RT Journal Article SR Electronic T1 Zinc pyrithione is a potent inhibitor of PLPro and cathepsin L enzymes with ex vivo inhibition of SARS-CoV-2 entry and replication JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.03.03.482819 DO 10.1101/2022.03.03.482819 A1 Kladnik, Jerneja A1 Dolinar, Ana A1 Kljun, Jakob A1 Perea, David A1 Grau-Expósito, Judith A1 Genescà, Meritxell A1 Novinec, Marko A1 Buzon, Maria J. A1 Turel, Iztok YR 2022 UL http://biorxiv.org/content/early/2022/03/04/2022.03.03.482819.abstract AB As SARS-CoV-2 triggered a global health crisis, there is an urgent need to provide patients with safe, effective, accessible, and preferably oral therapeutics for COVID-19 that complement mRNA vaccines. Zinc compounds are widely known for their antiviral properties. Therefore, we have prepared a library of zinc complexes with pyrithione (1-hydroxy-2(1H)-pyridinethione) and its analogues, all of which showed promising in vitro inhibition of cathepsin L, an enzyme involved in SARS-CoV-2 entry, and PLPro, an enzyme involved in SARS-CoV-2 replication both in (sub)micromolar range. Zinc pyrithione 1a is a well-established, commercially available antimicrobial agent and was therefore selected for further evaluation of its SARS-CoV-2 entry and replication inhibition in an ex vivo system derived from primary human lung tissue. Our results suggest that zinc pyrithione complex 1a provides a multitarget approach to combat SARS-CoV-2 and should be considered for repurposing as a potential therapeutic against the insidious COVID-19 disease.Featured image In our study, we show that zinc pyrithione holds immense potential for the development of a possible out-patient treatment for SARS-CoV-2 due to its inhibition of viral entry and replication.Competing Interest StatementThe authors have declared no competing interest.