Antiviral and Anti-Inflammatory Activities of Fluoxetine in a SARS-CoV-2 Infection Mouse Model

The coronavirus disease 2019 (COVID-19) pandemic continues to cause significant morbidity and mortality worldwide. Since a large portion of the world's population is currently unvaccinated or incompletely vaccinated and has limited access to approved treatments against COVID-19, there is an urgent need to continue research on treatment options, especially those at low cost and which are immediately available to patients, particularly in low- and middle-income countries. Prior in vitro and observational studies have shown that fluoxetine, possibly through its inhibitory effect on the acid sphingomyelinase/ceramide system, could be a promising antiviral and anti-inflammatory treatment against COVID-19. In this report, we evaluated the potential antiviral and anti-inflammatory activities of fluoxetine in a K18-hACE2 mouse model of SARS-CoV-2 infection, and against variants of concern in vitro, i.e., SARS-CoV-2 ancestral strain, Alpha B.1.1.7, Gamma P1, Delta B1.617 and Omicron BA.5. Fluoxetine, administrated after SARS-CoV-2 infection, significantly reduced lung tissue viral titres and expression of several inflammatory markers (i.e., IL-6, TNFα, CCL2 and CXCL10). It also inhibited the replication of all variants of concern in vitro. A modulation of the ceramide system in the lung tissues, as reflected by the increase in the ratio HexCer 16:0/Cer 16:0 in fluoxetine-treated mice, may contribute to explain these effects. Our findings demonstrate the antiviral and anti-inflammatory properties of fluoxetine in a K18-hACE2 mouse model of SARS-CoV-2 infection, and its in vitro antiviral activity against variants of concern, establishing fluoxetine as a very promising candidate for the prevention and treatment of SARS-CoV-2 infection and disease pathogenesis.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:23

Enthalten in:

International journal of molecular sciences - 23(2022), 21 vom: 07. Nov.

Sprache:

Englisch

Beteiligte Personen:

Péricat, David [VerfasserIn]
Leon-Icaza, Stephen Adonai [VerfasserIn]
Sanchez Rico, Marina [VerfasserIn]
Mühle, Christiane [VerfasserIn]
Zoicas, Iulia [VerfasserIn]
Schumacher, Fabian [VerfasserIn]
Planès, Rémi [VerfasserIn]
Mazars, Raoul [VerfasserIn]
Gros, Germain [VerfasserIn]
Carpinteiro, Alexander [VerfasserIn]
Becker, Katrin Anne [VerfasserIn]
Izopet, Jacques [VerfasserIn]
Strub-Wourgaft, Nathalie [VerfasserIn]
Sjö, Peter [VerfasserIn]
Neyrolles, Olivier [VerfasserIn]
Kleuser, Burkhard [VerfasserIn]
Limosin, Frédéric [VerfasserIn]
Gulbins, Erich [VerfasserIn]
Kornhuber, Johannes [VerfasserIn]
Meunier, Etienne [VerfasserIn]
Hoertel, Nicolas [VerfasserIn]
Cougoule, Céline [VerfasserIn]

Links:

Volltext

Themen:

01K63SUP8D
Anti-Inflammatory Agents
Anti-depressant
Antiviral Agents
COVID-19
Ceramides
Fluoxetine
Inflammation
Journal Article
K-18 conjugate
Mouse model
SARS-CoV-2

Anmerkungen:

Date Completed 16.11.2022

Date Revised 06.11.2023

published: Electronic

Citation Status MEDLINE

doi:

10.3390/ijms232113623

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM348759959