TY - INPR A1 - Bojkova, Denisa A1 - McGreig, Jake E. A1 - McLaughlin, Katie-May A1 - Masterson, Stuart G. A1 - Widera, Marek A1 - Krähling, Verena A1 - Ciesek, Sandra A1 - Wass, Mark N. A1 - Michaelis, Martin A1 - Cinatl, Jindrich T1 - SARS-CoV-2 and SARS-CoV differ in their cell tropism and drug sensitivity profiles T2 - bioRxiv N2 - SARS-CoV-2 is a novel coronavirus currently causing a pandemic. We show that the majority of amino acid positions, which differ between SARS-CoV-2 and the closely related SARS-CoV, are differentially conserved suggesting differences in biological behaviour. In agreement, novel cell culture models revealed differences between the tropism of SARS-CoV-2 and SARS-CoV. Moreover, cellular ACE2 (SARS-CoV-2 receptor) and TMPRSS2 (enables virus entry via S protein cleavage) levels did not reliably indicate cell susceptibility to SARS-CoV-2. SARS-CoV-2 and SARS-CoV further differed in their drug sensitivity profiles. Thus, only drug testing using SARS-CoV-2 reliably identifies therapy candidates. Therapeutic concentrations of the approved protease inhibitor aprotinin displayed anti-SARS-CoV-2 activity. The efficacy of aprotinin and of remdesivir (currently under clinical investigation against SARS-CoV-2) were further enhanced by therapeutic concentrations of the proton pump inhibitor omeprazole (aprotinin 2.7-fold, remdesivir 10-fold). Hence, our study has also identified anti-SARS-CoV-2 therapy candidates that can be readily tested in patients. Y1 - 2020 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/72725 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-727259 IS - 2020.04.03.024257 ER -