Development of optimized drug-like small molecule inhibitors of the SARS-CoV-2 3CL protease for treatment of COVID-19
- PMID: 35393402
- PMCID: PMC8989888
- DOI: 10.1038/s41467-022-29413-2
Development of optimized drug-like small molecule inhibitors of the SARS-CoV-2 3CL protease for treatment of COVID-19
Abstract
The SARS-CoV-2 3CL protease is a critical drug target for small molecule COVID-19 therapy, given its likely druggability and essentiality in the viral maturation and replication cycle. Based on the conservation of 3CL protease substrate binding pockets across coronaviruses and using screening, we identified four structurally distinct lead compounds that inhibit SARS-CoV-2 3CL protease. After evaluation of their binding specificity, cellular antiviral potency, metabolic stability, and water solubility, we prioritized the GC376 scaffold as being optimal for optimization. We identified multiple drug-like compounds with <10 nM potency for inhibiting SARS-CoV-2 3CL and the ability to block SARS-CoV-2 replication in human cells, obtained co-crystal structures of the 3CL protease in complex with these compounds, and determined that they have pan-coronavirus activity. We selected one compound, termed coronastat, as an optimized lead and characterized it in pharmacokinetic and safety studies in vivo. Coronastat represents a new candidate for a small molecule protease inhibitor for the treatment of SARS-CoV-2 infection for eliminating pandemics involving coronaviruses.
© 2022. The Author(s).
Conflict of interest statement
S.I., H.L., A.Z., B.R.S., A.C., T.R., N.K., E.B., F.F., N.E.S.T., S.L., and D.D.H. are inventors on invention disclosures and patent applications submitted based on this work. B.R.S. is an inventor on additional patents and patent applications related to small molecule therapeutics, and co-founded and serves as a consultant to Inzen Therapeutics, Nevrox Limited, Exarta Therapeutics, and ProJenX Inc., and serves as a consultant to Weatherwax Biotechnologies and Akin Gump Strauss Hauer & Feld LLP. A.Z. is an inventor on additional patents and patent applications related to small molecule therapeutics, and co-founded and serves as a consultant to ProJenX Inc. C.Q., W.L., H.S., C.J., M.A.L., and T.M. are employed by Waters Corporation. The remaining authors declare no competing interests.
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