- Saul, Sirle;
- Karim, Marwah;
- Ghita, Luca;
- Huang, Pei-Tzu;
- Chiu, Winston;
- Durán, Verónica;
- Lo, Chieh-Wen;
- Kumar, Sathish;
- Bhalla, Nishank;
- Leyssen, Pieter;
- Alem, Farhang;
- Boghdeh, Niloufar A;
- Tran, HoangNhu;
- Cohen, Courtney A;
- Brown, Jacquelyn A;
- Huie, Kathleen E;
- Tindle, Courtney;
- Sibai, Mamdouh;
- Ye, Chengjin;
- Khalil, Ahmed Magdy;
- Chiem, Kevin;
- Martinez-Sobrido, Luis;
- Dye, John M;
- Pinsky, Benjamin A;
- Ghosh, Pradipta;
- Das, Soumita;
- Solow-Cordero, David E;
- Jin, Jing;
- Wikswo, John P;
- Jochmans, Dirk;
- Neyts, Johan;
- De Jonghe, Steven;
- Narayanan, Aarthi;
- Einav, Shirit
Targeting host factors exploited by multiple viruses could offer broad-spectrum solutions for pandemic preparedness. Seventeen candidates targeting diverse functions emerged in a screen of 4,413 compounds for SARS-CoV-2 inhibitors. We demonstrated that lapatinib and other approved inhibitors of the ErbB family of receptor tyrosine kinases suppress replication of SARS-CoV-2, Venezuelan equine encephalitis virus (VEEV), and other emerging viruses with a high barrier to resistance. Lapatinib suppressed SARS-CoV-2 entry and later stages of the viral life cycle and showed synergistic effect with the direct-acting antiviral nirmatrelvir. We discovered that ErbB1, ErbB2, and ErbB4 bind SARS-CoV-2 S1 protein and regulate viral and ACE2 internalization, and they are required for VEEV infection. In human lung organoids, lapatinib protected from SARS-CoV-2-induced activation of ErbB-regulated pathways implicated in non-infectious lung injury, proinflammatory cytokine production, and epithelial barrier injury. Lapatinib suppressed VEEV replication, cytokine production, and disruption of blood-brain barrier integrity in microfluidics-based human neurovascular units, and reduced mortality in a lethal infection murine model. We validated lapatinib-mediated inhibition of ErbB activity as an important mechanism of antiviral action. These findings reveal regulation of viral replication, inflammation, and tissue injury via ErbBs and establish a proof of principle for a repurposed, ErbB-targeted approach to combat emerging viruses.