Emetine

An alkaloid compound with emecit and anti-infective properties.

Phase of research

Potential treatment - pre-clinical evidence

How it helps

Antiviral

Drug status

Experimental

7
Supporting references
0
Contradictory references
19
AI-suggested references
0
Clinical trials

General information

Emetine is an alkaloid eukaryotic ribosomal inhibitor (NCIt) that displays emetic, antiviral, antiprotozoal, and antineoplastic activities (ChEBI). It was computationally modelled and observed to impair the interaction between the SARS-CoV-2 RNA and the host eIF4E translation initiation factor, thus blocking viral proteosynthesis and further replication (Kumar et al., 2021).

Emetine on DrugBank
Emetine on PubChem
Emetine on Wikipedia

 

Structure image - Emetine

CC[C@H]1CN2CCC3=CC(=C(C=C3[C@@H]2C[C@@H]1C[C@@H]4C5=CC(=C(C=C5CCN4)OC)OC)OC)OC


Supporting references

Link Tested on Impact factor Notes Publication date
Screening of FDA-approved drugs using a MERS-CoV clinical isolate from South Korea identifies potential therapeutic options for COVID-19
Preprint Screening
VERO cells Mar/19/2020
Antiviral options against SARS-CoV-2 infection
Preprint Screening
VERO E6 cell cultures

synergistic effect in combination with the virus-directed drug nelfinavir

May/12/2020
Discovery of Synergistic and Antagonistic Drug Combinations against SARS-CoV-2 In Vitro
Preprint In silico
VERO E6 cell cultures

synergistic effect in combination with nitazoxanide or NCGC00411883-01

Jul/01/2020
Transcription-based drug repurposing for COVID-19
Small molecule In silico
in silico 2.93

Predicted to inhibit SARS-CoV-2 based on transcriptional response (virus defence-like) profile.

Sep/25/2020
The potential of Paritaprevir and Emetine as inhibitors of SARS-CoV-2 RdRp
RdRpol Small molecule In silico
in silico 2.80

Predicted to inhibit the SARS-CoV-2 RNA-dependent RNA polymerase.

Dec/02/2020
Identification of existing pharmaceuticals and herbal medicines as inhibitors of SARS-CoV-2 infection
3CLpro PapainLpro Enzyme assay Animal model In vitro In silico
in silico; in vitro enzyme assay; Vero E6 cells; golden Syrian hamsters; SARS-CoV-2 clinical isolate hCoV-19/Taiwan/4/2020 9.41

Inhibited SARS-CoV-2 infection in Vero E6 cells with high selectivity index.

Jan/15/2021
Emetine suppresses SARS-CoV-2 replication by inhibiting interaction of viral mRNA with eIF4E
Small molecule In vitro Mechanism
Vero cells; SARS-CoV-2 strain SARS-CoV-2/Human-tc/India/2020/Hisar-4907 4.10

The drug inhibits SARS-CoV-2 in Vero cells at an EC50 of 0.147 nM and with an SI of 10910.4. Emetine treatment led to a decrease in viral protein synthesis. Based on computational modelling and ChIP assay-based experiments, the drug was suggested to block the interaction between viral RNA and the eIF4E translation initiation factor. Targeting the ERK/MNK1/eIF4E signalling pathway by other means was shown to reduce SARS-CoV-2 replication, as well, which further supports the suggested model of emetine’s mechanism of action.

Mar/10/2021

AI-suggested references

Link Publication date
Natural Products Homoharringtonine and Emetine Alkaloids as SARS-CoV-2 Treatment Options.
Oct/12/2020
Emetine, a potent alkaloid for the treatment of SARS-CoV-2 targeting papain-like protease and non-structural proteins: pharmacokinetics, molecular docking and dynamic studies.
Jul/13/2021
In Vitro Data of Current Therapies for SARS-CoV-2.
Jun/24/2020
Anti-SARS-CoV-2 potential of Cissampelos pareira L. identified by connectivity map-based analysis and in vitro studies
Apr/22/2022
An investigation into the identification of potential inhibitors of SARS-CoV-2 main protease using molecular docking study
May/13/2020
Emetine, Ipecac, Ipecac Alkaloids and Analogues as Potential Antiviral Agents for Coronaviruses
Oct/15/2021
Low dose of emetine as potential anti-SARS-CoV-2 virus therapy: preclinical in vitro inhibition and in vivo pharmacokinetic evidences.
Nov/30/2020
A multi-targeting drug design strategy for identifying potent anti-SARS-CoV-2 inhibitors
Feb/03/2021
Discovery of Potential Therapeutic Drugs for COVID-19 Through Logistic Matrix Factorization With Kernel Diffusion
Feb/28/2022
Screening for natural and derived bio-active compounds in preclinical and clinical studies: One of the frontlines of fighting the coronaviruses pandemic.
Aug/29/2020
Clinical efficacy of low-dose emetine for patients with COVID-19: a real-world study.
Dec/03/2020
Enhancement of the IFN-beta-induced host signature informs repurposed drugs for COVID-19.
Dec/02/2020
Zinc supplementation augments the suppressive effects of repurposed NF-kappaB inhibitors on ACE2 expression in human lung cell lines
Jun/23/2021
Remdesivir, lopinavir, emetine, and homoharringtonine inhibit SARS-CoV-2 replication in vitro
Apr/03/2020
Plant-derived chemicals as potential inhibitors of SARS-CoV-2 main protease (6LU7), a virtual screening study
Mar/23/2021
Potential Antiviral Options against SARS-CoV-2 Infection
Nov/05/2020
Emetine Is Not Ipecac: Considerations for Its Use as Treatment for SARS-CoV2
Feb/18/2022
On-target versus off-target effects of drugs inhibiting the replication of SARS-CoV-2.
Aug/19/2020
Repurposing old drugs as antiviral agents for coronaviruses
May/23/2020