Evidence map›Paper›PMID 39968139›Full record

ArticleHeliyon2025

Drug repurposing of argatroban, glimepiride and ranolazine shows anti-SARS-CoV-2 activity via diverse mechanisms.

Shereen A El Sobky, Injie O Fawzy, Mahmoud S Ahmed, Manon Ragheb, Merna H M Hamad, Rowan Bahaaeldin, Salma A Fahim, Rana Saad, Ziad A Khalil, Sara H Mahmoud and 5 more

Abstract read
In one paragraph

Article in Heliyon, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Shereen A El SobkySchool of Medicine, Newgiza University (NGU), Giza, 12577, Egypt.
Injie O FawzySchool of Medicine, Newgiza University (NGU), Giza, 12577, Egypt.
Mahmoud S AhmedDepartment of Internal Medicine, University of Texas, Southwestern Medical Center, Dallas, TX, 75390, USA.
Manon RaghebSchool of Medicine, Newgiza University (NGU), Giza, 12577, Egypt.
Merna H M HamadSchool of Medicine, Newgiza University (NGU), Giza, 12577, Egypt.
Rowan BahaaeldinSchool of Medicine, Newgiza University (NGU), Giza, 12577, Egypt.
Salma A FahimSchool of Medicine, Newgiza University (NGU), Giza, 12577, Egypt.
Rana SaadSchool of Medicine, Newgiza University (NGU), Giza, 12577, Egypt.
Ziad A KhalilSchool of Medicine, Newgiza University (NGU), Giza, 12577, Egypt.
Sara H MahmoudCenter of Scientific Excellence for Influenza Viruses, National Research Centre, 12622 Dokki, Giza, Egypt.
Ahmed MostafaCenter of Scientific Excellence for Influenza Viruses, National Research Centre, 12622 Dokki, Giza, Egypt.
Mohamed A AliCenter of Scientific Excellence for Influenza Viruses, National Research Centre, 12622 Dokki, Giza, Egypt.
Hesham A SadekDepartment of Internal Medicine, University of Texas, Southwestern Medical Center, Dallas, TX, 75390, USA.
Nada El-EkiabySchool of Medicine, Newgiza University (NGU), Giza, 12577, Egypt.
Ahmed I AbdelazizSchool of Medicine, Newgiza University (NGU), Giza, 12577, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the vast vaccination campaigns against SARS-CoV-2, vaccine-resistant variants have emerged, and COVID-19 is continuing to spread with the fear of emergence of new variants that are resistant to the currently available anti-viral drugs. Hence, there is an urgent need to discover potential host-directed - rather than virus-directed - therapies against COVID-19. SARS-CoV-2 enters host cells through binding of the viral spike (S)-protein to the host angiotensin-converting enzyme 2 (ACE2) receptor, rendering the viral port of entry an attractive therapeutic target. Accordingly, this study aimed to investigate FDA-approved drugs for their potential repurposing to inhibit the entry point of SARS-CoV-2. Accordingly, the FDA-approved drugs library was enrolled in docking simulations to identify drugs that bind to the Spike-ACE2 interface. The drugs list retrieved by the docking simulations was shortlisted to 19 drugs based on docking scores and safety profiles. These drugs were screened for their ability to prevent binding between ACE2 and S-protein using an ELISA-based Spike-ACE2 binding assay. Five drugs showed statistically significant inhibition of binding between ACE2 and S-protein, ranging from 4 % to 37 %. Of those five, argatroban, glimepiride and ranolazine showed potential antiviral activity at IC

Indexed as

ACE2ArgatrobanCOVID-19Drug-repurposingGlimepirideRanolazine

Identifiers

PMID39968139
PMCPMC11834051

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.