The development of effective
antiviral drugs targeting the severe acute respiratory syndrome-related coronavirus 2 (SARS-CoV-2) is urgently needed to combat the
coronavirus disease 2019 (COVID-19). We have previously studied the use of semi-synthetic derivatives of
oxysterols, oxidized derivatives of
cholesterol as drug candidates for the inhibition of
cancer,
fibrosis, and bone regeneration. In this study, we screened a panel of naturally occurring and semi-synthetic
oxysterols for anti-SARS-CoV-2 activity using a cell culture
infection assay. We show that the natural
oxysterols,
7-ketocholesterol,
22(R)-hydroxycholesterol, 24(S)-hydroxycholesterol, and
27-hydroxycholesterol, substantially inhibited SARS-CoV-2 propagation in cultured cells. Among semi-synthetic
oxysterols, Oxy210 and Oxy232 displayed more robust anti-SARS-CoV-2 activities, reducing viral replication more than 90%
at 10 μM and 99% at 15 μM, respectively. When orally administered in mice, peak plasma concentrations of Oxy210 fell into a therapeutically relevant range (19 μM), based on the dose-dependent curve for
antiviral activity in our cell-based assay. Mechanistic studies suggest that Oxy210 reduced replication of SARS-CoV-2 by disrupting the formation of double-membrane vesicles (DMVs); intracellular membrane compartments associated with viral replication. Our study warrants further evaluation of Oxy210 and Oxy232 as a safe and reliable oral medication, which could help protect vulnerable populations with increased risk of developing
COVID-19.