Synergistic activity of an RNA polymerase PA-PB1 interaction inhibitor with oseltamivir against human and avian influenza viruses in cell culture and in ovo

In search of novel therapeutic options to treat influenza virus (IV) infections, we previously identified a series of inhibitors that act by disrupting the interactions between the PA and PB1 subunits of the viral RNA polymerase. These compounds showed broad-spectrum antiviral activity against human...

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Bibliographic Details
Published in:Antiviral Research
Main Authors: Bonomini A., Zhang J., Ju H., Zago A., Pacetti M., Tabarrini O., Massari S., Liu X., Mercorelli B., Zhan P., Loregian A.
Other Authors: Bonomini, A., Zhang, J., Ju, H., Zago, A., Pacetti, M., Tabarrini, O., Massari, S., Liu, X., Mercorelli, B., Zhan, P., Loregian, A.
Format: Article in Journal/Newspaper
Language:English
Published: ELSEVIER 2024
Subjects:
Avian flu
Combination therapy
Embryonated chicken egg model
Influenza viruse
Neuraminidase inhibitor
Protein-protein interaction inhibitor
Online Access:https://hdl.handle.net/11577/3525576
https://doi.org/10.1016/j.antiviral.2024.105980
Description
Summary:In search of novel therapeutic options to treat influenza virus (IV) infections, we previously identified a series of inhibitors that act by disrupting the interactions between the PA and PB1 subunits of the viral RNA polymerase. These compounds showed broad-spectrum antiviral activity against human influenza A and B viruses and a high barrier to the induction of drug resistance in vitro. In this short communication, we investigated the effects of combinations of the PA-PB1 interaction inhibitor 54 with oseltamivir carboxylate (OSC), zanamivir (ZA), favipiravir (FPV), and baloxavir marboxil (BXM) on the inhibition of influenza A and B virus replication in vitro. We observed a synergistic effect of the 54/OSC and 54/ZA combinations and an antagonistic effect when 54 was combined with either FPV or BXM. Moreover, we demonstrated the efficacy of 54 against highly pathogenic avian influenza viruses (HPAIVs) both in cell culture and in the embryonated chicken eggs model. Finally, we observed that 54 enhances OSC protective effect against HPAIV replication in the embryonated eggs model. Our findings represent an advance in the development of alternative therapeutic strategies against both human and avian IV infections.

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