RT Journal Article SR Electronic T1 Sulforaphane exhibits in vitro and in vivo antiviral activity against pandemic SARS-CoV-2 and seasonal HCoV-OC43 coronaviruses JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.03.25.437060 DO 10.1101/2021.03.25.437060 A1 Alvaro A. Ordonez A1 C. Korin Bullen A1 Andres F. Villabona-Rueda A1 Elizabeth A. Thompson A1 Mitchell L. Turner A1 Stephanie L. Davis A1 Oliver Komm A1 Jonathan D. Powell A1 Franco R. D’Alessio A1 Robert H. Yolken A1 Sanjay K. Jain A1 Lorraine Jones-Brando YR 2021 UL http://biorxiv.org/content/early/2021/03/25/2021.03.25.437060.abstract AB Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), the cause of coronavirus disease 2019 (COVID-19), has incited a global health crisis. Currently, there are no orally available medications for prophylaxis for those exposed to SARS-CoV-2 and limited therapeutic options for those who develop COVID-19. We evaluated the antiviral activity of sulforaphane (SFN), a naturally occurring, orally available, well-tolerated, nutritional supplement present in high concentrations in cruciferous vegetables with limited side effects. SFN inhibited in vitro replication of four strains of SARS-CoV-2 as well as that of the seasonal coronavirus HCoV-OC43. Further, SFN and remdesivir interacted synergistically to inhibit coronavirus infection in vitro. Prophylactic administration of SFN to K18-hACE2 mice prior to intranasal SARS-CoV-2 infection significantly decreased the viral load in the lungs and upper respiratory tract and reduced lung injury and pulmonary pathology compared to untreated infected mice. SFN treatment diminished immune cell activation in the lungs, including significantly lower recruitment of myeloid cells and a reduction in T cell activation and cytokine production. Our results suggest that SFN is a promising treatment for prevention of coronavirus infection or treatment of early disease.Competing Interest StatementLJ-B, AAO, RHY, and SKJ are co-inventors on pending patent application USPA #63/142,598, Methods for inhibiting coronaviruses using sulforaphane filed by Johns Hopkins University.