Impairment of SARS-CoV-2 spike glycoprotein maturation and fusion activity by nitazoxanide: an effect independent of spike variants emergence

This article has been Reviewed by the following groups

Read the full article See related articles

Discuss this preprint

Start a discussion What are Sciety discussions?

Abstract

SARS-CoV-2, the causative agent of COVID-19, has caused an unprecedented global health crisis. The SARS-CoV-2 spike, a surface-anchored trimeric class-I fusion glycoprotein essential for viral entry, represents a key target for developing vaccines and therapeutics capable of blocking virus invasion. The emergence of SARS-CoV-2 spike variants that facilitate virus spread and may affect vaccine efficacy highlights the need to identify novel antiviral strategies for COVID-19 therapy. Here, we demonstrate that nitazoxanide, an antiprotozoal agent with recognized broad-spectrum antiviral activity, interferes with SARS-CoV-2 spike maturation, hampering its terminal glycosylation at an endoglycosidase H-sensitive stage. Engineering multiple SARS-CoV-2 variant-pseudoviruses and utilizing quantitative cell–cell fusion assays, we show that nitazoxanide-induced spike modifications hinder progeny virion infectivity as well as spike-driven pulmonary cell–cell fusion, a critical feature of COVID-19 pathology. Nitazoxanide, being equally effective against the ancestral SARS-CoV-2 Wuhan-spike and different emerging variants, including the Delta variant of concern, may represent a useful tool in the fight against COVID-19 infections.

Article activity feed

  1. SciScore for 10.1101/2021.04.12.439201: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    Institutional Review Board Statementnot detected.
    RandomizationImages shown in all figures are representative of at least three random fields (scale-bars are indicated).
    Blindingnot detected.
    Power Analysisnot detected.
    Sex as a biological variablenot detected.
    Cell Line Authenticationnot detected.

    Table 2: Resources

    Antibodies
    SentencesResources
    Membranes were incubated with the selected antibodies, followed by incubation with peroxidase-labeled anti-rabbit or anti-mouse IgG.
    anti-rabbit
    suggested: None
    anti-mouse IgG
    suggested: None
    Cells were fixed, permeabilized and processed for immunofluorescence as described (72) using anti-FLAG antibodies, followed by decoration with Alexa Fluor 488-or 555-conjugated antibodies (Molecular Probes, Invitrogen).
    anti-FLAG
    suggested: None
    Experimental Models: Cell Lines
    SentencesResources
    Cell culture, treatments, plasmids and transfections: Human alveolar type II-like epithelial A549 cells, airway epithelial Calu-3 cells and MRC-5 lung fibroblasts, colorectal adenocarcinoma HCT116 cells, colon carcinoma Caco-2 cells, embryonic kidney 293T cells, and African green monkey kidney Vero E6 cells, murine L929 fibroblasts and bat lung epithelial Tb-1 Lu cells were obtained from ATCC (Manassas, VA, USA).
    MRC-5 lung fibroblasts
    suggested: None
    HCT116
    suggested: None
    , DMEM (Euroclone; Vero E6, Huh7, 293T, HTC116 and Caco-2 cells), EMEM (ATCC; MRC-5 and Calu-3 cells) (Lonza; Tb-1 Lu cells) or MEM (Gibco; L929 cells) medium supplemented with 10% fetal calf serum (FCS), 2 mM glutamine and antibiotics.
    Huh7
    suggested: None
    HTC116
    suggested: None
    MRC-5
    suggested: None
    L929
    suggested: None
    In the first protocol, Vero E6, Huh7, A549 and A549 hACE2 cells grown in 8-well chamber slides were transfected with Flag-tagged SARS-CoV-2 (SARS-2 S-CF wild type or mutated, pCAGGS-SARS2-S-D614, pCAGGS-SARS2-S-G614) or SARS-CoV spike plasmids or empty vector and, after 4h, were treated with NTZ or vehicle.
    A549
    suggested: None
    A549 hACE2
    suggested: None
    After 4h, cells were treated with NTZ or vehicle. 293T cells transfected with the GFP-encoding plasmid were used as negative control.
    293T
    suggested: NCBI_Iran Cat# C498, RRID:CVCL_0063)
    Pseudovirus entry assays: Vero E6, Calu-3, Caco-2, Caco-2 hACE2 and 293T hACE2 cells were plated at a density of 2x104 cells/well in 96 well white clear-bottom plates (Costar).
    Calu-3
    suggested: KCLB Cat# 30055, RRID:CVCL_0609)
    Caco-2
    suggested: None
    293T hACE2
    suggested: None
    Antiviral activity assay: To determine the antiviral activity of tizoxanide, Vero E6 cells were infected with SARS-CoV-2 for 2h, and then treated with a three-fold serial dilution of compound ranging from 20 µM to 0.01 µM.
    Vero E6
    suggested: None
    Software and Algorithms
    SentencesResources
    For confocal microscopy, images were acquired on Olympus FluoView FV-1000 confocal laser scanning system (Olympus America Inc., Center Valley, PA) and analyzed using Imaris (v6.2) software (Bitplane, Zurich, Switzerland)
    Imaris
    suggested: (Imaris, RRID:SCR_007370)
    Syncytia images were captured using a ZEISS Axio Observer inverted microscope and analyzed using ZEN 3.1 (blue edition) software.
    ZEN
    suggested: None
    To measure the extent of cell–cell fusion, the GFP area was delimited, measured using ImageJ software (53), divided by the total cell area and expressed as percentage relative to control.
    ImageJ
    suggested: (ImageJ, RRID:SCR_003070)
    Statistical analysis: Statistical analysis was performed using the Student’s t test for unpaired data or one-way ANOVA test (Prism 5.0 software, GraphPad).
    Prism
    suggested: (PRISM, RRID:SCR_005375)
    GraphPad
    suggested: (GraphPad Prism, RRID:SCR_002798)

    Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).


    Results from LimitationRecognizer: An explicit section about the limitations of the techniques employed in this study was not found. We encourage authors to address study limitations.

    Results from TrialIdentifier: We found the following clinical trial numbers in your paper:

    IdentifierStatusTitle
    NCT04343248Active, not recruitingTrial to Evaluate the Efficacy and Safety of Nitazoxanide (N…


    Results from Barzooka: We found bar graphs of continuous data. We recommend replacing bar graphs with more informative graphics, as many different datasets can lead to the same bar graph. The actual data may suggest different conclusions from the summary statistics. For more information, please see Weissgerber et al (2015).


    Results from JetFighter: We did not find any issues relating to colormaps.


    Results from rtransparent:
    • Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
    • Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
    • No protocol registration statement was detected.

    About SciScore

    SciScore is an automated tool that is designed to assist expert reviewers by finding and presenting formulaic information scattered throughout a paper in a standard, easy to digest format. SciScore checks for the presence and correctness of RRIDs (research resource identifiers), and for rigor criteria such as sex and investigator blinding. For details on the theoretical underpinning of rigor criteria and the tools shown here, including references cited, please follow this link.