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抗HIV药物用于治疗新型冠状病毒肺炎的研究

Anti-HIV drug repurposing against SARS-CoV-2.

作者信息

Sang Peng, Tian Shu-Hui, Meng Zhao-Hui, Yang Li-Quan

机构信息

College of Agriculture and Biological Science, Dali University Dali P. R. China

NHC Key Laboratory of Drug Addiction Medicine, Department of Cardiology, The First Affiliated Hospital of Kunming Medical University Kunming P. R. China

出版信息

RSC Adv. 2020 Apr 21;10(27):15775-15783. doi: 10.1039/d0ra01899f.

Abstract

A novel severe acute respiratory syndrome human coronavirus (SARS HCoV) was identified from respiratory illness patients (named SARS-CoV-2 by ICTV) in December 2019 and has recently emerged as a serious threat to world public health. However, no approved drugs have been found to effectively inhibit the virus. Since it has been reported that HIV protease inhibitors can be used as anti-SARS drugs by targeting SARS-CoV-1 3CLpro, we chose six approved anti-HIV drugs and investigated their binding interactions with 3CLpro to evaluate their potential to become clinical drugs for the new coronavirus pneumonia (COVID-19) caused by SARS-CoV-2 infection. The molecular docking results indicate that the 3CLpro of SARS-CoV-2 has a higher binding affinity for all the studied inhibitors than does SARS-CoV-1. Two docking complexes (indinavir and darunavir) with high docking scores were further subjected to MM-PBSA binding free energy calculations to detail the molecular interactions between these two protease inhibitors and SARS HCoV 3CLpro. Our results show that, among the inhibitors tested, darunavir has the highest binding affinity with SARS-CoV-2 and SARS-CoV-1 3CLpro, indicating that it may have the potential to be used as an anti-COVID-19 clinical drug. The mechanism behind the increased binding affinity of HIV protease inhibitors toward SARS-CoV-2 3CLpro (as compared to SARS-CoV-1) was investigated by MD simulations. Our study provides insight into the possible role of structural flexibility during interactions between SARS HCoV 3CLpro and inhibitors and sheds light on structure-based design of anti-COVID-19 drugs targeting SARS-CoV-2 3CLpro.

摘要

2019年12月,一种新型严重急性呼吸综合征人类冠状病毒(SARS-CoV)(国际病毒分类委员会命名为SARS-CoV-2)自呼吸道疾病患者中被鉴定出来,最近已成为对世界公共卫生的严重威胁。然而,尚未发现有批准的药物能有效抑制该病毒。由于据报道,HIV蛋白酶抑制剂可通过靶向SARS-CoV-1 3CLpro用作抗SARS药物,我们选择了六种已批准的抗HIV药物,并研究了它们与3CLpro的结合相互作用,以评估其成为由SARS-CoV-2感染引起的新型冠状病毒肺炎(COVID-19)临床药物的潜力。分子对接结果表明,与SARS-CoV-1相比,SARS-CoV-2的3CLpro对所有研究的抑制剂具有更高的结合亲和力。对两个对接分数高的对接复合物(茚地那韦和达芦那韦)进一步进行MM-PBSA结合自由能计算,以详细分析这两种蛋白酶抑制剂与SARS-CoV 3CLpro之间的分子相互作用。我们的结果表明,在所测试的抑制剂中,达芦那韦与SARS-CoV-2和SARS-CoV-1 3CLpro的结合亲和力最高,表明它可能有潜力用作抗COVID-19临床药物。通过分子动力学模拟研究了HIV蛋白酶抑制剂对SARS-CoV-2 3CLpro(与SARS-CoV-1相比)结合亲和力增加背后的机制。我们的研究深入了解了SARS-CoV 3CLpro与抑制剂相互作用期间结构灵活性的可能作用,并为基于结构设计针对SARS-CoV-2 3CLpro的抗COVID-19药物提供了线索。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adfb/9052367/a1774b23abd5/d0ra01899f-f1.jpg

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