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6 protocols using remdesivir

1

Synthesis and Characterization of Riboprine and Related Nucleosides

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Riboprine (N6-(2-Isopentenyl)adenosine, CAS Registry Number: 7724-76-7) was purchased from BenchChem (BENCH CHEMICAL, Austin, Texas, U.S.A.) (Catalog Number: B141774, Purity: ≥ 99%). While forodesine (Immucillin-H, CAS Registry Number: 209799-67-7), nelarabine (Arranon, CAS Registry Number: 121032-29-9), tecadenoson (CVT-510, CAS Registry Number: 204512-90-3), maribavir (1263W94, CAS Registry Number: 176161-24-3), vidarabine (Arabinosyladenine “Ara-A”, CAS Registry Number: 5536-17-4), remdesivir (GS-5734, CAS Registry Number: 1809249-37-3), and molnupiravir (EIDD-2801, CAS Registry Number: 2349386-89-4) were purchased from Biosynth Carbosynth (Carbosynth Ltd., Berkshire, U.K.) (for forodesine, Product Code: MD11591, Purity: ≥ 98%; for nelarabine, Product Code: NN26176, Purity: ≥ 98%; for tecadenoson, Product Code: EIA51290, Purity: ≥ 98%; for maribavir, Product Code: AM178224, Purity: ≥ 98%; for vidarabine, Product Code: NA06007, Purity: ≥ 98%; for remdesivir, Product Code: AG170167, Purity: ≥ 98%; for molnupiravir, Product Code: AE176721, Purity: ≥ 98%). The ultrapure solvent DMSO (CAS Registry Number: 67-68-5) was purchased from a local distributor, El-Gomhouria Company For Drugs (El-Gomhouria Co. For Trading Drugs, Chemicals & Medical Supplies, Mansoura Branch, Egypt) (Purity: ≥ 99.9% “anhydrous”).
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2

Synthesis and Characterization of Riboprine and Antiviral Analogues

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Riboprine (N6-(2-Isopentenyl)adenosine, CAS Registry Number: 7724–76–7) was purchased from BenchChem (BENCH CHEMICAL, Austin, Texas, U.S.A.) (Catalog Number: B141774, Purity: ≥ 99 %). While forodesine (Immucillin-H, CAS Registry Number: 209799–67–7), nelarabine (Arranon, CAS Registry Number: 121032–29–9), tecadenoson (CVT-510, CAS Registry Number: 204512–90–3), maribavir (1263W94, CAS Registry Number: 176161–24–3), vidarabine (Arabinosyladenine "Ara-A", CAS Registry Number: 5536–17–4), remdesivir (GS-5734, CAS Registry Number: 1809249–37–3), and molnupiravir (EIDD-2801, CAS Registry Number: 2349386–89–4) were purchased from Biosynth Carbosynth (Carbosynth Ltd., Berkshire, U.K.) (for forodesine, Product Code: MD11591, Purity: ≥ 98 %; for nelarabine, Product Code: NN26176, Purity: ≥ 98 %; for tecadenoson, Product Code: EIA51290, Purity: ≥ 98 %; for maribavir, Product Code: AM178224, Purity: ≥ 98 %; for vidarabine, Product Code: NA06007, Purity: ≥ 98 %; for remdesivir, Product Code: AG170167, Purity: ≥ 98 %; for molnupiravir, Product Code: AE176721, Purity: ≥ 98 %). The ultrapure solvent dimethylsulfoxide (DMSO, CAS Registry Number: 67–68–5) was purchased from a local distributor, El-Gomhouria Company For Drugs (El-Gomhouria Co. For Trading Drugs, Chemicals & Medical Supplies, Mansoura Branch, Egypt) (Purity: ≥ 99.9 % "anhydrous").
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3

Antiviral Drug Treatment Evaluation in Cardiac Myocytes

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Cultures were treated with or without 5 μM chloroquine (Sigma; #C6628) (21 (link)), 5 μM hydroxychloroquine (Sigma; # H0915), 5 μM remdesivir (Biosynth Carbosynth; AG170167), 25 μM lopinavir/ritonavir (Sigma; #SML1222-10MG, #SML0491-10MG), and lopinavir/ritonavir/8 U interferon-β (Sigma; #IF014) for 24 h. After treatment, cells were analyzed as described below. Drug concentrations chosen are based on literature data and are below the 50% cytotoxic concentrations (22 (link), 23 (link)). Incubation of cardiac myocytes with drugs for 24 h under normal culture conditions did not result in cytotoxicity.
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4

Antiviral Compounds Screening Protocol

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Remdesivir and Favipiravir were purchased from Carbosynth. TH6744, TH3289 and TH5487 were in-house produced and recently described [28 (link), 29 (link)]. Compounds Camostat (SML0057), E-64d (E8640), Cathepsin L inhibitor (SCP0110) and Bafilomycin A (B1793) were purchased from Sigma-Aldrich. Three phenotypic reference chemicals that are known to produce morphological phenotypes in a variety of cell lines using the Cell Painting assay were included: Etoposide (E1383), Fenbendazole (F5396) and Metoclopramide (M0763) [24 (link), 25 (link)]. DMSO (D2438) was used as compound vehicle (all purchased from Sigma Aldrich).
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5

SARS-CoV-2 Cell-Based Antiviral Assay

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We purchased HCoV-229E and human embryonic lung (HEL) fibroblast cells from ATCC (VR-740 and CCL-137). To conduct the cytopathic effect (CPE) reduction assay [57 (link)], confluent HEL cell cultures in 96-well plates were exposed to serial compound dilutions and immediately infected with HCoV-229E (MOI: 100 CCID50 per well). At the same time, we added the compounds to mock-infected plates to measure cytotoxicity. After five days of incubation at 35 °C, the plates were submitted to microscopic scoring of CPE (virus-infected plates) and compound cytotoxicity (mock-infected plates). To quantify the results by MTS cell viability assay, the medium was replaced by CellTiter 96® AQueous MTS Reagent (from Promega) and, on the next day, optical density at 490 nm was measured in a plate reader. The 50% effective concentration (EC50), based on microscopy or MTS assay, and the 50% cytotoxic concentration (CC50) by MTS assay were calculated using reported formulas [58 (link)]. The cytotoxicity estimated by microscopy was expressed as the minimal cytotoxic concentration (MCC) causing visible alterations in cell morphology. We included two reference compounds: GS-441524 (the nucleoside form of remdesivir; from Carbosynth) and K22 [(Z)-N-[3-[4-(4-bromophenyl)-4-hydroxypiperidin-1-yl]-3-oxo-1-phenylprop-1-en-2-yl]benzamide [36 (link)]; from ChemDiv].
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6

Antiviral Assay for HCoV-229E

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HCoV-229E was purchased from ATCC (VR-740) and expanded in human embryonic lung fibroblast cells (HEL; ATCC ® CCL-137). The titers of virus stocks were determined in HEL cells and expressed as TCID 50 (50% tissue culture infective dose). 54 The cytopathic effect (CPE) reduction assay was performed in 96-well plates containing confluent HEL cell cultures, as previously described. 55 Serial compound dilutions were added together with HCoV-229E at an MOI of 100. In parallel, the compounds were added to a mock-infected plate to assess cytotoxicity. Besides the test compounds, two references were included, i.e. K22 [(Z)-N-[3-[4-(4-bromophenyl)-4-hydroxypiperidin-1-yl]-3-oxo-1-phenylprop-1-en-2-yl]benzamide; 47 from ChemDiv] and GS-441524 (the nucleoside form of remdesivir; from Carbosynth). After five days incubation at 35°C, microscopy was performed to score virus-induced CPE. To next perform the colorimetric MTS cell viability assay, the reagent (CellTiter 96 ® AQ ueous MTS Reagent from Promega) was added to the wells, and 24 h later, absorbance at 490 nm was measured in a plate reader. Antiviral activity was calculated from three independent experiments and expressed as EC 50 or concentration showing 50% efficacy in the MTS or microscopic assay (see reference 56 for calculation details). Cytotoxicity was expressed as 50% cytotoxic concentration (CC 50 ) in the MTS assay.
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