Synthesis, cytotoxicity, and pharmacokinetic evaluations of niclosamide analogs for anti-SARS-CoV-2

Eur J Med Chem. 2023 May 5:253:115320. doi: 10.1016/j.ejmech.2023.115320. Epub 2023 Apr 5.

Abstract

Niclosamide, an oral anthelmintic drug, could inhibit SARS-CoV-2 virus replication through autophagy induction, but high cytotoxicity and poor oral bioavailability limited its application. Twenty-three niclosamide analogs were designed and synthesized, of which compound 21 was found to exhibit the best anti-SARS-CoV-2 efficacy (EC50 = 1.00 μM for 24 h), lower cytotoxicity (CC50 = 4.73 μM for 48 h), better pharmacokinetic, and it was also well tolerated in the sub-acute toxicity study in mice. To further improve the pharmacokinetics of 21, three prodrugs have been synthesized. The pharmacokinetics of 24 indicates its potential for further research (AUClast was 3-fold of compound 21). Western blot assay indicated that compound 21 could down-regulate SKP2 expression and increase BECN1 levels in Vero-E6 cells, indicating the antiviral mechanism of 21 was related to modulating the autophagy processes in host cells.

Keywords: Cytotoxicity; Niclosamide analogs; Pharmacokinetic; SARS-CoV-2; SKP2 inhibition.

MeSH terms

  • Animals
  • Antiviral Agents / pharmacology
  • COVID-19*
  • Chlorocebus aethiops
  • Imidazoles
  • Mice
  • Niclosamide / pharmacology
  • SARS-CoV-2*
  • Vero Cells

Substances

  • Niclosamide
  • compound 21
  • Imidazoles
  • Antiviral Agents