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Review
. 2020 Apr;25(4):668-688.
doi: 10.1016/j.drudis.2020.01.015. Epub 2020 Jan 30.

Recent discovery and development of inhibitors targeting coronaviruses

Affiliations
Review

Recent discovery and development of inhibitors targeting coronaviruses

Thanigaimalai Pillaiyar et al. Drug Discov Today. 2020 Apr.

Abstract

Human coronaviruses (CoVs) are enveloped viruses with a positive-sense single-stranded RNA genome. Currently, six human CoVs have been reported including human coronavirus 229E (HCoV-229E), OC43 (HCoV-OC43), NL63 (HCoV-NL63), HKU1 (HCoV-HKU1), severe acute respiratory syndrome (SARS) coronavirus (SARS-CoV), and MiddleEast respiratory syndrome (MERS) coronavirus (MERS-CoV). They cause moderate to severe respiratory and intestinal infections in humans. In this review, we focus on recent advances in the research and development of small-molecule anti-human coronavirus therapies targeting different stages of the CoV life cycle.

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Figures

Figure 1
Figure 1
Schematic representation of the taxonomy of Coronaviridae (according to the International Committee on Taxonomy of Viruses). The six human coronaviruses belong to the Alpha- and Beta-coronaviruses genuses, respectively.
Figure 2
Figure 2
(A) Structure of coronavirus and (B) its replication: (Ab: Antibody; DPP4: Dipeptidase Peptidyl 4; TMPRSS2: Transmembrane Protease, Serine 2; PLpro: Papain-like Protease; 3CLpro: 3-C-like Protease; RdRp: RNA dependent and RNA polymerase; nsp: Non-structural protein, ORF: open reading frame, ACE2: Angiotensin converting enzyme, CD13: human aminopeptidase N).Entry targets: (I) Spike protein (RBD, Fusion intermediates); (II) Receptors; a. DPP4/CD26 for MERS, b. ACE2 for SARS and HCoV-NL63, c. 9-O-Acetylated sialic acid for HCoV-OC43 and HCoV-HU1, d. CD13 for HCoV-229E (III) Surface proteases: TMPRSS2. (IV) Endosomal proteases. Polyprotein processing targets: a. Papain-like protease (PLpro), b. 3C-like protease (3CLpro). Replicase targets: a. ADP-ribose-1'-phosphatase (nsp3), b. RNA-dependent and RNA polymerase (nsp12), c. Helicase (nsp13), d.Exonuclease (nsp14), e. Endoribonuclease (nsp15), f. 2'-O-methyltransferase.
Figure 3
Figure 3
Potential anti-viral therapeutics used in patients with SARS and MERS infections.
Figure 4
Figure 4
Drugs repurposed on coronaviruses infections.
Figure 5
Figure 5
Repurposing of various classes of drugs on SARS-and MERS-CoVs.
Figure 6
Figure 6
Overview of SARS and MERS-CoVs polyproteins. (A) Cleavage positions of PLpro and 3CLpro are shown by arrows. B) Cleavage site comparison between SARS and MERS PLpro enzymes (For SARS-PLpro: (L/I)XGG↓(A/D)X and for MERS-PLpro: LXGG↓(A/K)X).
Figure 7
Figure 7
1,2,3-Triazole derivatives (37-42) against coronavirus-229E.
Figure 8
Figure 8
Representative examples of MERS- and/or SARS-CoV PLpro inhibitors (47-54).
Figure 9
Figure 9
Structure of 3CLpro inhibitors that contain Michael acceptor, aldehyde and activated carbonyl functional groups.
Figure 10
Figure 10
Structure of 3CLpro inhibitors (66-74).
Figure 11
Figure 11
Non-peptide SARS-CoV 3CLpro inhibitors contain P2-decahydroisoquinoline, serine and isoserine scaffolds.
Figure 12
Figure 12
Dipeptidyl aldehyde bisulfite adduct inhibitors (84-86), replicase (87) and RNA synthesis inhibitors (88).
Figure 13
Figure 13
Representative host-based anti-Coviral drugs for CoV infections.
Figure 14
Figure 14
Nucleic acid synthesis inhibitors.

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