Sitagliptin: a potential drug for the treatment of COVID-19?

Acta Pharm. 2021 Jun 1;71(2):175-184. doi: 10.2478/acph-2021-0013.

Abstract

Recently, an outbreak of a fatal coronavirus, SARS-CoV-2, has emerged from China and is rapidly spreading worldwide. Possible interaction of SARS-CoV-2 with DPP4 peptidase may partly contribute to the viral pathogenesis. An integrative bioinformatics approach starting with mining the biomedical literature for high confidence DPP4-protein/gene associations followed by functional analysis using network analysis and pathway enrichment was adopted. The results indicate that the identified DPP4 networks are highly enriched in viral processes required for viral entry and infection, and as a result, we propose DPP4 as an important putative target for the treatment of COVID-19. Additionally, our protein-chemical interaction networks identified important interactions between DPP4 and sitagliptin. We conclude that sitagliptin may be beneficial for the treatment of COVID-19 disease, either as monotherapy or in combination with other therapies, especially for diabetic patients and patients with pre-existing cardiovascular conditions who are already at higher risk of COVID-19 mortality.

Keywords: ACE2; COVID-19; CXCL10; DPP4; SARS-CoV-2; drug repurposing; sitagliptin.

MeSH terms

  • COVID-19
  • Cardiovascular Diseases / complications
  • Cardiovascular Diseases / drug therapy
  • Computational Biology
  • Coronavirus Infections / complications
  • Coronavirus Infections / drug therapy*
  • Crystallography, X-Ray
  • Data Mining
  • Diabetes Complications / drug therapy
  • Dipeptidyl Peptidase 4 / drug effects*
  • Dipeptidyl-Peptidase IV Inhibitors / pharmacology*
  • Dipeptidyl-Peptidase IV Inhibitors / therapeutic use*
  • Drug Delivery Systems
  • Drug Repositioning
  • Gene Regulatory Networks
  • Humans
  • Molecular Structure
  • Pandemics
  • Pneumonia, Viral / complications
  • Pneumonia, Viral / drug therapy*
  • Sitagliptin Phosphate / pharmacology*
  • Sitagliptin Phosphate / therapeutic use*

Substances

  • Dipeptidyl-Peptidase IV Inhibitors
  • Dipeptidyl Peptidase 4
  • Sitagliptin Phosphate