
<wicri:noRegion>37232</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Lu, Xiaotao" sort="Lu, Xiaotao" uniqKey="Lu X" first="Xiaotao" last="Lu">Xiaotao Lu</name>
<affiliation wicri:level="1">
<nlm:aff id="aff3">Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, TN, 37232,USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, TN, 37232</wicri:regionArea>
<wicri:noRegion>37232</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Hughes, Tia M" sort="Hughes, Tia M" uniqKey="Hughes T" first="Tia M." last="Hughes">Tia M. Hughes</name>
<affiliation wicri:level="1">
<nlm:aff id="aff3">Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, TN, 37232,USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, TN, 37232</wicri:regionArea>
<wicri:noRegion>37232</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="George, Amelia S" sort="George, Amelia S" uniqKey="George A" first="Amelia S." last="George">Amelia S. George</name>
<affiliation wicri:level="1">
<nlm:aff id="aff3">Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, TN, 37232,USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, TN, 37232</wicri:regionArea>
<wicri:noRegion>37232</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Hill, Collin S" sort="Hill, Collin S" uniqKey="Hill C" first="Collin S." last="Hill">Collin S. Hill</name>
<affiliation wicri:level="4">
<nlm:aff id="aff2">Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">États-Unis</country>
<wicri:regionArea>Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599</wicri:regionArea>
<orgName type="university">Université de Caroline du Nord à Chapel Hill</orgName>
<placeName>
<settlement type="city">Chapel Hill (Caroline du Nord)</settlement>
<region type="state">Caroline du Nord</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Montgomery, Stephanie A" sort="Montgomery, Stephanie A" uniqKey="Montgomery S" first="Stephanie A." last="Montgomery">Stephanie A. Montgomery</name>
<affiliation wicri:level="1">
<nlm:aff id="aff5">Department of Pathology & Laboratory Medicine, University of North Carolina, Chapel Hill, NC, 27599, USA.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">États-Unis</country>
<wicri:regionArea>Department of Pathology & Laboratory Medicine, University of North Carolina, Chapel Hill, NC, 27599</wicri:regionArea>
<wicri:noRegion>27599</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Brown, Ariane J" sort="Brown, Ariane J" uniqKey="Brown A" first="Ariane J." last="Brown">Ariane J. Brown</name>
<affiliation wicri:level="4">
<nlm:aff id="aff1">Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">États-Unis</country>
<wicri:regionArea>Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599</wicri:regionArea>
<orgName type="university">Université de Caroline du Nord à Chapel Hill</orgName>
<placeName>
<settlement type="city">Chapel Hill (Caroline du Nord)</settlement>
<region type="state">Caroline du Nord</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Bluemling, Gregory R" sort="Bluemling, Gregory R" uniqKey="Bluemling G" first="Gregory R." last="Bluemling">Gregory R. Bluemling</name>
<affiliation wicri:level="1">
<nlm:aff id="aff6">Emory Institute of Drug Development (EIDD), Emory University, Atlanta, GA, 30322, USA.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">États-Unis</country>
<wicri:regionArea>Emory Institute of Drug Development (EIDD), Emory University, Atlanta, GA, 30322</wicri:regionArea>
<wicri:noRegion>30322</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="aff7">Drug Innovation Ventures at Emory (DRIVE), Atlanta, GA, 30322, USA.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">États-Unis</country>
<wicri:regionArea>Drug Innovation Ventures at Emory (DRIVE), Atlanta, GA, 30322</wicri:regionArea>
<wicri:noRegion>30322</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Natchus, Michael G" sort="Natchus, Michael G" uniqKey="Natchus M" first="Michael G." last="Natchus">Michael G. Natchus</name>
<affiliation wicri:level="1">
<nlm:aff id="aff6">Emory Institute of Drug Development (EIDD), Emory University, Atlanta, GA, 30322, USA.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">États-Unis</country>
<wicri:regionArea>Emory Institute of Drug Development (EIDD), Emory University, Atlanta, GA, 30322</wicri:regionArea>
<wicri:noRegion>30322</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Saindane, Manohar" sort="Saindane, Manohar" uniqKey="Saindane M" first="Manohar" last="Saindane">Manohar Saindane</name>
<affiliation wicri:level="1">
<nlm:aff id="aff6">Emory Institute of Drug Development (EIDD), Emory University, Atlanta, GA, 30322, USA.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">États-Unis</country>
<wicri:regionArea>Emory Institute of Drug Development (EIDD), Emory University, Atlanta, GA, 30322</wicri:regionArea>
<wicri:noRegion>30322</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Kolykhalov, Alexander A" sort="Kolykhalov, Alexander A" uniqKey="Kolykhalov A" first="Alexander A." last="Kolykhalov">Alexander A. Kolykhalov</name>
<affiliation wicri:level="1">
<nlm:aff id="aff6">Emory Institute of Drug Development (EIDD), Emory University, Atlanta, GA, 30322, USA.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">États-Unis</country>
<wicri:regionArea>Emory Institute of Drug Development (EIDD), Emory University, Atlanta, GA, 30322</wicri:regionArea>
<wicri:noRegion>30322</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="aff7">Drug Innovation Ventures at Emory (DRIVE), Atlanta, GA, 30322, USA.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">États-Unis</country>
<wicri:regionArea>Drug Innovation Ventures at Emory (DRIVE), Atlanta, GA, 30322</wicri:regionArea>
<wicri:noRegion>30322</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Painter, George" sort="Painter, George" uniqKey="Painter G" first="George" last="Painter">George Painter</name>
<affiliation wicri:level="1">
<nlm:aff id="aff6">Emory Institute of Drug Development (EIDD), Emory University, Atlanta, GA, 30322, USA.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">États-Unis</country>
<wicri:regionArea>Emory Institute of Drug Development (EIDD), Emory University, Atlanta, GA, 30322</wicri:regionArea>
<wicri:noRegion>30322</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="aff7">Drug Innovation Ventures at Emory (DRIVE), Atlanta, GA, 30322, USA.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">États-Unis</country>
<wicri:regionArea>Drug Innovation Ventures at Emory (DRIVE), Atlanta, GA, 30322</wicri:regionArea>
<wicri:noRegion>30322</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<nlm:aff id="aff8">Department of Pharmacology and Chemical Biology, Emory University, Atlanta, GA, 30322, USA.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">États-Unis</country>
<wicri:regionArea>Department of Pharmacology and Chemical Biology, Emory University, Atlanta, GA, 30322</wicri:regionArea>
<wicri:noRegion>30322</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Harcourt, Jennifer" sort="Harcourt, Jennifer" uniqKey="Harcourt J" first="Jennifer" last="Harcourt">Jennifer Harcourt</name>
<affiliation>
<nlm:aff id="aff9">Centers for Disease Control and Prevention, Division of Viral Diseases Atlanta GA</nlm:aff>
<wicri:noCountry code="subfield">Division of Viral Diseases Atlanta GA</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Tamin, Azaibi" sort="Tamin, Azaibi" uniqKey="Tamin A" first="Azaibi" last="Tamin">Azaibi Tamin</name>
<affiliation>
<nlm:aff id="aff9">Centers for Disease Control and Prevention, Division of Viral Diseases Atlanta GA</nlm:aff>
<wicri:noCountry code="subfield">Division of Viral Diseases Atlanta GA</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Thornburg, Natalie J" sort="Thornburg, Natalie J" uniqKey="Thornburg N" first="Natalie J." last="Thornburg">Natalie J. Thornburg</name>
<affiliation>
<nlm:aff id="aff9">Centers for Disease Control and Prevention, Division of Viral Diseases Atlanta GA</nlm:aff>
<wicri:noCountry code="subfield">Division of Viral Diseases Atlanta GA</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Swanstrom, Ronald" sort="Swanstrom, Ronald" uniqKey="Swanstrom R" first="Ronald" last="Swanstrom">Ronald Swanstrom</name>
<affiliation wicri:level="4">
<nlm:aff id="aff2">Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">États-Unis</country>
<wicri:regionArea>Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599</wicri:regionArea>
<orgName type="university">Université de Caroline du Nord à Chapel Hill</orgName>
<placeName>
<settlement type="city">Chapel Hill (Caroline du Nord)</settlement>
<region type="state">Caroline du Nord</region>
</placeName>
</affiliation>
<affiliation wicri:level="2">
<nlm:aff id="aff10">Department of Biochemistry and Biophysics, University of North Carolina at Chapel Hill, Chapel Hill, NC</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Caroline du Nord</region>
</placeName>
<wicri:cityArea>Department of Biochemistry and Biophysics, University of North Carolina at Chapel Hill, Chapel Hill</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Denison, Mark R" sort="Denison, Mark R" uniqKey="Denison M" first="Mark R." last="Denison">Mark R. Denison</name>
<affiliation wicri:level="1">
<nlm:aff id="aff3">Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, TN, 37232,USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, TN, 37232</wicri:regionArea>
<wicri:noRegion>37232</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Baric, Ralph S" sort="Baric, Ralph S" uniqKey="Baric R" first="Ralph S." last="Baric">Ralph S. Baric</name>
<affiliation wicri:level="4">
<nlm:aff id="aff1">Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">États-Unis</country>
<wicri:regionArea>Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599</wicri:regionArea>
<orgName type="university">Université de Caroline du Nord à Chapel Hill</orgName>
<placeName>
<settlement type="city">Chapel Hill (Caroline du Nord)</settlement>
<region type="state">Caroline du Nord</region>
</placeName>
</affiliation>
<affiliation wicri:level="2">
<nlm:aff id="aff4">Department of Microbiology and Immunology, University of North Carolina at Chapel Hill, Chapel Hill, NC</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Caroline du Nord</region>
</placeName>
<wicri:cityArea>Department of Microbiology and Immunology, University of North Carolina at Chapel Hill, Chapel Hill</wicri:cityArea>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Science Translational Medicine</title>
<idno type="ISSN">1946-6234</idno>
<idno type="eISSN">1946-6242</idno>
<imprint>
<date when="2020">2020</date>
</imprint>
</series>
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<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>Coronaviruses (CoVs) traffic frequently between species resulting in novel disease outbreaks, most recently exemplified by the newly emerged SARS-CoV-2, the causative agent of COVID-19. Herein, we show that the ribonucleoside analog β-D-N
<sup>4</sup>
-hydroxycytidine (NHC, EIDD-1931) has broad spectrum antiviral activity against SARS-CoV-2, MERS-CoV, SARS-CoV, and related zoonotic group 2b or 2c Bat-CoVs, as well as increased potency against a coronavirus bearing resistance mutations to the nucleoside analog inhibitor remdesivir. In mice infected with SARS-CoV or MERS-CoV, both prophylactic and therapeutic administration of EIDD-2801, an orally bioavailable NHC-prodrug (β-D-N
<sup>4</sup>
-hydroxycytidine-5′-isopropyl ester), improved pulmonary function, and reduced virus titer and body weight loss. Decreased MERS-CoV yields in vitro and in vivo were associated with increased transition mutation frequency in viral but not host cell RNA, supporting a mechanism of lethal mutagenesis in CoV. The potency of NHC/EIDD-2801 against multiple coronaviruses and oral bioavailability highlight its potential utility as an effective antiviral against SARS-CoV-2 and other future zoonotic coronaviruses.</p>
</div>
</front>
<back>
<div1 type="bibliography">
<listBibl>
<biblStruct></biblStruct>
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<name sortKey="Hu, C" uniqKey="Hu C">C. Hu</name>
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<name sortKey="Pewe, L X0a L" uniqKey="Pewe L">L. L. Pewe</name>
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<name sortKey="Martz, E" uniqKey="Martz E">E. Martz</name>
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<name sortKey="Chay, O" uniqKey="Chay O">O. Chay</name>
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<name sortKey="Kolykhalov, Alexander A" sort="Kolykhalov, Alexander A" uniqKey="Kolykhalov A" first="Alexander A." last="Kolykhalov">Alexander A. Kolykhalov</name>
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<name sortKey="Leist, Sarah R" sort="Leist, Sarah R" uniqKey="Leist S" first="Sarah R." last="Leist">Sarah R. Leist</name>
<name sortKey="Lu, Xiaotao" sort="Lu, Xiaotao" uniqKey="Lu X" first="Xiaotao" last="Lu">Xiaotao Lu</name>
<name sortKey="Montgomery, Stephanie A" sort="Montgomery, Stephanie A" uniqKey="Montgomery S" first="Stephanie A." last="Montgomery">Stephanie A. Montgomery</name>
<name sortKey="Natchus, Michael G" sort="Natchus, Michael G" uniqKey="Natchus M" first="Michael G." last="Natchus">Michael G. Natchus</name>
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