Evidence map›Paper›PMID 34421587›Full record

ArticleFrontiers in pharmacology2021

The Hyperlipidaemic Drug Fenofibrate Significantly Reduces Infection by SARS-CoV-2 in Cell Culture Models.

Scott P Davies, Courtney J Mycroft-West, Isabel Pagani, Harriet J Hill, Yen-Hsi Chen, Richard Karlsson, Ieva Bagdonaite, Scott E Guimond, Zania Stamataki, Marcelo Andrade De Lima and 6 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in pharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.5field-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

28 citing papers in PubMed, 41 citations in OpenAlex.

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  5. Fenofibrate suppressesFrontiers in cellular and infection microbiology · 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

16 authors at 5 institutions in 3 countries.

Scott P DaviesInstitute for Immunology and Immunotherapy, University of Birmingham, Birmingham, United Kingdom.
Courtney J Mycroft-WestMolecular and Structural Bioscience, School of Life Sciences, Keele University, Staffordshire, United Kingdom.
Isabel PaganiViral Pathogenesis and Biosafety Unit, San Raffaele Scientific Institute Via Olgettina, Milano, Italy.
Harriet J HillInstitute for Immunology and Immunotherapy, University of Birmingham, Birmingham, United Kingdom.
Yen-Hsi ChenCopenhagen Center for Glycomics, Department of Cellular and Molecular Medicine, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark.
Richard KarlssonCopenhagen Center for Glycomics, Department of Cellular and Molecular Medicine, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark.
Ieva BagdonaiteCopenhagen Center for Glycomics, Department of Cellular and Molecular Medicine, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark.
Scott E GuimondMolecular and Structural Bioscience, School of Life Sciences, Keele University, Staffordshire, United Kingdom.
Zania StamatakiInstitute for Immunology and Immunotherapy, University of Birmingham, Birmingham, United Kingdom.
Marcelo Andrade De LimaMolecular and Structural Bioscience, School of Life Sciences, Keele University, Staffordshire, United Kingdom.
Jeremy E TurnbullCopenhagen Center for Glycomics, Department of Cellular and Molecular Medicine, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark.
Zhang YangCopenhagen Center for Glycomics, Department of Cellular and Molecular Medicine, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark.
Elisa VicenziViral Pathogenesis and Biosafety Unit, San Raffaele Scientific Institute Via Olgettina, Milano, Italy.
Mark A SkidmoreMolecular and Structural Bioscience, School of Life Sciences, Keele University, Staffordshire, United Kingdom.
Farhat L KhanimSchool of Biomedical Sciences, Institute for Clinical Sciences, University of Birmingham, Birmingham, United Kingdom.
Alan RichardsonSchool of Pharmacy and Bioengineering, Keele University, Staffordshire, United Kingdom.
Keele University · GBUniversity of Birmingham · GBUniversity of Copenhagen · DKVita-Salute San Raffaele University · ITUniversity of Liverpool · GB

Funding

MRF_ MRF-169-0001-F-STAM-C0826National Centre for the Replacement, Refinement and Reduction of Animals in Research NC/R002061/1
6 · The paper itself

Abstract

The severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) pandemic has caused a significant number of fatalities and worldwide disruption. To identify drugs to repurpose to treat SARS-CoV-2 infections, we established a screen to measure the dimerization of angiotensin-converting enzyme 2 (ACE2), the primary receptor for the virus. This screen identified fenofibric acid, the active metabolite of fenofibrate. Fenofibric acid also destabilized the receptor-binding domain (RBD) of the viral spike protein and inhibited RBD binding to ACE2 in enzyme-linked immunosorbent assay (ELISA) and whole cell-binding assays. Fenofibrate and fenofibric acid were tested by two independent laboratories measuring infection of cultured Vero cells using two different SARS-CoV-2 isolates. In both settings at drug concentrations, which are clinically achievable, fenofibrate and fenofibric acid reduced viral infection by up to 70%. Together with its extensive history of clinical use and its relatively good safety profile, this study identifies fenofibrate as a potential therapeutic agent requiring an urgent clinical evaluation to treat SARS-CoV-2 infection.

Indexed as

ACE2COVID-19fenofibratefibrateSARS-CoV-2

Identifiers

PMID34421587
PMCPMC8377159
OpenAlexW3190996386

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.