2021
DOI: 10.1021/acsptsci.1c00078
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Physiologically Based Pharmacokinetic/Pharmacodynamic Model for the Treatment of Dengue Infections Applied to the Broad Spectrum Antiviral Soraphen A

Abstract: While a drug treatment is unavailable, the global incidence of Dengue virus (DENV) infections and its associated severe manifestations continues to rise. We report the construction of the first physiologically based pharmacokinetic/pharmacodynamic (PBPK/PD) model that predicts viremia levels in relevant target organs based on preclinical data with the broad spectrum antiviral soraphen A (SorA), an inhibitor of the host cell target acetyl-CoA-carboxylase. SorA was highly effective against DENV in vitro (EC50 = … Show more

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Cited by 6 publications
(4 citation statements)
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“…Moreover, information about measured tissue and plasma concentrations as well as the PD effect fed into in silico models might help to understand PK/PD drivers in a better way. As tissues can be represented with their compartmental (sub-)structures in in silico models, this allows to calculate the PD effect in specific target tissues [ 37 , 38 ]. A first rough estimation of human equivalent doses using the concept of Reagan-Shaw and colleagues [ 39 ] based on the efficacy data from this study shows that 100 mg/kg would be equivalent to 8.1 mg/kg human dose, whereas a dose of 60 mg/kg has a human equivalent dose of 4.9 mg/kg.…”
Section: Discussionmentioning
confidence: 99%
“…Moreover, information about measured tissue and plasma concentrations as well as the PD effect fed into in silico models might help to understand PK/PD drivers in a better way. As tissues can be represented with their compartmental (sub-)structures in in silico models, this allows to calculate the PD effect in specific target tissues [ 37 , 38 ]. A first rough estimation of human equivalent doses using the concept of Reagan-Shaw and colleagues [ 39 ] based on the efficacy data from this study shows that 100 mg/kg would be equivalent to 8.1 mg/kg human dose, whereas a dose of 60 mg/kg has a human equivalent dose of 4.9 mg/kg.…”
Section: Discussionmentioning
confidence: 99%
“…The plasma stability assay, the metabolic stability assay, and the PPB assay were conducted as described previously. For the HPLC-MS measurements, samples were analyzed using an Agilent 1290 Infinity II HPLC system coupled to an AB Sciex QTrap 6500plus or an AB Sciex Qtrap7500 mass spectrometer. LC conditions were as follows: column: Agilent Zorbax Eclipse Plus C18, 50 × 2.1 mm, 1.8 μm; temperature: 30 °C; injection volume: 5 μL per sample; flow rate: 700 μL min –1 .…”
Section: Methodsmentioning
confidence: 99%
“…Statins, a class of HMGCR inhibitors, have been extensively studied to explore their potential in treating dengue fever (Table 1). Soraphen-A, a compound that targets ACC2, demonstrated remarkable efficacy in reducing DENV-2 viremia in infected mice [119]. Orlistat, a FAS inhibitor, exhibited potent antiviral effects by suppressing replication and infection of all DENV serotypes [107].…”
Section: Molecules Targeting Host Factors From Lipid Metabolismmentioning
confidence: 99%