论文标题
重新利用药物以查找SARS-COV-2主要蛋白酶的抑制剂
Drug Repurposing to find Inhibitors of SARS-CoV-2 Main Protease
论文作者
论文摘要
严重的急性呼吸综合征冠状病毒2(SARS-COV-2)是导致冠状病毒疾病2019(COVID-19)的冠状病毒菌株,这是导致COVID-19的大流行的呼吸道疾病。目前,尚无已知的疫苗或Covid-19的特定抗病毒药物治疗,因此,迫切需要加快发现新的治疗剂来对抗该疾病,直到全球供应疫苗为止。药物重新定位是确定具有优势的批准药物的新用途的策略(比试图从头开始开发药物的常规方法),由于所需的临床试验数量很少,因此可以大大降低整个过程的时间范围。在这项工作中,对FDA批准的药物进行了虚拟筛查,以重新定位作为SARS-COV-2主要蛋白酶MPRO的潜在抑制剂。这项研究的结果是,提出了12种药物作为MPRO酶抑制剂的候选者。一些选定的化合物是在Covid-19临床试验(即利巴韦林)中已经测试的抗病毒药物,或用于减轻该疾病的症状(即可待因)。令人惊讶的是,最有前途的候选人是天然存在的宽光谱抗生素氧化环素。这种化合物在很大程度上优于我们虚拟筛选协议的所有过滤步骤,其余的选定候选者。如果这些药物的活性是实验证实的,则可以直接用于临床试验中,而无需进行临床前测试或安全评估,因为它们已经用作其他疾病的药物。
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the strain of coronavirus that causes coronavirus disease 2019 (COVID-19), the respiratory illness responsible for the COVID-19 pandemic. Currently there is no known vaccine or specific antiviral treatment for COVID-19 and so, there is an urgent need for expedite discovery of new therapeutics to combat the disease until a vaccine will be available worldwide. Drug repurposing is a strategy for identifying new uses for approved drugs that has the advantage (over conventional approaches that attempt to develop a drug from scratch) that time frame of the overall process can be significantly reduced because of the few number of clinical trial required. In this work, a virtual screening of FDA-approved drugs was performed for repositioning as potential inhibitors of the main protease Mpro of SARS-CoV-2. As a result of this study, 12 drugs are proposed as candidates for inhibitors of the Mpro enzyme. Some of the selected compounds are antiviral drugs that are already being tested in COVID-19 clinical trials (i.e. ribavirin) or are used to alleviate symptoms of the disease (i.e. codeine). Surprisingly, the most promising candidate is the naturally occurring broad spectrum antibiotic oxytetracycline. This compound has largely outperformed the remaining selected candidates along all filtering steps of our virtual screening protocol. If the activity of any of these drugs is experimentally corroborated, they could be used directly in clinical trials without the need for pre-clinical testing or safety evaluation since they are already used as drugs for other diseases.