In vitro selection of Remdesivir resistance suggests evolutionary predictability of SARS-CoV-2

AM Szemiel, A Merits, RJ Orton, OA MacLean… - PLoS …, 2021 - journals.plos.org
Remdesivir (RDV), a broadly acting nucleoside analogue, is the only FDA approved small
molecule antiviral for the treatment of COVID-19 patients. To date, there are no reports …

Very low levels of remdesivir resistance in SARS-COV-2 genomes after 18 months of massive usage during the COVID19 pandemic: A GISAID exploratory analysis

D Focosi, F Maggi, S McConnell, A Casadevall - Antiviral research, 2022 - Elsevier
Massive usage of antiviral compounds during a pandemic creates an ideal ground for
emergence of resistant strains. Remdesivir, a broad-spectrum inhibitor of the viral RNA …

Mutations in the SARS-CoV-2 RNA-dependent RNA polymerase confer resistance to remdesivir by distinct mechanisms

LJ Stevens, AJ Pruijssers, HW Lee… - Science translational …, 2022 - science.org
The nucleoside analog remdesivir (RDV) is a Food and Drug Administration–approved
antiviral for treatment of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) …

De novo emergence of a remdesivir resistance mutation during treatment of persistent SARS-CoV-2 infection in an immunocompromised patient: a case report

S Gandhi, J Klein, AJ Robertson… - Nature …, 2022 - nature.com
SARS-CoV-2 remdesivir resistance mutations have been generated in vitro but have not
been reported in patients receiving treatment with the antiviral agent. We present a case of …

[HTML][HTML] Remdesivir-induced emergence of SARS-CoV2 variants in patients with prolonged infection

A Heyer, T Günther, A Robitaille, M Lütgehetmann… - Cell Reports …, 2022 - cell.com
We here investigate the impact of antiviral treatments such as remdesivir on intra-host
genomic diversity and emergence of SARS-CoV2 variants in patients with a prolonged …

Therapeutic treatment with an oral prodrug of the remdesivir parental nucleoside is protective against SARS-CoV-2 pathogenesis in mice

A Schäfer, DR Martinez, JJ Won, RM Meganck… - Science Translational …, 2022 - science.org
The coronavirus disease 2019 (COVID-19) pandemic remains uncontrolled despite the
rapid rollout of safe and effective severe acute respiratory syndrome coronavirus 2 (SARS …

High-throughput rational design of the remdesivir binding site in the RdRp of SARS-CoV-2: implications for potential resistance

AK Padhi, R Shukla, P Saudagar, T Tripathi - Iscience, 2021 - cell.com
The use of remdesivir to treat COVID-19 will likely continue before clinical trials are
completed. Due to the lengthening pandemic and evolving nature of the virus, predicting …

Remdesivir resistance in transplant recipients with persistent coronavirus disease 2019

JI Hogan, R Duerr, D Dimartino, C Marier… - Clinical Infectious …, 2023 - academic.oup.com
New mutations conferring resistance to SARS-CoV-2 therapeutics have important clinical
implications. We describe the first cases of an independently acquired V792I RNA …

Remdesivir and GS-441524 retain antiviral activity against Delta, Omicron, and other emergent SARS-CoV-2 variants

J Pitts, J Li, JK Perry, V Du Pont, N Riola… - Antimicrobial agents …, 2022 - Am Soc Microbiol
Genetic variation of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has
resulted in the emergence and rapid spread of multiple variants throughout the pandemic, of …

Coronavirus susceptibility to the antiviral remdesivir (GS-5734) is mediated by the viral polymerase and the proofreading exoribonuclease

ML Agostini, EL Andres, AC Sims, RL Graham… - MBio, 2018 - Am Soc Microbiol
Emerging coronaviruses (CoVs) cause severe disease in humans, but no approved
therapeutics are available. The CoV nsp14 exoribonuclease (ExoN) has complicated …