Evidence map›Paper›PMID 41331517›Full record

ArticleCommunications biology2025

AI-driven discovery of antiretroviral drug bictegravir and etravirine as inhibitors against monkeypox and related poxviruses.

Yining Wang, Atabey Ünlü, Xin Wang, Elif Çevrim, Dewy Mae Offermans, Myrthe P Flesseman, Luca M Zaeck, Liping Wu, Marcel J C Bijvelds, Nadia A Sam-Agudu and 7 more

Abstract read
In one paragraph

Article in Communications biology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Yining Wang *School of Life Sciences and Biopharmaceutical Sciences, Shenyang Pharmaceutical University, Shenyang, China.
Atabey Ünlü *Biological Data Science Lab, Department of Computer Engineering, Hacettepe University, Ankara, Turkey.
Xin Wang *Department of Gastroenterology and Hepatology, Erasmus MC-University Medical Center, Rotterdam, The Netherlands.
Elif Çevrim *Biological Data Science Lab, Department of Computer Engineering, Hacettepe University, Ankara, Turkey.ORCID http://orcid.org/0000-0001-7797-8080
Dewy Mae OffermansDepartment of Gastroenterology and Hepatology, Erasmus MC-University Medical Center, Rotterdam, The Netherlands.
Myrthe P FlessemanDepartment of Anatomy and Embryology, Leiden University Medical Center, Leiden, The Netherlands.
Luca M ZaeckDepartment of Viroscience, Erasmus MC-University Medical Center, Rotterdam, The Netherlands.ORCID http://orcid.org/0000-0001-7997-493X
Liping WuDepartment of Gastroenterology and Hepatology, Erasmus MC-University Medical Center, Rotterdam, The Netherlands.
Marcel J C BijveldsDepartment of Gastroenterology and Hepatology, Erasmus MC-University Medical Center, Rotterdam, The Netherlands.
Nadia A Sam-AguduInternational Research Center of Excellence, Institute of Human Virology Nigeria, Abuja, Nigeria.
Rory D de VriesDepartment of Viroscience, Erasmus MC-University Medical Center, Rotterdam, The Netherlands.ORCID http://orcid.org/0000-0003-2817-0127
Karine RaymondDepartment of Anatomy and Embryology, Leiden University Medical Center, Leiden, The Netherlands.ORCID http://orcid.org/0000-0001-5892-8117
Pengfei LiDepartment of Gastroenterology and Hepatology, Erasmus MC-University Medical Center, Rotterdam, The Netherlands.ORCID http://orcid.org/0000-0001-6436-4573
Abdurrahman OlğaçDepartment of Pharmaceutical Chemistry, Faculty of Pharmacy, Gazi University, Ankara, Turkey.
Wenshi WangDepartment of Pathogen Biology and Immunology, Jiangsu Key Laboratory of Immunity and Metabolism, Jiangsu International Laboratory of Immunity and Metabolism, Xuzhou Medical University, Xuzhou, China. wenshi.wang@xzhmu.edu.cn.ORCID http://orcid.org/0000-0002-7330-262X
Tunca DoğanBiological Data Science Lab, Department of Computer Engineering, Hacettepe University, Ankara, Turkey. tuncadogan@gmail.com.ORCID http://orcid.org/0000-0002-1298-9763
Qiuwei PanDepartment of Gastroenterology and Hepatology, Erasmus MC-University Medical Center, Rotterdam, The Netherlands. q.pan@erasmusmc.nl.ORCID http://orcid.org/0000-0001-9982-6184

Funding

Novo Nordisk NNF21CC0073729ZonMw (Netherlands Organisation for Health Research and Development) No. 91719300
6 · The paper itself

Abstract

Monkeypox virus (MPXV) caused the 2022-2023 global mpox and the concurrent outbreaks in Africa, disproportionately affecting immunocompromised individuals such as people living with HIV. With no approved treatment available, we developed a robust artificial intelligence (AI) pipeline for discovering broad-spectrum poxvirus inhibitors that target the viral DNA polymerases. Among the identified leading candidates, we found that the clinically used antiretroviral drugs bictegravir and etravirine potently inhibit MPXV clade Ia, Ib and IIb infections in human intestinal and skin organoids. The broad anti-poxvirus activities of bictegravir and etravirine were further demonstrated against infections of other Orthopoxviruses such as vaccinia virus and cowpox virus. These findings support the repurposing of bictegravir and etravirine for treating mpox, especially for patients co-infected with HIV, warranting follow-up clinical investigation. The established AI pipeline and our antiviral drug discovery strategies bear major implications for responding to the ongoing mpox emergency and preparing for future poxvirus epidemics.

Indexed as

Anti-Retroviral AgentsAntiviral AgentsArtificial IntelligenceDrug DiscoveryHeterocyclic Compounds, 4 or More RingsMonkeypox virusMpox, MonkeypoxPoxviridaePyridazinesPyrimidinesAmidesHeterocyclic Compounds, 3-RingHumansNitrilesPiperazinesPyridonesAmidesAnti-Retroviral AgentsAntiviral AgentsbictegraviretravirineHeterocyclic Compounds, 3-RingHeterocyclic Compounds, 4 or More RingsNitrilesPiperazinesPyridazinesPyridonesPyrimidines

Identifiers

PMID41331517
PMCPMC12673143

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.