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. 2021 Jan 13;49(1):281–295. doi: 10.1042/BST20200568

Table 2. In vitro properties of viral protein cargo-targeted inhibitors with antiviral effects.

Compound Documented action (IC50) Antiviral against Effective concentration (assay, host)/fold reduction in virus production (assay, host cell line)
Mifepristone1
Inline graphic
Inhibits interaction in vitro of HIV IN with Impα/β (27 μM) [14]
Binds to HIV IN core domain but not Impα/β (HSQC NMR) [37]
50 μM inhibits GFP-HIV-1 IN nuclear accumulation in transfected cells [14]
5 μM reduces HIV-1 IN nuclear accumulation > 5-fold in in vitro reconstituted nuclear transport assay [37]
5 μM reduces VEEV CP nuclear accumulation in infected cells [51]
Reduces rate/extent of VEEV CP-GFP nuclear import (FRAP) [52]
50 μM reduces HAdV genome nuclear import (cellular fractionation/qPCR) [53]
HIV-1 10 μM > 8-fold (EGFP reporter virus, CEMx174) [50]
10 μM >20-fold (ELISA, PBMC) [50]
200 μM > 3-fold (luciferase, HeLa) [42]
VEEV EC50 = 19.9 μM (PFU, Vero) [52]
10 μM > 10-fold (PFU, U87MG) [51]
10 μM > 5-fold (PFU, Vero) [51]
10 μM > 15-fold (PFU, Vero) [52]
Human adenovirus
HAdV5
EC50 = 2 μM (PFU) [53]
Mifepristone analogue 502
Inline graphic
50 μM inhibits nuclear import of transfected GFP-CP (FRAP)
Reduces recovery of VEEV CP-GFP nuclear fluorescence after FRAP [52]
50 μM inhibits nuclear accumulation of CP in infected cells [52]
VEEV EC50 = 7.2 μM (luciferase, Vero) [52]
10 μM > 7-fold (PFU, Vero) [52]
Budesonide3
Inline graphic
Inhibits interaction in vitro of HIV IN with Impα/β (1.2 μM) [37]
Binds to HIV IN core domain but not Impα/β (HSQC NMR) [37]
5 μM reduces HIV-1 IN nuclear accumulation > 2-fold in in vitro reconstituted nuclear transport assay [37]
100 μM inhibits HIV PIC nuclear import [37]
HIV-1 EC50 = 79.4 μM (luciferase, MT-2, single cycle) [37]
EC50 = 49.4 μM (luciferase, TZMbl) [37]
Flunisolide4
Inline graphic
Inhibits interaction in vitro of HIV IN with Impα/β (1.4 μM) [37]
Binds to HIV IN core domain but not Impα/β (HSQC NMR) [37]
250 μM inhibits HIV PIC nuclear import [37]
HIV-1 EC50 = 77.5 μM (luciferase, MT-2, single cycle) [37]
EC50 = 105 μM (luciferase, TZMbl) [37]
G281-1564
Inline graphic
Inhibits interaction in vitro of VEEV CP and Impα/β (12 μM) [16]
50 μM inhibits extent and rate of GFP-CP nuclear accumulation in transfected cells (1.8-fold, 1.4-fold, respectively) [16]
VEEV EC50 = 10.8 μM (luciferase, Vero)5 [16]
50 μM > 10-fold (PFU, Vero) [16]
N-(4-hydroxyphenyl) retinamide/fenretinide/4-HPR6
Inline graphic
Inhibits interaction in vitro of DENV1 NS5:Impα/β (2.3 μM) [82]; DENV2 NS5:Impα/β (0.8 μM) [15]; DENV2 NS5:ImpαΔIBB (1.1 μM) [15]; ZIKV NS5:Impα/β (1.1 μM) [87]
Inhibition of DENV2 NS5 nuclear accumulation in infected cells [15,47,77]
Destabilises DENV 3 NS5 RdRp (thermostability assay) [44,47]
15 μM inhibits nuclear accumulation of influenza vRNPs (IF) [11]
Flaviviruses
DENV1 (EDEN1)
EC50 = 2.6 μM (PFU, Huh-7) [15]
EC50 (ADE7) = 0.8 μM (PFU, THP-1) [15]
EC50 (ADE7) = 0.8 μM (PFU, PBMC) [15]
DENV2 (EDEN2) EC50 = 2.1 μM (PFU, Huh-7) [15]
DENV2 (NGC) EC90 = 2.0 μM (PFU, Vero) [77]
DENV3 (EDEN3) EC50 = 1.4 μM (PFU, Huh-7) [15]
DENV4 (EDEN4) EC50 = 2.1 μM (PFU, Huh-7) [15]
ZIKV (Asian/Cook Islands/2014) EC50 = 2.6 μM (PFU, Vero) [87]
ZIKV (Asian/PF13-251013-1) EC90 = 1 μM (PFU, multiple hosts) [78]
ZIKV (African/ MR-766) 10 μM > 1000-fold (PFU, Vero) [78]
WNV (Kunjin) 10 μM > 7-fold (PFU, Vero) [15]
10 μM > 100-fold (PFU, Vero) [77]
10 μM > 10-fold (PFU, Vero) [49]
YFV 3 μM > 100-fold (BHK-21, PFU) [46]
Alphavirus
CHIKV
EC50 = 0.5/3.1 μM (PFU, multiple hosts) [46]
Modoc 10 μM >100-fold (PFU, Vero) [77]
Influenza VLPs8 (avian influenza A/MxA escape mutants) 10 μM > 4-fold inhibition (luciferase) [11]
1

Approved for human use in medical termination of pregnancy, hyperglycaemia treatment in Cushing's syndrome patients;

2

Analogue of mifepristone ((8S,13S,14S,17S)-17-hydroxy-13-methyl-11-phenyl-17-((trimethylsilyl) ethynyl)-1,2,6,7,8,11,12,13, 14,15,16,17-dodecahydro-3H-cyclopenta[a] phenanthren-3-one)) lacking progesterone receptor antagonism [52];

3

Approved for asthma, chronic obstructive pulmonary disease, allergic rhinitis and nasal polyps, inflammatory bowel diseases;

4

Approved for the treatment of asthma, allergic rhinitis;

5

Selectivity index > 9.3;

6

Progressed to clinical trials (incl. Phase III) for indications including breast, bladder and paediatric cancers, macular degeneration; other actions include increased phosphorylation of eIF2α, promoting an antiviral state not related to long-chain ceramide biosynthesis, PERK pathway or ATF-4 [15,55,77];

7

ADE model uses subneutralising concentrations of anti-E protein antibody prior to infection;

8

Mechanism of action against influenza to be determined.

Abbreviations (see Table 1): ADE, antibody-dependent enhancement of infection; DENV, Dengue virus; CFI, cell-based flavivirus infection assay (immunostaining for virus); CoIP, co-immunoprecipitation; CP, capsid protein; CPE, cytopathogenic effect (host cell); CHIKV, Chikungunya virus; EC50, half-maximal effective concentration; Est., estimated; FRAP, fluorescence recovery after photobleaching; FRET, fluorescence resonance energy transfer; GFP, green fluorescent protein; HAdV, human adenovirus; hCMV, human cytomegalovirus; HCV, hepatitis C virus; HIV, human immunodeficiency virus; HSQ NMR, heteronuclear single quantum coherence nuclear magnetic resonance; IBB, importin β-binding domain; IC50, half-maximal inhibitory concentration; IF, immunofluorescence; IN, integrase; lum, luminescence assay; NS5, non-structural protein 5; PBMC, peripheral blood mononuclear cell; PCR, polymerase chain reaction; PIC, preintegration complex; PFU, plaque forming units (infectious virus); PRV, pseudorabies virus; RdRp, RNA-dependent RNA polymerase; SV40, Simian virus 40; T-ag, SV40 large T-antigen; TCID, tissue culture infectious dose (estimation of viral load based on CPE); VEEV, Venezuelan equine encephalitis virus; VLP, virus-like particle; vRNP, viral ribonucleoprotein complex; VSV-G, vesicular stomatitis virus glycoprotein; WNV, West Nile virus; YFV, Yellow Fever virus; ZIKV, Zika virus.