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Antiviral Res . Ensitrelvir suppresses prolonged olfactory abnormalities derived from SARS-CoV-2 infection in hamsters

tetano

Editor, Senior Moderator
Antiviral Res


. 2025 Sep 2:106270.
doi: 10.1016/j.antiviral.2025.106270. Online ahead of print. Ensitrelvir suppresses prolonged olfactory abnormalities derived from SARS-CoV-2 infection in hamsters

Ryoichi Tashima[SUP] 1 [/SUP], Takayuki Kuroda[SUP] 1 [/SUP], Haruaki Nobori[SUP] 1 [/SUP], Satoshi Miyagawa[SUP] 1 [/SUP], Takuya Yamane[SUP] 1 [/SUP], Alice Shimba[SUP] 1 [/SUP], Masaaki Nakashima[SUP] 1 [/SUP], Keita Fukao[SUP] 2 [/SUP]



Affiliations
Abstract

Ensitrelvir, an oral severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) 3CL protease inhibitor, is reportedly effective in suppressing smell disorder onset, a post-coronavirus disease 2019 (COVID-19) condition symptom. However, the pathogenesis of post-COVID-19 condition symptoms and the mechanism underlying the onset-suppressive effect of ensitrelvir are not fully understood. Here, we explored a post-COVID-19 condition model in hamsters 1 month post-SARS-CoV-2 infection and showed that ensitrelvir treatment caused early recovery of body weight, viral RNA suppression, and sense of smell improvement. In the nasal turbinates, SARS-CoV-2 was associated with significantly increased inflammatory markers, many of which were suppressed by ensitrelvir. Significant positive correlations were observed between smell testing and many inflammation-related markers in the nasal turbinates. In conclusion, our study indicates that chronic inflammation may occur in the nasal turbinates over a long period post-SARS-CoV-2 infection, leading to smell disorder onset in a hamster model. Early ensitrelvir treatment post-infection suppressed inflammation in the nasal turbinates and prevented smell disorder onset.

Keywords: Ensitrelvir; SARS-CoV-2; long COVID; post-COVID-19 condition.

 
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