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3C-like protease inhibitors block coronavirus replication in vitro and improve survival in MERS-CoV-infected mice
Journal article   Open access   Peer reviewed

3C-like protease inhibitors block coronavirus replication in vitro and improve survival in MERS-CoV-infected mice

Athri D Rathnayake, Jian Zheng, Yunjeong Kim, Krishani Dinali Perera, Samantha Mackin, David K Meyerholz, Maithri M Kashipathy, Kevin P Battaile, Scott Lovell, Stanley Perlman, …
Science translational medicine, Vol.12(557), p.eabc5332
08/19/2020
DOI: 10.1126/scitranslmed.abc5332
PMCID: PMC7574915
PMID: 32747425
url
https://doi.org/10.1126/scitranslmed.abc5332View
Published (Version of record) Open Access

Abstract

Pathogenic coronaviruses are a major threat to global public health, as exemplified by severe acute respiratory syndrome coronavirus (SARS-CoV), Middle East respiratory syndrome coronavirus (MERS-CoV), and the newly emerged SARS-CoV-2, the causative agent of coronavirus disease 2019 (COVID-19). We describe herein the structure-guided optimization of a series of inhibitors of the coronavirus 3C-like protease (3CLpro), an enzyme essential for viral replication. The optimized compounds were effective against several human coronaviruses including MERS-CoV, SARS-CoV, and SARS-CoV-2 in an enzyme assay and in cell-based assays using Huh-7 and Vero E6 cell lines. Two selected compounds showed antiviral effects against SARS-CoV-2 in cultured primary human airway epithelial cells. In a mouse model of MERS-CoV infection, administration of a lead compound 1 day after virus infection increased survival from 0 to 100% and reduced lung viral titers and lung histopathology. These results suggest that this series of compounds has the potential to be developed further as antiviral drugs against human coronaviruses.
Cysteine Endopeptidases - chemistry Pandemics Species Specificity Coronavirus Infections - drug therapy Humans Pneumonia, Viral - drug therapy Coronavirus 3C Proteases Crystallography, X-Ray Male COVID-19 Microbial Sensitivity Tests Protease Inhibitors - pharmacology Lung - virology SARS-CoV-2 Viral Nonstructural Proteins - chemistry Antiviral Agents - chemistry Betacoronavirus - physiology Vero Cells Disease Models, Animal Cell Line Virus Replication - drug effects Antiviral Agents - pharmacology Lung - pathology Chlorocebus aethiops Translational Medical Research Betacoronavirus - drug effects Middle East Respiratory Syndrome Coronavirus - drug effects Models, Molecular Protease Inhibitors - chemistry Mice, Transgenic Static Electricity Animals Coronavirus Infections - virology Small Molecule Libraries Coronavirus Infections - pathology Mice In Vitro Techniques Viral Load - drug effects Viral Nonstructural Proteins - antagonists & inhibitors Pneumonia, Viral - virology Middle East Respiratory Syndrome Coronavirus - physiology

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