<?xml version="1.0" encoding="UTF-8" standalone="no"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="2.3" xml:lang="EN">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Immunol.</journal-id>
<journal-title>Frontiers in Immunology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Immunol.</abbrev-journal-title>
<issn pub-type="epub">1664-3224</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fimmu.2025.1651730</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Immunology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>c-Met inhibitor NVP-BVU972 induces antiviral protection and suppresses NF-&#x3ba;B-mediated inflammation</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" equal-contrib="yes">
<name>
<surname>Xie</surname>
<given-names>Yunfei</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/3125992/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/data-curation/"/>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
<role content-type="https://credit.niso.org/contributor-roles/methodology/"/>
<role content-type="https://credit.niso.org/contributor-roles/resources/"/>
<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
<role content-type="https://credit.niso.org/contributor-roles/validation/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author" equal-contrib="yes" corresp="yes">
<name>
<surname>Zhao</surname>
<given-names>Yang</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/3083880/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/data-curation/"/>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
<role content-type="https://credit.niso.org/contributor-roles/funding-acquisition/"/>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
<role content-type="https://credit.niso.org/contributor-roles/methodology/"/>
<role content-type="https://credit.niso.org/contributor-roles/project-administration/"/>
<role content-type="https://credit.niso.org/contributor-roles/resources/"/>
<role content-type="https://credit.niso.org/contributor-roles/software/"/>
<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
<role content-type="https://credit.niso.org/contributor-roles/validation/"/>
<role content-type="https://credit.niso.org/contributor-roles/visualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author" equal-contrib="yes">
<name>
<surname>Chen</surname>
<given-names>Xingyu</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/3159189/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
<role content-type="https://credit.niso.org/contributor-roles/funding-acquisition/"/>
<role content-type="https://credit.niso.org/contributor-roles/project-administration/"/>
<role content-type="https://credit.niso.org/contributor-roles/resources/"/>
<role content-type="https://credit.niso.org/contributor-roles/software/"/>
<role content-type="https://credit.niso.org/contributor-roles/validation/"/>
<role content-type="https://credit.niso.org/contributor-roles/visualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jia</surname>
<given-names>Hongli</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/funding-acquisition/"/>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
<role content-type="https://credit.niso.org/contributor-roles/resources/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wang</surname>
<given-names>Xiao</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
<role content-type="https://credit.niso.org/contributor-roles/funding-acquisition/"/>
<role content-type="https://credit.niso.org/contributor-roles/validation/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Liu</surname>
<given-names>Tianyi</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2507529/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
<role content-type="https://credit.niso.org/contributor-roles/methodology/"/>
<role content-type="https://credit.niso.org/contributor-roles/software/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wang</surname>
<given-names>Haocheng</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/3113350/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/data-curation/"/>
<role content-type="https://credit.niso.org/contributor-roles/methodology/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Li</surname>
<given-names>Yang</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/data-curation/"/>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
<role content-type="https://credit.niso.org/contributor-roles/funding-acquisition/"/>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
<role content-type="https://credit.niso.org/contributor-roles/methodology/"/>
<role content-type="https://credit.niso.org/contributor-roles/project-administration/"/>
<role content-type="https://credit.niso.org/contributor-roles/resources/"/>
<role content-type="https://credit.niso.org/contributor-roles/software/"/>
<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
<role content-type="https://credit.niso.org/contributor-roles/validation/"/>
<role content-type="https://credit.niso.org/contributor-roles/visualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Guo</surname>
<given-names>Xuefei</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2384125/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>You</surname>
<given-names>Fuping</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/funding-acquisition/"/>
<role content-type="https://credit.niso.org/contributor-roles/resources/"/>
<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
<role content-type="https://credit.niso.org/contributor-roles/validation/"/>
<role content-type="https://credit.niso.org/contributor-roles/visualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Institute of Systems Biomedicine, Department of Immunology, School of Basic Medical Sciences, Beijing Key Laboratory of Tumor Systems Biology, NHC Key Laboratory of Medical Immunology, Peking University Health Science Center</institution>, <addr-line>Beijing</addr-line>,&#xa0;<country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>State Key Laboratory of Natural and Biomimetic Drugs, School of Pharmaceutical Sciences, Peking University</institution>, <addr-line>Beijing</addr-line>,&#xa0;<country>China</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Department of Microbiology &amp; Infectious Disease Center, School of Basic Medical Sciences, Beijing Key Laboratory of Tumor Systems Biology, NHC Key Laboratory of Medical Immunology, Peking University Health Science Center</institution>, <addr-line>Beijing</addr-line>,&#xa0;<country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Pei-Hui Wang, Shandong University, China</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1549901/overview">Tianhao Duan</ext-link>, University of Southern California, United States</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/961676/overview">Anwesha Banerjee</ext-link>, Indian Council of Medical Research (ICMR), India</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/3054803/overview">Tuhin Mukherjee</ext-link>, Birla Institute of Technology, India</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/3116086/overview">Sruthi Sarvepalli</ext-link>, St. John&#x2019;s University, United States</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/3118888/overview">Xiaoyan Ding</ext-link>, Ludwig Maximilian University of Munich, Germany</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Yang Zhao, <email xlink:href="mailto:2040388922@qq.com">2040388922@qq.com</email>; Yang Li, <email xlink:href="mailto:liyangly@bjmu.edu.cn">liyangly@bjmu.edu.cn</email>; Xuefei Guo, <email xlink:href="mailto:guoxf2025@163.com">guoxf2025@163.com</email>; Fuping You, <email xlink:href="mailto:fupingyou@hsc.pku.edu.cn">fupingyou@hsc.pku.edu.cn</email>
</p>
</fn>
<fn fn-type="equal" id="fn003">
<p>&#x2020;These authors have contributed equally to this work and share first authorship</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>29</day>
<month>08</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>16</volume>
<elocation-id>1651730</elocation-id>
<history>
<date date-type="received">
<day>22</day>
<month>06</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>15</day>
<month>08</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2025 Xie, Zhao, Chen, Jia, Wang, Liu, Wang, Li, Guo and You.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Xie, Zhao, Chen, Jia, Wang, Liu, Wang, Li, Guo and You</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<sec>
<title>Introduction</title>
<p>Inhibiting viral replication and limiting NF-&#x3ba;B-driven inflammation simultaneously is essential for better antiviral therapy, highlighting the urgent need for a single agent that achieves both functions.</p>
</sec>
<sec>
<title>Methods</title>
<p>Here, we reported NVP-BVU972 (NVP), a selective c-Met inhibitor, induced a robust antiviral state and inhibited NF-&#x3ba;B-mediated inflammation.</p>
</sec>
<sec>
<title>Results</title>
<p>The dual functions blocked replication of diverse RNA viruses (VSV, EMCV, MHV) and DNA viruses (HSV-1, VACV) and reduced systemic cytokine levels (Il1&#x3b2;, Il6, Tnf&#x3b1;) in vitro and in vivo. Mechanistically, we identified NVP reprogrammed inflammation-related loci by modulating both gene expression and chromatin accessibility, and chaetocin inhibition of H3K9 methylation reversed its antiviral activity.</p>
</sec>
<sec>
<title>Discussion</title>
<p>These findings unveil NVP as a promising host-directed agent that simultaneously limits viral propagation and reduces inflammation, and suggest repurposing NVP as a broad-spectrum antiviral.</p>
</sec>
</abstract>
<kwd-group>
<kwd>NVP-BVU972</kwd>
<kwd>C-Met inhibitor</kwd>
<kwd>broad-spectrum antiviral</kwd>
<kwd>NF-&#x3ba;B-mediated inflammation</kwd>
<kwd>epigenetic reprogramming</kwd>
</kwd-group>
<counts>
<fig-count count="4"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="56"/>
<page-count count="14"/>
<word-count count="6957"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>Viral Immunology</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<title>Introduction</title>
<p>Viral infections remain a leading cause of significant illness and death worldwide (<xref ref-type="bibr" rid="B1">1</xref>&#x2013;<xref ref-type="bibr" rid="B3">3</xref>). Although direct-acting antivirals that target viral polymerases or proteases have improved outcomes in certain infections, they often face limitations such as narrow specificity, rapid resistance development, and little effect on host inflammation (<xref ref-type="bibr" rid="B4">4</xref>&#x2013;<xref ref-type="bibr" rid="B6">6</xref>). In severe viral infections such as seasonal influenza, SARS-CoV, and COVID-19, excessive NF-&#x3ba;B-mediated release of proinflammatory cytokines significantly increases tissue damage and mortality (<xref ref-type="bibr" rid="B7">7</xref>&#x2013;<xref ref-type="bibr" rid="B11">11</xref>). Nevertheless, immunosuppressive anti-inflammatory therapies such as corticosteroids indeed reduced immune-driven tissue injury but risked weakening antiviral defenses and allowing viral persistence (<xref ref-type="bibr" rid="B12">12</xref>, <xref ref-type="bibr" rid="B13">13</xref>). Thus, systemic dexamethasone lowered mortality in severe COVID-19 by calming cytokine storms, yet its broad immunosuppression delayed viral clearance (<xref ref-type="bibr" rid="B14">14</xref>&#x2013;<xref ref-type="bibr" rid="B16">16</xref>). Consequently, host-directed strategies that suppress virus replication while restrain excessive inflammation are urgently needed. We summarized currently available antiviral and anti-inflammatory therapies and their limitations in <xref ref-type="supplementary-material" rid="SM3">
<bold>Supplementary Table S3</bold>
</xref> (<xref ref-type="bibr" rid="B17">17</xref>&#x2013;<xref ref-type="bibr" rid="B21">21</xref>).</p>
<p>Host-directed antivirals (HDAs) target cellular pathways that are essential for viral replication or disease pathogenesis (<xref ref-type="bibr" rid="B22">22</xref>&#x2013;<xref ref-type="bibr" rid="B25">25</xref>). HDAs blocked key host processes to stop multiple viruses at once, compared to direct-acting antivirals (DAAs) against viral proteins, HDAs were shown to offer broad-spectrum activity and reduced the risk of resistance (<xref ref-type="bibr" rid="B26">26</xref>, <xref ref-type="bibr" rid="B27">27</xref>). Several host pathways were identified as pro-viral or pro-inflammatory during different infection, such as PI3K/Akt, JAK/STAT, and mTOR, and among them the hepatocyte growth factor (HGF) receptor tyrosine kinase c-Met was especially notable (<xref ref-type="bibr" rid="B28">28</xref>&#x2013;<xref ref-type="bibr" rid="B30">30</xref>). c-Met was involved in cell survival, proliferation, and motility (<xref ref-type="bibr" rid="B31">31</xref>). For instance, studies have shown that certain influenza A virus strains can exploit c-Met signaling to enhance viral entry and replication (<xref ref-type="bibr" rid="B32">32</xref>, <xref ref-type="bibr" rid="B33">33</xref>). Activation of c-Met and downstream kinases can also intersect with inflammatory signaling networks, including the NF-&#x3ba;B pathway that drives cytokine production (<xref ref-type="bibr" rid="B34">34</xref>). Thus, inhibiting a host kinase like c-Met could, in principle, disrupt viral replication while also attenuating the amplification of injurious inflammation.</p>
<p>NVP-BVU972 (NVP) is a potent and selective small-molecule inhibitor of c-Met originally developed for cancer therapy (<xref ref-type="bibr" rid="B35">35</xref>). In mouse and rat oncology studies, NVP showed favorable pharmacokinetic properties and good tolerability, but its pharmacokinetics and safety in humans have not been evaluated. Its potential to simultaneously target viral replication and virus-induced inflammation consequently remained unexplored.</p>
<p>Artificial intelligence (AI) and machine learning have revolutionized drug discovery and repurposing by mining large-scale chemical and biological datasets to predict compound-target interactions and optimize lead candidates (<xref ref-type="bibr" rid="B36">36</xref>&#x2013;<xref ref-type="bibr" rid="B39">39</xref>). Our DeepAVC model used deep learning to integrate phenotypic and transcriptomic data for in silico screening of thousands of compounds. With DeepAVC, we ranked NVP among the top candidates, and subsequent <italic>in vitro</italic> validation confirmed its broad-spectrum antiviral efficacy (<xref ref-type="bibr" rid="B40">40</xref>). DeepAVC used computational modeling to analyze both compound-target interactions and antiviral phenotypes, enabling a robust screen of thousands of small molecules. This independent analysis provided evidence suggesting that NVP could exhibit broad-spectrum antiviral activity. We consequently hypothesized that NVP could be repurposed as a host-directed therapeutic by simultaneously attenuating NF-&#x3ba;B-driven inflammation and disrupting host pathways essential for viral propagation.</p>
<p>Here, we reported that NVP significantly restricted viral replication across a spectrum of RNA and DNA viruses, while concurrently reducing NF-&#x3ba;B-driven inflammatory responses through epigenetic reprogramming of host immune responses. Utilizing cell culture and murine models, alongside integrated transcriptomic and epigenomic analyses, we demonstrated that NVP induced a robust antiviral state and dampened pathological inflammation by modulating host gene expression and chromatin accessibility at inflammatory loci. These findings identified c-Met inhibition by NVP as a promising therapeutic strategy with substantial translational potential, providing an innovative foundation for repurposing existing anticancer agents to fulfill urgent clinical needs for effective, broad-spectrum antiviral treatments.</p>
</sec>
<sec id="s2" sec-type="results">
<title>Result</title>
<sec id="s2_1">
<title>NVP-BVU972 establishes a host-protective antiviral state</title>
<p>Based on our previously reported DeepAVC framework, which achieved highly accurate phenotype- and target-guided prediction of broad-spectrum antiviral compounds, we identified NVP-BVU972 (NVP) as a novel candidate and conducted detailed experimental validation of its antiviral efficacy in RAW 264.7 cells. RAW 264.7 cells were concurrently treated for 12 hours with NVP at concentrations of 25, 50, or 100 &#xb5;M, or DMSO control, and infected at a multiplicity of infection (MOI) of 0.1 with vesicular stomatitis virus (VSV), herpes simplex virus type 1 (HSV-1), mouse hepatitis virus (MHV), or encephalomyocarditis virus (EMCV). RT-qPCR analysis demonstrated a dose-dependent reduction in viral mRNA levels upon NVP treatment compared with DMSO controls, with maximum suppression observed at 100 &#xb5;M (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>).</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
  <p>NVP-BVU972 Establishes a Host-Protective Antiviral State. <bold>(A)</bold> RT-qPCR quantification of viral RNA in RAW264.7 treated with DMSO or different concentrations of NVP (25 &#x3bc;M, 50 &#x3bc;M, 100 &#x3bc;M) and infected with MHV, HSV, EMCV and VSV (MOI=0.1). <bold>(B-D)</bold> LPS triggered a Toll-like receptor 4 (TLR4)-mediated signaling cascade that activated the I&#x3ba;B kinase (IKK) complex. IKK then phosphorylated the inhibitory protein I&#x3ba;B&#x3b1;, marking it for degradation and thereby releasing the NF-&#x3ba;B p65 subunit to translocate into the nucleus (a) <bold>(E-F)</bold> Flow cytometric analysis of VSV-GFP infection in HT29, HT1080 and HeLa cells treated with DMSO or 50 &#xb5;M NVP and infected with VSV-GFP (MOI = 0.1) for 12 hours. Numbers indicated the percentage of GFP positive cells. Data were representative of three independent experiments. <bold>(G)</bold> Representative fluorescence (green) and bright-field images of RAW&#x2009;264.7 cells treated with DMSO or 50 &#xb5;M NVP and infected with HSV-GFP, VACV-GFP, VSV-GFP (MOI = 0.1), images were captured at 10&#xd7; magnification, scale bar = 100 &#x3bc;m. <bold>(H)</bold> Histograms showed flow cytometric quantification of GFP fluorescence (n = 3). <bold>(I)</bold> Dose-dependent inhibition of viral protein expression by NVP. RAW&#x2009;264.7 cells were treated with the indicated concentrations of NVP and infected with HSV-1, VACV or VSV (MOI = 0.1) for 12 hours, and analyzed by western blot for GFP and Tubulin. <bold>(J)</bold> NVP protected C57BL/6J mice from lethal viral challenge. Kaplan&#x2013;Meier survival curves of mice infected intraperitoneally with MHV (n = 12), VSV (n = 12), HSV-1 (n = 12) or EMCV (n = 13) and treated daily with PBS or NVP (20 mg/kg). <bold>(K-N)</bold> RT-qPCR quantification of viral RNA in blood and target organs harvested 24 hours post-infection. Y-axis showed fold change of viral gene expression relative to the NVP-treated group, which was set to 1, all values were normalized to GAPDH. Data are shown as mean &#xb1; SEM. N.S., not significant, p &gt; 0.05; *p &lt; 0.05; **p &lt; 0.01; ***p &lt; 0.001; ****p &lt; 0.0001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1651730-g001.tif">
<alt-text content-type="machine-generated">The bar graphs show the effects on viral infectivity in various cell lines, including RAW264.7, HeLa, HT29 and HT1080 indicated by significant differences between DMSO and 50&#x3bc;M NVP in vitro; Control and NVP treatments in vivo.</alt-text>
</graphic>
</fig>
<p>To confirm that these antiviral effects extended to human cells, we treated HeLa, HT29, and HT1080 cell lines with 50 &#x3bc;M NVP and concurrently infected with VSV, HSV-1, or EMCV. RT-qPCR quantification indicated a significant 50&#x2013;70% decrease in viral mRNA levels in NVP-treated cells relative to controls (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1B-D</bold>
</xref>). Additionally, flow cytometry analysis at 12 hours post-infection with GFP-expressing VSV (VSV-GFP, MOI=0.1) showed substantially fewer GFP-positive cells in the NVP-treated groups, confirming effective inhibition of viral replication (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1E, F</bold>
</xref>).</p>
<p>We further assessed the broad-spectrum antiviral capability of NVP using both DNA viruses (HSV-1 and Vaccinia virus [VACV]) and RNA viruses (VSV) expressing GFP. Fluorescence microscopy (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1G</bold>
</xref>) and flow cytometry (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1H</bold>
</xref>) consistently revealed significant decreases in GFP expression upon NVP treatment, demonstrating robust suppression of viral replication regardless of virus type.</p>
<p>Dose-dependent antiviral activity was further verified by western blot analysis of GFP protein expression in RAW 264.7 cells infected with HSV, VACV, or VSV (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1I</bold>
</xref>). Clear antiviral effects emerged at an NVP concentration of 50 &#x3bc;M, with complete viral suppression achieved at 100 &#x3bc;M.</p>
<p>Encouraged by these compelling <italic>in vitro</italic> findings, we next evaluated the protective effect of NVP <italic>in vivo</italic>. Six-week-old C57BL/6J mice were intraperitoneally infected with MHV, VSV, HSV-1, or EMCV, followed by subsequent treatment with NVP or vehicle control. Survival analysis over a 7-day period revealed significantly improved survival rates in mice receiving NVP treatment compared to untreated controls (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1J</bold>
</xref>). Thus, at 24 hours post-infection, RT-qPCR analyses of blood, liver, and spleen tissues from a subset of mice indicated markedly reduced viral levels across all tested viruses in the NVP-treated groups (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1K-N</bold>
</xref> and <xref ref-type="supplementary-material" rid="SF1">
<bold>Supplementary Figure S1A</bold>
</xref>), further confirming potent antiviral activity <italic>in vivo</italic>.</p>
<p>Together, these results demonstrated that NVP exerted potent, dose-dependent antiviral effects across multiple cell lines and provided broad-spectrum protection against both RNA and DNA viruses <italic>in vivo</italic>.</p>
</sec>
<sec id="s2_2">
<title>NVP-BVU972 suppresses virus-induced inflammatory responses</title>
<p>To determine whether NVP possessed anti-inflammatory activity during viral infections, we first evaluated the expression of pro-inflammatory cytokines at the mRNA level <italic>in vitro</italic>. RAW264.7 macrophages were infected with VSV, HSV-1, EMCV or MHV, and simultaneously treated with 100 &#xb5;M NVP or DMSO control (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>). Additionally, three human cell lines, including HeLa, HT29 and HT1080 were similarly infected with VSV, HSV-1, or EMCV under identical treatment conditions (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2B-D</bold>
</xref>). RT-qPCR analysis at 12 hours post-infection indicated that NVP treatment strongly suppressed virus-induced transcription of pro-inflammatory cytokines <italic>Il6</italic>, <italic>Tnf&#x3b1;</italic>, and <italic>Il1&#x3b2;</italic> compared to the DMSO controls, approaching baseline expression levels in RAW264.7 cells across all viral challenges. Consistent and robust inhibition of these cytokines was also observed across all tested human cell lines, demonstrating that NVP exerted a broad and cell-type-independent anti-inflammatory effect. Additionally, UV&#x2212;inactivated VSV and poly(I:C) assays showed that NVP directly blocked NF&#x2212;&#x3ba;B&#x2212;driven cytokine induction independent of viral replication (<xref ref-type="supplementary-material" rid="SF2">
<bold>Supplementary Figure S2A, B</bold>
</xref>).</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>NVP-BVU972 Suppresses Virus-induced Inflammatory Responses. <bold>(A-D)</bold> RT-qPCR quantification of <italic>Il1&#x3b2;</italic>, <italic>Il-6</italic>, <italic>Tnf&#x3b1;</italic> mRNA in RAW264.7, HeLa, HT29, HT1080 cells treated with DMSO or 50 &#x3bc;M NVP and infected with HSV, EMCV and VSV (MOI=0.12). <bold>(E-H)</bold> NVP protected C57BL/6J mice from virus-induced inflammation challenges. Mice infected intraperitoneally with VSV (<bold>E</bold>, n = 12), HSV-1 (<bold>F</bold>, n = 12), EMCV (<bold>G</bold>, n = 13) or MHV (<bold>H</bold>, n = 12) and treated daily with vehicle or NVP (20 mg/kg). RT-qPCR quantification of <italic>Il1&#x3b2;</italic>, <italic>Il-6</italic>, <italic>Tnf&#x3b1;</italic> mRNA in blood and target organs harvested 24 hours post-infection. <bold>(I-L)</bold> Histopathological analysis of tissues from VSV-, HSV-1-, EMCV-, MHV-infected livers of mice treated as in <bold>(E-H)</bold>. Upper panels, low-magnification (20&#xd7;); lower panels, high-magnification (63&#xd7;) views of boxed regions. Scale bars, 100 &#xb5;m (20&#xd7;) and 20 &#xb5;m (63&#xd7;). Data are shown as mean &#xb1; SEM. N.S., not significant, p &gt; 0.05.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1651730-g002.tif">
<alt-text content-type="machine-generated">A collage of scientific data visualizations, including heat maps, Venn diagrams, line graphs, bar charts, and scatter plots. These images represent analyses like gene expression, factor binding, and enrichment targets. Western blot images and survival curves are also present, indicating molecular and statistical data related to biological samples and treatments. Each visualization highlights different aspects of data analysis and experimental results in a biological context.</alt-text>
</graphic>
</fig>
<p>To further investigate whether NVP-mediated suppression of virus-triggered inflammation could be translated <italic>in vivo</italic>, we infected Six-week-old C57BL/6J mice intraperitoneally with VSV, HSV-1, EMCV, or MHV (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2E-H</bold>
</xref>). At 24 hours post-infection, RT-qPCR analysis of pro-inflammatory cytokine mRNA levels in blood, liver, and spleen tissues revealed that NVP administration significantly attenuated the induction of <italic>Il6</italic>, <italic>Tnf&#x3b1;</italic>, and <italic>Il1&#x3b2;</italic> compared to PBS-treated control mice, reflecting systemic suppression of viral inflammation.</p>
<p>Histopathological examination of liver sections using hematoxylin and eosin (H&amp;E) staining further validated the protective effects of NVP <italic>in vivo</italic>. Vehicle-treated, virus-infected mice exhibited pronounced inflammatory cell infiltration, severe hepatocyte damage, and disrupted liver architecture. By contrast, liver tissues from NVP-treated mice displayed significantly reduced inflammatory infiltration, preserved tissue architecture, and minimal hepatocellular injury, consistent with the observed molecular findings (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2I-L</bold>
</xref>).</p>
<p>Collectively, these comprehensive <italic>in vitro</italic> and <italic>in vivo</italic> findings established that NVP effectively reduced virus-induced inflammatory responses through suppression of inflammatory cytokine expression, inhibition of NF-&#x3ba;B signaling pathway activation, and alleviation of virus-mediated tissue injury, highlighting its therapeutic potential as a dual antiviral and anti-inflammatory compound.</p>
</sec>
<sec id="s2_3">
<title>NVP-BVU972 reduces LPS-induced inflammation and exhibits low toxicity</title>
<p>Building upon our observations of antiviral and virus-induced anti-inflammatory activity, we next evaluated the direct anti-inflammatory effects of NVP in a classic LPS-induced inflammatory model and assessed subacute safety.</p>
<p>First, we treated RAW 264.7 macrophages with 100 &#xb5;M NVP for 3 hours in the presence of 2 &#x3bc;g/mL lipopolysaccharide from E. coli O55:B5. RT-qPCR analysis showed that LPS significantly induced mRNA expression of multiple inflammatory genes, including <italic>Il1&#x3b2;</italic>, <italic>Il6</italic>, <italic>Tnf&#x3b1;</italic>, <italic>Acod1</italic>, <italic>Ccl3</italic>, <italic>Lta</italic>, <italic>Ltb</italic>, <italic>Nos2</italic>, and <italic>Ptgs2</italic> (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3A-C</bold>
</xref>). NVP pretreatment substantially reduced these increases, bringing mRNA levels close to baseline. Importantly, NVP treatment significantly reduced basal <italic>Il6</italic> mRNA levels, whereas <italic>Il1&#x3b2;</italic> remained unchanged and <italic>Tnf&#x3b1;</italic> exhibited only a slight, non&#x2212;significant decrease (<xref ref-type="supplementary-material" rid="SF1">
<bold>Supplementary Figure S1C</bold>
</xref>), demonstrating that NVP did not directly upregulate pro&#x2212;inflammatory cytokines under resting conditions.</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>NVP-BVU972 Reduces LPS-Induced Inflammation and Exhibits Low Toxicity. <bold>(A-C)</bold> NVP markedly downregulated the expression of <italic>Il1&#x3b2;</italic>, <italic>Il-6</italic>, <italic>Tnf&#x3b1;</italic>, <italic>Acod1</italic>, <italic>Ccl3</italic>, <italic>Lta</italic>, <italic>Ltb</italic>, <italic>Nos2</italic>, <italic>Ptgs2</italic> mRNA in RAW264.7 cells after 12 hours of LPS stimulation, following treatment with NVP. <bold>(D)</bold> NVP significantly reduced the expression of p-IKK&#x3b1;/&#x3b2;, p-I&#x3ba;B&#x3b1;, t- I&#x3ba;B&#x3b1;, p-P65, t-P65, iNOS, COX2 at the protein level. <bold>(E)</bold> NVP significantly decreased the mortality rate in mice (n=12) following LPS challenge. <bold>(F-K)</bold> RT-qPCR quantification of <italic>Il1&#x3b2;</italic>, <italic>Il-6</italic>, <italic>Tnf&#x3b1;</italic> in blood, heart, spleen, lung, kidney, liver. <bold>(L-M)</bold> Mice received daily intraperitoneal injections of NVP (20 mg/kg) for 14 consecutive days, we compared organ weight <bold>(L)</bold>, organ appearance <bold>(M)</bold> and histopathological structure <bold>(N)</bold> in MOCK, Con (DMSO), NVP. Data are shown as mean &#xb1; SEM. N.S., not significant, p &gt; 0.05; *p &lt; 0.05; **p &lt; 0.01; ***p &lt; 0.001; ****p &lt; 0.0001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1651730-g003.tif">
<alt-text content-type="machine-generated">A series of graphs and flow cytometry plots illustrating the effects of DMSO and NVP treatments on mRNA levels and infection rates in various cell lines. Bar charts display relative mRNA quantities of different viruses under various conditions, highlighting significant differences with asterisks. Flow cytometry plots show infected cell proportions under different treatments. Microscopy images compare control and NVP-treated cells. Western blots demonstrate protein expression levels for VSV, HSV, and VACV. Survival probability graphs for viral infections under NVP treatment are depicted with p-values. Quantitative graphs indicate fold changes in viral mRNA across different tissues.</alt-text>
</graphic>
</fig>
<p>LPS triggered a Toll-like receptor 4 (TLR4)-mediated signaling cascade that activated the I&#x3ba;B kinase (IKK) complex. IKK then phosphorylated the inhibitory protein I&#x3ba;B&#x3b1;, marking it for degradation and thereby releasing the NF-&#x3ba;B p65 subunit to translocate into the nucleus and induce pro-inflammatory gene expression. To explore the underlying mechanism, we performed Western blot analyses of key proteins involved in the NF-&#x3ba;B signaling pathway (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3D</bold>
</xref>). LPS stimulation markedly increased phosphorylation of IKK&#x3b1;/&#x3b2;, I&#x3ba;B&#x3b1;, and P65, and significantly induced COX-2 and iNOS protein expression. Treatment with NVP fully blocked these changes without affecting total protein levels of I&#x3ba;B&#x3b1; and P65, indicating that NVP exerted its anti-inflammatory effects by suppressing NF-&#x3ba;B pathway activation.</p>
<p>Next, we examined the anti-inflammatory effects of NVP <italic>in vivo</italic>. Six-week-old C57BL/6J mice received the pretreatment of a single dose of NVP (20 mg/kg, i.p.) followed by a lethal intraperitoneal injection of LPS (20 mg/kg) one hour later. All vehicle-treated mice died within 48 hours, while nearly 50% of the NVP-treated mice survived (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3E</bold>
</xref>). To further assess systemic inflammation, we harvested blood, heart, liver, spleen, lung, and kidney tissues 12 hours post-LPS administration and measured inflammatory cytokine mRNA levels. NVP-treated mice showed significantly decreased levels of <italic>Il1&#x3b2;</italic>, <italic>Il6</italic>, and <italic>Tnf&#x3b1;</italic> mRNAs across all tissues compared to controls, demonstrating effective suppression of systemic inflammation (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3F-K</bold>
</xref>).</p>
<p>Lastly, we assessed the subacute toxicity of NVP. Mice received daily intraperitoneal injections of NVP (20 mg/kg) for 14 consecutive days. After the treatment period, no significant differences in organ weight (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3L</bold>
</xref>), organ appearance (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3M</bold>
</xref>), or histopathological structure (heart, liver) (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3N</bold>
</xref>) were observed between NVP-treated and control groups. These results confirmed a favorable safety and tolerability profile. In addition, NVP exhibited no significant cytotoxicity in cultured cells as assessed by the CCK-8 assay in RAW264.7, HeLa, HT29, HT1080 cell lines (<xref ref-type="supplementary-material" rid="SF1">
<bold>Supplementary Figure S1B</bold>
</xref>).</p>
<p>Collectively, our findings demonstrated that NVP effectively suppressed LPS-induced inflammation by inhibiting NF-&#x3ba;B activation and cytokine production both <italic>in vitro</italic> and <italic>in vivo</italic>, while maintaining excellent safety upon repeated dosing.</p>
</sec>
<sec id="s2_4">
<title>NVP-BVU972 induced transcriptional repression and chromatin remodeling</title>
<p>To understand how NVP modulated host responses, RAW264.7 macrophages were treated with 50 &#xb5;M NVP or DMSO for 12 hours in two independent biological replicates, then we performed bulk RNA sequencing on each sample. Differential expression analysis identified 1402 upregulated and 1706 downregulated genes upon NVP treatment. A heatmap of these differentially expressed genes (DEGs) showed marked suppression of proinflammatory transcripts after NVP treatment (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A</bold>
</xref>). Volcano plot visualization confirmed these cytokine genes among the most significantly downregulated targets (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4B</bold>
</xref>). KEGG pathway analysis of all DEGs revealed enrichment in &#x201c;Autophagy&#x201d; &#x201c;Epstein-Barr virus infection&#x201d; and &#x201c;MAPK signaling pathway&#x201d; as the top affected pathways. Gene Ontology enrichment highlighted &#x201c;cellular response to virus&#x201d; &#x201c;heterochromatin organization&#x201d; &#x201c;negative regulation of inflammatory response&#x201d; and &#x201c;N-methyltransferase activity&#x201d; (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4C</bold>
</xref>). These data indicated that NVP broadly suppressed inflammatory gene programs at the transcriptional level. Notably, the appearance of &#x201c;histone modifying activity&#x201d; in GO terms suggested that NVP might alter histone marks to repress inflammatory programs.</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>NVP-BVU972 Induced Transcriptional Repression and Chromatin Remodeling. <bold>(A)</bold> Heatmap illustrated the expression of upregulated genes and downregulated genes in the NVP group compared to DMSO groups, specifically those involved in the inflammatory response pathway and anti-viral pathway. <bold>(B)</bold> Volcano plot showed the distribution of differentially expressed genes (DEGs) between the NVP and DMSO groups. <bold>(C)</bold> GO and KEGG enrichment analysis of downregulated DEGs in the NVP group. <bold>(D)</bold> ATAC-seq metaprofile (top) and heatmap (bottom) of chromatin accessibility &#xb1;3 kb around peak centers. <bold>(E)</bold> Distance-to-TSS annotation and genomic feature distribution of ATAC peaks in NVP and DMSO samples. <bold>(F)</bold> Venn diagram showed overlap between ATAC-seq and RNA-seq. <bold>(G)</bold> GO and KEGG enrichment analysis of overlap genes in <bold>(F)</bold>. <bold>(H)</bold> RAW264.7 cells treated with NVP and analyzed by western blots for H3K9me3 and H3K9ac27. <bold>(I-J)</bold> Meta-profile <bold>(I)</bold> and heatmap <bold>(J)</bold> of H3K9me3 CUT&amp;Tag signal. <bold>(K)</bold> Venn diagram showed overlap between CUT&amp;Tag-seq and RNA-seq. <bold>(L)</bold> KEGG enrichment analysis of overlap genes in <bold>(K)</bold>. <bold>(M)</bold> Western blot to detect H3K9me3 at protein level treated with NVP (Con) or Chaetocin. <bold>(N)</bold> Flow cytometric analysis of VSV-GFP or HSV-GFP infection in cells treated with Chaetocin or 50 &#xb5;M NVP for 12 hours. Numbers indicated the percentage of GFP positive cells. Data were representative of three independent experiments. <bold>(O)</bold> C57BL/6J mice pretreated with NVP failed to protect mice from lethal viral challenge and lethal LPS challenge. Data are shown as mean &#xb1; SEM. N.S., not significant, p &gt; 0.05; *p &lt; 0.05; **p &lt; 0.01; ***p &lt; 0.001; ****p &lt; 0.0001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-16-1651730-g004.tif">
<alt-text content-type="machine-generated">Graphs, charts, and microscopy images display experimental data involving RAW 264.7 cells and LPS treatment. Panels A-C present bar graphs showing mRNA fold changes in response to various treatments. Panel D features Western blot results for protein expression analysis. Panel E shows a survival probability curve. Panels F-K display additional bar graphs analyzing mRNA changes in different organs post-LPS exposure. Panel L shows images of organs like heart, spleen, lung, kidney, and liver under different conditions. Panel M compares mock, control, and NVP-treated tissues, while Panel N provides histological images of lung and heart tissues at 20X and 63X magnifications.</alt-text>
</graphic>
</fig>
<p>To determine whether these transcriptional changes correlated with chromatin accessibility, we carried out ATAC sequencing on cells treated with NVP (50 &#xb5;M) or DMSO for 12 hours, as in our bulk RNA-seq experiments. Compared to DMSO treatment, NVP induced a net loss of approximately 1696 accessible peaks, with only one peak gained (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4D, E</bold>
</xref>). To link these chromatin changes to gene expression, we intersected the list of genes with significantly decreased ATAC peaks and the downregulated transcripts from RNA-seq. This overlap produced 243 genes (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4F</bold>
</xref>). GO and KEGG enrichment of this intersected gene set again emphasized &#x201c;chromatin sliencing complex&#x201d; &#x201c;methylation&#x201d; &#x201c;viral myocarditis&#x201d; and &#x201c;ATP-dependent chromatin remodeling&#x201d; (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4G</bold>
</xref>). Together, these findings suggested that NVP repressed inflammatory gene expression by reducing chromatin accessibility.</p>
<p>Guided by the GO enrichment of histone modifying activity, we next measured global levels of two key histone modifications, H3K9me3 (repressive) and H3K27ac (activating) by Western blot (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4H</bold>
</xref>). The result showed that H3K9me3 was increased strongly, whereas H3K27ac levels remained unchanged. This selective enhancement of H3K9me3 supported the hypothesis that NVP promoted deposition of repressive methylation marks at inflammatory gene loci, leading to reduced chromatin accessibility and transcriptional repression. To further confirm that NVP increased H3K9me3 at specific loci, we performed CUT&amp;Tag profiling for this mark in NVP- and DMSO-treated cells for 12 hours, as in our bulk RNA-seq experiments (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4I, J</bold>
</xref>). Differential peak calling revealed 2060 loci with elevated H3K9me3 signal under NVP treatment. Intersecting these NVP-induced H3K9me3 peaks with the RNA-seq downregulated genes, 150 genes emerged as candidates whose promoters or enhancers gained repressive methylation concomitant with decreased expression (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4K</bold>
</xref>). KEGG analysis of these 150 genes again enriched &#x201c;Viral life cycle&#x201d; &#x201c;MAPK signaling pathway&#x201d; and &#x201c;Inflammatory bowel disease&#x201d; confirming that NVP specifically targeted both antiviral and inflammatory pathways at the epigenetic level (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4L</bold>
</xref>).</p>
<p>To test whether H3K9me3 deposition was required for the antiviral activity of NVP, we pretreated cells with Chaetocin, an inhibitor of H3K9 methyltransferases, before NVP exposure and viral infection. Western blots demonstrated that Chaetocin effectively prevented the NVP-induced increase in H3K9me3 (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4M</bold>
</xref>). Functionally, flow cytometry showed that VSV-GFP infected cells were significantly higher NVP and Chaetocin co-treated groups compared to NVP alone (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4N</bold>
</xref>), indicating that blockade of H3K9 methylation diminished the antiviral efficacy of NVP. Finally, we then assessed the impact of H3K9me3 inhibition on the performance of NVP <italic>in vivo</italic> (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4O</bold>
</xref>). In the VSV infection model and LPS-induced inflammation model, survival analysis demonstrated that the addition of Chaetocin abolished the antiviral and anti-inflammation effects of NVP. Addtionally, Chaetocin co-treatment specifically reversed anti-inflammatory actions of NVP, and Chaetocin itself did not non-specifically enhance viral replication or cytokine induction (<xref ref-type="supplementary-material" rid="SF2">
<bold>Supplementary Figure S2C-F</bold>
</xref>).</p>
<p>Collectively, NVP induced H3K9me3 deposition at key proinflammatory and pro-viral gene loci, leading to chromatin compaction, reduced accessibility, and transcriptional repression. Inhibition of H3K9 methylation by Chaetocin reversed these epigenetic changes and undermined NVP&#x2019; s antiviral and anti-inflammatory efficacy both <italic>in vitro</italic> and <italic>in vivo</italic>, confirming that H3K9me3-mediated chromatin remodeling was essential for the dual therapeutic actions of NVP.</p>
</sec>
</sec>
<sec id="s3" sec-type="discussion">
<title>Discussion</title>
<p>Current antiviral drugs and anti-inflammatory treatments usually work separately, leaving gaps in patient care. Antivirals often targeted specific viruses and can lose effectiveness as viruses mutate (<xref ref-type="bibr" rid="B41">41</xref>). At the same time, severe infections like SARS or COVID-19 can trigger harmful cytokine storms, which were treated with steroids that reduced inflammation but also weakened the immune system (<xref ref-type="bibr" rid="B42">42</xref>). No host-directed antivirals were currently approved for common infections like influenza, highlighting the need for new approaches. Targeting the hepatocyte growth factor receptor c-Met for antiviral therapy was a novel concept that emerged from our findings. While c-Met inhibitors have traditionally been developed for cancer, very little is known about their effects in viral infections (<xref ref-type="bibr" rid="B43">43</xref>). We showed that blocking c-Met both reduced virus replication and suppressed virus-triggered inflammation. Many viruses use c-Met&#x2019; s downstream pathways, such as PI3K-Akt, MAPK, or STAT3 to help them grow or keep infected cells alive (<xref ref-type="bibr" rid="B30">30</xref>, <xref ref-type="bibr" rid="B33">33</xref>). In some virus-related cancers, like KSHV-driven lymphomas, c-Met supports tumor survival, and blocking it can kill infected cells (<xref ref-type="bibr" rid="B44">44</xref>). Overall, NVP can inhibit viral replication and suppress inflammation.</p>
<p>Our work extended that concept to normal viral infection, acute viruses may activate c-Met as part of the body&#x2019; s damage response, but this also helped the virus and promoted inflammation. By repurposing the c-Met inhibitor NVP, we shut down both pro-viral and pro-inflammatory signals. Importantly, because c-Met is a host protein, viruses cannot easily develop resistance. Unlike general anti-inflammatory treatments that risk weakening antiviral immunity, c-Met inhibition both reduced harmful inflammation and did not impair viral clearance. This dual benefit made NVP a promising multi-targeted therapy.</p>
<p>We noted that some treatment effects did not reach statistical significance, likely due to dose thresholds or variability. For example, 25 &#x3bc;M NVP failed to significantly reduce HSV viral load in RAW 264.7 cells (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>), suggesting this dose was below the effective threshold for that DNA virus. Similarly, NVP-treated HT1080 cells showed a borderline decrease in HSV-induced <italic>TNF-&#x3b1;</italic> (p=0.052, <xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2D</bold>
</xref>), possibly a Type II error due to small sample size. In LPS-challenged mice, <italic>Il-1&#x3b2;</italic> reductions in spleen (p=0.0665) and kidney (p=0.0877) were also not significant (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3H, K</bold>
</xref>), potentially reflecting high baseline variability or organ-specific clearance functions. Among the viruses tested <italic>in vivo</italic>, only MHV elicited a significantly higher splenic <italic>Tnf-&#x3b1;</italic> response, consistent with MHV&#x2019;s strong spleen tropism, whereas other viruses (VSV, HSV, EMCV) did not.</p>
<p>One of the most important findings was that NVP increased levels of the repressive mark H3K9me3 during viral infection. H3K9me3 was normally used by cells to silence viral DNA and turn off inflammatory genes. For example, the protein KAP1 brought in enzymes that added H3K9me3 to viral genomes, blocking their transcription (<xref ref-type="bibr" rid="B45">45</xref>). By boosting H3K9me3, NVP strengthened these natural defenses and shut down viral genes. At the same time, H3K9me3 also turned off host inflammatory genes. In macrophages, for instance, the enzyme Setdb1 added H3K9me3 at the <italic>Il6</italic> promoter, preventing excessive <italic>Il6</italic> production (<xref ref-type="bibr" rid="B46">46</xref>). In influenza infection, Setdb2 did the same at the <italic>Cxcl1</italic> gene, reducing neutrophil-driven inflammation (<xref ref-type="bibr" rid="B47">47</xref>). In our study, NVP seemed to push the chromatin into a more closed, silenced state at both viral and inflammatory gene sites. Even if NF-&#x3ba;B was active, key inflammatory genes cannot be turned on because their chromatin was decorated with H3K9me3. While NVP initially blocked NF-&#x3ba;B signaling at multiple nodes (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3D</bold>
</xref>), the subsequent H3K9me3-mediated repression was focused on specific inflammatory gene promoters, providing sustained, locus-selective dampening of cytokine expression rather than prolonged global pathway shutdown. The idea that an antiviral drug worked partly by changing chromatin marks was new. Because many pathogens and inflammatory signals used the same epigenetic mechanisms, targeting H3K9me3 could explain the broad activity of NVP. It also raised the question of how blocking c-Met lead to H3K9me3 being added to these particular genes, something we need to explore in future work. Based on our current data, we proposed a hypothetical, sequential model in which NVP first acutely blocked NF-&#x3ba;B activation and then promoted H3K9me3&#x2212;mediated chromatin silencing at the promoters of pro&#x2212;inflammatory genes, pending further time&#x2212;course validation.</p>
<p>While our results supported c-Met inhibition as a host-directed antiviral strategy, several limitations need to be mentioned. First, we primarily used cell cultures and acute mouse models, which did not capture the full complexity of human infections. Although we tested multiple RNA and DNA viruses, we did not study chronic or latent infections, such as hepatitis B or latent herpesviruses. It remained unclear whether those viruses responded similarly to c-Met inhibition. Second, repurposing a host kinase inhibitor posed safety challenges. C-Met was involved in normal tissue repair and cell survival, so long-term or widespread inhibition could be toxic (<xref ref-type="bibr" rid="B48">48</xref>, <xref ref-type="bibr" rid="B49">49</xref>). In cancer trials, c-Met inhibitors caused side effects such as fatigue, swelling, and organ toxicity, even in very ill patients (<xref ref-type="bibr" rid="B43">43</xref>, <xref ref-type="bibr" rid="B50">50</xref>, <xref ref-type="bibr" rid="B51">51</xref>). We used NVP for short-term treatments, its safety with longer courses or in patients with other health issues was unknown. Careful dose optimization and monitoring were essential for any clinical use. Third, our mechanistic insight into H3K9me3 changes was based on correlation. We observed more H3K9me3 marks at certain genes after c-Met inhibition, but we had not yet identified which specific methyltransferase or cofactor was responsible. There may also be other pathways affected by NVP that contributed to its antiviral and anti-inflammatory actions. Fourth, we focused mostly on innate immune responses, such as NF-&#x3ba;B activity in infected cells and macrophages. We did not examine how c-Met inhibition affected adaptive immunity. Since HGF/c-Met signaling can influence macrophage polarization and T-cell functions, blocking c-Met altered these immune cells in ways we have not yet studied (<xref ref-type="bibr" rid="B52">52</xref>&#x2013;<xref ref-type="bibr" rid="B54">54</xref>). Finally, while reducing inflammatory cytokines limited tissue damage, lowering inflammation too much slowed viral clearance (<xref ref-type="bibr" rid="B55">55</xref>). Some inflammation was needed to recruit immune cells and fought infection. Future studies should look not only at virus levels and cytokines but also at how quickly the body clears the viruses and overall survival in animal models. We also did not examine whether the epigenetic changes we saw, such as increased H3K9me3, persisted after treatment, and if those lasting changes might be helpful or harmful, for example by suppressing needed immune genes. These points reminded us to interpret our findings with caution and highlight areas for further investigation before moving toward clinical trials.</p>
<p>In conclusion, our study introduced c-Met inhibition as a novel host-directed therapeutic strategy that inhibited two central aspects of viral disease, replication and inflammation, through an epigenetic mechanism. While there were clear challenges ahead in translating this approach, the potential benefits exemplified a forward-looking direction in antiviral research. By learning how to modulate host defenses and regulatory networks, we opened the door to treatments that were not only broad-spectrum and resistance-proof but also capable of mitigating the collateral damage of the immune response. This work laid a foundation for future investigations to fully realize the therapeutic promise of targeting c-Met and similar host pathways in the fight against viral infections.</p>
</sec>
<sec id="s4" sec-type="materials|methods">
<title>Materials and methods</title>
<sec id="s4_1">
<title>Reagents and antibodies</title>
<p>Rabbit anti-COX2 antibodies were purchased from Wanleibio. Rabbit antibodies against iNOS (catalog no. 80517-1-RR) and Beta Tubulin (catalog no. 10094-1-AP), along with mouse antibodies targeting the DYKDDDDK tag (catalog no. 66008-4-Ig), were procured from Proteintech. Additional antibodies, including rabbit phospho-NF-&#x3ba;B p65 (Ser536) (93H1) (catalog no. 3033), NF-&#x3ba;B p65 (D14E12) XP (catalog no. 8242), phospho-I&#x3ba;B&#x3b1; (Ser32) (14D4) (catalog no. 2859), I&#x3ba;B&#x3b1; (44D4) (catalog no. 4812) and phospho-IKK&#x3b1; (Ser176)/IKK&#x3b2; (Ser177) (C84E11) (catalog no. 2078), were obtained from Cell Signaling Technology. Secondary detection utilized HRP-conjugated Affinipure Goat Anti-Rabbit IgG (H+L) (catalog no. SA00001-2) and HRP-conjugated Affinipure Goat Anti-Mouse IgG (H+L) (catalog no. SA00001-1), also from Proteintech. Lipopolysaccharides (LPS) (catalog no. HY-D1056) and NVP-BVU972 (catalog no. HY-15456) were sourced from MedChemExpress. Dimethyl sulfoxide (DMSO) (catalog no. D8371) was purchased from Solarbio.</p>
</sec>
<sec id="s4_2">
<title>Cells</title>
<p>The RAW264.7 (RRID: CVCL_0493), HeLa (RRID: CVCL_0030), HT1080 (RRID: CVCL_0316), HT29 (RRID: CVCL_0320), 17-Cl1 (RRID: CVCL_VT75) and Vero (RRID: CVCL_0059) cell lines were sourced from the American Type Culture Collection (ATCC). Cells were authenticated by STR profiling and routinely tested negative for mycoplasma contamination using Mycolor One-Step Mycoplasma Detector (Vazyme, D201-01). RAW264.7, HT1080, 17Cl-1 and Vero were cultured in Dulbecco&#x2019;s Modified Eagle&#x2019;s Medium (DMEM) (03.1002C, EallBio), while HeLa and HT29 were maintained in RPMI 1640 (03.4001C, EallBio). All culture media were supplemented with 10% fetal bovine serum (FBS) and 1% penicillin-streptomycin for optimal cell growth and maintenance.</p>
</sec>
<sec id="s4_3">
<title>Virus infection and propagation</title>
<p>Cells at 70-80% confluence were infected with the following viruses at the indicated multiplicity of infection (MOI), vesicular stomatitis virus (VSV, MOI = 0.1), herpes simplex virus 1 (HSV-1, F strain, MOI = 0.5), encephalomyocarditis virus (EMCV, MOI = 0.1), mouse hepatitis virus (MHV, A59 strain, MOI = 0.1) and GFP-expressing viruses, including VSV (MOI=0.1), HSV (MOI=0.1) and vaccinia virus (VACV, MOI=0.1).</p>
<p>Virus stocks were prepared as follows, VSV Indiana strain and VSV-GFP, generously provided by J. Rose (Yale University), were propagated in Vero cells. HSV-1 strain 17, VSV-GFP, HSV-GFP and VACV-GFP were gifts from Zhengfan Jiang (Peking University), and were cultured in the same cell line for viral amplification. MHV-A59 strain (ATCC VR-764) and EMCV (ATCC VR-129B) were obtained from ATCC and propagated in 17Cl-1 and Vero cells, respectively.</p>
</sec>
<sec id="s4_4">
<title>Mice and <italic>in vivo</italic> virus infection</title>
<p>Wild-type (WT) C57BL/6J mice were purchased from the Department of Laboratory Animal Science, Peking University Health Science Center. All animal care and procedures were conducted in accordance with the Guide for the Care and Use of Laboratory Animals by the Chinese Association for Laboratory Animal Science. The protocols were approved by the Animal Care Committee of Peking University Health Science Center (permit number: LA 2016240). Mice were bred and housed under specific pathogen-free conditions at the Laboratory Animal Center of Peking University. Only mice aged 6 to 8 weeks were used in the experiments.</p>
<p>Age- and sex- matched C57BL/6J littermates were used for all <italic>in vivo</italic> experiments. Six-week-old mice were infected with different viruses at a dose of 1&#xd7;10<sup>8</sup> plaque-forming units (PFU) per mouse via intraperitoneal injection (IP), and immediately received the first IP dose of NVP (20 mg/kg) or vehicle control, with subsequent treatments administered every other day. Survivals were monitored daily.</p>
<p>We used C57BL/6J mice because they were a well-characterized, immunocompetent inbred strain widely employed in inflammatory and infection models, including LPS-induced sepsis and viral challenge.</p>
</sec>
<sec id="s4_5">
<title>Construction of a sepsis model via LPS injection</title>
<p>This study employed lipopolysaccharide (LPS)-induced sepsis models to investigate systemic inflammatory responses characteristic of sepsis. Male C57BL/6J mice (6&#x2013;8 weeks old; 20&#x2013;25 g) were randomized into two groups (n=12 per group): LPS+PBS only and LPS+NVP. A solution of LPS was prepared in sterile saline at a concentration of 20 mg/kg body weight for the WT C57BL/6J mice and administered intraperitoneally using sterile insulin syringes. After LPS injection, a subset of mice received an intraperitoneal injection of NVP. At the same time, the control group was injected with an equivalent volume of PBS. Survival was monitored for 48 hours, blood and lung tissues were subsequently collected at 12 hours post-LPS for downstream analyses.</p>
</sec>
<sec id="s4_6">
<title>Hematoxylin-eosin (H&amp;E) staining</title>
<p>The tissues were quickly placed in cold saline solution and rinsed after they were collected, then fixed in 4% paraformaldehyde, dehydrated, and embedded in paraffin prior to sectioning at 5 mm, and sections were stained with hematoxylin and eosin.</p>
</sec>
<sec id="s4_7">
<title>RNA isolation and RT-qPCR</title>
<p>The total RNA was extracted using TRIzol Reagent (TIANGEN, A0123A01) following the manufacturer&#x2019;s protocol. Complementary DNA (cDNA) was synthesized from total RNA using HiScript II RT SuperMix (Vazyme, R223-01). mRNA expression levels of viral and immune related genes were analyzed by quantitative reverse transcription PCR (RT-qPCR) using Taq Pro Universal SYBR qPCR Master Mix (Vazyme). The relative expression levels of target genes were normalized to the housekeeping gene Actb, and data were analyzed using the comparative Ct (2^&#x2212;&#x394;&#x394;Ct) method. The primer sequences used for qPCR analysis in the study can be found in <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table S1</bold>
</xref>.</p>
</sec>
<sec id="s4_8">
<title>Total protein extraction and western blots analysis</title>
<p>The cells were harvested and lysed using ice-cold RAPI buffer (MedChemExpress, HY-K1001), which was supplemented with protease inhibitors for 30 min. Cell lysates were mixed with protein loading buffer and denatured at 100&#xb0;C for 5 min, followed by centrifugation at 12,000 rpm for 10 min at 4&#xb0;C. Protein samples were separated by 10% sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and transferred to a nitrocellulose membrane (Beyotime Biotechnology, FFN08) by electroblotting. Membranes were blocked with 5% non-fat milk at room temperature for 1 h and subsequently immunoblotted with indicated primary antibodies (1:1000) at 4&#xb0;C overnight, followed by incubation with HRP-conjugated secondary antibodies (1:10000) at 37&#xb0;C for 1 h. Protein signals were detected by using an enhanced ECL system (EallBio, 07.10009-50) according to the manufacturer&#x2019;s instructions.</p>
</sec>
<sec id="s4_9">
<title>Cell cytotoxicity assay</title>
<p>Target cells were seeded into a 96-well plate at a density of 2&#xd7;10&#xb3; cells per well in 100 &#x3bc;L of complete medium. Cells were treated with increasing concentrations of NVP-BVU972 (MedChemExpress, HY-15456) and incubated at 37&#xb0;C in a humidified 5% CO<sup>2</sup> incubator for 48 hours. And then, we added 10 &#x3bc;L of CCK-8 reagent (YEASEN, 40203ES60) to each well and gently shook the plate to mix. After incubation at 37&#xb0;C for 1 hour, we measured the absorbance at 450 nm using a microplate reader.</p>
</sec>
<sec id="s4_10">
<title>Plaque assay</title>
<p>Confluent monolayers of Vero cells were plated in 24-well plates and infected with 10-fold serial dilutions of virus for 1 hours at 37&#xb0;C to allow adsorption. The inoculum was then removed, and cells were washed twice with PBS before being overlaid with DMEM containing 0.5% carboxymethyl cellulose (CMC) (Sigma, 419338). Plates were incubated at 37&#xb0;C for 48 hours to allow plaques to form. The cells were then fixed with 4% paraformaldehyde and stained with 1% crystal violet to visualize plaques. Viral titer was calculated as PFU/mL based on the plaque counts, dilution factor, and inoculum volume.</p>
</sec>
<sec id="s4_11">
<title>Fluorescence assay</title>
<p>Cells were infected with GFP-tagged viruses at MOI of 0.1 for 12 hours. After treatment with NVP, cells were visualized under a Nikon fluorescence microscope equipped with a 488 nm excitation filter and a 510 nm emission filter. Images were captured at a magnification of 100&#xd7;.</p>
</sec>
<sec id="s4_12">
<title>Flow cytometry analysis</title>
<p>After infection, cells were washed twice with phosphate-buffered saline (PBS) to remove residual virus, followed by trypsinization to generate a single-cell suspension. The cells were collected by centrifugation at 1600 rpm for 5 minutes, and the supernatant was discarded. The resulting cell pellets were resuspended in PBS and transferred to flow cytometry tubes for subsequent analysis. To evaluate the infection efficiency, the percentage of GFP-positive cells was quantified using a flow cytometer (BD Biosciences).</p>
</sec>
<sec id="s4_13">
<title>RNA-seq and data analysis</title>
<p>Total RNA was extracted with the TIANGEN A0123A01 high-throughput kit. Quality control, library preparation, sequencing and downstream analysis were performed by Suzhou GENEWIZ following their standard protocols. Gene counts were generated by featureCounts v2.0.0 and normalized to FPKM. Differential expression was assessed in DESeq2 v1.38.3 using |log<sub>2</sub>FC|&gt;2 and p&lt;0.05.</p>
</sec>
<sec id="s4_14">
<title>ATAC-seq</title>
<p>We performed ATAC-seq using the Hyperactive ATAC-Seq Library Prep Kit (TD711, Vazyme Biotech). Tn5 transposase, preloaded with sequencing adapters, was incubated with isolated nuclei to insert adapters into open chromatin. After PCR amplification with indexed primers, libraries were sequenced by GENEWIZ (Suzhou, China), yielding a genome-wide map of chromatin accessibility.</p>
</sec>
<sec id="s4_15">
<title>CUT&amp;Tag</title>
<p>Cells were captured on ConA-coated magnetic beads and permeabilized with digitonin. After incubation with a primary antibody and a Protein A/G&#x2013;linked secondary antibody fused to Tn5 transposase, Mg<sup>2+</sup> activation triggered targeted DNA cleavage and simultaneous adapter insertion. The resulting fragments were PCR-amplified using the Transgen CUT&amp;Tag Library Prep Kit (Vazyme, KP172) and sequenced by GENEWIZ (Suzhou, China).</p>
</sec>
<sec id="s4_16">
<title>Data analysis of ATAC-seq and CUT&amp;Tag</title>
<p>Raw ATAC-seq and CUT&amp;Tag reads (paired-end) from GENEWIZ were first trimmed with Trim-Galore v0.6.4, then aligned to the mouse mm10 genome using Bowtie2 v2.3.5.1 (&#x2013;very-sensitive -X 2000) and piped through SAMtools v1.10 to produce sorted, indexed BAM files. Peaks were called for each sample with MACS3 v3.0.0a5 (default settings), yielding per-sample BED files (<xref ref-type="bibr" rid="B56">56</xref>).</p>
<p>For ATAC-seq, individual peak sets were merged across all samples with Bedtools v2.31.1, and genome-wide coverage tracks were generated in RPKM units using deepTools v3.3.2 (bamCoverage &#x2013;binSize 100 &#x2013;normalizeUsing RPKM &#x2013;effectiveGenomeSize 2864785220 &#x2013;ignoreForNormalization chrM &#x2013;extendReads). CUT&amp;Tag signal within called peaks was normalized similarly, and treatment vs. input ratios were computed with bamCompare (&#x2013;binSize 145 &#x2013;normalizeUsing RPKM &#x2013;effectiveGenomeSize 2864785220 &#x2013;ignoreForNormalization chrM &#x2013;extendReads &#x2013;scaleFactorsMethod None) (<xref ref-type="bibr" rid="B56">56</xref>).</p>
<p>Differential accessibility/enrichment analyses were performed in R using the csaw package v1.38.0, and peaks were annotated with ChIPseeker v1.34.1. Final track visualization was carried out in IGV v2.17.4.</p>
</sec>
<sec id="s4_17">
<title>Quantification and statistical analysis</title>
<p>Statistical analyses were conducted using Student&#x2019;s t-test for two-group comparisons (indicated by square brackets) and one-way ANOVA for multi-group experiments. Survival was evaluated by Kaplan&#x2013;Meier analysis. Data are shown as mean &#xb1; SEM (n&#x2265;3). N.S.,not significant, <italic>p</italic> &gt; 0.05, <italic>*p</italic> &lt; 0.05, <italic>** p</italic> &lt; 0.01, <italic>***p</italic> &lt; 0.001, <italic>****p</italic> &lt; 0.0001.</p>
</sec>
</sec>
</body>
<back>
<sec id="s5" sec-type="data-availability">
<title>Data availability statement</title>
<p>The datasets presented in this study can be found in online repositories. The names of the repository/repositories and accession number(s) can be found below: <uri xlink:href="https://www.ncbi.nlm.nih.gov/bioproject/PRJNA1272467">https://www.ncbi.nlm.nih.gov/bioproject/PRJNA1272467</uri>, PRJNA1272467.</p>
</sec>
<sec id="s6" sec-type="ethics-statement">
<title>Ethics statement</title>
<p>The animal study was approved by Animal Care Committee of Peking University Health Science Center (permit number: LA 2016240). The study was conducted in accordance with the local legislation and institutional requirements.</p>
</sec>
<sec id="s7" sec-type="author-contributions">
<title>Author contributions</title>
<p>YZ: Conceptualization, Data curation, Formal Analysis, Funding acquisition, Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization, Writing &#x2013; original draft, Writing &#x2013; review &amp; editing. YX: Conceptualization, Data curation, Formal Analysis, Investigation, Methodology, Resources, Supervision, Validation, Writing &#x2013; original draft. XC: Formal Analysis, Funding acquisition, Project administration, Resources, Software, Validation, Visualization, Writing &#x2013; review &amp; editing. HJ: Funding acquisition, Investigation, Resources, Writing &#x2013; review &amp; editing. XW: Formal Analysis, Funding acquisition, Validation, Writing &#x2013; review &amp; editing. TL: Investigation, Methodology, Software, Writing &#x2013; review &amp; editing. HW: Data curation, Methodology, Writing &#x2013; review &amp; editing. Yl: Conceptualization, Data curation, Formal Analysis, Funding acquisition, Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization, Writing &#x2013; review &amp; editing. XG: Writing &#x2013; original draft, Writing &#x2013; review &amp; editing. fy: Funding acquisition, Resources, Supervision, Validation, Visualization, Writing &#x2013; review &amp; editing.</p>
</sec>
<sec id="s8" sec-type="funding-information">
<title>Funding</title>
<p>The author(s) declare that no financial support was received for the research and/or publication of this article. This work was supported by the National Natural Science Foundation of China (32101047 to Y.L.).</p>
</sec>
<ack>
<title>Acknowledgments</title>
<p>We thanked the assistance of the Peking University High-Performance Computing Platform for providing access to computing clusters, which greatly facilitated the data analysis in this study.</p>
</ack>
<sec id="s9" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s10" sec-type="ai-statement">
<title>Generative AI statement</title>
<p>The author(s) declare that no Generative AI was used in the creation of this manuscript.</p>
<p>Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us.</p>
</sec>
<sec id="s11" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s12" sec-type="supplementary-material">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fimmu.2025.1651730/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fimmu.2025.1651730/full#supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="Image1.pdf" id="SF1" mimetype="application/pdf">
<label>Supplementary Figure&#xa0;1</label>
<caption>
<p>
<bold>(A)</bold> Virus titers in the indicated organs of mice infected with a lethal dose of VSV, HSV-1, EMCV or MHV with or without 24 hours treatment of NVP (as described in the Methods). (B) Cell Viability of RAW 264.7, HT1080, HT29 and HeLa upon NVP treatment. (C) RT-qPCR quantification of <italic>Il1b</italic>, <italic>Il6</italic> and <italic>Tnfa</italic> mRNA in RAW264.7 treated with DMSO or different concentrations of NVP (25 &#x3bc;M, 50 &#x3bc;M, 100 &#x3bc;M). (D) Heatmap illustrated the expression of NF-&#x3ba;B signaling pathway-related genes in the NVP group compared to DMSO group.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image2.pdf" id="SF2" mimetype="application/pdf">
<label>Supplementary Figure&#xa0;2</label>
<caption>
<p>(A) RT-qPCR quantification of <italic>Il1&#x3b2;</italic>, <italic>Il-6</italic>, <italic>Tnf&#x3b1;</italic> mRNA in RAW264.7 cells treated with DMSO or 50 &#x3bc;M NVP and infected with UV-inactivated VSV (MOI = 0.1). (B) RT-qPCR quantification of <italic>Il1&#x3b2;</italic>, <italic>Il-6</italic>, <italic>Tnf&#x3b1;</italic> mRNA in RAW264.7 cells treated with DMSO or 50 &#x3bc;M NVP and transfected with poly(I:C) (2 &#xb5;g/mL). (C) RT-qPCR quantification of <italic>Il1&#x3b2;</italic> mRNA and viruses in RAW264.7 cells treated with DMSO, NVP, Chaetocin or NVP+ Chaetocin and infected with HSV and VSV (MOI=0.1). (D) RT-qPCR quantification of <italic>Il1&#x3b2;</italic> mRNA in RAW264.7 cells treated with DMSO, NVP, Chaetocin or NVP+ Chaetocin and treated with LPS. (E) RT-qPCR quantification of <italic>Il1&#x3b2;</italic>, <italic>Il-6</italic>, <italic>Tnf&#x3b1;</italic> mRNA in RAW264.7 cells treated with DMSO or Chaetocin.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Table1.xlsx" id="SM1" mimetype="application/vnd.openxmlformats-officedocument.spreadsheetml.sheet">
<label>Supplementary Table&#xa0;1</label>
<caption>
<p>Primers for RT-qPCR.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Table2.xlsx" id="SM2" mimetype="application/vnd.openxmlformats-officedocument.spreadsheetml.sheet">
<label>Supplementary Table&#xa0;2</label>
<caption>
<p>Exact p-values of all other comparisons.</p>
</caption>
</supplementary-material>
  <supplementary-material xlink:href="Table3.docx" id="SM3" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document">
<label>Supplementary Table&#xa0;3</label>
<caption>
<p>Antiviral and anti-inflammatory therapies.</p>
</caption>
</supplementary-material>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<label>1</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Holmes</surname> <given-names>EC</given-names>
</name>
<name>
<surname>Dudas</surname> <given-names>G</given-names>
</name>
<name>
<surname>Rambaut</surname> <given-names>A</given-names>
</name>
<name>
<surname>Andersen</surname> <given-names>KG</given-names>
</name>
</person-group>. <article-title>The evolution of ebola virus: insights from the 2013&#x2013;2016 epidemic</article-title>. <source>Nature</source>. (<year>2016</year>) <volume>538</volume>:<fpage>193</fpage>&#x2013;<lpage>200</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nature19790</pub-id>, PMID: <pub-id pub-id-type="pmid">27734858</pub-id>, PMID: <pub-id pub-id-type="pmid">27734858</pub-id></citation></ref>
<ref id="B2">
<label>2</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Colubri</surname> <given-names>A</given-names>
</name>
<name>
<surname>Kemball</surname> <given-names>M</given-names>
</name>
<name>
<surname>Sani</surname> <given-names>K</given-names>
</name>
<name>
<surname>Boehm</surname> <given-names>C</given-names>
</name>
<name>
<surname>Mutch-Jones</surname> <given-names>K</given-names>
</name>
<name>
<surname>Fry</surname> <given-names>B</given-names>
</name>
<etal/>
</person-group>. <article-title>Preventing outbreaks through interactive, experiential real-life simulations</article-title>. <source>Cell</source>. (<year>2020</year>) <volume>182</volume>:<page-range>1366&#x2013;71</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.cell.2020.08.042</pub-id>, PMID: <pub-id pub-id-type="pmid">32905783</pub-id>, PMID: <pub-id pub-id-type="pmid">32905783</pub-id></citation></ref>
<ref id="B3">
<label>3</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Duan</surname> <given-names>J</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>C</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>C</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>L</given-names>
</name>
</person-group>. <article-title>Deleterious effects of viral pneumonia on cardiovascular system</article-title>. <source>Eur Heart J</source>. (<year>2020</year>) <volume>41</volume>:<page-range>1833&#x2013;8</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1093/eurheartj/ehaa325</pub-id>, PMID: <pub-id pub-id-type="pmid">32383765</pub-id>, PMID: <pub-id pub-id-type="pmid">32383765</pub-id></citation></ref>
<ref id="B4">
<label>4</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>D&#xe4;hne</surname> <given-names>T</given-names>
</name>
<name>
<surname>Jaki</surname> <given-names>L</given-names>
</name>
<name>
<surname>Gosert</surname> <given-names>R</given-names>
</name>
<name>
<surname>Fuchs</surname> <given-names>J</given-names>
</name>
<name>
<surname>Krumbholz</surname> <given-names>A</given-names>
</name>
<name>
<surname>N&#xe4;gele</surname> <given-names>K</given-names>
</name>
<etal/>
</person-group>. <article-title>Herpes simplex virus and drug resistance-comprehensive update on resistance mutations and implications for clinical management: A narrative review</article-title>. <source>Clin Microbiol Infect: Off Publ Eur Soc Clin Microbiol Infect Dis</source>. (<year>2025</year>) <volume>31</volume>(<issue>9</issue>):<page-range>1484&#x2013;90</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.cmi.2025.04.046</pub-id>, PMID: <pub-id pub-id-type="pmid">40349973</pub-id>, PMID: <pub-id pub-id-type="pmid">40349973</pub-id></citation></ref>
<ref id="B5">
<label>5</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhang</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Sun</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Xie</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Shang</surname> <given-names>W</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Jiang</surname> <given-names>H</given-names>
</name>
<etal/>
</person-group>. <article-title>A viral rna-dependent rna polymerase inhibitor vv116 broadly inhibits human coronaviruses and has synergistic potency with 3clpro inhibitor nirmatrelvir</article-title>. <source>Signal Transduct Targeted Ther</source>. (<year>2023</year>) <volume>8</volume>:<fpage>360</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41392-023-01587-1</pub-id>, PMID: <pub-id pub-id-type="pmid">37735468</pub-id>, PMID: <pub-id pub-id-type="pmid">37735468</pub-id></citation></ref>
<ref id="B6">
<label>6</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gandhi</surname> <given-names>S</given-names>
</name>
<name>
<surname>Klein</surname> <given-names>J</given-names>
</name>
<name>
<surname>Robertson</surname> <given-names>AJ</given-names>
</name>
<name>
<surname>Pe&#xf1;a-Hern&#xe1;ndez</surname> <given-names>MA</given-names>
</name>
<name>
<surname>Lin</surname> <given-names>MJ</given-names>
</name>
<name>
<surname>Roychoudhury</surname> <given-names>P</given-names>
</name>
<etal/>
</person-group>. <article-title>
<italic>De novo</italic> emergence of a remdesivir resistance mutation during treatment of persistent sars-cov-2 infection in an immunocompromised patient: A case report</article-title>. <source>Nat Commun</source>. (<year>2022</year>) <volume>13</volume>:<fpage>1547</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41467-022-29104-y</pub-id>, PMID: <pub-id pub-id-type="pmid">35301314</pub-id>, PMID: <pub-id pub-id-type="pmid">35301314</pub-id></citation></ref>
<ref id="B7">
<label>7</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pandey</surname> <given-names>P</given-names>
</name>
<name>
<surname>Al Rumaih</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Kels</surname> <given-names>MJT</given-names>
</name>
<name>
<surname>Ng</surname> <given-names>E</given-names>
</name>
<name>
<surname>Kc</surname> <given-names>R</given-names>
</name>
<name>
<surname>Chaudhri</surname> <given-names>G</given-names>
</name>
<etal/>
</person-group>. <article-title>Targeting ectromelia virus and tnf/nf-&#x3ba;b or stat3 signaling for effective treatment of viral pneumonia</article-title>. <source>Proc Natl Acad Sci United States America</source>. (<year>2022</year>) <volume>119</volume>. doi:&#xa0;<pub-id pub-id-type="doi">10.1073/pnas.2112725119</pub-id>, PMID: <pub-id pub-id-type="pmid">35177474</pub-id>, PMID: <pub-id pub-id-type="pmid">35177474</pub-id></citation></ref>
<ref id="B8">
<label>8</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Xu</surname> <given-names>JB</given-names>
</name>
<name>
<surname>Guan</surname> <given-names>WJ</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>YL</given-names>
</name>
<name>
<surname>Qiu</surname> <given-names>ZE</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>L</given-names>
</name>
<name>
<surname>Hou</surname> <given-names>XC</given-names>
</name>
<etal/>
</person-group>. <article-title>Sars-cov-2 envelope protein impairs airway epithelial barrier function and exacerbates airway inflammation via increased intracellular cl(-) concentration</article-title>. <source>Signal Transduct Targeted Ther</source>. (<year>2024</year>) <volume>9</volume>:<fpage>74</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41392-024-01753-z</pub-id>, PMID: <pub-id pub-id-type="pmid">38528022</pub-id>, PMID: <pub-id pub-id-type="pmid">38528022</pub-id></citation></ref>
<ref id="B9">
<label>9</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Winkler</surname> <given-names>ES</given-names>
</name>
<name>
<surname>Bailey</surname> <given-names>AL</given-names>
</name>
<name>
<surname>Kafai</surname> <given-names>NM</given-names>
</name>
<name>
<surname>Nair</surname> <given-names>S</given-names>
</name>
<name>
<surname>McCune</surname> <given-names>BT</given-names>
</name>
<name>
<surname>Yu</surname> <given-names>J</given-names>
</name>
<etal/>
</person-group>. <article-title>Sars-cov-2 infection of human ace2-transgenic mice causes severe lung inflammation and impaired function</article-title>. <source>Nat Immunol</source>. (<year>2020</year>) <volume>21</volume>:<page-range>1327&#x2013;35</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41590-020-0778-2</pub-id>, PMID: <pub-id pub-id-type="pmid">32839612</pub-id>, PMID: <pub-id pub-id-type="pmid">32839612</pub-id></citation></ref>
<ref id="B10">
<label>10</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Fang</surname> <given-names>X</given-names>
</name>
<name>
<surname>Gao</surname> <given-names>J</given-names>
</name>
<name>
<surname>Zheng</surname> <given-names>H</given-names>
</name>
<name>
<surname>Li</surname> <given-names>B</given-names>
</name>
<name>
<surname>Kong</surname> <given-names>L</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>Y</given-names>
</name>
<etal/>
</person-group>. <article-title>The membrane protein of sars-cov suppresses nf-kappab activation</article-title>. <source>J Med Virol</source>. (<year>2007</year>) <volume>79</volume>:<page-range>1431&#x2013;9</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1002/jmv.20953</pub-id>, PMID: <pub-id pub-id-type="pmid">17705188</pub-id>, PMID: <pub-id pub-id-type="pmid">17705188</pub-id></citation></ref>
<ref id="B11">
<label>11</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Duan</surname> <given-names>T</given-names>
</name>
<name>
<surname>Xing</surname> <given-names>C</given-names>
</name>
<name>
<surname>Chu</surname> <given-names>J</given-names>
</name>
<name>
<surname>Deng</surname> <given-names>X</given-names>
</name>
<name>
<surname>Du</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>X</given-names>
</name>
<etal/>
</person-group>. <article-title>Ace2-dependent and -independent sars-cov-2 entries dictate viral replication and inflammatory response during infection</article-title>. <source>Nat Cell Biol</source>. (<year>2024</year>) <volume>26</volume>:<page-range>628&#x2013;44</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41556-024-01388-w</pub-id>, PMID: <pub-id pub-id-type="pmid">38514841</pub-id>, PMID: <pub-id pub-id-type="pmid">38514841</pub-id></citation></ref>
<ref id="B12">
<label>12</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yang</surname> <given-names>JW</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>L</given-names>
</name>
<name>
<surname>Luo</surname> <given-names>RG</given-names>
</name>
<name>
<surname>Xu</surname> <given-names>JF</given-names>
</name>
</person-group>. <article-title>Corticosteroid administration for viral pneumonia: covid-19 and beyond</article-title>. <source>Clin Microbiol Infect: Off Publ Eur Soc Clin Microbiol Infect Dis</source>. (<year>2020</year>) <volume>26</volume>:<page-range>1171&#x2013;7</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.cmi.2020.06.020</pub-id>, PMID: <pub-id pub-id-type="pmid">32603802</pub-id>, PMID: <pub-id pub-id-type="pmid">32603802</pub-id></citation></ref>
<ref id="B13">
<label>13</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Baker</surname> <given-names>JR</given-names>
</name>
<name>
<surname>Mahdi</surname> <given-names>M</given-names>
</name>
<name>
<surname>Nicolau</surname> <given-names>DV</given-names>
<suffix>Jr.</suffix>
</name>
<name>
<surname>Ramakrishnan</surname> <given-names>S</given-names>
</name>
<name>
<surname>Barnes</surname> <given-names>PJ</given-names>
</name>
<name>
<surname>Simpson</surname> <given-names>JL</given-names>
</name>
<etal/>
</person-group>. <article-title>Early th2 inflammation in the upper respiratory mucosa as a predictor of severe covid-19 and modulation by early treatment with inhaled corticosteroids: A mechanistic analysis</article-title>. <source>Lancet Respir Med</source>. (<year>2022</year>) <volume>10</volume>:<page-range>545&#x2013;56</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/s2213-2600(22)00002-9</pub-id>, PMID: <pub-id pub-id-type="pmid">35397798</pub-id>, PMID: <pub-id pub-id-type="pmid">35397798</pub-id></citation></ref>
<ref id="B14">
<label>14</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lammers</surname> <given-names>T</given-names>
</name>
<name>
<surname>Sofias</surname> <given-names>AM</given-names>
</name>
<name>
<surname>van der Meel</surname> <given-names>R</given-names>
</name>
<name>
<surname>Schiffelers</surname> <given-names>R</given-names>
</name>
<name>
<surname>Storm</surname> <given-names>G</given-names>
</name>
<name>
<surname>Tacke</surname> <given-names>F</given-names>
</name>
<etal/>
</person-group>. <article-title>Dexamethasone nanomedicines for covid-19</article-title>. <source>Nat Nanotechnol</source>. (<year>2020</year>) <volume>15</volume>:<page-range>622&#x2013;4</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41565-020-0752-z</pub-id>, PMID: <pub-id pub-id-type="pmid">32747742</pub-id>, PMID: <pub-id pub-id-type="pmid">32747742</pub-id></citation></ref>
<ref id="B15">
<label>15</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Neyton</surname> <given-names>LPA</given-names>
</name>
<name>
<surname>Patel</surname> <given-names>RK</given-names>
</name>
<name>
<surname>Sarma</surname> <given-names>A</given-names>
</name>
<name>
<surname>Willmore</surname> <given-names>A</given-names>
</name>
<name>
<surname>Haller</surname> <given-names>SC</given-names>
</name>
<name>
<surname>Kangelaris</surname> <given-names>KN</given-names>
</name>
<etal/>
</person-group>. <article-title>Distinct pulmonary and systemic effects of dexamethasone in severe covid-19</article-title>. <source>Nat Commun</source>. (<year>2024</year>) <volume>15</volume>:<fpage>5483</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41467-024-49756-2</pub-id>, PMID: <pub-id pub-id-type="pmid">38942804</pub-id>, PMID: <pub-id pub-id-type="pmid">38942804</pub-id></citation></ref>
<ref id="B16">
<label>16</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhou</surname> <given-names>L</given-names>
</name>
<name>
<surname>Pereiro</surname> <given-names>MT</given-names>
</name>
<name>
<surname>Li</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Derigs</surname> <given-names>M</given-names>
</name>
<name>
<surname>Kuenne</surname> <given-names>C</given-names>
</name>
<name>
<surname>Hielscher</surname> <given-names>T</given-names>
</name>
<etal/>
</person-group>. <article-title>Glucocorticoids induce a maladaptive epithelial stress response to aggravate acute kidney injury</article-title>. <source>Sci Trans Med</source>. (<year>2024</year>) <volume>16</volume>:<fpage>eadk5005</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1126/scitranslmed.adk5005</pub-id>, PMID: <pub-id pub-id-type="pmid">39356748</pub-id>, PMID: <pub-id pub-id-type="pmid">39356748</pub-id></citation></ref>
<ref id="B17">
<label>17</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sirihongthong</surname> <given-names>T</given-names>
</name>
<name>
<surname>Jitobaom</surname> <given-names>K</given-names>
</name>
<name>
<surname>Boonarkart</surname> <given-names>C</given-names>
</name>
<name>
<surname>Thongon</surname> <given-names>S</given-names>
</name>
<name>
<surname>Auewarakul</surname> <given-names>P</given-names>
</name>
</person-group>. <article-title>
<italic>In vitro</italic> synergistic antiviral effects of &#x3b2;-D-N4-hydroxycytidine and teriflunomide in combination against a broad range of rna viruses</article-title>. <source>J Med Virol</source>. (<year>2025</year>) <volume>97</volume>:<fpage>e70488</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1002/jmv.70488</pub-id>, PMID: <pub-id pub-id-type="pmid">40600448</pub-id>, PMID: <pub-id pub-id-type="pmid">40600448</pub-id></citation></ref>
<ref id="B18">
<label>18</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Luther</surname> <given-names>J</given-names>
</name>
<name>
<surname>Glesby</surname> <given-names>MJ</given-names>
</name>
</person-group>. <article-title>Dermatologic adverse effects of antiretroviral therapy: recognition and management</article-title>. <source>Am J Clin Dermatol</source>. (<year>2007</year>) <volume>8</volume>:<page-range>221&#x2013;33</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.2165/00128071-200708040-00004</pub-id>, PMID: <pub-id pub-id-type="pmid">17645377</pub-id>, PMID: <pub-id pub-id-type="pmid">17645377</pub-id></citation></ref>
<ref id="B19">
<label>19</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chathuranga</surname> <given-names>K</given-names>
</name>
<name>
<surname>Shin</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Uddin</surname> <given-names>MB</given-names>
</name>
<name>
<surname>Paek</surname> <given-names>J</given-names>
</name>
<name>
<surname>Chathuranga</surname> <given-names>WAG</given-names>
</name>
<name>
<surname>Seong</surname> <given-names>Y</given-names>
</name>
<etal/>
</person-group>. <article-title>The novel immunobiotic clostridium butyricum S-45&#x2013;5 displays broad-spectrum antiviral activity <italic>in vitro</italic> and <italic>in vivo</italic> by inducing immune modulation</article-title>. <source>Front Immunol</source>. (<year>2023</year>) <volume>14</volume>:<elocation-id>1242183</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fimmu.2023.1242183</pub-id>, PMID: <pub-id pub-id-type="pmid">37881429</pub-id>, PMID: <pub-id pub-id-type="pmid">37881429</pub-id></citation></ref>
<ref id="B20">
<label>20</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Xiao</surname> <given-names>S</given-names>
</name>
<name>
<surname>Tian</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Si</surname> <given-names>L</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>L</given-names>
</name>
<name>
<surname>Zhou</surname> <given-names>D</given-names>
</name>
</person-group>. <article-title>Recent progress in the antiviral activity and mechanism study of pentacyclic triterpenoids and their derivatives</article-title>. <source>Med Res Rev</source>. (<year>2018</year>) <volume>38</volume>:<page-range>951&#x2013;76</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1002/med.21484</pub-id>, PMID: <pub-id pub-id-type="pmid">29350407</pub-id>, PMID: <pub-id pub-id-type="pmid">29350407</pub-id></citation></ref>
<ref id="B21">
<label>21</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Steckelings</surname> <given-names>UM</given-names>
</name>
<name>
<surname>Sumners</surname> <given-names>C</given-names>
</name>
</person-group>. <article-title>Correcting the imbalanced protective ras in covid-19 with angiotensin at2-receptor agonists</article-title>. <source>Clin Sci (London England: 1979)</source>. (<year>2020</year>) <volume>134</volume>:<fpage>2987</fpage>&#x2013;<lpage>3006</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1042/cs20200922</pub-id>, PMID: <pub-id pub-id-type="pmid">33210709</pub-id>, PMID: <pub-id pub-id-type="pmid">33210709</pub-id></citation></ref>
<ref id="B22">
<label>22</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kumar</surname> <given-names>N</given-names>
</name>
<name>
<surname>Sharma</surname> <given-names>S</given-names>
</name>
<name>
<surname>Kumar</surname> <given-names>R</given-names>
</name>
<name>
<surname>Tripathi</surname> <given-names>BN</given-names>
</name>
<name>
<surname>Barua</surname> <given-names>S</given-names>
</name>
<name>
<surname>Ly</surname> <given-names>H</given-names>
</name>
<etal/>
</person-group>. <article-title>Host-directed antiviral therapy</article-title>. <source>Clin Microbiol Rev</source>. (<year>2020</year>) <volume>33</volume>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/cmr.00168-19</pub-id>, PMID: <pub-id pub-id-type="pmid">32404434</pub-id>, PMID: <pub-id pub-id-type="pmid">32404434</pub-id></citation></ref>
<ref id="B23">
<label>23</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wu</surname> <given-names>KX</given-names>
</name>
<name>
<surname>Yogarajah</surname> <given-names>T</given-names>
</name>
<name>
<surname>Loe</surname> <given-names>MWC</given-names>
</name>
<name>
<surname>Kaur</surname> <given-names>P</given-names>
</name>
<name>
<surname>Lee</surname> <given-names>RCH</given-names>
</name>
<name>
<surname>Mok</surname> <given-names>CK</given-names>
</name>
<etal/>
</person-group>. <article-title>The host-targeting compound Peruvoside has a broad-spectrum antiviral activity against positive-sense rna viruses</article-title>. <source>Acta Pharm Sin B</source>. (<year>2023</year>) <volume>13</volume>:<page-range>2039&#x2013;55</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.apsb.2023.03.015</pub-id>, PMID: <pub-id pub-id-type="pmid">37250169</pub-id>, PMID: <pub-id pub-id-type="pmid">37250169</pub-id></citation></ref>
<ref id="B24">
<label>24</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Goto</surname> <given-names>K</given-names>
</name>
<name>
<surname>Lin</surname> <given-names>W</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>L</given-names>
</name>
<name>
<surname>Jilg</surname> <given-names>N</given-names>
</name>
<name>
<surname>Shao</surname> <given-names>RX</given-names>
</name>
<name>
<surname>Schaefer</surname> <given-names>EA</given-names>
</name>
<etal/>
</person-group>. <article-title>The ampk-related kinase snark regulates hepatitis C virus replication and pathogenesis through enhancement of tgf-&#x3b2; Signaling</article-title>. <source>J Hepatol</source>. (<year>2013</year>) <volume>59</volume>:<page-range>942&#x2013;8</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.jhep.2013.06.025</pub-id>, PMID: <pub-id pub-id-type="pmid">23831117</pub-id>, PMID: <pub-id pub-id-type="pmid">23831117</pub-id></citation></ref>
<ref id="B25">
<label>25</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kumari</surname> <given-names>R</given-names>
</name>
<name>
<surname>Sharma</surname> <given-names>SD</given-names>
</name>
<name>
<surname>Kumar</surname> <given-names>A</given-names>
</name>
<name>
<surname>Ende</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Mishina</surname> <given-names>M</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>Y</given-names>
</name>
<etal/>
</person-group>. <article-title>Antiviral approaches against influenza virus</article-title>. <source>Clin Microbiol Rev</source>. (<year>2023</year>) <volume>36</volume>:<fpage>e0004022</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/cmr.00040-22</pub-id>, PMID: <pub-id pub-id-type="pmid">36645300</pub-id>, PMID: <pub-id pub-id-type="pmid">36645300</pub-id></citation></ref>
<ref id="B26">
<label>26</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>D</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>Q</given-names>
</name>
<name>
<surname>Zhu</surname> <given-names>G</given-names>
</name>
<name>
<surname>Li</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>C</given-names>
</name>
<name>
<surname>Hu</surname> <given-names>X</given-names>
</name>
<etal/>
</person-group>. <article-title>Voxtalisib inhibits enterovirus 71 replication by downregulating host ran and restoring ifn-stat signaling</article-title>. <source>J Advanced Res</source>. (<year>2025</year>). doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.jare.2025.05.053</pub-id>, PMID: <pub-id pub-id-type="pmid">40466758</pub-id>, PMID: <pub-id pub-id-type="pmid">40466758</pub-id></citation></ref>
<ref id="B27">
<label>27</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ashraf</surname> <given-names>MU</given-names>
</name>
<name>
<surname>Iman</surname> <given-names>K</given-names>
</name>
<name>
<surname>Khalid</surname> <given-names>MF</given-names>
</name>
<name>
<surname>Salman</surname> <given-names>HM</given-names>
</name>
<name>
<surname>Shafi</surname> <given-names>T</given-names>
</name>
<name>
<surname>Rafi</surname> <given-names>M</given-names>
</name>
<etal/>
</person-group>. <article-title>Evolution of efficacious pangenotypic hepatitis C virus therapies</article-title>. <source>Med Res Rev</source>. (<year>2019</year>) <volume>39</volume>:<page-range>1091&#x2013;136</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1002/med.21554</pub-id>, PMID: <pub-id pub-id-type="pmid">30506705</pub-id>, PMID: <pub-id pub-id-type="pmid">30506705</pub-id></citation></ref>
<ref id="B28">
<label>28</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Garcia</surname> <given-names>G</given-names>
<suffix>Jr.</suffix>
</name>
<name>
<surname>Sharma</surname> <given-names>A</given-names>
</name>
<name>
<surname>Ramaiah</surname> <given-names>A</given-names>
</name>
<name>
<surname>Sen</surname> <given-names>C</given-names>
</name>
<name>
<surname>Purkayastha</surname> <given-names>A</given-names>
</name>
<name>
<surname>Kohn</surname> <given-names>DB</given-names>
</name>
<etal/>
</person-group>. <article-title>Antiviral drug screen identifies DNA-damage response inhibitor as potent blocker of sars-cov-2 replication</article-title>. <source>Cell Rep</source>. (<year>2021</year>) <volume>35</volume>:<elocation-id>108940</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.celrep.2021.108940</pub-id>, PMID: <pub-id pub-id-type="pmid">33784499</pub-id>, PMID: <pub-id pub-id-type="pmid">33784499</pub-id></citation></ref>
<ref id="B29">
<label>29</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Giovannoni</surname> <given-names>F</given-names>
</name>
<name>
<surname>Li</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Remes-Lenicov</surname> <given-names>F</given-names>
</name>
<name>
<surname>D&#xe1;vola</surname> <given-names>ME</given-names>
</name>
<name>
<surname>Elizalde</surname> <given-names>M</given-names>
</name>
<name>
<surname>Paletta</surname> <given-names>A</given-names>
</name>
<etal/>
</person-group>. <article-title>Ahr signaling is induced by infection with coronaviruses</article-title>. <source>Nat Commun</source>. (<year>2021</year>) <volume>12</volume>:<fpage>5148</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41467-021-25412-x</pub-id>, PMID: <pub-id pub-id-type="pmid">34446714</pub-id>, PMID: <pub-id pub-id-type="pmid">34446714</pub-id></citation></ref>
<ref id="B30">
<label>30</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Shirasaki</surname> <given-names>T</given-names>
</name>
<name>
<surname>Yamagoe</surname> <given-names>S</given-names>
</name>
<name>
<surname>Shimakami</surname> <given-names>T</given-names>
</name>
<name>
<surname>Murai</surname> <given-names>K</given-names>
</name>
<name>
<surname>Imamura</surname> <given-names>R</given-names>
</name>
<name>
<surname>Ishii</surname> <given-names>KA</given-names>
</name>
<etal/>
</person-group>. <article-title>Leukocyte cell-derived chemotaxin 2 is an antiviral regulator acting through the proto-oncogene met</article-title>. <source>Nat Commun</source>. (<year>2022</year>) <volume>13</volume>:<fpage>3176</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41467-022-30879-3</pub-id>, PMID: <pub-id pub-id-type="pmid">35676290</pub-id>, PMID: <pub-id pub-id-type="pmid">35676290</pub-id></citation></ref>
<ref id="B31">
<label>31</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Maroun</surname> <given-names>CR</given-names>
</name>
<name>
<surname>Rowlands</surname> <given-names>T</given-names>
</name>
</person-group>. <article-title>The met receptor tyrosine kinase: A key player in oncogenesis and drug resistance</article-title>. <source>Pharmacol Ther</source>. (<year>2014</year>) <volume>142</volume>:<page-range>316&#x2013;38</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.pharmthera.2013.12.014</pub-id>, PMID: <pub-id pub-id-type="pmid">24384534</pub-id>, PMID: <pub-id pub-id-type="pmid">24384534</pub-id></citation></ref>
<ref id="B32">
<label>32</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ito</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Correll</surname> <given-names>K</given-names>
</name>
<name>
<surname>Zemans</surname> <given-names>RL</given-names>
</name>
<name>
<surname>Leslie</surname> <given-names>CC</given-names>
</name>
<name>
<surname>Murphy</surname> <given-names>RC</given-names>
</name>
<name>
<surname>Mason</surname> <given-names>RJ</given-names>
</name>
</person-group>. <article-title>Influenza induces il-8 and gm-csf secretion by human alveolar epithelial cells through hgf/C-met and tgf-&#x3b1;/egfr signaling</article-title>. <source>Am J Physiol Lung Cell Mol Physiol</source>. (<year>2015</year>) <volume>308</volume>:<page-range>L1178&#x2013;88</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1152/ajplung.00290.2014</pub-id>, PMID: <pub-id pub-id-type="pmid">26033355</pub-id>, PMID: <pub-id pub-id-type="pmid">26033355</pub-id></citation></ref>
<ref id="B33">
<label>33</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Brauer</surname> <given-names>R</given-names>
</name>
<name>
<surname>Ge</surname> <given-names>L</given-names>
</name>
<name>
<surname>Schlesinger</surname> <given-names>SY</given-names>
</name>
<name>
<surname>Birkland</surname> <given-names>TP</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Parimon</surname> <given-names>T</given-names>
</name>
<etal/>
</person-group>. <article-title>Syndecan-1 attenuates lung injury during influenza infection by potentiating C-met signaling to suppress epithelial apoptosis</article-title>. <source>Am J Respir Crit Care Med</source>. (<year>2016</year>) <volume>194</volume>:<page-range>333&#x2013;44</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1164/rccm.201509-1878OC</pub-id>, PMID: <pub-id pub-id-type="pmid">26959387</pub-id>, PMID: <pub-id pub-id-type="pmid">26959387</pub-id></citation></ref>
<ref id="B34">
<label>34</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Olmez</surname> <given-names>I</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Manigat</surname> <given-names>L</given-names>
</name>
<name>
<surname>Benamar</surname> <given-names>M</given-names>
</name>
<name>
<surname>Brenneman</surname> <given-names>B</given-names>
</name>
<name>
<surname>Nakano</surname> <given-names>I</given-names>
</name>
<etal/>
</person-group>. <article-title>Combined C-met/trk inhibition overcomes resistance to cdk4/6 inhibitors in glioblastoma</article-title>. <source>Cancer Res</source>. (<year>2018</year>) <volume>78</volume>:<page-range>4360&#x2013;9</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1158/0008-5472.Can-17-3124</pub-id>, PMID: <pub-id pub-id-type="pmid">29844123</pub-id>, PMID: <pub-id pub-id-type="pmid">29844123</pub-id></citation></ref>
<ref id="B35">
<label>35</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tiedt</surname> <given-names>R</given-names>
</name>
<name>
<surname>Degenkolbe</surname> <given-names>E</given-names>
</name>
<name>
<surname>Furet</surname> <given-names>P</given-names>
</name>
<name>
<surname>Appleton</surname> <given-names>BA</given-names>
</name>
<name>
<surname>Wagner</surname> <given-names>S</given-names>
</name>
<name>
<surname>Schoepfer</surname> <given-names>J</given-names>
</name>
<etal/>
</person-group>. <article-title>A drug resistance screen using a selective met inhibitor reveals a spectrum of mutations that partially overlap with activating mutations found in cancer patients</article-title>. <source>Cancer Res</source>. (<year>2011</year>) <volume>71</volume>:<page-range>5255&#x2013;64</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1158/0008-5472.Can-10-4433</pub-id>, PMID: <pub-id pub-id-type="pmid">21697284</pub-id>, PMID: <pub-id pub-id-type="pmid">21697284</pub-id></citation></ref>
<ref id="B36">
<label>36</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sarvepalli</surname> <given-names>S</given-names>
</name>
<name>
<surname>Vadarevu</surname> <given-names>S</given-names>
</name>
</person-group>. <article-title>Non-antiviral therapies for viral infections: harnessing host mechanisms</article-title>. <source>Int Immunopharmacol</source>. (<year>2025</year>) <volume>153</volume>:<elocation-id>114521</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.intimp.2025.114521</pub-id>, PMID: <pub-id pub-id-type="pmid">40139096</pub-id>, PMID: <pub-id pub-id-type="pmid">40139096</pub-id></citation></ref>
<ref id="B37">
<label>37</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Prasad</surname> <given-names>K</given-names>
</name>
<name>
<surname>Kumar</surname> <given-names>V</given-names>
</name>
</person-group>. <article-title>Artificial intelligence-driven drug repurposing and structural biology for sars-cov-2</article-title>. <source>Curr Res Pharmacol Drug Discov</source>. (<year>2021</year>) <volume>2</volume>:<elocation-id>100042</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.crphar.2021.100042</pub-id>, PMID: <pub-id pub-id-type="pmid">34870150</pub-id>, PMID: <pub-id pub-id-type="pmid">34870150</pub-id></citation></ref>
<ref id="B38">
<label>38</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sarvepalli</surname> <given-names>S</given-names>
</name>
<name>
<surname>Vadarevu</surname> <given-names>S</given-names>
</name>
</person-group>. <article-title>Role of artificial intelligence in cancer drug discovery and development</article-title>. <source>Cancer Lett</source>. (<year>2025</year>) <volume>627</volume>:<elocation-id>217821</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.canlet.2025.217821</pub-id>, PMID: <pub-id pub-id-type="pmid">40414522</pub-id>, PMID: <pub-id pub-id-type="pmid">40414522</pub-id></citation></ref>
<ref id="B39">
<label>39</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhou</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>F</given-names>
</name>
<name>
<surname>Tang</surname> <given-names>J</given-names>
</name>
<name>
<surname>Nussinov</surname> <given-names>R</given-names>
</name>
<name>
<surname>Cheng</surname> <given-names>F</given-names>
</name>
</person-group>. <article-title>Artificial intelligence in covid-19 drug repurposing</article-title>. <source>Lancet Digital Health</source>. (<year>2020</year>) <volume>2</volume>:<page-range>e667&#x2013;e76</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/s2589-7500(20)30192-8</pub-id>, PMID: <pub-id pub-id-type="pmid">32984792</pub-id>, PMID: <pub-id pub-id-type="pmid">32984792</pub-id></citation></ref>
<ref id="B40">
<label>40</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kang</surname> <given-names>B</given-names>
</name>
<name>
<surname>Zhao</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>X</given-names>
</name>
<name>
<surname>Fan</surname> <given-names>R</given-names>
</name>
<name>
<surname>You</surname> <given-names>F</given-names>
</name>
<name>
<surname>Cui</surname> <given-names>Q</given-names>
</name>
</person-group>. <article-title>Highly accurate prediction of broad-spectrum antiviral compounds with deepavc</article-title>. (<year>2025</year>), <fpage>638408</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1101/2025.02.15.638408</pub-id>
</citation></ref>
<ref id="B41">
<label>41</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>H&#xf6;fler</surname> <given-names>T</given-names>
</name>
<name>
<surname>Nascimento</surname> <given-names>MM</given-names>
</name>
<name>
<surname>Zeitlow</surname> <given-names>M</given-names>
</name>
<name>
<surname>Kim</surname> <given-names>JY</given-names>
</name>
<name>
<surname>Trimpert</surname> <given-names>J</given-names>
</name>
</person-group>. <article-title>Evolutionary dynamics of accelerated antiviral resistance development in hypermutator herpesvirus</article-title>. <source>Mol Biol Evol</source>. (<year>2024</year>) <volume>41</volume>. doi:&#xa0;<pub-id pub-id-type="doi">10.1093/molbev/msae119</pub-id>, PMID: <pub-id pub-id-type="pmid">38879872</pub-id>, PMID: <pub-id pub-id-type="pmid">38879872</pub-id></citation></ref>
<ref id="B42">
<label>42</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lee</surname> <given-names>W</given-names>
</name>
<name>
<surname>Ahn</surname> <given-names>JH</given-names>
</name>
<name>
<surname>Park</surname> <given-names>HH</given-names>
</name>
<name>
<surname>Kim</surname> <given-names>HN</given-names>
</name>
<name>
<surname>Kim</surname> <given-names>H</given-names>
</name>
<name>
<surname>Yoo</surname> <given-names>Y</given-names>
</name>
<etal/>
</person-group>. <article-title>Covid-19-activated srebp2 disturbs cholesterol biosynthesis and leads to cytokine storm</article-title>. <source>Signal Transduct Targeted Ther</source>. (<year>2020</year>) <volume>5</volume>:<fpage>186</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41392-020-00292-7</pub-id>, PMID: <pub-id pub-id-type="pmid">32883951</pub-id>, PMID: <pub-id pub-id-type="pmid">32883951</pub-id></citation></ref>
<ref id="B43">
<label>43</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hu</surname> <given-names>H</given-names>
</name>
<name>
<surname>Mu</surname> <given-names>Q</given-names>
</name>
<name>
<surname>Bao</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>J</given-names>
</name>
<etal/>
</person-group>. <article-title>Mutational landscape of secondary glioblastoma guides met-targeted trial in brain tumor</article-title>. <source>Cell</source>. (<year>2018</year>) <volume>175</volume>:<fpage>1665</fpage>&#x2013;<lpage>78.e18</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.cell.2018.09.038</pub-id>, PMID: <pub-id pub-id-type="pmid">30343896</pub-id>, PMID: <pub-id pub-id-type="pmid">30343896</pub-id></citation></ref>
<ref id="B44">
<label>44</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lam</surname> <given-names>BQ</given-names>
</name>
<name>
<surname>Dai</surname> <given-names>L</given-names>
</name>
<name>
<surname>Qin</surname> <given-names>Z</given-names>
</name>
</person-group>. <article-title>The role of hgf/C-met signaling pathway in lymphoma</article-title>. <source>J Hematol Oncol</source>. (<year>2016</year>) <volume>9</volume>:<fpage>135</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/s13045-016-0366-y</pub-id>, PMID: <pub-id pub-id-type="pmid">27923392</pub-id>, PMID: <pub-id pub-id-type="pmid">27923392</pub-id></citation></ref>
<ref id="B45">
<label>45</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Stoll</surname> <given-names>GA</given-names>
</name>
<name>
<surname>Pandiloski</surname> <given-names>N</given-names>
</name>
<name>
<surname>Douse</surname> <given-names>CH</given-names>
</name>
<name>
<surname>Modis</surname> <given-names>Y</given-names>
</name>
</person-group>. <article-title>Structure and functional mapping of the krab-kap1 repressor complex</article-title>. <source>EMBO J</source>. (<year>2022</year>) <volume>41</volume>:<fpage>e111179</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.15252/embj.2022111179</pub-id>, PMID: <pub-id pub-id-type="pmid">36341546</pub-id>, PMID: <pub-id pub-id-type="pmid">36341546</pub-id></citation></ref>
<ref id="B46">
<label>46</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Warrier</surname> <given-names>T</given-names>
</name>
<name>
<surname>El Farran</surname> <given-names>C</given-names>
</name>
<name>
<surname>Zeng</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Ho</surname> <given-names>BSQ</given-names>
</name>
<name>
<surname>Bao</surname> <given-names>Q</given-names>
</name>
<name>
<surname>Zheng</surname> <given-names>ZH</given-names>
</name>
<etal/>
</person-group>. <article-title>Setdb1 acts as a topological accessory to cohesin via an H3k9me3-independent, genomic shunt for regulating cell fates</article-title>. <source>Nucleic Acids Res</source>. (<year>2022</year>) <volume>50</volume>:<page-range>7326&#x2013;49</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1093/nar/gkac531</pub-id>, PMID: <pub-id pub-id-type="pmid">35776115</pub-id>, PMID: <pub-id pub-id-type="pmid">35776115</pub-id></citation></ref>
<ref id="B47">
<label>47</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Li</surname> <given-names>F</given-names>
</name>
<name>
<surname>Nell&#xe5;ker</surname> <given-names>C</given-names>
</name>
<name>
<surname>Sabunciyan</surname> <given-names>S</given-names>
</name>
<name>
<surname>Yolken</surname> <given-names>RH</given-names>
</name>
<name>
<surname>Jones-Brando</surname> <given-names>L</given-names>
</name>
<name>
<surname>Johansson</surname> <given-names>AS</given-names>
</name>
<etal/>
</person-group>. <article-title>Transcriptional derepression of the ervwe1 locus following influenza a virus infection</article-title>. <source>J Virol</source>. (<year>2014</year>) <volume>88</volume>:<page-range>4328&#x2013;37</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/jvi.03628-13</pub-id>, PMID: <pub-id pub-id-type="pmid">24478419</pub-id>, PMID: <pub-id pub-id-type="pmid">24478419</pub-id></citation></ref>
<ref id="B48">
<label>48</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Nusrat</surname> <given-names>A</given-names>
</name>
<name>
<surname>Parkos</surname> <given-names>CA</given-names>
</name>
<name>
<surname>Bacarra</surname> <given-names>AE</given-names>
</name>
<name>
<surname>Godowski</surname> <given-names>PJ</given-names>
</name>
<name>
<surname>Delp-Archer</surname> <given-names>C</given-names>
</name>
<name>
<surname>Rosen</surname> <given-names>EM</given-names>
</name>
<etal/>
</person-group>. <article-title>Hepatocyte growth factor/scatter factor effects on epithelia. Regulation of intercellular junctions in transformed and nontransformed cell lines, basolateral polarization of C-met receptor in transformed and natural intestinal epithelia, and induction of rapid wound repair in a transformed model epithelium</article-title>. <source>J Clin Invest</source>. (<year>1994</year>) <volume>93</volume>:<page-range>2056&#x2013;65</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1172/jci117200</pub-id>, PMID: <pub-id pub-id-type="pmid">8182137</pub-id>, PMID: <pub-id pub-id-type="pmid">8182137</pub-id></citation></ref>
<ref id="B49">
<label>49</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hughes</surname> <given-names>VS</given-names>
</name>
<name>
<surname>Siemann</surname> <given-names>DW</given-names>
</name>
</person-group>. <article-title>Have clinical trials properly assessed C-met inhibitors</article-title>? <source>Trends Cancer</source>. (<year>2018</year>) <volume>4</volume>:<page-range>94&#x2013;7</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.trecan.2017.11.009</pub-id>, PMID: <pub-id pub-id-type="pmid">29458966</pub-id>, PMID: <pub-id pub-id-type="pmid">29458966</pub-id></citation></ref>
<ref id="B50">
<label>50</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yashiro</surname> <given-names>M</given-names>
</name>
<name>
<surname>Nishii</surname> <given-names>T</given-names>
</name>
<name>
<surname>Hasegawa</surname> <given-names>T</given-names>
</name>
<name>
<surname>Matsuzaki</surname> <given-names>T</given-names>
</name>
<name>
<surname>Morisaki</surname> <given-names>T</given-names>
</name>
<name>
<surname>Fukuoka</surname> <given-names>T</given-names>
</name>
<etal/>
</person-group>. <article-title>A C-met inhibitor increases the chemosensitivity of cancer stem cells to the irinotecan in gastric carcinoma</article-title>. <source>Br J Cancer</source>. (<year>2013</year>) <volume>109</volume>:<page-range>2619&#x2013;28</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/bjc.2013.638</pub-id>, PMID: <pub-id pub-id-type="pmid">24129235</pub-id>, PMID: <pub-id pub-id-type="pmid">24129235</pub-id></citation></ref>
<ref id="B51">
<label>51</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Peix</surname> <given-names>F</given-names>
</name>
<name>
<surname>Casanovas</surname> <given-names>O</given-names>
</name>
</person-group>. <article-title>Promalignant effects of antiangiogenics in the tumor microenvironment</article-title>. <source>Semin Cancer Biol</source>. (<year>2022</year>) <volume>86</volume>:<fpage>199</fpage>&#x2013;<lpage>206</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.semcancer.2022.03.003</pub-id>, PMID: <pub-id pub-id-type="pmid">35248730</pub-id>, PMID: <pub-id pub-id-type="pmid">35248730</pub-id></citation></ref>
<ref id="B52">
<label>52</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhao</surname> <given-names>Q</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>J</given-names>
</name>
<name>
<surname>Feng</surname> <given-names>M</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>A</given-names>
</name>
<name>
<surname>Fu</surname> <given-names>L</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>J</given-names>
</name>
<etal/>
</person-group>. <article-title>Cxcl13 suppresses liver regeneration through the negative regulation of hgf signaling</article-title>. <source>Cell Death Dis</source>. (<year>2025</year>) <volume>16</volume>:<fpage>361</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41419-025-07568-2</pub-id>, PMID: <pub-id pub-id-type="pmid">40325003</pub-id>, PMID: <pub-id pub-id-type="pmid">40325003</pub-id></citation></ref>
<ref id="B53">
<label>53</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Xie</surname> <given-names>M</given-names>
</name>
<name>
<surname>Lin</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Ji</surname> <given-names>X</given-names>
</name>
<name>
<surname>Luo</surname> <given-names>X</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Sun</surname> <given-names>M</given-names>
</name>
<etal/>
</person-group>. <article-title>Fgf19/fgfr4-mediated elevation of etv4 facilitates hepatocellular carcinoma metastasis by upregulating pd-L1 and ccl2</article-title>. <source>J Hepatol</source>. (<year>2023</year>) <volume>79</volume>:<page-range>109&#x2013;25</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.jhep.2023.02.036</pub-id>, PMID: <pub-id pub-id-type="pmid">36907560</pub-id>, PMID: <pub-id pub-id-type="pmid">36907560</pub-id></citation></ref>
<ref id="B54">
<label>54</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mekapogu</surname> <given-names>AR</given-names>
</name>
<name>
<surname>Xu</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Pothula</surname> <given-names>S</given-names>
</name>
<name>
<surname>Perera</surname> <given-names>C</given-names>
</name>
<name>
<surname>Pang</surname> <given-names>T</given-names>
</name>
<name>
<surname>Hosen</surname> <given-names>SMZ</given-names>
</name>
<etal/>
</person-group>. <article-title>Hgf/C-met pathway inhibition combined with chemotherapy increases cytotoxic T-cell infiltration and inhibits pancreatic tumour growth and metastasis</article-title>. <source>Cancer Lett</source>. (<year>2023</year>) <volume>568</volume>:<elocation-id>216286</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.canlet.2023.216286</pub-id>, PMID: <pub-id pub-id-type="pmid">37354984</pub-id>, PMID: <pub-id pub-id-type="pmid">37354984</pub-id></citation></ref>
<ref id="B55">
<label>55</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>McBride</surname> <given-names>DA</given-names>
</name>
<name>
<surname>Kerr</surname> <given-names>MD</given-names>
</name>
<name>
<surname>Dorn</surname> <given-names>NC</given-names>
</name>
<name>
<surname>Ogbonna</surname> <given-names>DA</given-names>
</name>
<name>
<surname>Santos</surname> <given-names>EC</given-names>
</name>
<name>
<surname>Shah</surname> <given-names>NJ</given-names>
</name>
</person-group>. <article-title>Triggers, timescales, and treatments for cytokine-mediated tissue damage</article-title>. <source>Eur Med J Innov</source>. (<year>2021</year>) <volume>5</volume>:<fpage>52</fpage>&#x2013;<lpage>62</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.33590/emjinnov/20-00203</pub-id>, PMID: <pub-id pub-id-type="pmid">34013158</pub-id>, PMID: <pub-id pub-id-type="pmid">34013158</pub-id></citation></ref>
<ref id="B56">
<label>56</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Guo</surname> <given-names>X</given-names>
</name>
<name>
<surname>Zhao</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Rong</surname> <given-names>X</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>X</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>X</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>T</given-names>
</name>
<etal/>
</person-group>. <article-title>Phosphines-nitrogen-phosphines chelated cocl2 is a novel therapeutic agent for pancreatic cancer</article-title>. <source>Res Square</source>. (<year>2025</year>). doi:&#xa0;<pub-id pub-id-type="doi">10.21203/rs.3.rs-6476256/v1</pub-id>
</citation></ref>
</ref-list>
</back>
</article>