Bromodomain and Extraterminal Protein Inhibitor, Apabetalone (RVX-208), Reduces ACE2 Expression and Attenuates SARS-Cov-2 Infection In Vitro

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Abstract

Effective therapeutics are urgently needed to counter infection and improve outcomes for patients suffering from COVID-19 and to combat this pandemic. Manipulation of epigenetic machinery to influence viral infectivity of host cells is a relatively unexplored area. The bromodomain and extraterminal (BET) family of epigenetic readers have been reported to modulate SARS-CoV-2 infection. Herein, we demonstrate apabetalone, the most clinical advanced BET inhibitor, downregulates expression of cell surface receptors involved in SARS-CoV-2 entry, including angiotensin-converting enzyme 2 (ACE2) and dipeptidyl-peptidase 4 (DPP4 or CD26) in SARS-CoV-2 permissive cells. Moreover, we show that apabetalone inhibits SARS-CoV-2 infection in vitro to levels comparable to those of antiviral agents. Taken together, our study supports further evaluation of apabetalone to treat COVID-19, either alone or in combination with emerging therapeutics.

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  1. SciScore for 10.1101/2021.03.10.432949: (What is this?)

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

    Table 1: Rigor

    Institutional Review Board Statementnot detected.
    Randomizationnot detected.
    Blindingnot detected.
    Power Analysisnot detected.
    Sex as a biological variablenot detected.
    Cell Line Authenticationnot detected.

    Table 2: Resources

    Antibodies
    SentencesResources
    Membranes were blocked and incubated with anti-ACE2 (R&D Systems AF933) or anti-GAPDH (Cell Signaling 5174) antibodies overnight at 4°C, followed by incubation with corresponding HRP-conjugated secondary antibodies (Bio-Rad or Abcam) for 1 h at room temperature.
    anti-ACE2
    suggested: None
    anti-GAPDH (Cell Signaling 5174)
    suggested: (Cell Signaling Technology Cat# 5174, RRID:AB_10622025)
    Actin was stained with an anti-β-ACTIN antibody conjugated directly to peroxidase (Sigma A3854).
    anti-β-ACTIN
    suggested: None
    The cells were then washed and incubated with PE-conjugated goat anti-human Fc antibodies (Thermo Fisher 12-4998-82) for 30 min at 4°C.
    anti-human Fc
    suggested: (Thermo Fisher Scientific Cat# 12-4998-82, RRID:AB_465926)
    The cells were incubated with anti-Spike protein Rab (Sino Biological) at 1:1000 in blocking solution overnight at 4°C, followed by incubation with 1:2000 diluted Alexa Fluor 488 conjugated secondary antibody (Thermo Fisher) for 1 h at room temperature.
    anti-Spike protein Rab (Sino Biological)
    suggested: None
    Experimental Models: Cell Lines
    SentencesResources
    Human bronchial epithelial Calu-3 cells and African green monkey kidney epithelial Vero E6 cells (ATCC) were maintained in complete medium (Eagle’s Minimum Essential Medium [EMEM, ATCC]) supplemented with 10% fetal bovine serum (FBS), 100 U/mL penicillin and eptomycin (P/S).
    Calu-3
    suggested: None
    HepG2 (ATCC) and Huh-7 (JCRB Cell Bank) were cultured in medium recommended by the suppliers.
    HepG2
    suggested: CLS Cat# 300198/p2277_Hep-G2, RRID:CVCL_0027)
    Huh-7
    suggested: CLS Cat# 300156/p7178_HuH7, RRID:CVCL_0336)
    Human Karpas-299 T cells (a kind gift from Dr. Iqbal, UNMC; originally from DMSZ) were cultured in RPMI-1640 supplemented with 10% FBS and P/S.
    Karpas-299
    suggested: ECACC Cat# 06072604, RRID:CVCL_1324)
    Immunoblot Analysis: Calu-3 or Vero E6 cells treated with BETi for 48 hours were lysed and sonicated as previously described 31.
    Vero E6
    suggested: None
    Software and Algorithms
    SentencesResources
    ImageJ or Quantity 4.6.9 (Bio-Rad) software were used for densitometric quantification of bands in immunoblots 32.
    ImageJ
    suggested: (ImageJ, RRID:SCR_003070)
    Quantity
    suggested: None
    Cell surface ACE2 protein levels were measured on a BD FACSCelesta (BD Biosciences) and analyzed with FlowJo version 10 software (BD Biosciences).
    FlowJo
    suggested: (FlowJo, RRID:SCR_008520)

    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
    NCT04353284RecruitingCamostat Mesylate in COVID-19 Outpatients
    NCT04524663RecruitingOral Camostat Compared With Standard Supportive Care in Mild…
    NCT04470544RecruitingCamostat Mesilate Treating Patients With Hospitalized Patien…
    NCT04542213RecruitingDipeptidyl Peptidase-4 Inhibitor (DPP4i) for the Control of …


    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.