RT Journal Article SR Electronic T1 A data-driven drug repositioning framework discovered a potential therapeutic agent targeting COVID-19 JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.03.11.986836 DO 10.1101/2020.03.11.986836 A1 Yiyue Ge A1 Tingzhong Tian A1 Suling Huang A1 Fangping Wan A1 Jingxin Li A1 Shuya Li A1 Hui Yang A1 Lixiang Hong A1 Nian Wu A1 Enming Yuan A1 Lili Cheng A1 Yipin Lei A1 Hantao Shu A1 Xiaolong Feng A1 Ziyuan Jiang A1 Ying Chi A1 Xiling Guo A1 Lunbiao Cui A1 Liang Xiao A1 Zeng Li A1 Chunhao Yang A1 Zehong Miao A1 Haidong Tang A1 Ligong Chen A1 Hainian Zeng A1 Dan Zhao A1 Fengcai Zhu A1 Xiaokun Shen A1 Jianyang Zeng YR 2020 UL http://biorxiv.org/content/early/2020/03/12/2020.03.11.986836.abstract AB The global spread of SARS-CoV-2 requires an urgent need to find effective therapeutics for the treatment of COVID-19. We developed a data-driven drug repositioning framework, which applies both machine learning and statistical analysis approaches to systematically integrate and mine large-scale knowledge graph, literature and transcriptome data to discover the potential drug candidates against SARS-CoV-2. The retrospective study using the past SARS-CoV and MERS-CoV data demonstrated that our machine learning based method can successfully predict effective drug candidates against a specific coronavirus. Our in silico screening followed by wet-lab validation indicated that a poly-ADP-ribose polymerase 1 (PARP1) inhibitor, CVL218, currently in Phase I clinical trial, may be repurposed to treat COVID-19. Our in vitro assays revealed that CVL218 can exhibit effective inhibitory activity against SARS-CoV-2 replication without obvious cytopathic effect. In addition, we showed that CVL218 is able to suppress the CpG-induced IL-6 production in peripheral blood mononuclear cells, suggesting that it may also have anti-inflammatory effect that is highly relevant to the prevention immunopathology induced by SARS-CoV-2 infection. Further pharmacokinetic and toxicokinetic evaluation in rats and monkeys showed a high concentration of CVL218 in lung and observed no apparent signs of toxicity, indicating the appealing potential of this drug for the treatment of the pneumonia caused by SARS-CoV-2 infection. Moreover, molecular docking simulation suggested that CVL218 may bind to the N-terminal domain of nucleocapsid (N) protein of SARS-CoV-2, providing a possible model to explain its antiviral action. We also proposed several possible mechanisms to explain the antiviral activities of PARP1 inhibitors against SARS-CoV-2, based on the data present in this study and previous evidences reported in the literature. In summary, the PARP1 inhibitor CVL218 discovered by our data-driven drug repositioning framework can serve as a potential therapeutic agent for the treatment of COVID-19.