![]() ![]() ![]() In this clinical setting, gaseous NO is continuously administered through a ventilation system during hours up to few days, depending on patient needs. ![]() Medicinal gaseous Nitric oxide is a well known intensive care therapy, delivered by inhalation, used at very low dosages (∼20 ppm) as a rapid onset of action vasodilator treatment for pulmonary hypertension for adults and even for newborns. As an example, macrophage cells of the immune system produce NO locally (through iNOS) in order to eliminate pathogenic bacteria, , ]. NO is involved in a wide array of physiological functions: vascular processes such as vasodilation, systemic circulation, hemodynamics neuronal functions such as neurotransmission, neuroprotection or memory and immune response such as innate immunity or inflammation. NO is ubiquitously produced by the different types of Nitric Oxide Synthase (NOS) enzymes, differently regulated depending on cell type, which catalyzes the conversion of l-arginine to NO and l-Citrulline. Nitric oxide (NO) is a free radical gas, which functions as a key signaling molecule in animals. Therefore, there is no rationale for its usage in clinical settings to treat COVID-19 patients for direct antiviral purposes, which does not exclude other potential physiological benefits of this gas. We report here that NO gas has no antiviral properties in vitro on SARS-COV-2. ![]() Our results show that exposing SARS-CoV-2 infected-cells to NO gas even at high doses (160 ppm, 6 h) does not influence the replication cycle of the virus in vitro. To that end, SARS-CoV-2 infected epithelial (VeroE6) and pulmonary (A549-hACE2) cells were treated with repeated doses of gaseous NO at different concentrations known to be efficient against bacteria. This study aims to determine whether gaseous NO has an impact on the replication cycle of SARS-CoV-2 in vitro. To our knowledge, there are no in vitro preclinical studies demonstrating a virucidal effect of gaseous NO on SARS-CoV-2. The Covid-19 pandemic raised the hypothesis that NO gas might have an impact on Sars-CoV-2 replication cycle and might be considered as a candidate therapy to treat COVID-19. Some studies using NO donors have suggested that NO could be a potential candidate to treat SARS-CoV infection. Nitric oxide (NO) has been shown to have antimicrobial activity in vitro and in some in vivo models, while the virucidal activity of NO remains elusive. ![]()
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