Suramin

A polyanionic antiparasitic drug.

Phase of research

Potential treatment - pre-clinical evidence

How it helps

Antiviral

Drug status

Used to treat other disease

2
Supporting references
0
Contradictory references
13
AI-suggested references
0
Clinical trials

General information

Suramin is a broad-spectrum antiviral. It has also been used for African sleeping sickness and river blindness treatment. It has multiple mechanisms of action. Suramin was observed to bind SARS-CoV-2 RNA-dependent RNA polymerase on two sites and to inhibit the enzyme 20-fold more potently than remdesivir. The compound blocks RNA template strand binding and it also interacts with RNA primer stand adjacent to the active site. Suramin also inhibited viral replication in cell culture. Negative charge possibly limits its cell entry, however (Yin et al., 2021).

Suramin on DrugBank
Suramin on PubChem
Suramin on Wikipedia


Marketed as

309 FOURNEAU; ANTRYPOL; BAYER 205; BELGANYL; GERMANIN; MORANYL; NAGANIN; NAGANINE; NAGANOL; NAPHURIDE

 

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Supporting references

Link Tested on Impact factor Notes Publication date
Suramin Inhibits SARS-CoV-2 Infection in Cell Culture by Interfering with Early Steps of the Replication Cycle
Calu-3 human airway epithelial cells 4.90 Jul/22/2020
Structural basis for inhibition of the SARS-CoV-2 RNA polymerase by suramin
RdRpol Cryo-EM Small molecule Enzyme assay In vitro Mechanism
in vitro binding assay; in vitro enzyme assay; cryo-EM; Vero E6 cells; SARS-CoV-2 strain nCoV-2019BetaCoV/Wuhan/WIV04/2019 11.98

Observed to bind SARS-CoV-2 RNA-dependent RNA polymerase on two sites and to inhibit the enzyme with an IC50 of ca. 0.26 μM, which means it is 20-fold more potent than remdesivir. The compound blocks RNA template strand binding and it also interacts with RNA primer stand adjacent to the active site. Suramin inhibited viral replication in Vero E6 cells with an EC50 of ca. 2.93 μM and an SI of >341. Some of the compound’s derivatives displayed even lower IC50 values in enzyme inhibition assays but these parameters did not translate into improved efficacy in cell culture, possibly due to poor cellular uptake of the compounds.

Mar/05/2021

AI-suggested references

Link Publication date
Suramin, penciclovir, and anidulafungin exhibit potential in the treatment of COVID-19 via binding to nsp12 of SARS-CoV-2.
Oct/22/2021
Plant-Derived Natural Non-Nucleoside Analog Inhibitors (NNAIs) against RNA-Dependent RNA Polymerase Complex (nsp7/nsp8/nsp12) of SARS-CoV-2.
Dec/01/2021
The Repurposed Drugs Suramin and Quinacrine Cooperatively Inhibit SARS-CoV-2 3CLpro In Vitro
Apr/20/2022
Drug repositioning against COVID-19: a first line treatment
May/21/2020
In silico identification of promising inhibitor against RNA-dependent RNA polymerase target of SARS-CoV-2.
Apr/09/2021
Surface plasmon resonance approach to study drug interactions with SARS-CoV-2 RNA-dependent RNA polymerase highlights treatment potential of suramin
Apr/16/2021
Methylene Blue Inhibits the SARS-CoV-2 Spike-ACE2 Protein-Protein Interaction-a Mechanism that can Contribute to its Antiviral Activity Against COVID-19.
Jan/13/2021
Identification of SARS-CoV-2 3CL Protease Inhibitors by a Quantitative High-Throughput Screening.
Sep/04/2020
Small-Molecule Inhibitors of the Coronavirus Spike: ACE2 Protein-Protein Interaction as Blockers of Viral Attachment and Entry for SARS-CoV-2
May/12/2021
Identification and evaluation of the inhibitory effect of Prunella vulgaris extract on SARS-coronavirus 2 virus entry
Apr/06/2021
Inhibition of SARS-CoV-2 3CL Mpro by Natural and Synthetic Inhibitors: Potential Implication for Vaccine Production Against COVID-19
Sep/18/2021
Identifying SARS-CoV-2 antiviral compounds by screening for small molecule inhibitors of nsp12/7/8 RNA-dependent RNA polymerase
May/30/2021
Identifying SARS-CoV-2 antiviral compounds by screening for small molecule inhibitors of nsp13 helicase
Feb/07/2021