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Bromodomain and extraterminal protein inhibitor, apabetalone (RVX-208), reduces ACE2 expression and attenuates SARS-CoV-2 infection in vitro

Dean Gilham, Audrey L Smith, Li Fu, Dalia Y Moore, Abenaya Muralidharan, St. Patrick M Reid, Stephanie C Stotz, Jan O Johansson, Michael Sweeney, Norman CW Wong, Ewelina Kulikowski, Dalia El-Gamal
doi: https://doi.org/10.1101/2021.03.10.432949
Dean Gilham
aResverlogix Corp., 300, 4820 Richard Road SW, Calgary, Alberta, Canada, T3E 6L1
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Audrey L Smith
bEppley Institute for Research in Cancer and Allied Diseases, University of Nebraska Medical Center, 986805 NE Med Center, BCC 4.12.396, Omaha, Nebraska, USA 68198
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Li Fu
aResverlogix Corp., 300, 4820 Richard Road SW, Calgary, Alberta, Canada, T3E 6L1
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Dalia Y Moore
bEppley Institute for Research in Cancer and Allied Diseases, University of Nebraska Medical Center, 986805 NE Med Center, BCC 4.12.396, Omaha, Nebraska, USA 68198
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Abenaya Muralidharan
cDepartment of Pathology and Microbiology, University of Nebraska Medical Center, 985900 Nebraska Medical Center, Omaha, Nebraska, USA 68198
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St. Patrick M Reid
cDepartment of Pathology and Microbiology, University of Nebraska Medical Center, 985900 Nebraska Medical Center, Omaha, Nebraska, USA 68198
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Stephanie C Stotz
aResverlogix Corp., 300, 4820 Richard Road SW, Calgary, Alberta, Canada, T3E 6L1
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Jan O Johansson
aResverlogix Corp., 300, 4820 Richard Road SW, Calgary, Alberta, Canada, T3E 6L1
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Michael Sweeney
aResverlogix Corp., 300, 4820 Richard Road SW, Calgary, Alberta, Canada, T3E 6L1
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Norman CW Wong
aResverlogix Corp., 300, 4820 Richard Road SW, Calgary, Alberta, Canada, T3E 6L1
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Ewelina Kulikowski
aResverlogix Corp., 300, 4820 Richard Road SW, Calgary, Alberta, Canada, T3E 6L1
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Dalia El-Gamal
bEppley Institute for Research in Cancer and Allied Diseases, University of Nebraska Medical Center, 986805 NE Med Center, BCC 4.12.396, Omaha, Nebraska, USA 68198
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  • For correspondence: dalia.elgamal@unmc.edu
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Abstract

Effective therapeutics are urgently needed to counter infection and improve outcomes for patients suffering from COVID-19 and to combat this pandemic. Manipulation of epigenetic machinery to influence viral infectivity of host cells is a relatively unexplored area. The bromodomain and extraterminal (BET) family of epigenetic readers have been reported to modulate SARS-CoV-2 infection. Herein, we demonstrate apabetalone, the most clinical advanced BET inhibitor, downregulates expression of cell surface receptors involved in SARS-CoV-2 entry, including angiotensin-converting enzyme 2 (ACE2) and dipeptidyl-peptidase 4 (DPP4 or CD26) in SARS-CoV-2 permissive cells. Moreover, we show that apabetalone inhibits SARS-CoV-2 infection in vitro to levels comparable to antiviral agents. Taken together, our study supports further evaluation of apabetalone to treat COVID-19, either alone or in combination with emerging therapeutics.

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Competing Interest Statement

DG, LF, SCS, JOJ, MS, NCWW, and EK are employed by Resverlogix and may hold stock and/or stock options. ALS, DYM, AM, SPMR, and DE have no conflicts of interest, financial or otherwise.

Footnotes

  • Author e-mail addresses: Dean Gilham dean{at}resverlogix.com, Audrey L Smith audrey.smith{at}unmc.edu, Li Fu li{at}resverlogix.com, Dalia Y Moore dalia.moore{at}unmc.edu, Abenaya Muralidharan abenaya.muralidharan{at}unmc.edu, St. Patrick M Reid patrick.reid{at}unmc.edu, Stephanie C Stotz sstotz{at}resverlogix.com, Jan O Johansson jan{at}resverlogix.com, Michael Sweeney msweeney{at}resverlogix.com, Norman CW Wong norm{at}resverlogix.com, Ewelina Kulikowski ewelina{at}resverlogix.com, and Dalia El-Gamal dalia.elgamal{at}unmc.edu

  • Abbreviations

    ACE2
    angiotensin-converting enzyme 2
    ARDS
    acute respiratory distress syndrome
    BET
    bromodomain and extraterminal
    BETi
    bromodomain and extraterminal protein inhibitor
    BD
    bromodomain
    COVID-19
    novel coronavirus disease of 2019
    DPP4
    dipeptidyl-peptidase 4
    DMSO
    dimethyl sulfoxide
    IL
    interleukin
    MTS
    3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium
    PHH
    primary human hepatocytes
    PROTAC
    proteolysis targeting chimera
    TMPRSS2
    transmembrane serine protease 2
    TNF-α
    tumor necrosis factor-alpha
  • Copyright 
    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-ND 4.0 International license.
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    Bromodomain and extraterminal protein inhibitor, apabetalone (RVX-208), reduces ACE2 expression and attenuates SARS-CoV-2 infection in vitro
    Dean Gilham, Audrey L Smith, Li Fu, Dalia Y Moore, Abenaya Muralidharan, St. Patrick M Reid, Stephanie C Stotz, Jan O Johansson, Michael Sweeney, Norman CW Wong, Ewelina Kulikowski, Dalia El-Gamal
    bioRxiv 2021.03.10.432949; doi: https://doi.org/10.1101/2021.03.10.432949
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    Bromodomain and extraterminal protein inhibitor, apabetalone (RVX-208), reduces ACE2 expression and attenuates SARS-CoV-2 infection in vitro
    Dean Gilham, Audrey L Smith, Li Fu, Dalia Y Moore, Abenaya Muralidharan, St. Patrick M Reid, Stephanie C Stotz, Jan O Johansson, Michael Sweeney, Norman CW Wong, Ewelina Kulikowski, Dalia El-Gamal
    bioRxiv 2021.03.10.432949; doi: https://doi.org/10.1101/2021.03.10.432949

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