Predictive modeling & mechanistic validation of synergistic pimodivir combinations for anti-influenza therapy via PB2cap affinity boost.

Luo, Peng; Li, Kexin; Xie, Yubin; Huang, Kun; Qin, Zhenzhi; Cai, Jian-Piao; Fu, Yu; Cao, Jianli et al. · NPJ Digit Med · 2025

basic_science · Level V

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Abstract

This study introduces a machine learning framework to predict effective antiviral combinations for influenza A. It identifies Pimodivir with Epinephrine or L-Adrenaline as synergistic agents, confirmed by experiments demonstrating increased binding affinity and viral suppression. Multiple synergy scoring methods validate these drug combinations' potential, offering a strategic pathway for designing rational combination therapies against influenza and other RNA viruses.