%0 Journal Article %T Verapamil inhibits respiratory syncytial virus infection by regulating Ca2+ influx. %A Chen F %A Shen H %A Liu G %A Zhang P %A Zhang L %A Lin S %A Gao H %A Peng H %A Qi YF %A Chen Y %A Jiang Y %A Huang J %A Shen X %A Luo YS %A Zhang K %J Life Sci %V 352 %N 0 %D 2024 Sep 1 %M 38942358 %F 6.78 %R 10.1016/j.lfs.2024.122877 %X OBJECTIVE: The study evaluated the antiviral effect of Verapamil against respiratory syncytial virus (RSV) and investigated its underlying mechanism.
METHODS: RSV-infected BALB/c mice were treated with Verapamil. Body weight, survival rates, viral load, lung damage, inflammatory factors, and the expression of RSV fusion (F) protein were analyzed. In cellular studies, intracellular Ca2+ and viral titers were measured in the presence of Verapamil, Calcium Chloride, and EGTA. A time-of-addition assay assessed the antiviral effect of Verapamil.
RESULTS: Mice infected with RSV and treated with Verapamil exhibited a significant decrease in weight loss, an increase in survival rates, and reductions in viral titers, RSV F protein expression, inflammatory responses, and lung tissue injury. Verapamil reduced intracellular calcium levels, which correlated with reduced viral titers. The addition of calcium chloride reversed the anti-viral effects mediated by Verapamil, while EGTA potentiated them. The antiviral activity of Verapamil was observed during the early phase of RSV infection, likely by blocking Ca2+ channels and inhibiting virus replication.
CONCLUSIONS: Verapamil effectively inhibits RSV infection by blocking calcium channels and reducing intracellular calcium levels, thereby impeding viral replication. Thus, Verapamil shows promise as a treatment for RSV.