Niclosamide is a proton carrier and targets acidic endosomes with broad antiviral effects

PLoS Pathog. 2012;8(10):e1002976. doi: 10.1371/journal.ppat.1002976. Epub 2012 Oct 25.

Abstract

Viruses use a limited set of host pathways for infection. These pathways represent bona fide antiviral targets with low likelihood of viral resistance. We identified the salicylanilide niclosamide as a broad range antiviral agent targeting acidified endosomes. Niclosamide is approved for human use against helminthic infections, and has anti-neoplastic and antiviral effects. Its mode of action is unknown. Here, we show that niclosamide, which is a weak lipophilic acid inhibited infection with pH-dependent human rhinoviruses (HRV) and influenza virus. Structure-activity studies showed that antiviral efficacy and endolysosomal pH neutralization co-tracked, and acidification of the extracellular medium bypassed the virus entry block. Niclosamide did not affect the vacuolar H(+)-ATPase, but neutralized coated vesicles or synthetic liposomes, indicating a proton carrier mode-of-action independent of any protein target. This report demonstrates that physico-chemical interference with host pathways has broad range antiviral effects, and provides a proof of concept for the development of host-directed antivirals.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antinematodal Agents / pharmacology
  • Antiviral Agents / pharmacology*
  • Coated Vesicles / drug effects
  • Drug Synergism
  • Endosomes / drug effects*
  • Endosomes / physiology
  • HeLa Cells
  • Humans
  • Hydrogen-Ion Concentration
  • Liposomes
  • Macrolides / pharmacology
  • Niclosamide / chemistry
  • Niclosamide / pharmacology*
  • Orthomyxoviridae / drug effects*
  • Orthomyxoviridae / physiology
  • RNA Virus Infections / drug therapy
  • RNA Virus Infections / prevention & control
  • Rhinovirus / drug effects*
  • Rhinovirus / physiology
  • Structure-Activity Relationship
  • Virus Internalization / drug effects*
  • Virus Replication / drug effects

Substances

  • Antinematodal Agents
  • Antiviral Agents
  • Liposomes
  • Macrolides
  • bafilomycin A1
  • Niclosamide

Grants and funding

Funding was obtained from the Swiss National Science Foundation (31003A_125477), SystemsX project InfectX and the University of Zurich. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.