PMID- 33546185 OWN - NLM STAT- MEDLINE DCOM- 20210217 LR - 20231110 IS - 1999-4915 (Electronic) IS - 1999-4915 (Linking) VI - 13 IP - 2 DP - 2021 Feb 3 TI - Thapsigargin Is a Broad-Spectrum Inhibitor of Major Human Respiratory Viruses: Coronavirus, Respiratory Syncytial Virus and Influenza A Virus. LID - 10.3390/v13020234 [doi] LID - 234 AB - The long-term control strategy of SARS-CoV-2 and other major respiratory viruses needs to include antivirals to treat acute infections, in addition to the judicious use of effective vaccines. Whilst COVID-19 vaccines are being rolled out for mass vaccination, the modest number of antivirals in use or development for any disease bears testament to the challenges of antiviral development. We recently showed that non-cytotoxic levels of thapsigargin (TG), an inhibitor of the sarcoplasmic/endoplasmic reticulum (ER) Ca(2+) ATPase pump, induces a potent host innate immune antiviral response that blocks influenza A virus replication. Here we show that TG is also highly effective in blocking the replication of respiratory syncytial virus (RSV), common cold coronavirus OC43, SARS-CoV-2 and influenza A virus in immortalized or primary human cells. TG's antiviral performance was significantly better than remdesivir and ribavirin in their respective inhibition of OC43 and RSV. Notably, TG was just as inhibitory to coronaviruses (OC43 and SARS-CoV-2) and influenza viruses (USSR H1N1 and pdm 2009 H1N1) in separate infections as in co-infections. Post-infection oral gavage of acid-stable TG protected mice against a lethal influenza virus challenge. Together with its ability to inhibit the different viruses before or during active infection, and with an antiviral duration of at least 48 h post-TG exposure, we propose that TG (or its derivatives) is a promising broad-spectrum inhibitor against SARS-CoV-2, OC43, RSV and influenza virus. FAU - Al-Beltagi, Sarah AU - Al-Beltagi S AUID- ORCID: 0000-0002-4034-2174 AD - School of Veterinary Medicine and Science, University of Nottingham, Sutton Bonington, Nottingham LE12 5RD, UK. FAU - Preda, Cristian Alexandru AU - Preda CA AUID- ORCID: 0000-0002-5906-8769 AD - School of Veterinary Medicine and Science, University of Nottingham, Sutton Bonington, Nottingham LE12 5RD, UK. FAU - Goulding, Leah V AU - Goulding LV AUID- ORCID: 0000-0002-6371-8840 AD - The Pirbright Institute, Ash Road, Pirbright, Woking GU24 0NF, UK. FAU - James, Joe AU - James J AUID- ORCID: 0000-0002-9673-3684 AD - Animal and Plant Health Agency (APHA), Weybridge, Woodham Lane, Addlestone KT15 3NB, UK. FAU - Pu, Juan AU - Pu J AD - Key Laboratory of Animal Epidemiology, Ministry of Agriculture, College of Veterinary Medicine, China Agricultural University, 2 Yuanmingyuan West Road, Beijing 100193, China. FAU - Skinner, Paul AU - Skinner P AUID- ORCID: 0000-0001-5505-3343 AD - Animal and Plant Health Agency (APHA), Weybridge, Woodham Lane, Addlestone KT15 3NB, UK. FAU - Jiang, Zhimin AU - Jiang Z AUID- ORCID: 0000-0002-9797-6493 AD - Key Laboratory of Animal Epidemiology, Ministry of Agriculture, College of Veterinary Medicine, China Agricultural University, 2 Yuanmingyuan West Road, Beijing 100193, China. FAU - Wang, Belinda Lei AU - Wang BL AD - School of Veterinary Medicine and Science, University of Nottingham, Sutton Bonington, Nottingham LE12 5RD, UK. FAU - Yang, Jiayun AU - Yang J AD - School of Veterinary Medicine and Science, University of Nottingham, Sutton Bonington, Nottingham LE12 5RD, UK. FAU - Banyard, Ashley C AU - Banyard AC AUID- ORCID: 0000-0002-1286-9825 AD - Animal and Plant Health Agency (APHA), Weybridge, Woodham Lane, Addlestone KT15 3NB, UK. FAU - Mellits, Kenneth H AU - Mellits KH AD - School of Biosciences, University of Nottingham, Sutton Bonington, Nottingham LE12 5RD, UK. FAU - Gershkovich, Pavel AU - Gershkovich P AD - School of Pharmacy, University of Nottingham, University Park, Nottingham NG7 2RD, UK. FAU - Hayes, Christopher J AU - Hayes CJ AUID- ORCID: 0000-0003-1692-3646 AD - School of Chemistry, University of Nottingham, University Park, Nottingham NG7 2RD, UK. FAU - Nguyen-Van-Tam, Jonathan AU - Nguyen-Van-Tam J AD - School of Medicine, University of Nottingham, University Park, Nottingham NG7 2RD, UK. FAU - Brown, Ian H AU - Brown IH AD - Animal and Plant Health Agency (APHA), Weybridge, Woodham Lane, Addlestone KT15 3NB, UK. FAU - Liu, Jinhua AU - Liu J AD - Key Laboratory of Animal Epidemiology, Ministry of Agriculture, College of Veterinary Medicine, China Agricultural University, 2 Yuanmingyuan West Road, Beijing 100193, China. FAU - Chang, Kin-Chow AU - Chang KC AUID- ORCID: 0000-0002-6602-7447 AD - School of Veterinary Medicine and Science, University of Nottingham, Sutton Bonington, Nottingham LE12 5RD, UK. LA - eng GR - MC_PC_18058/MRC_/Medical Research Council/United Kingdom GR - BB/M008770/1/BB_/Biotechnology and Biological Sciences Research Council/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210203 PL - Switzerland TA - Viruses JT - Viruses JID - 101509722 RN - 0 (Antiviral Agents) RN - 49717AWG6K (Ribavirin) RN - 67526-95-8 (Thapsigargin) SB - IM MH - Animals MH - Antiviral Agents/*pharmacology/therapeutic use MH - Betacoronavirus/*drug effects/physiology MH - Cell Line MH - Cell Line, Tumor MH - Cells, Cultured MH - Coronavirus OC43, Human/*drug effects/physiology MH - Endoplasmic Reticulum Stress MH - Humans MH - Influenza A Virus, H1N1 Subtype/*drug effects/physiology MH - Mice MH - Microbial Sensitivity Tests MH - Orthomyxoviridae Infections/drug therapy/virology MH - Respiratory Syncytial Virus, Human/*drug effects/physiology MH - Ribavirin/pharmacology MH - SARS-CoV-2/*drug effects/physiology MH - Thapsigargin/*pharmacology/therapeutic use MH - Virus Replication/drug effects PMC - PMC7913267 OTO - NOTNLM OT - SARS-CoV-2 OT - antiviral OT - broad-spectrum OT - coronavirus OC43 OT - influenza virus OT - inhibitor OT - innate immunity OT - mouse OT - oseltamivir OT - remdesivir OT - respiratory syncytial virus OT - ribavirin OT - thapsigargin COIS- J.N.-V.-T. is currently seconded to the Department of Health and Social Care, England (DHSC). The views expressed in this manuscript are those of the authors and not necessarily those of DHSC. The remaining authors declare no conflict of interest. EDAT- 2021/02/07 06:00 MHDA- 2021/02/18 06:00 PMCR- 2021/02/03 CRDT- 2021/02/06 01:02 PHST- 2021/01/14 00:00 [received] PHST- 2021/01/23 00:00 [revised] PHST- 2021/01/26 00:00 [accepted] PHST- 2021/02/06 01:02 [entrez] PHST- 2021/02/07 06:00 [pubmed] PHST- 2021/02/18 06:00 [medline] PHST- 2021/02/03 00:00 [pmc-release] AID - v13020234 [pii] AID - viruses-13-00234 [pii] AID - 10.3390/v13020234 [doi] PST - epublish SO - Viruses. 2021 Feb 3;13(2):234. doi: 10.3390/v13020234.