Discovery of orally bioavailable SARS-CoV-2 papain-like protease inhibitor as a potential treatment for COVID-19

The RNA-dependent RNA polymerase (RdRp), 3C-like protease (3CL<sup>pro</sup>), and papain-like protease (PL<sup>pro</sup>) are pivotal components in the viral life cycle of SARS-CoV-2, presenting as promising therapeutic targets. Currently, all FDA-approved antiviral drugs against SARS-CoV-2 are RdRp or 3CL<sup>pro</sup> inhibitors. However, the mutations causing drug resistance have been observed in RdRp and 3CL<sup>pro</sup> from SARS-CoV-2, which makes it necessary to develop antivirals with novel mechanisms. Through the application of a structure-based drug design (SBDD) approach, we discover a series of novel potent non-covalent PL<sup>pro</sup> inhibitors with remarkable in vitro potency and in vivo PK properties. The co-crystal structures of PL<sup>pro</sup> with lead compounds reveal that the residues D164 and Q269 around the S2 site are critical for improving the inhibitor's potency. The lead compound GZNL-P36 not only inhibits SARS-CoV-2 and its variants at the cellular level with EC<sub>50</sub> ranging from 58.2 nM to 306.2 nM, but also inhibits HCoV-NL63 and HCoV-229E with EC<sub>50</sub> of 81.6 nM and 2.66 μM, respectively. Oral administration of the GZNL-P36 results in significantly improved survival and notable reductions in lung viral loads and lesions in SARS-CoV-2 infection mouse model, consistent with RNA-seq data analysis. Our results indicate that PL<sup>pro</sup> inhibitors represent a promising SARS-CoV-2 therapy.

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Publication Details

Journal
Nature Communications
Published
2024-11-23
DOI
https://doi.org/10.1038/s41467-024-54462-0
Citations
26
Primary Topic
SARS-CoV-2 and COVID-19 Research
Type
article
Field-Weighted Citation Impact
10.11

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article

Discovery of orally bioavailable SARS-CoV-2 papain-like protease inhibitor as a potential treatment for COVID-19

Wei Kevin Zhang, Jielin Tang, Guihua Zhang, Jiyun Zhang et al.
26 citations
Nature Communications
SARS-CoV-2 and COVID-19 Research
10.11
article

Discovery of orally bioavailable SARS-CoV-2 papain-like protease inhibitor as a potential treatment for COVID-19

Wei Kevin Zhang, Jielin Tang, Guihua Zhang, Jiyun Zhang, Sidi Yang, Deyin Guo, Ting Ran, Minxian Dai, Jinsai Shang, Anqi Zhou, Xinwen Chen, Hua Chen, Weifeng Li, Jinpeng Zhong, Jiayi Chen, Qi Yang, Hongming Chen, Pan He, Xue Bao, Xinyu Wu, Yongzhi Lu, Peiqi Zhou, Miru Tang, Kunzhong Wu
article en
26 citations

Abstract

The RNA-dependent RNA polymerase (RdRp), 3C-like protease (3CL<sup>pro</sup>), and papain-like protease (PL<sup>pro</sup>) are pivotal components in the viral life cycle of SARS-CoV-2, presenting as promising therapeutic targets. Currently, all FDA-approved antiviral drugs against SARS-CoV-2 are RdRp or 3CL<sup>pro</sup> inhibitors. However, the mutations causing drug resistance have been observed in RdRp and 3CL<sup>pro</sup> from SARS-CoV-2, which makes it necessary to develop antivirals with novel mechanisms. Through the application of a structure-based drug design (SBDD) approach, we discover a series of novel potent non-covalent PL<sup>pro</sup> inhibitors with remarkable in vitro potency and in vivo PK properties. The co-crystal structures of PL<sup>pro</sup> with lead compounds reveal that the residues D164 and Q269 around the S2 site are critical for improving the inhibitor's potency. The lead compound GZNL-P36 not only inhibits SARS-CoV-2 and its variants at the cellular level with EC<sub>50</sub> ranging from 58.2 nM to 306.2 nM, but also inhibits HCoV-NL63 and HCoV-229E with EC<sub>50</sub> of 81.6 nM and 2.66 μM, respectively. Oral administration of the GZNL-P36 results in significantly improved survival and notable reductions in lung viral loads and lesions in SARS-CoV-2 infection mouse model, consistent with RNA-seq data analysis. Our results indicate that PL<sup>pro</sup> inhibitors represent a promising SARS-CoV-2 therapy.

Nature CommunicationsVol. 15(1)
Sun Yat-sen University (CN), Nankai University (CN), Guangzhou Experimental Station (CN), State Key Laboratory of Respiratory Disease (CN), Huazhong University of Science and Technology (CN), Guangzhou Medical University (CN)
Vanderbilt University, Salt Science Research Foundation, National Natural Science Foundation of China, Natural Science Foundation of Guangdong Province
Zero hunger
Openalex Percentile: Top 1%
SARS-CoV-2 and COVID-19 Research
10.11
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