Department of Pharmacology and Toxicology, College of Pharmacy, The University of Arizona, Tucson, Arizona 85721, United States.
Institute for Antiviral Research, Utah State University, Logan, Utah 84322, United States.
ACS Infect Dis. 2021 Mar 12;7(3):586-597. doi: 10.1021/acsinfecdis.0c00761. Epub 2021 Mar 1.
As the COVID-19 pandemic continues to unfold, the morbidity and mortality are increasing daily. Effective treatment for SARS-CoV-2 is urgently needed. We recently discovered four SARS-CoV-2 main protease (M) inhibitors including boceprevir, calpain inhibitors II and XII, and GC-376 with potent antiviral activity against infectious SARS-CoV-2 in cell culture. In this study, we further characterized the mechanism of action of these four compounds using the SARS-CoV-2 pseudovirus neutralization assay. It was found that GC-376 and calpain inhibitors II and XII have a dual mechanism of action by inhibiting both viral M and host cathepsin L in Vero cells. To rule out the cell-type dependent effect, the antiviral activity of these four compounds against SARS-CoV-2 was also confirmed in type 2 transmembrane serine protease-expressing Caco-2 cells using the viral yield reduction assay. In addition, we found that these four compounds have broad-spectrum antiviral activity in inhibiting not only SARS-CoV-2 but also SARS-CoV, and MERS-CoV, as well as human coronaviruses (CoVs) 229E, OC43, and NL63. The mechanism of action is through targeting the viral M, which was supported by the thermal shift-binding assay and enzymatic fluorescence resonance energy transfer assay. We further showed that these four compounds have additive antiviral effect when combined with remdesivir. Altogether, these results suggest that boceprevir, calpain inhibitors II and XII, and GC-376 might be promising starting points for further development against existing human coronaviruses as well as future emerging CoVs.
随着 COVID-19 大流行的持续发展,发病率和死亡率每天都在增加。急需有效的 SARS-CoV-2 治疗方法。我们最近发现了四种 SARS-CoV-2 主要蛋白酶(M)抑制剂,包括博赛布韦、钙蛋白酶抑制剂 II 和 XII 以及 GC-376,它们在细胞培养中对传染性 SARS-CoV-2 具有强大的抗病毒活性。在这项研究中,我们使用 SARS-CoV-2 假病毒中和测定法进一步研究了这四种化合物的作用机制。结果发现,GC-376 和钙蛋白酶抑制剂 II 和 XII 通过抑制 Vero 细胞中的病毒 M 和宿主组织蛋白酶 L 具有双重作用机制。为了排除细胞类型依赖性效应,还使用表达 2 型跨膜丝氨酸蛋白酶的 Caco-2 细胞中的病毒产量减少测定法,证实了这四种化合物对 SARS-CoV-2 的抗病毒活性。此外,我们发现这四种化合物不仅对 SARS-CoV-2 具有广谱抗病毒活性,而且对 SARS-CoV 和 MERS-CoV 以及人类冠状病毒(CoV)229E、OC43 和 NL63 也具有抗病毒活性。作用机制是通过靶向病毒 M,这得到了热移位结合测定法和酶荧光共振能量转移测定法的支持。我们进一步表明,这四种化合物与瑞德西韦联合使用具有相加的抗病毒作用。总之,这些结果表明博赛布韦、钙蛋白酶抑制剂 II 和 XII 以及 GC-376 可能是针对现有人类冠状病毒以及未来新兴 CoV 进一步开发的有希望的起点。