Biomedicines (Apr 2021)

Bromodomain and Extraterminal Protein Inhibitor, Apabetalone (RVX-208), Reduces ACE2 Expression and Attenuates SARS-Cov-2 Infection In Vitro

  • Dean Gilham,
  • Audrey L. Smith,
  • Li Fu,
  • Dalia Y. Moore,
  • Abenaya Muralidharan,
  • St. Patrick M. Reid,
  • Stephanie C. Stotz,
  • Jan O. Johansson,
  • Michael Sweeney,
  • Norman C. W. Wong,
  • Ewelina Kulikowski,
  • Dalia El-Gamal

DOI
https://doi.org/10.3390/biomedicines9040437
Journal volume & issue
Vol. 9, no. 4
p. 437

Abstract

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Effective therapeutics are urgently needed to counter infection and improve outcomes for patients suffering from COVID-19 and to combat this pandemic. Manipulation of epigenetic machinery to influence viral infectivity of host cells is a relatively unexplored area. The bromodomain and extraterminal (BET) family of epigenetic readers have been reported to modulate SARS-CoV-2 infection. Herein, we demonstrate apabetalone, the most clinical advanced BET inhibitor, downregulates expression of cell surface receptors involved in SARS-CoV-2 entry, including angiotensin-converting enzyme 2 (ACE2) and dipeptidyl-peptidase 4 (DPP4 or CD26) in SARS-CoV-2 permissive cells. Moreover, we show that apabetalone inhibits SARS-CoV-2 infection in vitro to levels comparable to those of antiviral agents. Taken together, our study supports further evaluation of apabetalone to treat COVID-19, either alone or in combination with emerging therapeutics.

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