Hydroxypropyl-Beta-Cyclodextrin (HP-BCD) inhibits SARS-CoV-2 replication by modulating intracellular lipid dynamics and preventing viral replication complex formation - 21/09/25

Abstract |
Hydroxypropyl-beta-cyclodextrin (HP-BCD) is a cholesterol sequestering agent that has been explored as a potential antiviral drug against enveloped viruses and is currently under clinical investigation for Niemann Pick C disease. We previously demonstrated that HP-BCD inhibits SARS-CoV-2 replication and infectivity by targeting both host cells and viral particles. In this study, we investigated the molecular mechanisms underlying HP-BCD antiviral activity against SARS-CoV-2 in vitro. Treatment of Vero cells with HP-BCD altered intracellular compartmentalization, as indicated by the redistribution of early endosome markers. Also, HP-BCD treatment prior to SARS-CoV-2 inoculation promoted an accumulation of nucleocapsid protein at early time points after infection. Infected cells pretreated with HP-BCD exhibited reduced cholesterol and lipid droplets content, potentially hampering the formation of new double-membrane vesicles. Consistently, viral replication complexes were scarcely detected in treated cells, which displayed disformed vesicle-like structures and lacked membrane-associated virus particles. Notably, HP-BCD also reduced viral replication when administered after virus adsorption, although with lower efficacy, indicating interference with potentially multiple stages of the SARS-CoV-2 life cycle. These findings suggest that HP-BCD effectively impairs SARS-CoV-2 biosynthesis through multiple mechanisms with minimal cytotoxicity, supporting its potential as a promising antiviral candidate.
El texto completo de este artículo está disponible en PDF.Graphical Abstract |
Highlights |
• | HP-BCD impacts cellular ACE2 distribution and early SARS-CoV-2 replication. |
• | HP-BCD alters cholesterol and lipid droplets content and organization. |
• | HP-BCD impairs viral compartments formation in SARS-CoV-2-infected cells. |
• | HP-BCD affects both early and late stages of SARS-CoV-2 replication. |
• | HP-BCD inhibition of SARS-CoV-2 is partially reversed by cholesterol replenishment. |
Keywords : SARS-CoV-2, Hydroxypropyl-beta-cyclodextrin, Virus replication, Cholesterol, ACE2, Lipid droplets
Esquema
Vol 191
Artículo 118465- octobre 2025 Regresar al númeroBienvenido a EM-consulte, la referencia de los profesionales de la salud.
