Evidence map›Paper›PMID 34162861›Full record

ArticleNature communications2021

A high-throughput screen for TMPRSS2 expression identifies FDA-approved compounds that can limit SARS-CoV-2 entry.

Yanwen Chen, Travis B Lear, John W Evankovich, Mads B Larsen, Bo Lin, Irene Alfaras, Jason R Kennerdell, Laura Salminen, Daniel P Camarco, Karina C Lockwood and 7 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed
4.4field-weighted citation impact, top 4% 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

56 citing papers in PubMed, 80 citations in OpenAlex.

  1. Trial
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  10. Rapid luminescence-based screening method for SARS- CoV-2 inhibitors discovery.SLAS discovery : advancing life sciences R & D · 2025
    Article
  11. Impact of Glucose, Inflammation and Phytochemicals onAntioxidants (Basel, Switzerland) · 2025
    Article
  12. Selective Control byInternational journal of molecular sciences · 2025
    Article
  13. Article
  14. Anti-inflammatory effects ofFrontiers in pharmacology · 2025
    Article
  15. Article
  16. Article
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  19. TMPRSS2-mediated SARS-CoV-2 uptake boosts innate immune activation, enhances cytopathology, and drives convergent virus evolution.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 1 institution in 2 countries.

Yanwen Chen *Aging Institute, University of Pittsburgh/UPMC, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0002-3467-2871
Travis B Lear *Aging Institute, University of Pittsburgh/UPMC, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0001-9156-0844
John W Evankovich *Aging Institute, University of Pittsburgh/UPMC, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0003-2070-0883
Mads B LarsenAging Institute, University of Pittsburgh/UPMC, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0001-5361-0898
Bo LinAging Institute, University of Pittsburgh/UPMC, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0002-2108-2696
Irene AlfarasAging Institute, University of Pittsburgh/UPMC, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0002-2073-9641
Jason R KennerdellAging Institute, University of Pittsburgh/UPMC, Pittsburgh, PA, USA.
Laura SalminenAging Institute, University of Pittsburgh/UPMC, Pittsburgh, PA, USA.
Daniel P CamarcoAging Institute, University of Pittsburgh/UPMC, Pittsburgh, PA, USA.
Karina C LockwoodAging Institute, University of Pittsburgh/UPMC, Pittsburgh, PA, USA.
Ferhan TuncerAging Institute, University of Pittsburgh/UPMC, Pittsburgh, PA, USA.
Jie LiuAging Institute, University of Pittsburgh/UPMC, Pittsburgh, PA, USA.
Michael M MyerburgDepartment of Medicine, Acute Lung Injury Center of Excellence, University of Pittsburgh, Pittsburgh, PA, USA.
John F McDyerDepartment of Medicine, Acute Lung Injury Center of Excellence, University of Pittsburgh, Pittsburgh, PA, USA.
Yuan LiuAging Institute, University of Pittsburgh/UPMC, Pittsburgh, PA, USA. liuy13@upmc.edu.ORCID http://orcid.org/0000-0001-5031-7514
Toren FinkelAging Institute, University of Pittsburgh/UPMC, Pittsburgh, PA, USA. finkelt@pitt.edu.ORCID http://orcid.org/0000-0002-0726-3546
Bill B ChenAging Institute, University of Pittsburgh/UPMC, Pittsburgh, PA, USA. chenb@upmc.edu.ORCID http://orcid.org/0000-0003-2695-5107
University of Pittsburgh · US

Funding

VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JENNIFER S BRACH · 2004 to 2026
$28.6M
Systematic Investigation of Protein Ubiquitination in ARDSR35HL139860 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CHEN, BEIBEI · 2018 to 2024
$6.3M
Translational Pulmonary Vascular BiologyT32HL110849 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Sruti Shiva · 2012 to 2026
$5.0M
The role of calcium entry through the mitochondrial uniporter in regulating cardiac metabolism and physiologyR01HL142589 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FINKEL, TOREN · 2019 to 2022
$2.6M
DCAF7/HDAC4/TFEB axis in acute lung injuryR01HL142777 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LIU, YUAN · 2018 to 2022
$2.4M
Vascular autophagy as a mediator of vascular aging and homeostasisR01HL142663 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FINKEL, TOREN · 2018 to 2021
$2.2M
Role of F-Box Proteins in Lung TransplantationR01HL133184 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CHEN, BEIBEI, MCDYER, JOHN F · 2017 to 2020
$2.1M
Role of Fbxo48-mediated AMPK proteostasis in the pathogenesis and treatment of NAFLDR01DK119627 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JURCZAK, MICHAEL J., LIU, YUAN · 2019 to 2023
$2.0M
Degradation of Toll-Like Receptor 8 by RNF216 in response to plasma MicroRNA’s – A Novel Mechanism Regulating Inflammation in Acute Lung InjuryK08HL144820 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI EVANKOVICH, JOHN W · 2019 to 2023
$810k
NHLBI NIH HHS K08 HL144820NHLBI NIH HHS R01 HL133184NHLBI NIH HHS R01 HL142589NHLBI NIH HHS R01 HL142663NHLBI NIH HHS R01 HL142777NHLBI NIH HHS R35 HL139860NHLBI NIH HHS T32 HL110849NIA NIH HHS P30 AG024827NIDDK NIH HHS R01 DK119627
6 · The paper itself

Abstract

SARS-CoV-2 (2019-nCoV) is the pathogenic coronavirus responsible for the global pandemic of COVID-19 disease. The Spike (S) protein of SARS-CoV-2 attaches to host lung epithelial cells through the cell surface receptor ACE2, a process dependent on host proteases including TMPRSS2. Here, we identify small molecules that reduce surface expression of TMPRSS2 using a library of 2,560 FDA-approved or current clinical trial compounds. We identify homoharringtonine and halofuginone as the most attractive agents, reducing endogenous TMPRSS2 expression at sub-micromolar concentrations. These effects appear to be mediated by a drug-induced alteration in TMPRSS2 protein stability. We further demonstrate that halofuginone modulates TMPRSS2 levels through proteasomal-mediated degradation that involves the E3 ubiquitin ligase component DDB1- and CUL4-associated factor 1 (DCAF1). Finally, cells exposed to homoharringtonine and halofuginone, at concentrations of drug known to be achievable in human plasma, demonstrate marked resistance to SARS-CoV-2 infection in both live and pseudoviral in vitro models. Given the safety and pharmacokinetic data already available for the compounds identified in our screen, these results should help expedite the rational design of human clinical trials designed to combat active COVID-19 infection.

Indexed as

COVID-19 Drug TreatmentAngiotensin-Converting Enzyme 2AnimalsCells, CulturedChlorocebus aethiopsCOVID-19High-Throughput Screening AssaysHomoharringtonineHumansLungMicePiperidinesProtein Synthesis InhibitorsQuinazolinonesSARS-CoV-2Serine EndopeptidasesAngiotensin-Converting Enzyme 2halofuginoneHomoharringtoninePiperidinesProtein Synthesis InhibitorsQuinazolinonesSerine EndopeptidasesSpike Glycoprotein, CoronavirusTMPRSS2 protein, human

Identifiers

PMID34162861
PMCPMC8222394
OpenAlexW3174593894

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Registered trials

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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.