2018
DOI: 10.3390/v10040211
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Gemcitabine and Nucleos(t)ide Synthesis Inhibitors Are Broad-Spectrum Antiviral Drugs that Activate Innate Immunity

Abstract: Nucleoside analogs have been frequently identified as antiviral agents. In recent years, gemcitabine, a cytidine analog in clinical use for the treatment of many solid tumors, was also shown to have antiviral activity against a broad range of viruses. Nucleoside analogs generally interfere with cellular nucleos(t)ide synthesis pathways, resulting in the depletion or imbalance of (d)NTP pools. Intriguingly, a few recent reports have shown that some nucleoside analogs, including gemcitabine, activated innate imm… Show more

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Cited by 28 publications
(28 citation statements)
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“…Gemcitabine ( 7 , Figure 3 ) is a deoxycytidine analog with a broad-spectrum antiviral activity that inhibits SARS-CoV-1 and MERS-CoV [ 120 ]. Gemcitabine potential as an anti-COVID-19 drug was recently investigated in cell culture [ 121 ].…”
Section: Nucleoside Analogs As Anti-hcov Drugsmentioning
confidence: 99%
“…Gemcitabine ( 7 , Figure 3 ) is a deoxycytidine analog with a broad-spectrum antiviral activity that inhibits SARS-CoV-1 and MERS-CoV [ 120 ]. Gemcitabine potential as an anti-COVID-19 drug was recently investigated in cell culture [ 121 ].…”
Section: Nucleoside Analogs As Anti-hcov Drugsmentioning
confidence: 99%
“…Recently, experimental data on the antiviral activity of gemcitabine have been widely reported (Shin et al, 2018;Ianevski et al, 2019). The broad range of viruses against which gemcitabine has shown activity includes HIV-1 (Rawson et al, 2013;Clouser et al, 2010Clouser et al, , 2012, murine leukaemia virus (MuLV) (Clouser et al, 2012), HIV-2 (Beach et al, 2014), ZIKV (Kuivanen et al, 2017), enteroviruses such as poliovirus (Kang et al, 2015;Zhang et al, 2017), rhinoviruses (Song et al, 2017), HCV (Beran et al, 2012), coronaviruses (Dyall et al, 2014), Sindbis virus (SINV), HSV-1 and FLUAV (Denisova et al, 2012).…”
Section: Nucleoside Antimetabolites -Approved Antineoplastic Drugs Wimentioning
confidence: 99%
“…Gemcitabine has been explored in combination therapies with HAdV-based vectors in a number of studies for treatment of cancer ( Nattress and Hallden, 2018 ), but not as an HAdV-directed antiviral therapeutic. However, it does show broad spectrum antiviral activity against many RNA viruses, such as Middle East respiratory syndrome coronavirus, severe acute respiratory syndrome coronavirus, Zika virus, HCV, poliovirus, influenza A virus, HIV, and enteroviruses ( Shin et al, 2018 ), as well as the dsDNA-containing Herpes simplex virus type I ( Denisova et al, 2012 ). Other nucleoside analogs have shown efficacy against HAdV, including cidofovir, ganciclovir and ribavirin ( Keyes et al, 2016 ; Lenaerts et al, 2008 ; Ronchi et al, 2014 ).…”
Section: Discussionmentioning
confidence: 99%