Computational drug repurposing against SARS-CoV-2 reveals plasma membrane cholesterol depletion as key factor of antiviral drug activity

PLoS Comput Biol. 2022 Apr 11;18(4):e1010021. doi: 10.1371/journal.pcbi.1010021. eCollection 2022 Apr.

Abstract

Comparing SARS-CoV-2 infection-induced gene expression signatures to drug treatment-induced gene expression signatures is a promising bioinformatic tool to repurpose existing drugs against SARS-CoV-2. The general hypothesis of signature-based drug repurposing is that drugs with inverse similarity to a disease signature can reverse disease phenotype and thus be effective against it. However, in the case of viral infection diseases, like SARS-CoV-2, infected cells also activate adaptive, antiviral pathways, so that the relationship between effective drug and disease signature can be more ambiguous. To address this question, we analysed gene expression data from in vitro SARS-CoV-2 infected cell lines, and gene expression signatures of drugs showing anti-SARS-CoV-2 activity. Our extensive functional genomic analysis showed that both infection and treatment with in vitro effective drugs leads to activation of antiviral pathways like NFkB and JAK-STAT. Based on the similarity-and not inverse similarity-between drug and infection-induced gene expression signatures, we were able to predict the in vitro antiviral activity of drugs. We also identified SREBF1/2, key regulators of lipid metabolising enzymes, as the most activated transcription factors by several in vitro effective antiviral drugs. Using a fluorescently labeled cholesterol sensor, we showed that these drugs decrease the cholesterol levels of plasma-membrane. Supplementing drug-treated cells with cholesterol reversed the in vitro antiviral effect, suggesting the depleting plasma-membrane cholesterol plays a key role in virus inhibitory mechanism. Our results can help to more effectively repurpose approved drugs against SARS-CoV-2, and also highlights key mechanisms behind their antiviral effect.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antiviral Agents / pharmacology
  • Antiviral Agents / therapeutic use
  • COVID-19 Drug Treatment*
  • Cell Membrane
  • Cholesterol
  • Drug Repositioning / methods
  • Humans
  • SARS-CoV-2*

Substances

  • Antiviral Agents
  • Cholesterol

Grants and funding

BS was supported by the Premium Postdoctoral Fellowship Program of the Hungarian Academy of Sciences (460044). DJT and PV were supported by the Hungarian Scientific Research Fund (OTKA K134357). On behalf of Project DRUGSENSPRED we thank for the usage of ELKH Cloud (https://science-cloud.hu/) that significantly helped us achieve the results published in this paper. The in vitro SARS-CoV-2 experiments were funded by the Hungarian Scientific Research Fund (OTKA KH129599), by the European Union and the European Social Fund (EFOP-3.6.1.-16-2016-00004), and by the Ministry for Innovation and Technology of Hungary (TUDFO/47138/2019-ITM) to FJ. Also, project no. TKP2021-NVA-07 has been implemented with the support provided from the National Research, Development and Innovation Fund of Hungary, financed under the TKP2021-NVA funding scheme to FJ. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.