A step closer to developing a potent drug against novel coronavirus

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One of the inhibitors that showed good antiviral activity against other coronaviruses was modified for enhanced antiviral activity. The inhibitor was found in the lungs even after 24 hours when inhaled, which is significant as the virus affects the lungs.

Designing better antivirals that would prevent the novel coronavirus (SARS-CoV-2) from infecting human cells may now become possible thanks to a team of researchers producing the crystal structure of the main protease of the virus.

Main virus protease is an enzyme that processes proteins critical to virus development. An antiviral that blocks this enzyme, as in the case of drugs used against HIV virus, effectively prevents the virus from replicating. Hence, such an inhibitor will be effective against the novel coronavirus. The results of the study were published in the journal Science.

Developing the crystal structure of main protease

A team led by Rolf Hilgenfeld from the University of Lubeck, Germany developed the crystal structure of main protease of the virus at 1.75 angstrom resolution. And by redesigning an existing inhibitor developed for other coronaviruses, the researchers have been able to develop a potent inhibitor that can effectively block the enzyme and neutralise the novel coronavirus. “Based on the structure, we developed the lead compound into a potent inhibitor of the SARS-CoV-2,” they write.

Main virus protease is one of the best characterised drug targets among coronaviruses. The inhibitor against the main protease targets a specific region of the enzyme. And any antiviral that targets this region of the enzyme will be specific to the virus and will not be toxic to human cells.

Modifying an inhibitor

The researchers had earlier designed broad-spectrum inhibitors of the main proteases of other coronaviruses. One of the inhibitors showed good antiviral activity against other coronaviruses. The team chose that inhibitor and modified it to increase the amount of time the drug is present in the body and to improve its solubility in plasma.

After the modification, the half-life of the inhibitor (compound 13a) increased three-fold, and the solubility improved by a factor of about 19. And to enhance the antiviral activity, the researchers further modified the inhibitor (compound 13b).

The researchers found that the IC50 (concentration of the compound to produce 50% inhibition) to inhibit the novel coronavirus is 0.90 microMolar. The inhibitor showed good potency to block the replication of the virus at half maximal effective concentration of 1.75 micromolar. In human cells infected with the novel coronavirus, a higher half maximal effective concentration of the inhibitor was required.

The metabolic stability of the 13a inhibitor originally modified was found to be “good” in both mouse and human microsomes (a fragment of endoplasmic reticulum and attached ribosomes). Even at the end of 30 minutes, around 80% of the residual compound in mouse and 60% in human cells remained metabolically stable. When the inhibitor was administered subcutaneously into mice, the inhibitor was present in the plasma for as long as four hours but was excreted via urine for up to a day.

Prolonged presence of inhibitor in the lungs

The half-life of the compound 13b was found to be 1.8 hours. But most importantly, even after 24 hours there was some amount (33 nanogram per gram) of the compound 13b in the lung tissue. The presence of the inhibitor in the lungs even at the end of a day is particularly significant as the virus affects the lungs.

The team tested for any adverse effects when mice inhaled the inhibitor 13b. “Inhalation was tolerated well and mice did not show any adverse effects, suggesting that this way, direct administration of the compound to the lungs would be possible,” they write.

Given the “favourable results” the study provides a useful framework for development of drugs to combat the novel coronavirus, the authors claim in the paper.

Published in The Hindu on March 21, 2020