The anticoagulant drug heparin interacts with the spike protein on the coronavirus's surface, preventing it from docking with the ACE2 receptor on human cells.
Heparin, the common anticoagulant medication, inhibits the SARS-Cov2 virus spike protein, by reducing the virus' ability to attach to human cells and infect them, said an international team of researchers led by the Universities of Liverpool and //Keele, working with Public Health England. The findings of the study are published in the journals British Journal of Pharmacology, and Thrombosis and Haemostasis.
‘The anticoagulant drug heparin interacts with the spike protein on the surface of coronavirus (SARS-CoV2), destabilizing its structure and preventing it from docking ACE2 receptor on human cells.’
Molecular modelling by collaborators at Queensland University in Australia showed how heparin can stick to the surface of the spike protein to achieve these effects, and studies with live SARS-CoV2 virus carried out at Public Health England's Porton Down laboratory showed that unfractionated heparin (but not low molecular weight heparins) could inhibit cell infectivity at doses similar to those currently used in clinical settings as an anticoagulant. Crucially, the data strongly supported the clinical testing of inhaled ("nebulised") unfractionated heparin, since the doses known to be delivered to the lungs would have very strong anti-viral effects.
Professor Jeremy Turnbull from the Department of Biochemistry and Systems Biology at the University of Liverpool said: "This is exciting news since heparin could be rapidly repurposed to help alleviate Covid-19 infections, or possibly as a prophylactic treatment for high-risk groups such as medical staff or care workers.
The results have also led us to investigate other novel compounds which mimic heparin that could potentially be effective against SARS-CoV2."
Dr Mark Skidmore from the School of Life Sciences at Keele University co-led the research. He said: "We also know that heparins inhibit a range of other viruses, so studying these drugs could provide new therapeutic strategies, and possibly a first-line of defence against emerging viral threats in the future, for example while vaccines are developed."
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"The Covid-19 pandemic has had a significant impact on the delivery of NHS services and local communities. These results strengthen the need for further investigation of heparin as a treatment in Covid-19 patients," said Dr Quentin Nunes, Consultant at the East Lancashire Hospitals NHS Trust, who is leading efforts to begin clinical trial of nebulised heparin in ITU patients in the UK.
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Source-Newswise