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Is the anti-psychotic, 10-(3-(dimethylamino)propyl)phenothiazine (promazine), a potential drug with which to treat SARS infections?

Identifieur interne : 000D97 ( Pmc/Curation ); précédent : 000D96; suivant : 000D98

Is the anti-psychotic, 10-(3-(dimethylamino)propyl)phenothiazine (promazine), a potential drug with which to treat SARS infections?

Auteurs : Dale L. Barnard [États-Unis] ; Craig W. Day [États-Unis] ; Kevin Bailey [États-Unis] ; Matthew Heiner [États-Unis] ; Robert Montgomery [États-Unis] ; Larry Lauridsen [États-Unis] ; Kie-Hoon Jung [États-Unis] ; Joseph K.-K. Li [États-Unis] ; Paul K. S. Chan [République populaire de Chine] ; Robert W. Sidwell [États-Unis]

Source :

RBID : PMC:2582943

Abstract

Phenothiazine and derivatives were tested for inhibition of SARS-CoV replication. Phenothiazine slightly inhibited SARS-CoV replication in a neutral red (NR) uptake assay. Adding a propylamino group to give promazine reduced virus yields (VYR assay) with an EC90 = 8.3 ± 2.8 μM, but without selectivity. Various substitutions in the basic phenothiazine structure did not promote efficacy. Phenazine ethosulfate was the most potent compound by VYR assay (EC90 = 6.1 ± 4.3 μM). All compounds were toxic (IC50 = 6.6–74.5 μM) except for phenoxathiin (IC50 = 858 ± 208 μM) and 10-(alpha-diethylamino-propionyl) phenothiazine·HCl (IC50 = 195 ± 71.2 μM). Consequently, none were selective inhibitors of SARS-CoV replication (SI values <1–3.3 μM). These data portended the poor efficacy of promazine in a SARS-CoV mouse lung replication model. Intraperitoneal treatment with promazine using a prophylactic (−4 h)/therapeutic regimen of 1, 10, or 50 mg/(kg day) did not reduce virus lung titers at day 3, yet prolonged virus replication to 14 days. Similar therapeutic promazine doses were not efficacious. Thus, promazine did not affect SARS-CoV replication in vitro or in vivo, nor were any other phenothiazines efficacious in reducing virus replication. Therefore, treating SARS infections with compounds like promazine is not warranted.


Url:
DOI: 10.1016/j.antiviral.2007.12.005
PubMed: 18423639
PubMed Central: 2582943

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PMC:2582943

Le document en format XML

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<p>Phenothiazine and derivatives were tested for inhibition of SARS-CoV replication. Phenothiazine slightly inhibited SARS-CoV replication in a neutral red (NR) uptake assay. Adding a propylamino group to give promazine reduced virus yields (VYR assay) with an EC
<sub>90</sub>
 = 8.3 ± 2.8 μM, but without selectivity. Various substitutions in the basic phenothiazine structure did not promote efficacy. Phenazine ethosulfate was the most potent compound by VYR assay (EC
<sub>90</sub>
 = 6.1 ± 4.3 μM). All compounds were toxic (IC
<sub>50</sub>
 = 6.6–74.5 μM) except for phenoxathiin (IC
<sub>50</sub>
 = 858 ± 208 μM) and 10-(alpha-diethylamino-propionyl) phenothiazine·HCl (IC
<sub>50</sub>
 = 195 ± 71.2 μM). Consequently, none were selective inhibitors of SARS-CoV replication (SI values <1–3.3 μM). These data portended the poor efficacy of promazine in a SARS-CoV mouse lung replication model. Intraperitoneal treatment with promazine using a prophylactic (−4 h)/therapeutic regimen of 1, 10, or 50 mg/(kg day) did not reduce virus lung titers at day 3, yet prolonged virus replication to 14 days. Similar therapeutic promazine doses were not efficacious. Thus, promazine did not affect SARS-CoV replication in vitro or in vivo, nor were any other phenothiazines efficacious in reducing virus replication. Therefore, treating SARS infections with compounds like promazine is not warranted.</p>
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<pmc article-type="research-article">
<pmc-dir>properties open_access</pmc-dir>
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<journal-id journal-id-type="nlm-ta">Antiviral Res</journal-id>
<journal-id journal-id-type="iso-abbrev">Antiviral Res</journal-id>
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<issn pub-type="ppub">0166-3542</issn>
<issn pub-type="epub">1872-9096</issn>
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<article-id pub-id-type="pmc">2582943</article-id>
<article-id pub-id-type="publisher-id">S0166-3542(07)00501-3</article-id>
<article-id pub-id-type="doi">10.1016/j.antiviral.2007.12.005</article-id>
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<contrib contrib-type="author">
<name>
<surname>Sidwell</surname>
<given-names>Robert W.</given-names>
</name>
<xref rid="aff1" ref-type="aff">a</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<label>a</label>
Institute for Antiviral Research, Utah State University, 5600 Old Main Hill, Logan, UT 84322-5600, USA</aff>
<aff id="aff2">
<label>b</label>
Department of Biology, Utah State University, 5305 Old Main Hill, Logan, UT 84322-5305, USA</aff>
<aff id="aff3">
<label>c</label>
Department of Microbiology, Centre for Emerging Infectious Diseases, The Chinese University of Hong Kong, 1/F Prince of Wales Hospital, Shatin, New Territories, Hong Kong, China</aff>
<author-notes>
<corresp id="cor1">
<label></label>
Corresponding author. Tel.: +1 435 779 2696; fax: +1 435 797 3959.
<email>dale.barnard@usu.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="pmc-release">
<day>11</day>
<month>1</month>
<year>2008</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub">
<month>8</month>
<year>2008</year>
</pub-date>
<pub-date pub-type="epub">
<day>11</day>
<month>1</month>
<year>2008</year>
</pub-date>
<volume>79</volume>
<issue>2</issue>
<fpage>105</fpage>
<lpage>113</lpage>
<history>
<date date-type="received">
<day>20</day>
<month>6</month>
<year>2006</year>
</date>
<date date-type="accepted">
<day>13</day>
<month>12</month>
<year>2007</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2008 Published by Elsevier B.V.</copyright-statement>
<copyright-year>2008</copyright-year>
<copyright-holder></copyright-holder>
<license>
<license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p>
</license>
</permissions>
<abstract>
<p>Phenothiazine and derivatives were tested for inhibition of SARS-CoV replication. Phenothiazine slightly inhibited SARS-CoV replication in a neutral red (NR) uptake assay. Adding a propylamino group to give promazine reduced virus yields (VYR assay) with an EC
<sub>90</sub>
 = 8.3 ± 2.8 μM, but without selectivity. Various substitutions in the basic phenothiazine structure did not promote efficacy. Phenazine ethosulfate was the most potent compound by VYR assay (EC
<sub>90</sub>
 = 6.1 ± 4.3 μM). All compounds were toxic (IC
<sub>50</sub>
 = 6.6–74.5 μM) except for phenoxathiin (IC
<sub>50</sub>
 = 858 ± 208 μM) and 10-(alpha-diethylamino-propionyl) phenothiazine·HCl (IC
<sub>50</sub>
 = 195 ± 71.2 μM). Consequently, none were selective inhibitors of SARS-CoV replication (SI values <1–3.3 μM). These data portended the poor efficacy of promazine in a SARS-CoV mouse lung replication model. Intraperitoneal treatment with promazine using a prophylactic (−4 h)/therapeutic regimen of 1, 10, or 50 mg/(kg day) did not reduce virus lung titers at day 3, yet prolonged virus replication to 14 days. Similar therapeutic promazine doses were not efficacious. Thus, promazine did not affect SARS-CoV replication in vitro or in vivo, nor were any other phenothiazines efficacious in reducing virus replication. Therefore, treating SARS infections with compounds like promazine is not warranted.</p>
</abstract>
<kwd-group>
<title>Keywords</title>
<kwd>Promazine</kwd>
<kwd>Anti-psychotic</kwd>
<kwd>SARS-CoV</kwd>
<kwd>Coronavirus</kwd>
<kwd>Mouse model</kwd>
<kwd>Phenothiazines</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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