Molecular Modeling Section (MMS), Department of Pharmaceutical and Pharmacological Sciences, University of Padova, Via Marzolo 5, 35131 Padova, Italy.
Int J Mol Sci. 2023 Feb 23;24(5):4401. doi: 10.3390/ijms24054401.
Since its outbreak in December 2019, the COVID-19 pandemic has caused the death of more than 6.5 million people around the world. The high transmissibility of its causative agent, the SARS-CoV-2 virus, coupled with its potentially lethal outcome, provoked a profound global economic and social crisis. The urgency of finding suitable pharmacological tools to tame the pandemic shed light on the ever-increasing importance of computer simulations in rationalizing and speeding up the design of new drugs, further stressing the need for developing quick and reliable methods to identify novel active molecules and characterize their mechanism of action. In the present work, we aim at providing the reader with a general overview of the COVID-19 pandemic, discussing the hallmarks in its management, from the initial attempts at drug repurposing to the commercialization of Paxlovid, the first orally available COVID-19 drug. Furthermore, we analyze and discuss the role of computer-aided drug discovery (CADD) techniques, especially those that fall in the structure-based drug design (SBDD) category, in facing present and future pandemics, by showcasing several successful examples of drug discovery campaigns where commonly used methods such as docking and molecular dynamics have been employed in the rational design of effective therapeutic entities against COVID-19.
自 2019 年 12 月爆发以来,COVID-19 大流行已在全球范围内导致超过 650 万人死亡。其病原体 SARS-CoV-2 病毒的高传染性,加上其潜在的致命后果,引发了深刻的全球经济和社会危机。寻找合适的药物来控制大流行的紧迫性,凸显了计算机模拟在合理化和加速新药设计方面的重要性日益增加,进一步强调了开发快速可靠的方法来识别新型活性分子并描述其作用机制的必要性。在目前的工作中,我们旨在为读者提供对 COVID-19 大流行的总体概述,讨论其管理的特点,从最初的药物再利用尝试到 Paxlovid 的商业化,这是第一种可口服的 COVID-19 药物。此外,我们分析和讨论了计算机辅助药物发现(CADD)技术的作用,特别是那些属于基于结构的药物设计(SBDD)类别的技术,在应对当前和未来的大流行方面的作用,展示了一些成功的药物发现活动的例子,其中常用的方法,如对接和分子动力学,已经被用于 COVID-19 的有效治疗实体的合理设计。