Cited by 8SARS-CoV-2 and COVID-19 ResearchProtease and Inhibitor MechanismsCOVID-19 Clinical Research Studies

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Trypstatin as a Novel TMPRSS2 Inhibitor with Broad‐Spectrum Efficacy against Corona and Influenza Viruses

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Published version of a preprint

Abstract

Respiratory viruses, such as SARS‐CoV‐2 and influenza, exploit host proteases like TMPRSS2 for entry, making TMPRSS2 a prime antiviral target. Here, the identification and characterization of Trypstatin, a 61‐amino acid Kunitz‐type protease inhibitor derived from human hemofiltrate are reported. Trypstatin inhibits TMPRSS2 and related proteases with high potency, exhibiting half‐maximal inhibitory concentration values in the nanomolar range, comparable to the small molecule inhibitor camostat mesylate. In vitro assays demonstrate that Trypstatin effectively blocks spike‐driven entry of SARS‐CoV‐2, SARS‐CoV‐1, MERS‐CoV, and hCoV‐NL63, as well as hemagglutinin‐mediated entry of influenza A and B viruses. In primary human airway epithelial cultures, Trypstatin significantly reduces SARS‐CoV‐2 replication and retained activity in the presence of airway mucus. In vivo, intranasal administration of Trypstatin to SARS‐CoV‐2‐infected Syrian hamsters reduces viral titers and alleviates clinical symptoms. These findings highlight Trypstatin's potential as a broad‐spectrum antiviral agent against TMPRSS2‐dependent respiratory viruses.

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Metadata

Authors
Lawrenz, J., Wettstein, L., Rodríguez Alfonso, A., Nchioua, R., von Maltitz, P., Albers, D. P. J., Zech, F., Vandeput, J., Naesens, L., Fois, G., Neubauer, V., Preising, N., Schmierer, E., Almeida‐Hernandez, Y., Petersen, M., Ständker, L., Wiese, S., Braubach, P., Frick, M., Barth, E., Sauter, D., Kirchhoff, F., Sanchez‐Garcia, E., Stevaert, A., & Münch, J.
Affiliations
  • Universität Ulm (DE)
  • Core Facility Functional Peptidomics Ulm University Medical Center 89081 Ulm Germany
  • Rega Institute for Medical Research (BE)
  • Chair of Computational Bioengineering Faculty of Biochemical and Chemical Engineering Technical University of Dortmund 44227 Dortmund Germany
  • Universitätsklinikum Tübingen (DE)
  • Medizinische Hochschule Hannover (DE)
  • University Hospital Ulm (DE)
Corresponding author
Münch, Jan
Venue
Advanced Science
Publisher
Wiley
Published
2025-05-14
Volume
12
Issue
25
Pages
e2506430-e2506430
ISSN
2198-3844 (ISSN-L)
OpenAlex
W4410373649
Cited by
8
References
63
Citations by year
2026: 4 · 2025: 4
FWCI
6.11
Type
journal article
Language
en
Open access
Locations
  • Advanced Science (publishedVersion, cc-by)
  • bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Lirias (submittedVersion, other-oa)
  • Universitätsbibliographie, Universität Duisburg-Essen (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • Baden-Württemberg Stiftung (AVIT)
  • Bundesministerium für Bildung und Forschung (01KI20135)
  • Deutsche Forschungsgemeinschaft (CRC1430)
  • Deutsches Zentrum für Infektionsforschung (TI 07.003)
Topics
  • Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Protease and Inhibitor Mechanisms
  • Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
Keywords
Kunitz-type inhibitor, SARS-CoV-2, influenza A virus, influenza B, SARS-CoV-1, MERS-CoV, HCoV-NL63, viral entry, spike protein, hemagglutinin, camostat mesylate, antiviral agents, airway epithelial cells, mucus, intranasal administration, Syrian hamster model, respiratory viruses
MeSH terms
COVID-19, SARS-CoV-2, COVID-19 Drug Treatment, Animals, Antiviral Agents, Cricetinae, Humans, Mesocricetus, Influenza A virus, Serine Endopeptidases, Virus Replication, Virus Internalization

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