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Antiviral Agents

Repurposing Quinacrine against Ebola Virus Infection In Vivo

Thomas R. Lane, Jason E. Comer, Alexander N. Freiberg, Peter B. Madrid, Sean Ekins
Thomas R. Lane
aCollaborations Pharmaceuticals, Inc., Raleigh, North Carolina, USA
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Jason E. Comer
bDepartment of Microbiology and Immunology, University of Texas Medical Branch, Galveston, Texas, USA
cInstitutional Office of Regulated Nonclinical Studies, University of Texas Medical Branch, Galveston, Texas, USA
dDepartment of Pathology, University of Texas Medical Branch, Galveston, Texas, USA
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Alexander N. Freiberg
dDepartment of Pathology, University of Texas Medical Branch, Galveston, Texas, USA
eSealy Institute for Vaccine Sciences, University of Texas Medical Branch, Galveston, Texas, USA
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Peter B. Madrid
fBioscience Division, SRI International, Menlo Park, California, USA
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Sean Ekins
aCollaborations Pharmaceuticals, Inc., Raleigh, North Carolina, USA
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DOI: 10.1128/AAC.01142-19
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    FIG 1

    Quinacrine molecular structure.

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    FIG 2

    Efficacy of quinacrine against maEBOV in the mouse model. (A) The survival curves for the i.p.-dosed positive-control tilorone (25 mg/kg) and quinacrine test articles (25 and 50 mg/kg) were compared with that of vehicle control. The quinacrine 25-mg/kg and tilorone 25-mg/kg survival curves were statistically significantly different from vehicle using a log-rank (Mantel-Cox) test (P = 0.0040 and 0.0004, respectively). (B) Mean clinical scoring results with overlaid percent survival. (C) Mean body weight results. (D) Plaque assay for viable EBOV in serum samples by group (mice sacrificed at the end of study). (E) qRT-PCR measurement of viral RNA in serum samples by group (mice sacrificed at the end of study). (F) Plaque assay for viable EBOV in serum samples (mice sacrificed based on clinical score). Quinacrine 25- and 50-mg/kg doses were statistically significantly decreased compared with vehicle (Dunnett’s multiple-comparison test; adjusted P = 0.093 and 0.0016, respectively). (G) qRT-PCR measurement of viral RNA in serum samples (mice sacrificed based on clinical score). Results were not statistically significantly different from vehicle (Dunnett’s multiple-comparison test).

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  • TABLE 1

    In vitro ADME properties for quinacrine

    ADME propertyData
    Solubility (μM)80.5 at pH 7.4
    CYP inhibition (μM)
        1A26.66
        2C9>50
        2C198.66
        3A43.96
        2D60.013
    Mouse liver microsomes
        t1/2 (min)22.5
        CLint (μl/min/mg protein)30.8
    Mouse plasma protein binding (%)Binding, 91.8; stability at 5 h, 84.1
    Human plasma protein binding (%)Binding 89.9; stability at 5 h, 106
    Caco-2
        Papp A-B (cm/s)30.6 × E-6
        Papp B-A (cm/s)19.0 × E-6
        Efflux ratio0.92

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Repurposing Quinacrine against Ebola Virus Infection In Vivo
Thomas R. Lane, Jason E. Comer, Alexander N. Freiberg, Peter B. Madrid, Sean Ekins
Antimicrobial Agents and Chemotherapy Aug 2019, 63 (9) e01142-19; DOI: 10.1128/AAC.01142-19

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Repurposing Quinacrine against Ebola Virus Infection In Vivo
Thomas R. Lane, Jason E. Comer, Alexander N. Freiberg, Peter B. Madrid, Sean Ekins
Antimicrobial Agents and Chemotherapy Aug 2019, 63 (9) e01142-19; DOI: 10.1128/AAC.01142-19
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KEYWORDS

Ebola virus
Ebola virus disease
antiviral
quinacrine

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