4.4 Review

Raloxifene as a treatment option for viral infections

Journal

JOURNAL OF MICROBIOLOGY
Volume 59, Issue 2, Pages 124-131

Publisher

MICROBIOLOGICAL SOCIETY KOREA
DOI: 10.1007/s12275-021-0617-7

Keywords

raloxifene; drug repositioning; COVID-19; SARS-CoV-2; SERM; estrogen receptor

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The SARS-CoV-2 pandemic has caused massive casualties worldwide. Despite ongoing efforts to develop vaccines and treatments, drug repurposing may provide a faster path for finding a cure. Raloxifene, a SERM approved for other medical indications, has shown promise in treating viral infections and could potentially be repurposed for the treatment of SARS-CoV-2.
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has caused corona virus disease 2019 (COVID-19) pandemic and led to mass casualty. Even though much effort has been put into development of vaccine and treatment methods to combat COVID-19, no safe and efficient cure has been discovered. Drug repurposing or drug repositioning which is a process of investigating pre-existing drug candidates for novel applications outside their original medical indication can speed up the drug development process. Raloxifene is a selective estrogen receptor modulator (SERM) that has been approved by FDA in 1997 for treatment and prevention of postmenopausal osteoporosis and cancer. Recently, raloxifene demonstrates efficacy in treating viral infections by Ebola, influenza A, and hepatitis C viruses and shows potential for drug repurposing for the treatment of SARS-CoV-2 infection. This review will provide an overview of raloxifene's mechanism of action as a SERM and present proposed mechanisms of action in treatment of viral infections.

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