RT Journal Article SR Electronic T1 Remdesivir Metabolite GS-441524 Effectively Inhibits SARS-CoV-2 Infection in Mice Models JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.10.26.353300 DO 10.1101/2020.10.26.353300 A1 Li, Yingjun A1 Cao, Liu A1 Li, Ge A1 Cong, Feng A1 Li, Yunfeng A1 Sun, Jing A1 Luo, Yinzhu A1 Chen, Guijiang A1 Li, Guanguan A1 Wang, Ping A1 Xing, Fan A1 Ji, Yanxi A1 Zhao, Jincun A1 Zhang, Yu A1 Guo, Deyin A1 Zhang, Xumu YR 2020 UL http://biorxiv.org/content/early/2020/10/27/2020.10.26.353300.abstract AB The outbreak of coronavirus disease 2019 (COVID-19) rapidly spreads across worldwide and becomes a global pandemic. Remdesivir is the only COVID-19 treatment approved by U.S. Food and Drug Administration (FDA); however, its effectiveness is still under questioning as raised by the results of a large WHO Solidarity Trial. Herein, we report that the parent nucleotide of remdesivir, GS-441524, potently inhibits the replication of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in Vero E6 and other cells. It exhibits good plasma distribution and longer half-life (t1/2=4.8h) in rat PK study. GS-441524 is highly efficacious against SARS-CoV-2 in AAV-hACE2 transduced mice and murine hepatitis virus (MHV) in mice, reducing the viral titers in CoV-attacked organs, without noticeable toxicity. Given that GS-441524 was the predominant metabolite of remdesivir in the plasma, the anti-COVID-19 effect of remdesivir may partly come from the effect of GS-441524. Our results also supported that GS-441524 as a promising and inexpensive drug candidate in the treatment of COVID-19 and future emerging CoVs diseases.Competing Interest StatementThe authors have declared no competing interest.