任永成, 王静, 岑山. 玛巴洛沙韦联合FDA上市药物的体外抗甲型流感病毒作用评价J. 药学学报, 2025, 60(6): 1700-1709. DOI: 10.16438/j.0513-4870.2025-0119
引用本文: 任永成, 王静, 岑山. 玛巴洛沙韦联合FDA上市药物的体外抗甲型流感病毒作用评价J. 药学学报, 2025, 60(6): 1700-1709. DOI: 10.16438/j.0513-4870.2025-0119
REN Yong-cheng, WANG Jing, CEN Shan. In vitro evaluation of anti-influenza A virus activity of baloxavir marboxil combined with FDA marketed drugsJ. Acta Pharmaceutica Sinica, 2025, 60(6): 1700-1709. DOI: 10.16438/j.0513-4870.2025-0119
Citation: REN Yong-cheng, WANG Jing, CEN Shan. In vitro evaluation of anti-influenza A virus activity of baloxavir marboxil combined with FDA marketed drugsJ. Acta Pharmaceutica Sinica, 2025, 60(6): 1700-1709. DOI: 10.16438/j.0513-4870.2025-0119

玛巴洛沙韦联合FDA上市药物的体外抗甲型流感病毒作用评价

In vitro evaluation of anti-influenza A virus activity of baloxavir marboxil combined with FDA marketed drugs

  • 摘要: 流感病毒引起的季节性流感严重威胁人类健康。病毒耐药株的快速出现及新发突发传染病的暴发亟需研究人员发现新型的抗流感策略和药物。基于药物联用和药物再利用策略发现有效的联用候选药物组合成为抗病毒药物研发的方向之一。本文针对甲型流感病毒(IAV), 利用高通量筛选系统, 从FDA上市及药典收录化合物库中筛选与玛巴洛沙韦具有协同作用的药物组合。研究表明, 玛巴洛沙韦分别与具有弱抗流感活性的曲普利啶、氢奎宁、美克西酮联用时, 能够在细胞水平协同抑制IAV复制。研究机制表明, 这3种药物与玛巴洛沙韦联用在抑制IAV RNA依赖性RNA聚合酶(RdRp) 活性上无明显的协同作用, 提示可能存在其他作用机制来发挥协同作用。本研究初步证明了该抗流感药物组合筛选策略的可行性, 同时为玛巴洛沙韦通过药物联用来增强药效提供了理论依据。

     

    Abstract: Seasonal influenza caused by the influenza virus poses a serious threat to human health. The rapid emergence of drug-resistant viral strains and the increasing incidence of novel infectious diseases underscore the urgent need for researchers to develop innovative anti-influenza strategies and drugs. The identification of effective drug combinations and the repurposing of existing drugs have gained traction as a potential avenue for antiviral therapy. This study employed a high-throughput screening system for influenza A virus (IAV) inhibitors to identify drug combinations that exhibit synergistic effects with baloxavir marboxil from FDA-approved and pharmacopeia-listed compound libraries. The results showed that triprolidine, hydroquinine, and mexenone, which individually display limited anti-influenza activity, exhibited synergistic effects when combined with baloxavir marboxil markedly enhancing its anti-IAV potency in cells. Mechanistic studies indicated the synergistic effects of these drug combinations with baloxavir marboxil were not attributed to the inhibition of IAV RNA dependent RNA polymerase (RdRp) activity, suggesting that alternative mechanisms may be responsible for their enhanced effects. This study provides preliminary evidence supporting the feasibility of this drug combination screening strategy and offers a theoretical basis for improving the therapeutic potential of baloxavir marboxil through combination therapy.

     

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