Sulforaphane exhibits antiviral activity against pandemic SARS-CoV-2 and seasonal HCoV-OC43 coronaviruses in vitro and in mice

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Abstract

Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), the cause of coronavirus disease 2019 (COVID-19), has incited a global health crisis. Currently, there are limited therapeutic options for the prevention and treatment of SARS-CoV-2 infections. We evaluated the antiviral activity of sulforaphane (SFN), the principal biologically active phytochemical derived from glucoraphanin, the naturally occurring precursor present in high concentrations in cruciferous vegetables. SFN inhibited in vitro replication of six strains of SARS-CoV-2, including Delta and Omicron, as well as that of the seasonal coronavirus HCoV-OC43. Further, SFN and remdesivir interacted synergistically to inhibit coronavirus infection in vitro. Prophylactic administration of SFN to K18-hACE2 mice prior to intranasal SARS-CoV-2 infection significantly decreased the viral load in the lungs and upper respiratory tract and reduced lung injury and pulmonary pathology compared to untreated infected mice. SFN treatment diminished immune cell activation in the lungs, including significantly lower recruitment of myeloid cells and a reduction in T cell activation and cytokine production. Our results suggest that SFN should be explored as a potential agent for the prevention or treatment of coronavirus infections.

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  1. SciScore for 10.1101/2021.03.25.437060: (What is this?)

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

    Table 1: Rigor

    Institutional Review Board StatementIACUC: The protocols were approved by the Johns Hopkins University Institutional Animal Care and Use Committee.
    Randomizationnot detected.
    Blindingnot detected.
    Power Analysisnot detected.
    Sex as a biological variableMale mice, 6-8 weeks old were used for this study.
    Cell Line Authenticationnot detected.

    Table 2: Resources

    Antibodies
    SentencesResources
    Primary antibody, anti-SARS-CoV-2 spike protein (1:200 dilution; catalog # GTX135356, lot # 43957, Genetex) was applied at 36°C for 60 minutes.
    anti-SARS-CoV-2 spike protein
    suggested: None
    Primary antibodies were detected using an anti-rabbit HQ detection system (catalog # 7017936001 and 7017812001, Roche Diagnostics) followed by Chromomap DAB IHC detection kit (catalog # 5266645001, Roche Diagnostics), counterstaining with Mayer’s hematoxylin, dehydration, and mounting.
    anti-rabbit
    suggested: None
    Experimental Models: Cell Lines
    SentencesResources
    HCT-8 [HRT-18]
    HCT-8
    suggested: None
    ATCC CCL-244) and Vero C1008 [Vero 76, clone E6, Vero E6] (ATCC CRL-1586) cells were used for growing virus and determining virus stock titers.
    Vero C1008
    suggested: ATCC Cat# CRL-1586, RRID:CVCL_0574)
    Vero E6
    suggested: None
    Vero C1008 cells, MRC-5 (ATCC CCL-171) cells, and Caco-2 (ATCC HTB-37) cells were used as host cells in antiviral assays.
    MRC-5
    suggested: None
    Caco-2 cells were grown in Minimum Essential Media supplemented with 10% FBS, 1x sodium pyruvate and penicillin-streptomycin at 37°C with 5% CO2.
    Caco-2
    suggested: None
    Experimental Models: Organisms/Strains
    SentencesResources
    Heterozygous K18-hACE2 C57BL/6J mice (strain: 2B6.Cg-Tg(K18-ACE2)2Prlmn/J) were obtained from The Jackson Laboratory and propagated at Johns Hopkins University School of Medicine.
    C57BL/6J
    suggested: RRID:MGI:3589388)
    Software and Algorithms
    SentencesResources
    FCS files were analyzed using Flowjo v10.6.2 software (BD).
    Flowjo
    suggested: (FlowJo, RRID:SCR_008520)
    Statistical analysis: Data were analyzed using Prism 9.0.1 (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: We detected the following sentences addressing limitations in the study:
    While the K18-hACE2 mouse model has been previously used to recapitulate features of COVID-19 in humans 12, our study has several limitations. The expression of the hACE2 transgene is non-physiological, resulting in tissue expression levels that are distinct from endogenously expressed ACE2. Sex differences, which are known to occur with SARS-CoV-2 infection, could not be assessed since we only used male animals in these experiments. Finally, the absorption of SFN after oral administration can be modified by the intestinal microbiome 1, leading to potentially variable drug exposures between animals. Our results demonstrate that pharmacologically relevant micromolar concentrations of SFN inhibited viral replication and virus-induced cell death. The bioavailability of SFN in humans is dependent on dosage and dietary form 1. Safety studies using SFN-rich broccoli sprouts corresponding to 50 to 400 μM SFN daily have shown that SFN is well tolerated without clinically significant adverse effects 1,21,49,50. After intake, the plasma concentration of SFN is rapidly eliminated but SFN exerts a sustained effect on gene expression 51. Consumption of SFN-rich broccoli sprouts (single oral daily dose equivalent to 200μM of SFN) reportedly results in a peak plasma concentration (Cmax) of 1.9 μM at 2-3h 52,53. By comparison, SFN inhibited in vitro SARS-CoV-2 replication in human cells with an IC50 of 2.4μM. Doses of 100μM of SFN administered twice daily led to higher steady-state concentra...

    Results from TrialIdentifier: No clinical trial numbers were referenced.


    Results from Barzooka: We did not find any issues relating to the usage of bar graphs.


    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.