PMID- 35745684 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 1424-8247 (Print) IS - 1424-8247 (Electronic) IS - 1424-8247 (Linking) VI - 15 IP - 6 DP - 2022 Jun 20 TI - Cardio- and Neurotoxicity of Selected Anti-COVID-19 Drugs. LID - 10.3390/ph15060765 [doi] LID - 765 AB - Since December 2019, the novel coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has infected ~435 million people and caused ~6 million related deaths as of March 2022. To combat COVID-19, there have been many attempts to repurpose FDA-approved drugs or revive old drugs. However, many of the current treatment options have been known to cause adverse drug reactions. We employed a population-based drug screening platform using 13 human leukocyte antigen (HLA) homozygous human induced pluripotent cell (iPSC) lines to assess the cardiotoxicity and neurotoxicity of the first line of anti-COVID-19 drugs. We also infected iPSC-derived cells to understand the viral infection of cardiomyocytes and neurons. We found that iPSC-derived cardiomyocytes express the ACE2 receptor which correlated with a higher infection of the SARS-CoV-2 virus (r = 0.86). However, we were unable to detect ACE2 expression in neurons which correlated with a low infection rate. We then assessed the toxicity of anti-COVID-19 drugs and identified two cardiotoxic compounds (remdesivir and arbidol) and four neurotoxic compounds (arbidol, remdesivir, hydroxychloroquine, and chloroquine). These data show that this platform can quickly and easily be employed to further our understanding of cell-specific infection and identify drug toxicity of potential treatment options helping clinicians better decide on treatment options. FAU - Nicholson, Martin W AU - Nicholson MW AD - Institute of Biomedical Sciences, Academia Sinica, Taipei 115, Taiwan. FAU - Huang, Ching-Ying AU - Huang CY AD - Institute of Biomedical Sciences, Academia Sinica, Taipei 115, Taiwan. FAU - Wang, Jyun-Yuan AU - Wang JY AD - Genomics Research Center, Academia Sinica, Taipei 115, Taiwan. FAU - Ting, Chien-Yu AU - Ting CY AUID- ORCID: 0000-0002-9168-5820 AD - Institute of Biomedical Sciences, Academia Sinica, Taipei 115, Taiwan. FAU - Cheng, Yu-Che AU - Cheng YC AD - Institute of Biomedical Sciences, Academia Sinica, Taipei 115, Taiwan. FAU - Chan, Darien Z H AU - Chan DZH AD - Institute of Biomedical Sciences, Academia Sinica, Taipei 115, Taiwan. FAU - Lee, Yi-Chan AU - Lee YC AUID- ORCID: 0000-0003-0276-4664 AD - Institute of Biomedical Sciences, Academia Sinica, Taipei 115, Taiwan. FAU - Hsu, Ching-Chuan AU - Hsu CC AD - Institute of Biomedical Sciences, Academia Sinica, Taipei 115, Taiwan. FAU - Hsu, Yu-Hung AU - Hsu YH AD - Institute of Biomedical Sciences, Academia Sinica, Taipei 115, Taiwan. FAU - Chang, Cindy M C AU - Chang CMC AD - Cardiovascular Physiology Core Facility, Department of Medicine, University of Wisconsin-Madison, Madison, WI 53705, USA. FAU - Hsieh, Marvin L AU - Hsieh ML AD - Institute of Biomedical Sciences, Academia Sinica, Taipei 115, Taiwan. AD - Cardiovascular Physiology Core Facility, Department of Medicine, University of Wisconsin-Madison, Madison, WI 53705, USA. FAU - Cheng, Yuan-Yuan AU - Cheng YY AD - Institute of Biomedical Sciences, Academia Sinica, Taipei 115, Taiwan. FAU - Lin, Yi-Ling AU - Lin YL AUID- ORCID: 0000-0002-1838-6410 AD - Institute of Biomedical Sciences, Academia Sinica, Taipei 115, Taiwan. FAU - Chen, Chien-Hsiun AU - Chen CH AD - Institute of Biomedical Sciences, Academia Sinica, Taipei 115, Taiwan. FAU - Wu, Ying-Ta AU - Wu YT AUID- ORCID: 0000-0003-0156-963X AD - Genomics Research Center, Academia Sinica, Taipei 115, Taiwan. FAU - Hacker, Timothy A AU - Hacker TA AD - Cardiovascular Physiology Core Facility, Department of Medicine, University of Wisconsin-Madison, Madison, WI 53705, USA. FAU - Wu, Joseph C AU - Wu JC AD - Stanford Cardiovascular Institute, Stanford University School of Medicine, Stanford, CA 94305, USA. FAU - Kamp, Timothy J AU - Kamp TJ AUID- ORCID: 0000-0003-2103-7876 AD - Department of Medicine and Stem Cell and Regenerative Medicine Center, University of Wisconsin-Madison, Madison, WI 53705, USA. FAU - Hsieh, Patrick C H AU - Hsieh PCH AUID- ORCID: 0000-0002-8910-3596 AD - Institute of Biomedical Sciences, Academia Sinica, Taipei 115, Taiwan. AD - Department of Medicine and Stem Cell and Regenerative Medicine Center, University of Wisconsin-Madison, Madison, WI 53705, USA. AD - Institute of Clinical Medicine, National Taiwan University, Taipei 106, Taiwan. LA - eng GR - 109-2321-B-001-012/Ministry of Science and Technology/ PT - Journal Article DEP - 20220620 PL - Switzerland TA - Pharmaceuticals (Basel) JT - Pharmaceuticals (Basel, Switzerland) JID - 101238453 PMC - PMC9231250 OTO - NOTNLM OT - COVID-19 OT - cardiomyocyte OT - drug screening OT - human leukocyte antigen OT - human-induced pluripotent stem cell OT - neuron OT - stem cell research OT - toxicity COIS- The authors declare no conflict of interest. EDAT- 2022/06/25 06:00 MHDA- 2022/06/25 06:01 PMCR- 2022/06/20 CRDT- 2022/06/24 01:37 PHST- 2022/05/30 00:00 [received] PHST- 2022/06/15 00:00 [revised] PHST- 2022/06/16 00:00 [accepted] PHST- 2022/06/24 01:37 [entrez] PHST- 2022/06/25 06:00 [pubmed] PHST- 2022/06/25 06:01 [medline] PHST- 2022/06/20 00:00 [pmc-release] AID - ph15060765 [pii] AID - pharmaceuticals-15-00765 [pii] AID - 10.3390/ph15060765 [doi] PST - epublish SO - Pharmaceuticals (Basel). 2022 Jun 20;15(6):765. doi: 10.3390/ph15060765.