Title Expanded profiling of Remdesivir as a broad-spectrum antiviral and low potential for interaction with other medications in vitro.
Author Radoshitzky, Sheli R; Iversen, Patrick; Lu, Xianghan; Zou, Jing; Kaptein, Suzanne J F; Stuthman, Kelly S; Van Tongeren, Sean A; Steffens, Jesse; Gong, Ruoyu; Truong, Hoa; Sapre, Annapurna A; Yang, Huiling; Xie, Xiaodong; Chia, Jia Jun; Song, Zhijuan J; Leventhal, Stacey M; Chan, Josolyn; Shornikov, Alex; Zhang, Xin; Cowfer, David; Yu, Helen; Warren, Travis; Cihlar, Tomas; Porter, Danielle P; Neyts, Johan; Shi, Pei-Yong; Wells, Jay; Bilello, John P; Feng, Joy Y
Journal Sci Rep Publication Year/Month 2023-Feb
PMID 36823196 PMCID PMC9950143
Affiliation + expend 1.The Geneva Foundation, United States Army Medical Research Institute of Infectious Diseases (USAMRIID), Fort Detrick, Frederick, MD, USA.

Remdesivir (GS-5734; VEKLURY) is a single diastereomer monophosphoramidate prodrug of an adenosine analog (GS-441524). Remdesivir is taken up by target cells and metabolized in multiple steps to form the active nucleoside triphosphate (GS-443902), which acts as a potent inhibitor of viral RNA-dependent RNA polymerases. Remdesivir and GS-441524 have antiviral activity against multiple RNA viruses. Here, we expand the evaluation of remdesivir\'s antiviral activity to members of the families Flaviviridae, Picornaviridae, Filoviridae, Orthomyxoviridae, and Hepadnaviridae. Using cell-based assays, we show that remdesivir can inhibit infection of flaviviruses (such as dengue 1-4, West Nile, yellow fever, Zika viruses), picornaviruses (such as enterovirus and rhinovirus), and filoviruses (such as various Ebola, Marburg, and Sudan virus isolates, including novel geographic isolates), but is ineffective or is significantly less effective against orthomyxoviruses (influenza A and B viruses), or hepadnaviruses B, D, and E. In addition, remdesivir shows no antagonistic effect when combined with favipiravir, another broadly acting antiviral nucleoside analog, and has minimal interaction with a panel of concomitant medications. Our data further support remdesivir as a broad-spectrum antiviral agent that has the potential to address multiple unmet medical needs, including those related to antiviral pandemic preparedness.

  • Copyright © 2023
    National Institute of Pathogen Biology, CAMS & PUMC, Bejing, China
    All rights reserved.