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Bispecific repurposed medicines targeting the viral and immunological arms of COVID-19

Authors: Redhead, Martin A.; Owen, C. David; Brewitz, Lennart; Collette, Amelia H.; Lukacik, Petra; Strain-Damerell, Claire; Robinson, Sean W.; +21 Authors

Bispecific repurposed medicines targeting the viral and immunological arms of COVID-19

Abstract

AbstractEffective agents to treat coronavirus infection are urgently required, not only to treat COVID-19, but to prepare for future outbreaks. Repurposed anti-virals such as remdesivir and human anti-inflammatories such as barcitinib have received emergency approval but their overall benefits remain unclear. Vaccines are the most promising prospect for COVID-19, but will need to be redeveloped for any future coronavirus outbreak. Protecting against future outbreaks requires the identification of targets that are conserved between coronavirus strains and amenable to drug discovery. Two such targets are the main protease (Mpro) and the papain-like protease (PLpro) which are essential for the coronavirus replication cycle. We describe the discovery of two non-antiviral therapeutic agents, the caspase-1 inhibitor SDZ 224015 and Tarloxotinib that target Mpro and PLpro, respectively. These were identified through extensive experimental screens of the drug repurposing ReFRAME library of 12,000 therapeutic agents. The caspase-1 inhibitor SDZ 224015, was found to be a potent irreversible inhibitor of Mpro (IC50 30 nM) while Tarloxotinib, a clinical stage epidermal growth factor receptor inhibitor, is a sub micromolar inhibitor of PLpro (IC50 300 nM, Ki 200 nM) and is the first reported PLpro inhibitor with drug-like properties. SDZ 224015 and Tarloxotinib have both undergone safety evaluation in humans and hence are candidates for COVID-19 clinical evaluation.

Keywords

IMPACT, Science, Coronavirus Papain-Like Proteases, Antiviral Agents, Article, Cell Line, Viral Proteins, SUBSTRATE, RESPIRATORY SYNDROME CORONAVIRUS, INFLAMMATION, Humans, Coronavirus 3C Proteases, Serpins, X-ray crystallography, Science & Technology, M-PRO, SARS-CoV-2, Q, High-throughput screening, R, Drug Repositioning, COVID-19 Drug Treatment, Multidisciplinary Sciences, Enzyme mechanisms, Science & Technology - Other Topics, INDUCED DIMERIZATION, Medicine, INHIBITORS, Oligopeptides

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    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
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    influence
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
25
Top 10%
Average
Top 10%
Green
gold
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