CFTR Inhibitors Display In Vitro Antiviral Activity against SARS-CoV-2

Cells. 2023 Feb 28;12(5):776. doi: 10.3390/cells12050776.

Abstract

Several reports have indicated that SARS-CoV-2 infection displays unexpected mild clinical manifestations in people with cystic fibrosis (pwCF), suggesting that CFTR expression and function may be involved in the SARS-CoV-2 life cycle. To evaluate the possible association of CFTR activity with SARS-CoV-2 replication, we tested the antiviral activity of two well-known CFTR inhibitors (IOWH-032 and PPQ-102) in wild type (WT)-CFTR bronchial cells. SARS-CoV-2 replication was inhibited by IOWH-032 treatment, with an IC50 of 4.52 μM, and by PPQ-102, with an IC50 of 15.92 μM. We confirmed this antiviral effect on primary cells (MucilAirTM wt-CFTR) using 10 μM IOWH-032. According to our results, CFTR inhibition can effectively tackle SARS-CoV-2 infection, suggesting that CFTR expression and function might play an important role in SARS-CoV-2 replication, revealing new perspectives on the mechanisms governing SARS-CoV-2 infection in both normal and CF individuals, as well as leading to potential novel treatments.

Keywords: CFTR; CFTR inhibitors; IOWH-032; PPQ-102; SARS-CoV-2; antiviral; cystic fibrosis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antiviral Agents
  • COVID-19*
  • Cystic Fibrosis Transmembrane Conductance Regulator / metabolism
  • Humans
  • SARS-CoV-2* / metabolism

Substances

  • Cystic Fibrosis Transmembrane Conductance Regulator
  • Antiviral Agents
  • IOWH-032
  • CFTR protein, human

Grants and funding

The present study was supported by Fondazione Cariverona, ENACT project VIRO-COVID and by Lega Italiana Fibrosi Cistica onlus.