Niclosamide reverses SARS-CoV-2 control of lipophagy

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Abstract

The global effort to combat COVID-19 rapidly produced a shortlist of approved drugs with anti-viral activities for clinical repurposing. However, the jump to clinical testing was lethal in some cases as a full understanding of the mechanism of antiviral activity as opposed to pleiotropic activity/toxicity for these drugs was lacking. Through parallel lipidomic and transcriptomic analyses we observed massive reorganization of lipid profiles of infected Vero E6 cells, especially plasmalogens that correlated with increased levels of virus replication. Niclosamide (NIC), a poorly soluble anti-helminth drug identified for repurposed treatment of COVID-19, reduced the total lipid profile that would otherwise amplify during virus infection. NIC treatment reduced the abundance of plasmalogens, diacylglycerides, and ceramides, which are required for virus production. Future screens of approved drugs may identify more druggable compounds than NIC that can safely but effectively counter SARS-CoV-2 subversion of lipid metabolism thereby reducing virus replication. However, these data support the consideration of niclosamide as a potential COVID-19 therapeutic given its modulation of lipophagy leading to the reduction of virus egress and the subsequent regulation of key lipid mediators of pathological inflammation.

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  1. SciScore for 10.1101/2021.07.11.451951: (What is this?)

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

    Table 1: Rigor

    Ethicsnot detected.
    Sex as a biological variableThe cells are female.
    Randomizationnot detected.
    BlindingThe investigators were not blinded to the conditions.
    Power Analysisnot detected.
    Cell Line AuthenticationAuthentication: These cells have been authenticated.

    Table 2: Resources

    Experimental Models: Cell Lines
    SentencesResources
    EXPERIMENTAL MODEL AND SUBJECT DETAILS: Vero E6 cells: Vero clone E6 cells (ATCC: CRL-1586) were obtained from Dr. Pei-Yong Shi (University of Texas Medical Branch).
    Vero E6
    suggested: None
    Vero clone E6
    suggested: None
    Software and Algorithms
    SentencesResources
    Data and code availability: The raw and processed data generated here have been deposited in publicly accessible databases; the RNA sequencing data is available through NCBI’s GEO repository (Accession: GSE178157), and the lipidomics data is accessible via MetaboLights (Accession: MTBLS2943).
    MetaboLights
    suggested: (MetaboLights, RRID:SCR_014663)
    Standard curve points were plotted in Microsoft Excel v.
    Microsoft Excel
    suggested: (Microsoft Excel, RRID:SCR_016137)
    Mapping, expression, and pathway analyses: Bioinformatic processing was completed using Galaxy (https://galaxyproject.org, (Batut et al., 2018)).
    Galaxy
    suggested: (Galaxy, RRID:SCR_006281)
    Quality control was performed with Cutadapt v 1.16 (Martin, 2011) and FastQC v 0.11.8 (http://www.bioinformatics.babraham.ac.uk/projects/fastqc/) to remove adapters, <20 nucleotide reads and low-quality reads.
    Cutadapt
    suggested: (cutadapt, RRID:SCR_011841)
    FastQC
    suggested: (FastQC, RRID:SCR_014583)
    RNA STAR v2.7.7a (Dobin et al., 2013) was used to map samples to the Chlorocebus sabaeus genome and associated annotation (GenBank accession # GCA_015252025.1). featureCounts v 2.0.1 (Liao et al., 2014) was used with Infer Experiment v2.6.4.1 (Wang et al., 2012) to determine the strandedness of the samples, and sum reads for each gene.
    STAR
    suggested: (STAR, RRID:SCR_004463)
    featureCounts
    suggested: (featureCounts, RRID:SCR_012919)
    Read counts for each sample were input into DESeq2 v 1.22.1 (Love et al., 2014) to call differential gene expression, analyzing the effect of time, drug, and virus on the samples.
    DESeq2
    suggested: (DESeq, RRID:SCR_000154)
    Resultant differential expression files were manually annotated using a combination of NCBI (O’Leary et al., 2016) and Ensembl (Yates et al., 2020) due to the poor annotation quality of the genome (https://www.ncbi.nlm.nih.gov/genome/annotation_euk/Chlorocebus_sabaeus/100/).
    Ensembl
    suggested: (Ensembl, RRID:SCR_002344)
    Significantly regulated gene names were separately parsed out for each comparison and uploaded to ENRICHR (Kuleshov et al., 2016) for downstream gene ontology (GO (Harris et al., 2004)) and pathway analyses using Reactome (Fabregat et al., 2016), MSigDB (Liberzon et al., 2015), and KEGG (Ogata et al., 1999)) databases.
    KEGG
    suggested: (KEGG, RRID:SCR_012773)
    Statistical P-values were obtained by application of the appropriate statistical tests using GraphPad Prism v.9.0.
    GraphPad Prism
    suggested: (GraphPad Prism, RRID:SCR_002798)
    Lipidomics data was normalized to the total ion signal, glog transformed, autoscaled and analyzed with Metaboanalyst v.
    Metaboanalyst
    suggested: (MetaboAnalyst, RRID:SCR_015539)

    Results from OddPub: Thank you for sharing your data.


    Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:
    Limitations: Although we used a C. sabaeus kidney epithelial cell line (Vero E6) and a SARS-CoV-2 strain isolated from a Floridian patient, we observed a similar (in direction and magnitude) transcriptomic response to other SARS-CoV-2 transcriptomic studies, despite differences in MOI and experimental sampling timepoints. These changes were consistent across another Vero E6 study noting cell stress and apoptosis (DeDiego et al., 2011), as well as other cell systems, including human lung cells (Wyler et al., 2021), cardiomyocytes (Sharma et al., 2020), adenocarcinomic human alveolar basal epithelial cells (Daamen et al., 2021), and bronchial epithelial cells (Yoshikawa et al., 2010), infected with different betacoronaviruses, suggesting the responses detected herein may represent a core set of host SARS-CoV viral response genes, and that these genes are not exclusive to our study system. Our work is limited to an in vitro model; however, it was recently shown in a multiomics study of COVID-19 patient samples that the lipidomic profile can effectively partition COVID-19 disease severity (Overmyer et al., 2021); implying that the biology captured in our culture model is relevant in vivo. While these observations highlight potential utility of niclosamide, these data alone do not support its indication in the clinic in the treatment of COVID-19.

    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.

    Results from scite Reference Check: We found no unreliable references.


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