2021
DOI: 10.1007/s11239-021-02558-5
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Potential antiviral properties of antiplatelet agents against SARS-CoV-2 infection: an in silico perspective

Abstract: SARS-CoV-2 represents the causative agent of the current pandemic (COVID-19). The drug repurposing technique is used to search for possible drugs that can bind to SARS-CoV-2 proteins and inhibit viral replication. In this study, the FDA-approved antiplatelets are tested against the main protease and spike proteins of SARS-CoV-2 using in silico methods. Molecular docking and molecular dynamics simulation are used in the current study. The results suggest the effectiveness of vorapaxar, ticagrelor, cilostazol, c… Show more

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Cited by 8 publications
(7 citation statements)
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“…Tranilast, an old anti-allergy clinical drug is a direct NLRP3 inhibitor that has entered clinical trials for the treatment of COVID-19 patients (229). Ticagrelor, an orally administered selective reversible P2Y 12 receptor antagonist, preventing P2Y 12 and ADP mediated platelet activation and aggregation has been approved for prevention of severe cardiovascular events and may be suited for sepsis-induced coagulopathy in COVID-19 (230) especially since in silico analysis suggests ticagrelor also bound the main protease and spike proteins of SARS-CoV-2 (231). Preliminary trials of prehospital antiplatelet therapy in patients with COVID-19 was associated with modest yet significantly lower in-hospital mortality (232).…”
Section: Discussionmentioning
confidence: 99%
“…Tranilast, an old anti-allergy clinical drug is a direct NLRP3 inhibitor that has entered clinical trials for the treatment of COVID-19 patients (229). Ticagrelor, an orally administered selective reversible P2Y 12 receptor antagonist, preventing P2Y 12 and ADP mediated platelet activation and aggregation has been approved for prevention of severe cardiovascular events and may be suited for sepsis-induced coagulopathy in COVID-19 (230) especially since in silico analysis suggests ticagrelor also bound the main protease and spike proteins of SARS-CoV-2 (231). Preliminary trials of prehospital antiplatelet therapy in patients with COVID-19 was associated with modest yet significantly lower in-hospital mortality (232).…”
Section: Discussionmentioning
confidence: 99%
“…Cilostazol’s potential activity has been studied in silico. Cilostazol can bind to the SARS-CoV-2’s main protease, as well as to the spike protein [ 94 , 95 ]. Despite cilostazol’s likely clinical potential [ 96 ], there are no published data on beneficial effects in patients with COVID-19.…”
Section: Covid-19 Treatments That Target the Endothelium Or Endotheli...mentioning
confidence: 99%
“…127,128 Other studies targeted endosomes to inhibit coronavirus-2 infection. 129 It has also been discovered that endosomal acidification factors, such as bafilomycin A1, inhibit endosomal SARS-CoV-2 via the CLIC/GEEC endocytic pathway, which is pH dependent 3 8) and eventually virus assembly (9) and maturation (10) then viral release (11).…”
Section: Endocytic Proteins As Antiviral Targets Against Sars-cov-2 E...mentioning
confidence: 99%
“…The rapid appearance and transmission of new SARS‐CoV‐2 variants as well as the associated high mortality rate have imposed more challenges on research communities to modify existing detection methods and therapeutic protocols. 8 , 9 , 10 , 11 Although vaccination strategies have become the gold standard for preventing SARS‐CoV‐2 infections, challenges have emerged because of mutational variants gaining increased infectivity potential and becoming less responsive to vaccines. 12 , 13 Recent studies compared the titer of neutralizing antibodies of natural SARS‐CoV‐2 infection and Sinovac vaccination to evaluate the efficacy of vaccination.…”
Section: Introductionmentioning
confidence: 99%
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