New COVID-19 Antiviral Medications That Could Prevent Other Coronaviruses From Causing Havoc

COVID Coronavirus Contagious Variant

Scientists are making progress on the development of pan-coronavirus antiviral medications that can treat people infected by SARS-CoV-2 and other coronaviruses.

Speeding up the search for effective new COVID-19 antivirals.

An arsenal of measures to prevent and treat viral infections is needed for the world to put the COVID-19 pandemic in the rearview mirror and prevent other coronaviruses from causing havoc. To develop effective new medications for this purpose, scientists are working to target one protein, nsp13, that these viruses need to replicate.

In a study that will be published today (July 13, 2022) in the American Chemical Society journal ACS Infectious Diseases, one research team describes a new approach to identifying molecules that interfere with this protein, a step toward the development of pan-coronavirus antivirals.

While vaccines prepare the immune system to fight off the virus, antiviral medications treat infections that have already started by interfering with an essential part of the viral machinery. Some antivirals, including molnupiravir, remdesivir, and nirmatrelvir, are already available for COVID-19 patients; however, health authorities want additional options that disrupt infection in distinct ways. Scientists have identified a promising new target within SARS-CoV-2 and other coronaviruses, a protein called nsp13. It’s an enzyme that works with other viral proteins to help copy the pathogen’s genetic code by unwinding its double-stranded viral RNA.

Nsp13 fuels this work by breaking bonds between phosphate groups, including those in the energy-storing molecule known as adenosine triphosphate (ATP). Nsp13 is also involved in capping the viral RNA, which protects it from the human immune system. To speed up the search for drugs that block nsp13, Masoud Vedadi and colleagues developed a new way to screen large numbers of molecules to identify those with the most potent activity.

Because nsp13’s energy-releasing activity increases in the presence of single-stranded nucleic acids, the team devised tests that focus on this activity in the presence and absence of single-stranded DNA. In both cases, the tests glow more brightly when less ATP is broken down, which occurs when something is interfering with nsp13. They used one of these tests to screen a library of 5,000 small molecules, turning up 17 promising results.

Additional work, including performing the second test, narrowed the field to only six compounds — potential starting points for the development of future, more-potent nsp13 inhibitors, according to the researchers. The new tests, meanwhile, could be used to efficiently screen large numbers of small molecules for activity against nsp13, or to confirm results from other approaches, they say.

Reference: “Kinetic Characterization of SARS-CoV-2 nsp13 ATPase Activity and Discovery of Small-Molecule Inhibitors” by Aliakbar Khalili Yazdi, Paknoosh Pakarian, Sumera Perveen, Taraneh Hajian, Vijayaratnam Santhakumar, Albina Bolotokova, Fengling Li and Masoud Vedadi, 13 July 2022, ACS Infectious Diseases.
DOI: 10.1021/acsinfecdis.2c00165

The authors acknowledge funding from the University of Toronto (Toronto COVID-19 Action Initiative-2020) and support of the Structural Genomics Consortium, University of Toronto site.

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