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Azithromycin and ciprofloxacin have a chloroquine-like effect on respiratory epithelial cells

Jens F. Poschet, Elizabeth A. Perkett, Graham S. Timmins, View ORCID ProfileVojo Deretic
doi: https://doi.org/10.1101/2020.03.29.008631
Jens F. Poschet
1Department of Molecular Genetics and Microbiology, University of New Mexico Health Science Center
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Elizabeth A. Perkett
2Department of Pediatrics, University of New Mexico Health Science Center
3Department of Internal Medicine, University of New Mexico Health Science Center
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Graham S. Timmins
4Department of Pharmaceutical Sciences, University of New Mexico Health Science Center
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  • For correspondence: vderetic@salud.unm.edu gtimmins@salud.unm.edu
Vojo Deretic
1Department of Molecular Genetics and Microbiology, University of New Mexico Health Science Center
5Department of Autophagy, Inflammation and Metabolism Center of Biomedical Research Excellence, University of New Mexico Health Science Center
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  • ORCID record for Vojo Deretic
  • For correspondence: vderetic@salud.unm.edu gtimmins@salud.unm.edu
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Abstract

There is interest in the use of chloroquine/hydroxychloroquine (CQ/HCQ) and azithromycin (AZT) in COVID-19 therapy. Employing cystic fibrosis respiratory epithelial cells, here we show that drugs AZT and ciprofloxacin (CPX) act as acidotropic lipophilic weak bases and confer in vitro effects on intracellular organelles similar to the effects of CQ. These seemingly disparate FDA-approved antimicrobials display a common property of modulating pH of endosomes and trans-Golgi network. We believe this may in part help understand the potentially beneficial effects of CQ/HCQ and AZT in COVID-19, and that the present considerations of HCQ and AZT for clinical trials should be extended to CPX.

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The copyright holder for this preprint is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under a CC-BY-NC 4.0 International license.
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Posted March 31, 2020.
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Azithromycin and ciprofloxacin have a chloroquine-like effect on respiratory epithelial cells
Jens F. Poschet, Elizabeth A. Perkett, Graham S. Timmins, Vojo Deretic
bioRxiv 2020.03.29.008631; doi: https://doi.org/10.1101/2020.03.29.008631
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Azithromycin and ciprofloxacin have a chloroquine-like effect on respiratory epithelial cells
Jens F. Poschet, Elizabeth A. Perkett, Graham S. Timmins, Vojo Deretic
bioRxiv 2020.03.29.008631; doi: https://doi.org/10.1101/2020.03.29.008631

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