Evidence map›Paper›PMID 34157321›Full record

ArticleAntiviral research2021

Selinexor, a novel selective inhibitor of nuclear export, reduces SARS-CoV-2 infection and protects the respiratory system in vivo.

Trinayan Kashyap, Jackelyn Murray, Christopher J Walker, Hua Chang, Sharon Tamir, Bing Hou, Sharon Shacham, Michael G Kauffman, Ralph A Tripp, Yosef Landesman

Open access · hybridAbstract read
In one paragraph

Article in Antiviral research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
2.7field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 55 citations in OpenAlex.

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  12. Modulation of anti-tumour immunity by XPO1 inhibitors.Exploration of targeted anti-tumor therapy · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Trinayan KashyapKaryopharm Therapeutics, Newton, MA, USA.
Jackelyn MurrayUniversity of Georgia College of Veterinary Medicine, Athens, GA, USA.
Christopher J WalkerKaryopharm Therapeutics, Newton, MA, USA.
Hua ChangKaryopharm Therapeutics, Newton, MA, USA.
Sharon TamirKaryopharm Therapeutics, Newton, MA, USA.
Bing HouAntengene Corporation Co., Ltd., Shaoxing, PR China.
Sharon ShachamKaryopharm Therapeutics, Newton, MA, USA.
Michael G KauffmanKaryopharm Therapeutics, Newton, MA, USA.
Ralph A TrippUniversity of Georgia College of Veterinary Medicine, Athens, GA, USA.
Yosef LandesmanKaryopharm Therapeutics, Newton, MA, USA. Electronic address: ylandesman@karyopharm.com.
Karyopharm Therapeutics (United States) · USGeorgia College & State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The novel coronavirus disease 2019 (COVID-19) caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is responsible for the recent global pandemic. The nuclear export protein (XPO1) has a direct role in the export of SARS-CoV proteins including ORF3b, ORF9b, and nucleocapsid. Inhibition of XPO1 induces anti-inflammatory, anti-viral, and antioxidant pathways. Selinexor is an FDA-approved XPO1 inhibitor. Through bioinformatics analysis, we predicted nuclear export sequences in the ACE-2 protein and confirmed by in vitro testing that inhibition of XPO1 with selinexor induces nuclear localization of ACE-2. Administration of selinexor inhibited viral infection prophylactically as well as therapeutically in vitro. In a ferret model of COVID-19, selinexor treatment reduced viral load in the lungs and protected against tissue damage in the nasal turbinates and lungs in vivo. Our studies demonstrated that selinexor downregulated the pro-inflammatory cytokines IL-1β, IL-6, IL-10, IFN-γ, TNF-α, and GMCSF, commonly associated with the cytokine storm observed in COVID-19 patients. Our findings indicate that nuclear export is critical for SARS-CoV-2 infection and for COVID-19 pathology and suggest that inhibition of XPO1 by selinexor could be a viable anti-viral treatment option.

Indexed as

COVID-19 Drug TreatmentActive Transport, Cell NucleusAngiotensin-Converting Enzyme 2AnimalsAntiviral AgentsChlorocebus aethiopsCOVID-19CytokinesExportin 1 ProteinFerretsHumansHydrazinesKaryopherinsReceptors, Cytoplasmic and NuclearRespiratory SystemSARS-CoV-2ACE2 protein, humanAngiotensin-Converting Enzyme 2Antiviral AgentsCytokinesExportin 1 ProteinHydrazinesKaryopherinsNOP53 protein, humanReceptors, Cytoplasmic and NuclearselinexorTriazolesTumor Suppressor ProteinsCOVID19CRM1Exportin-1SARS-CoV-2SelinexorSINE compoundXPO1

Identifiers

PMID34157321
PMCPMC8213878
OpenAlexW3173960703

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.