Evidence map›Paper›PMID 40365759›Full record

ArticleAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2025

Trypstatin as a Novel TMPRSS2 Inhibitor with Broad-Spectrum Efficacy against Corona and Influenza Viruses.

Jan Lawrenz, Lukas Wettstein, Armando Rodríguez Alfonso, Rayhane Nchioua, Pascal von Maltitz, Dan Pascal Jean Albers, Fabian Zech, Julie Vandeput, Lieve Naesens, Giorgio Fois and 15 more

Abstract read
In one paragraph

Article in Advanced science (Weinheim, Baden-Wurttemberg, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
  2. Review
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  4. Article
  5. Journal of medicinal chemistry · 2025
    Article
  6. Review
  7. Article
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

25 authors.

Jan LawrenzInstitute of Molecular Virology, Ulm University Medical Center, 89081, Ulm, Germany.ORCID https://orcid.org/0000-0003-3767-7130
Lukas WettsteinInstitute of Molecular Virology, Ulm University Medical Center, 89081, Ulm, Germany.ORCID https://orcid.org/0000-0002-8182-9309
Armando Rodríguez AlfonsoCore Facility Functional Peptidomics, Ulm University Medical Center, 89081, Ulm, Germany.ORCID https://orcid.org/0000-0001-5921-3770
Rayhane NchiouaInstitute of Molecular Virology, Ulm University Medical Center, 89081, Ulm, Germany.
Pascal von MaltitzInstitute of Molecular Virology, Ulm University Medical Center, 89081, Ulm, Germany.ORCID https://orcid.org/0000-0003-0533-6999
Dan Pascal Jean AlbersInstitute of Molecular Virology, Ulm University Medical Center, 89081, Ulm, Germany.ORCID https://orcid.org/0000-0002-5863-6322
Fabian ZechInstitute of Molecular Virology, Ulm University Medical Center, 89081, Ulm, Germany.ORCID https://orcid.org/0000-0002-1668-8060
Julie VandeputRega Institute for Medical Research, Department of Microbiology, Immunology and Transplantation, 3000, Leuven, Belgium.ORCID https://orcid.org/0000-0003-3554-1088
Lieve NaesensRega Institute for Medical Research, Department of Microbiology, Immunology and Transplantation, 3000, Leuven, Belgium.ORCID https://orcid.org/0000-0001-9742-9302
Giorgio FoisInstitute of General Physiology, Ulm University, 89081, Ulm, Germany.ORCID https://orcid.org/0000-0001-5414-1149
Veronika NeubauerInstitute of General Physiology, Ulm University, 89081, Ulm, Germany.
Nico PreisingCore Facility Functional Peptidomics, Ulm University Medical Center, 89081, Ulm, Germany.
Emilia SchmiererInstitute of Molecular Virology, Ulm University Medical Center, 89081, Ulm, Germany.
Yasser Almeida-HernandezChair of Computational Bioengineering, Faculty of Biochemical and Chemical Engineering, Technical University of Dortmund, 44227, Dortmund, Germany.ORCID https://orcid.org/0000-0001-9832-3534
Moritz PetersenInstitute for Medical Virology and Epidemiology of Viral Diseases, University Hospital Tübingen, 72076, Tübingen, Germany.
Ludger StändkerCore Facility Functional Peptidomics, Ulm University Medical Center, 89081, Ulm, Germany.
Sebastian WieseCore Unit Mass Spectrometry and Proteomics, Ulm University Medical Center, 89081, Ulm, Germany.
Peter BraubachInstitute of Pathology, Hannover Medical School, 30625, Hannover, Germany.ORCID https://orcid.org/0000-0003-3673-7779
Manfred FrickInstitute of General Physiology, Ulm University, 89081, Ulm, Germany.ORCID https://orcid.org/0000-0002-4763-1104
Eberhard BarthAnesthesiology and Intensive Medicine Clinic, Ulm University Medical Center, 89081, Ulm, Germany.
Daniel SauterInstitute for Medical Virology and Epidemiology of Viral Diseases, University Hospital Tübingen, 72076, Tübingen, Germany.
Frank KirchhoffInstitute of Molecular Virology, Ulm University Medical Center, 89081, Ulm, Germany.ORCID https://orcid.org/0000-0002-7052-2360
Elsa Sanchez-GarciaChair of Computational Bioengineering, Faculty of Biochemical and Chemical Engineering, Technical University of Dortmund, 44227, Dortmund, Germany.
Annelies StevaertRega Institute for Medical Research, Department of Microbiology, Immunology and Transplantation, 3000, Leuven, Belgium.ORCID https://orcid.org/0000-0003-3316-2826
Jan MünchInstitute of Molecular Virology, Ulm University Medical Center, 89081, Ulm, Germany.ORCID https://orcid.org/0000-0001-7316-7141

Funding

Baden-Württemberg Stiftung AVITBundesministerium für Bildung und Forschung 01KI20135Deutsche Forschungsgemeinschaft CRC1430Deutsche Forschungsgemeinschaft CRC1279Deutsches Zentrum für Infektionsforschung TI 07.003DFG Major Research Instrumentation Program 424228829DFG Major Research Instrumentation Program 436586093Heisenberg Program of the German Research Foundation SA 2676/3-1Interdisciplinary Doctoral Program in Medicine of the University Hospital Tübingen
6 · The paper itself

Abstract

Respiratory viruses, such as SARS-CoV-2 and influenza, exploit host proteases like TMPRSS2 for entry, making TMPRSS2 a prime antiviral target. Here, the identification and characterization of Trypstatin, a 61-amino acid Kunitz-type protease inhibitor derived from human hemofiltrate are reported. Trypstatin inhibits TMPRSS2 and related proteases with high potency, exhibiting half-maximal inhibitory concentration values in the nanomolar range, comparable to the small molecule inhibitor camostat mesylate. In vitro assays demonstrate that Trypstatin effectively blocks spike-driven entry of SARS-CoV-2, SARS-CoV-1, MERS-CoV, and hCoV-NL63, as well as hemagglutinin-mediated entry of influenza A and B viruses. In primary human airway epithelial cultures, Trypstatin significantly reduces SARS-CoV-2 replication and retained activity in the presence of airway mucus. In vivo, intranasal administration of Trypstatin to SARS-CoV-2-infected Syrian hamsters reduces viral titers and alleviates clinical symptoms. These findings highlight Trypstatin's potential as a broad-spectrum antiviral agent against TMPRSS2-dependent respiratory viruses.

Indexed as

Antiviral AgentsSARS-CoV-2Serine EndopeptidasesAnimalsCOVID-19COVID-19 Drug TreatmentCricetinaeHumansInfluenza A virusMesocricetusVirus InternalizationVirus ReplicationAntiviral AgentsSerine EndopeptidasesTMPRSS2 protein, humanantiviralscoronavirusesemerging viruseshost immune responseinfluenza virusesproteasesTMPRSS2

Identifiers

PMID40365759
PMCPMC12224939

What OpenQuestion holds

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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.