The main protease, Mpro (or 3CLpro) in SARS-CoV-2 is a viable drug target because of its essential role in the cleavage of the virus polypeptide. Feline infectious peritonitis, a fatal coronavirus infection in cats, was successfully treated previously with a prodrug GC376, a dipeptide-based protease inhibitor. Here, we show the prodrug and its parent GC373, are effective inhibitors of the Mpro from both SARS-CoV and SARS-CoV-2 with IC50 values in the nanomolar range. Crystal structures of SARS-CoV-2 Mpro with these inhibitors have a covalent modification of the nucleophilic Cys145. NMR analysis reveals that inhibition proceeds via reversible formation of a hemithioacetal. GC373 and GC376 are potent inhibitors of SARS-CoV-2 replication in cell culture. They are strong drug candidates for the treatment of human coronavirus infections because they have already been successful in animals. The work here lays the framework for their use in human trials for the treatment of COVID-19.
The COVID-19 outbreak evolved into a pandemic due to the virulent nature of SARS-CoV-2, reaching over three million cases worldwide by end of April 2020, with the number of infected growing rapidly worldwide1. This current scenario contrasts the more virulent but less efficiently transmitted SARS outbreak in 2002–03, which had only 8000 cases and 774 deaths2. There is an urgent need for antiviral therapies for acute COVID-19 infections, especially until an efficacious vaccine is developed.
Coronaviruses are RNA viruses that hijack the host’s translational machinery to generate viral proteins. The viral RNA encodes two overlapping polyproteins: pp1a and pp1ab, which are 450 kD and 750 kD, respectively. The polyproteins need to be cleaved in order to release individual functional proteins for viral replication and transcription. Viral encoded proteases include the main protease (Mpro), also called 3CLpro, and a papain-like protease (PLpro). Mpro cleaves the polyproteins at 11 positions primarily at conserved Leu Gln | Ser Ala Gly sequences, which allows for assembly of the viral replicase complex3.
Given its crucial role in virus replication, the SARS-CoV-2 Mpro is a prominent drug target for COVID-19 antiviral therapy. The coronavirus Mpro is a cysteine protease for which many different inhibitor classes exist4. Protease inhibitors are common drug candidates if they meet the requirements of low toxicity, solubility, and reversibility5. Several proteases have been identified as molecular targets and used for the development of novel classes of drugs5 including Tipranavir for the treatment of HIV6. However, inhibition of cysteine proteases by thiol reactive species is often untenable for human drugs unless the inhibitor is reversible. Michael acceptor drugs that are irreversible in vivo, such as Rupintrivir, have failed in clinical trials owing to low bioavailability3. Undesired irreversible reaction occurs with numerous mammalian thiols to destroy the inhibitor. Reaction with host protein thiols could also potentially lead to acute toxicity or immune reaction. In this regard, the reversible reaction of thiols with aldehyde inhibitors to form hemithioacetals presents a unique opportunity for effective cysteine protease inhibition, as they can potentially bind more effectively in the active site of their target protein than with other thiols7. Furthermore, water soluble aldehyde bisulphite adducts are readily made reversibly from the parent aldehyde, and revert under physiological conditions8. These compounds can be ideal prodrugs for cysteine protease inhibition as described below.
In early studies, we developed peptide-based inhibitors, including aldehydes, against viral cysteine proteases7 that were subsequently studied with Mpro during the SARS coronavirus (SARS-CoV) outbreak in 20039. Peptide aldehydes and their bisulphite derivatives were later used to inhibit the main protease of the Feline Coronavirus FCoV10. FCoV generally causes mild symptoms, but it can lead to feline infectious peritonitis (FIP), which is usually fatal in cats. The bisulphite adduct GC376, a prodrug that converts readily to peptide aldehyde GC373, was well tolerated and able to block the infection in cats11. This, along with other studies, that included ferret and mink coronavirus Mpro, demonstrated the broad specificity of this protease inhibitor10,12,13. A crystal structure of GC376 was solved with the homologous Middle East Respiratory Syndrome (MERS) Mpro and demonstrated a covalent interaction with the catalytic cysteine of the Mpro14. Recently, structures of the SARS-CoV-2 Mpro protease were solved with a peptide-based ketoamide inhibitor15 and various re-purposed drugs such as anticancer agents16. However, these Mpro inhibitors have not been tested in animal models of coronavirus infection nor have they been reported in human or animal trials for SARS. A number of Mpro inhibitors are known to have severe side effects and human cell toxicity, especially those that are anticancer agents. In this study, we examine whether GC373 and GC376, established as effective drugs in cats, inhibit SARS-CoV-2 Mpro reversibly and have potential for use as antiviral therapy in humans.
In the present study, we examine the use of the prodrug, GC376, and the drug GC373 to test inhibition of the SARS-CoV-2 Mpro in vitro. We demonstrate using recombinant SARS-CoV-2 Mpro that GC373 and GC376 are potent inhibitors in the nanomolar range. Crystal structures and NMR analysis of SARS-CoV-2 Mpro with GC373 and GC376 demonstrates the drug is covalently attached to Cys145 as a hemithioacetal and reveals residues important in inhibitor specificity. In cell culture, we show GC376 and GC373 block virus replication with no toxicity. This study shows efficacy of the feline drug for use against SARS-CoV-2 and a possible treatment for COVID-19.
GC373 and GC376 inhibit SARS-CoV-2 Mpro
We synthesized the key dipeptidyl compounds, aldehyde GC373 and bisulphite adduct GC376 (Fig. 1a)10 (Supplementary Figs. 1–12), to test whether these FCoV and FIPV inhibitors are efficacious toward the Mpro of the SARS-CoV-2 and Mpro from SARS-CoV, (associated with the 2002 outbreak) which have very similar amino-acid sequences: 95% identity/98% similarity. This compound consists of a glutamine surrogate in the substrate P1 position, a Leu in P2 position, and benzyl group in the P3 position, which reflects the known specificity for the SARS-CoV-2 Mpro. The SARS-CoV-2 Mpro was cloned as a SUMO-tagged fusion protein, which allowed for high-yield expression, enhanced stability, and generation of native N- and C-termini (Supplementary Figs. 13 and 14). Similarly, SARS-CoV Mpro was expressed and purified to obtain native N- and C-termini according to previous methods9. Kinetic parameters for both the SARS-CoV Mpro and SARS-CoV-2 Mpro were determined using a synthetic peptide FRET-substrate with an anthranilate–nitrotyrosine donor-acceptor pair (Abz-SVTLQSG-TyrNO2R - Table 1 and Supplementary Fig. 15) as it displays over 10-fold more sensitivity compared with the equivalent EDANS-Dabcyl system17. Both SARS-CoV-2 Mpro and SARS-CoV Mpro exhibited cooperative substrate binding of the FRET-substrate (Supplementary Fig. 16).
IC50 measurements revealed that both GC373 and GC376 inhibit the SARS-CoV Mpro and the SARS-CoV-2 Mpro in vitro at nanomolar concentrations (Fig. 1b, c). For the SARS-CoV-2 Mpro, IC50 for GC373 and GC376 are 0.40 ± 0.05 μM and 0.19 ± 0.04 μM, respectively. This is in agreement with studies of GC376 with Mpro from related viruses. For FCoV Mpro the IC50 for GC376 was 0.49 ± 0.07 μM, whereas the IC50 for GC376 for the Mpro of the ferret and mink coronaviruses were 1.33 ± 0.19 μM and 1.44 ± 0.38 μM, respectively12. For SARS-CoV Mpro we observed an enhanced IC50, demonstrating broad inhibition by both compounds, with GC373 and GC376 being 0.070 ± 0.02 μM and 0.05 ± 0.01 μM, respectively. The bisulphite adduct GC376 shows slightly higher potency for both enzymes compared to the free aldehyde. Our in vitro IC50 values for GC373 and GC376 reflect tight binding for the SARS-CoV-2 Mpro compared with other inhibitors tested in vitro, e.g., ebselen (IC50 0.67 μM)16, tideglusib (IC50 1.55 μM)16, carmofur (IC50 1.82 μM)16, disulfiram (IC50 9.35 μM)16, shikonin (IC50 15.75 μM)16, PX-12 (IC50 21.39 μM)16. Both GC373 and GC376 are also more potent than recently reported ketoamide inhibitors (IC50 of the lead compound is 0.67 μM)15. Recently, a related peptidyl inhibitor was reported with a similar warhead to our compound, but with an indole group at the P3 position and an IC50 of 0.05 ± 0.005 μM18. However, that compound has not been demonstrated to be efficacious in animals, as is the case for GC376.
Crystal structure of SARS-CoV-2 Mpro in complex with GC373 and GC376
To gain insight into the mechanism of inhibition, the SARS-CoV-2 Mpro crystal structures with inhibitors GC373 and GC376 were determined at 2.0 and 1.9 Å, respectively (Fig. 2 and Supplementary Table 1), and as expected, the prodrug converted to the drug resulting in identical ligands in the structures. The three-dimensional structure of the apo-SARS-CoV-2 Mpro (PDB code 6WTM) is highly similar to the recently solved structures with an root-mean-square deviation of 0.19 Å (PDB code 6Y2E)15,16. SARS-CoV-2 Mpro crystallized as a dimer facilitated by an N-finger of protomer A (residues 1–7) that fits into a pocket in protomer B. Each protomer displayed a two-lobe structure with one lobe composed of two antiparallel β-barrels (Domains I and II), which form a chymotrypsin and 3C-like peptidase fold, with the active site comprised of a Cys145-His41 dyad located at the domain interface. The oxyanion hole, influenced by dimerization19, is formed from the main chain residues Gly143, Ser144, and Cys145. The C-terminal domain III is involved in domain swapping and facilitates dimer formation20. Molecular replacement with structure 6Y7M.PDB revealed electron density in the Fo–Fc map at the catalytic cysteine for both the prodrug GC376 (PDB Code 6WTJ) and drug GC373 (PDB code 6WTK). In both structures the peptidyl inhibitor is covalently attached to Cys145 as a hemithioacetal, showing that the bisulphite group leaves GC376 (Supplementary Fig. 17). In contrast to the MERS Mpro-GC376 structure, the SARS-CoV-2 Mpro electron density indicated the formation of only one enantiomer for this inhibitor14. Backbone contributions from Gly143, Ser144, and Cys145 define the oxyanion hole. The oxyanion hole is further stabilized by a β-turn where the carbonyl of Leu141 hydrogen bonds with the backbone amine of Ser144, and the backbone amide of Leu141 interacts with the hydroxyl of Ser144 (Fig. 3a). Both hydrophobic interactions and a hydrogen bond network is established by residues in Domain II to support inhibitor binding. P2 inserts into a hydrophobic pocket comprised of the general base His41 and residues Met49 and Met165, representing the S2 subsite of the enzyme. (Fig. 3b). The glutamine surrogate in the substrate P1 position forms a hydrogen bond with the side chain of His163 and Glu166 and a hydrophobic interaction with His172. The carbonyl in P3 forms a hydrogen bond with the backbone amide of Glu166 (Fig. 3c, d). Similar to what was observed in the MERS Mpro-GC376 structure14, the benzyl ring and the γ-lactam of the Gln surrogate forms a stacked hydrophobic interaction, which stabilizes the inhibitor in the active site of the protease. Together, this provides strong binding and a low IC50 for the inhibitor. A close examination of the subsite for SARS-CoV-2 Mpro reveals regions to allow for future inhibitor development (Supplementary Fig. 17).
To confirm the formation of a covalent hemithioacetal as a single enantiomer in the active site, GC373 was prepared with a 13C label (>99%) at the aldehyde carbon and mixed in 7.8-fold excess with the Mpro protease from SARS-CoV-2 in deuterated buffer. HSQC NMR analysis (700 MHz) showed appearance of a single crosspeak signal (one isomer only) for the hemithioacetal carbon at 76 ppm (13C) and 5.65 ppm (1H) in accordance with previous chemical shift reports for hemithioacetals7 (Supplementary Fig. 18).
SARS-CoV-2 Mpro has enhanced catalytic activity compared to SARS-CoV Mpro
Recent crystal structural analysis reported differences in the residues residing between the dimer interface of SARS-CoV-2 Mpro when compared with the SARS-CoV Mpro 15. Previous mutagenesis studies, which altered residues at the dimer interface of SARS-CoV Mpro, and specifically a T285A variant enhanced catalytic activity 3.6-fold21. In SARS-CoV-2 T285 is an alanine, and in agreement with this, our analysis shows that the catalytic turnover rate for SARS-CoV-2 Mpro (135 ± 6 min−1) is almost five times faster than SARS-CoV Mpro (30 ± 2 min−1) with our substrate Abz-SVTLQSG-TyrNO2R (Table 1). With this FRET substrate, we demonstrate a higher catalytic efficiency with SARS-CoV-2 Mpro (1.8 ± 0.4 min−1 µM−1) compared with SARS-CoV Mpro (0.6 ± 0.2 min−1 µM−1). This finding is in contrast to recent reports where no differences were observed in the catalytic efficiency between SARS-CoV Mpro and SARS-CoV-2 Mpro using a different substrate: 3011 ± 294 s−1 M−1 (0.18 ± 0.02 min−1 µM−1) and 3426 ± 416.9 s−1 M−1 (0.2 ± 0.03 min−1 µM−1) respectively15. It remains to be determined whether this influences the virulence of SARS-CoV-2.
GC373 and GC376 are potent inhibitors of SARS-CoV-2 in cell culture
To test the ability of GC373 and GC376 to inhibit SARS-CoV-2, plaque reduction assays were performed on infected Vero E6 cells in the absence or the presence of increasing concentrations of either GC373 (Fig. 4a) or GC376 (Fig. 4b) for 48 h. The results were plotted as a percent inhibition of the number of plaque-forming units per well. The EC50 for GC373 was 1.5 μM, whereas the EC50 for GC376 was 0.92 μM. To examine cell cytotoxicity, ATP production was measured using the CellTiter-Glo assay on either Vero E6 cells or A549 cells incubated in the presence of the inhibitors for 24 h. The CC50 values of both GC373 and GC376 were >200 μM. To further examine the antiviral activity of GC373 and GC376 in an assay with a large dynamic range, a virus yield reduction assay was performed. Quantitative reverse transcription polymerase chain reaction (RT-PCR) was performed on supernatants from cells untreated, and GC373- (Fig. 4c) or GC376- (Fig. 4d) treated cell cultures infected at multiplicity of infection (MOI) = 0.01 for 48 h. It was observed that both GC373 and GC376 are potent inhibitors of SARS-CoV-2, decreasing viral titers by 3-log values, compared with a 2-log value decrease in recently published results using other aldehyde compounds18. These results indicate that both GC373 and GC376 are potent inhibitors of SARS-CoV-2 with a therapeutic index of >200.
Numerous drugs were designed originally to inhibit the SARS-CoV Mpro3, however, the SARS outbreak of 2002 was controlled by public health measures and these compounds were never licensed. GC376 has been used to successfully treat FIP in cats as its breakdown product, GC373, effectively inhibits the Mpro of FCoV. Analogs of these drugs also inhibited the MERS CoV Mpro and blocked viral replication in cells at an EC50 of 0.5 μM14. Our studies show GC376 and GC373 to be effective inhibitors of SARS-CoV-2 Mpro, in agreement with previous studies showing GC373 and GC376 possess broad specificity against the Mpro of coronaviruses and calciviruses (Supplementary Table 2)10,13,14,22. Clearly, these drugs need to be advanced quickly into human trials for COVID-19. SARS-CoV-2 is the cause of COVID-19 and is a virus with a significant mutation rate23. Also, in some patients the virus has persisted longer than 2 months with some possibility of re-infection24. Vaccines are critically important, but still likely a year or more away as this virus may present vaccine challenges.
There are many clinical trials testing drugs re-purposed from their original indications. Remdesivir, a polymerase inhibitor developed as a treatment for Ebola virus25 had initially been used in compassion cases, and is now FDA approved for emergency use in patients with COVID-1926. Another drug designed to inhibit RNA-dependent RNA polymerase, including in coronaviruses, is EIDD 2801 (a N4-hydroxycytidine triphosphate that is incorporated into viral RNA to promote errors in progeny RNA). These examples of direct acting antivirals (DAAs) for COVID-19 are critically important27. Both GC373 and GC376 are also DAAs designed specifically for coronaviruses. It is likely that several very potent drugs will be required in combination to treat SARS-CoV-2 and to prevent the amplification of drug-resistant mutants28, as was the case for HIV29. The results of this study show that GC373 and GC376 are candidate antivirals that should be accelerated into clinical trials for COVID-19.
Synthesis of GC373, GC376, and FRET-peptide substrate
Protocols, synthetic details, compound characterization and related methodological information are reported in the Supplementary Methods. Identity and purity (>95%) of all compounds were determined by chromatography (silica or RP-18 HPLC), fully assigned 1H- and 13C-NMR spectra, and high-resolution mass spectra.
Cloning, expression, and purification of SARS-CoV Mpro and SARS-CoV-2 Mpro
DNA encoding the main protease Mpro from SARS-CoV-2 (Genbank: MN908947.3) was obtained from BioBasic Inc. (Ontario, Canada) and contains an EcoRI restriction site upstream and a HindIII restriction site downstream of the fusion gene. The Mpro gene was codon optimized for expression in Escherichia coli. The fusion gene was cloned into the EcoRI and HindIII restriction sites of the pET SUMO (small ubiquitin-like modifier) expression vector (Invitrogen) thus ensuring that the SARS-CoV-2 Mpro protein is in frame with the His-tagged SUMO protein. The resulting plasmid was transformed into E. coli BL21(DE3), induced with 0.5 mM isopropyl β-d-1-thiogalactopyranoside and the protein was expressed for 4–5 h at 37 °C. Cells were harvested by centrifugation (4400 × g for 10 min at 4 °C) and suspended in lysis buffer (20 mM Tris-HCl pH 7.8, 150 mM NaCl, 5 mM imidazole). Cells were lysed by sonication, the cellular debris were remove by centrifugation (27,000 × g for 10 min at 4 °C), and the supernatant was loaded onto Ni-NTA resin column (Qiagen). After washing the resin with 10 column volumes of lysis buffer containing 20 mM imidazole, the fusion protein was eluted with 40–500 mM imidazole in lysis buffer. Eluted fractions were analyzed by sodium dodecyl sulphate-polyacrylamide gel electrophoresis (SDS-PAGE), the samples with protein of interest were pooled together, dialyzed against lysis buffer containing 1 mM DTT at 4 °C and concentrated using Amicon Ultra-15 filter (Millipore) with a MWCO of 10 kDa. The fusion protein was digested with His-tagged SUMO protease (McLab, South San Francisco, CA) at 4 °C for 1–2 h to remove the SUMO tag. The cleavage mixture was then passed through Ni-NTA resin column. The flow through containing SARS-CoV-2 Mpro was collected and analyzed by SDS-PAGE. The SARS-CoV-2 Mpro protein was further purified using size exclusion chromatography column (G-100, GE Healthcare,) equilibrated with 20 mM Tris, 20 mM NaCl, 1 mM DTT, pH 7.8. Fractions containing the SARS-CoV-2 Mpro protein were pooled and concentrated using Amicon Ultra-15 filter with a MWCO of 10 kDa. In addition, a sample of the fusion protein SUMO-SARS-CoV-2 Mpro was also purified using size exclusion chromatography and concentrated as described above. The plasmid encoding the SARS-CoV Mpro with an N-terminal His-tag upstream of a FactorX cleavage site was the kind gift of Dr. Michael James. The protein was expressed a purified according to previous protocol9.
Mass Spectrometry of SARS-CoV-2 Mpro
The mass of the free SARS-CoV-2 Mpro was confirmed by HR-MALDI on a MALDI-TOF (Bruker Ultrafelxtreme, Bruker Daltronics, USA) and LC-MS on an ESI-TOF instrument (Agilent Technologies 6220, CA, USA) using electrospray ionization and analyzed with Agilent Mass Hunter Qualitative Analysis software Package (version B.03.01 SP3).
Enzyme kinetics of SARS-CoV-2 and SARS-CoV Mpro
A synthesized fluorescent substrate containing the cleavage site (indicated by the arrow, ↓) of SARS-CoV-2 Mpro (Abz-SVTLQ↓SG-Tyr(NO2)-R) was used for the fluorescence resonance energy transfer (FRET)-based cleavage assay15. The protease reactions of both SARS-CoV-2 Mpro and SARS-CoV Mpro toward fluorescent substrate were performed in activity buffer (20 mM Bis-Tris, pH 7.8, 1 mM DTT) at 37 °C for 10 min. The final concentration of proteases used in the assay was fixed at 80 nM and the concentrations of the substrate were varied from 0.1 to 500 μM. Reaction was started with the enzyme and the fluorescence signal of the Abz-SVTLQ peptide cleavage product was monitored at an emission wavelength of 420 nm with excitation at 320 nm, using an Flx800 fluorescence spectrophotometer (BioTek). Before kinetic calculations, it was verified that the proportionality between the fluorescence emitted and the amount of the substrate used in the assay was linear. The minimal concentration of the enzyme and time of reaction that gave a linear dependence of amount of generated product with time was chosen. Initial velocities in corresponding relative fluorescence units per unit of time (ΔRFU/s) were converted to the amount of the cleaved substrate per unit of time (μM/s) by fitting to the calibration curve of free Abz-SVTLQ. All data were corrected for inner-filter effects by an adopted literature protocol17. In short, the fluorescence signal (RFU) at each substrate concentration was determined and defined as f(FRET). Then, 5 μL of free Aminobenzoyl-SVTLQ at final concentration of 5 μM was added to each substrate concentration and fluorescence was measured: f(FRET + Aminobenzoyl-SVTLQ). Simultaneously, a reference reading was taken with the same free Aminobenzoyl-SVTLQ concentration and was defined as f(ref). The inner-filter correction was obtained as: corr% = (f (FRET + aminobenzoyl-SVTLQ) − f (FRET))/f (ref) × 100%. The corrected initial velocity of the reaction was calculated as v = vo/(corr%). vo represents the initial velocity of each reaction.
Kinetic parameters (Vmax and Km) were derived by fitting the plot of corrected initial velocities versus substrate concentrations to the Michaelis–Menten equation, v = vmax × [S]/(Km + [S]) using GraphPad Prism software (GraphPad 8.3.1). kcat/Km was calculated according to the equation, kcat/Km = vmax/([E] × Km). Triplicate experiments were performed for each data point, and the value was presented as mean ± standard deviation (SD).
Stock solutions of GC373 and GC376 were prepared with 10% aqueous dimethyl sulfoxide (DMSO). For the determination of the IC50, 80 nM of SARS-CoV-2 Mpro was incubated with GC373 or GC376 at various concentrations from 0 to 100 μM in 20 mM Bis-Tris, pH 7.8, 1 mM DTT at 37 °C for 10 min. The protease reaction was started by addition of 100 μM of the substrate. The GraphPad Prism software (GraphPad 8.3.1) was used for the calculation of the IC50 values. Both inhibitors were tested for non-specific binding by performing a reference titration in the absence of DTT showing no influence in the obtained fluorescence readings (data not shown).
For crystallization, purified SARS-CoV-2 Mpro was dialyzed against buffer containing 10 mM NaCl and 5 mM Tris-HCl pH 8.0 overnight at 4 °C, and concentrated with a Millipore centrifugal filter (10 kDa MW cutoff) to 9 mg/mL. Protein was incubated with five molar excess of inhibitor at 4 °C for 2 h prior to crystallization. For SARS-CoV-2 Mpro, the protein was subjected to the PACT crystallization screen (Molecular Dimensions), with hits identified in several conditions for both inhibitors. For Apo- SARS-CoV-2 Mpro the best crystals were observed with hanging drop trays at room temperature at a ratio of 1:1 with mother liquor 0.2 M sodium sulfate, 0.1 M Bis-Tris propane pH 6.5, and 20% w/v PEG 3350. The SARS-CoV-2 Mpro with inhibitors crystallized with mother liquid containing 0.2 M sodium chloride 0.1 M 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid (HEPES) pH 7.0, and 20% w/v PEG 6000. Prior to freezing, crystals were incubated with 15% glycerol as a cryoprotectant. Crystals were initially screened on our 007 MicroMax (Rigaku Inc) home source with crystal screening and final data collection at Stanford Synchrotron Radiation Lightsource (SSRL), beamline 12–2 with Blu-Ice using the Web-Ice interface30.
Diffraction data collection, phase determination, model building, and refinement
All diffraction data sets were collected using synchrotron radiation of wavelength 0.97946 Å at beamline 12–2 of SSRL California, USA, using a Dectris PILATUS 6 M detector. Several data sets were collected from the crystals of SARS-CoV-2 Mpro free enzyme as well as with GC376 and GC373 treated. XDS231 and Scala were used for processing the data sets. The diffraction data set of the free SARS-CoV-2 Mpro was processed at a resolution of 1.75 Å, in space group P21 (Supplementary Table 1). For the complex of SARS-CoV-2 Mpro with GC376 and GC373, the data set collected, was processed at a resolution of 1.9 Å and 2.0 Å and in space group C2 (Supplementary Table 1). All three structures were determined by molecular replacement with the crystal structure of the free enzyme of the SARS-CoV-2 Mpro (PDB entry 6Y7M) as the search model, using the Phaser program from Phenix32, version v1.18.1-3855). Ligand Fit from Phenix was employed for the fitting of both inhibitors in the density of pre-calculated map from Phenix refinement, using the ligand code K36. Refinement of the three structures was performed with phenix.refine in Phenix software. Statistics of diffraction, data processing and model refinement are given in (Supplementary Table 1). The model was inspected with Ramachandran plots and final models displayed using PyMOL molecular graphics software (Version 18.104.22.168 Schrödinger, LLC).
Determination of EC50 by plaque reduction assay
SARS-CoV-2/CANADA/VIDO 01/2020 was a kind gift from Darryl Falzarano (University of Saskatchewan). Vero (Female green monkey kidney) E6 cells were infected with an MOI of 0.0001 pfu/cell in infection medium consisting of Dulbecco’s Modified Eagle’s medium supplemented with 1× non-essential amino acids (Gibco), 10 mM HEPES, 2% fetal bovine serum, 50 IU/mL penicillin, 50 IU/mL streptomycin different doses of GC373 or GC376. After 1 h, the infecting medium was removed and monolayers were overlaid with growth media (MEM supplemented with 10 mM HEPES) containing 1.2% Avicel RC-591 (DuPont), containing the relevant dose of either GC373 or GC376. After 48 h, cells were fixed in 10% formaldehyde, and stained using 0.5% (w/v) crystal violet. Plaques were counted and data were plotted as % inhibition vs the log10 [drug] using Prism (GraphPad). EC50 values were determined using a non-linear regression analysis. Experiments were done in triplicate. Error bars indicate standard deviation. To examine the reduction in secretion of viral RNA by Vero E6 cells caused by GC373 and GC376, cells were infected with SARS-CoV-2 MOI = 0.01 pfu/cell in the presence of varying concentrations of GC373 or GC376, for 1 h, the medium removed and replaced with growth media also containing GC373 and GC376 and supernatants harvested 48 h later and quantified by quantitative RT-PCR.
Quantification of SARS-CoV-2 viral RNA in cell culture supernatants by qRT-PCR
Cell supernatants (140 µL) were collected at various points after infection, and RNA was isolated using the QIAmp Viral RNA Mini kit as per manufacturer’s instructions (Qiagen). Reverse transcription was carried out on 2 µL using Superscript IV Vilo master mix (Invitrogen). Quantitative PCR was carried out using 2 µL of cDNA in TaqMan Fast Master mix using primers and probe for the N gene (N2 primers) designed by the United States center for disease control and prevention (IDT cat#10006606). A standard curve was generated using dilutions of positive control standards from CDC (IDT cat # 10006625).
Measuring cytotoxicity in A549 and Vero E6 cells
Cell viability was measured using the CellTiter-Glo luminescent cell viability assay (Promega). Either A549 (male human lung epithelial) cells or Vero E6 cells were seeded at 5 × 103 cells/well in 96-well plates and incubated overnight before treatment. Compounds GC373 and GC376 were solubilized in DMSO and added to cells in an eight-point four-fold serial dilution (200 µM to 0.0122 µM). Cells were incubated in the presence of compounds for 24 h before addition of the luminescence substrate and measurement of ATP activity according to manufacturer’s instructions. The percentage of viable cells was calculated relative to cells treated with solvent alone (0.5% DMSO). Results were plotted as the mean of three independent experiments ±SD, where each experiment consisted of quadruplicate wells per concentration of compound.
Further information on research design is available in the Nature Research Reporting Summary linked to this article.
The authors declare that the data supporting the findings of this study are available within the article, Supplemental Data, and Supplemental Method files. The model and map for the SARS-CoV-2 protease, apo-form, with drug GC373, and with prodrug GC376, are available at the RCSB Protein Data Bank PDB 6WTM, 6WTK and 6WTJ respectively. The NMR data can be accessed here [http://deposit.bmrb.wisc.edu/author_view/BMRB/50262_hy_lssvgcxu.str]. Source data are provided with this paper.
WHO. http://www.who.int/csr/sars/country/2003_07_11/en/ (2003).
Pillaiyar, T., Manickam, M., Namasivayam, V., Hayashi, Y. & Jung, S. H. An overview of severe acute respiratory syndrome-coronavirus (SARS-CoV) 3cl protease inhibitors: peptidomimetics and small molecule chemotherapy. J. Med Chem. 59, 6595–6628 (2016).
Otto, H. H. & Schirmeister, T. Cysteine proteases and their inhibitors. Chem. Rev. 97, 133–172 (1997).
Drag, M. & Salvesen, G. S. Emerging principles in protease-based drug discovery. Nat. Rev. Drug Discov. 9, 690–701 (2010).
Flexner, C., Bate, G. & Kirkpatrick, P. Tipranavir. Nat. Rev. Drug Discov. 4, 955–956 (2005).
Malcolm, B. A. et al. Peptide aldehyde inhibitors of hepatitis A virus 3C proteinase. Biochemistry 34, 8172–8179 (1995).
Chang, K. O., Kim, Y., Lovell, S., Rathnayake, A. D. & Groutas, W. C. Antiviral drug discovery: norovirus proteases and development of inhibitors. Viruses 11, 197 (2019).
Yin, J. et al. A mechanistic view of enzyme inhibition and peptide hydrolysis in the active site of the SARS-CoV 3C-like peptidase. J. Mol. Biol. 371, 1060–1074 (2007).
Kim, Y. et al. Broad-spectrum inhibitors against 3C-like proteases of feline coronaviruses and feline caliciviruses. J. Virol. 89, 4942–4950 (2015).
Pedersen, N. C. et al. Efficacy of a 3C-like protease inhibitor in treating various forms of acquired feline infectious peritonitis. J. Feline Med. Surg. 20, 378–392 (2018).
Perera, K. D. et al. Protease inhibitors broadly effective against feline, ferret and mink coronaviruses. Antivir. Res. 160, 79–86 (2018).
Kim, Y. et al. Broad-spectrum antivirals against 3C or 3C-like proteases of picornaviruses, noroviruses, and coronaviruses. J. Virol. 86, 11754–11762 (2012).
Galasiti Kankanamalage, A. C. et al. Structure-guided design of potent and permeable inhibitors of MERS coronavirus 3CL protease that utilize a piperidine moiety as a novel design element. Eur. J. Med. Chem. 150, 334–346 (2018).
Zhang, L. et al. Crystal structure of SARS-CoV-2 main protease provides a basis for design of improved alpha-ketoamide inhibitors. Science 368, 409–412 (2020).
Jin, Z. et al. Structure of M(pro) from COVID-19 virus and discovery of its inhibitors. Nature 582, 289–293 (2020).
Blanchard, J. E. et al. High-throughput screening identifies inhibitors of the SARS coronavirus main proteinase. Chem. Biol. 11, 1445–1453 (2004).
Dai, W. et al. Structure-based design of antiviral drug candidates targeting the SARS-CoV-2 main protease. Science 368, 1331–1335 (2020).
Shi, J., Sivaraman, J. & Song, J. Mechanism for controlling the dimer-monomer switch and coupling dimerization to catalysis of the severe acute respiratory syndrome coronavirus 3C-like protease. J. Virol. 82, 4620–4629 (2008).
Zhong, N. et al. C-terminal domain of SARS-CoV main protease can form a 3D domain-swapped dimer. Protein Sci. 18, 839–844 (2009).
Hu, T. et al. Two adjacent mutations on the dimer interface of SARS coronavirus 3C-like protease cause different conformational changes in crystal structure. Virology 388, 324–334 (2009).
Kim, Y. et al. Reversal of the progression of fatal coronavirus infection in cats by a broad-spectrum coronavirus protease inhibitor. PLoS Pathog. 12, e1005531 (2016).
Wang, C. et al. The establishment of reference sequence for SARS-CoV-2 and variation analysis. J. Med. Virol. 92, 667–674 (2020).
Biswas, A., et al. Emergence of Novel Coronavirus and COVID-19: whether to stay or die out? Crit. Rev. Microbiol. 46, 182–193 (2020).
Gordon, C. J. et al. Remdesivir is a direct-acting antiviral that inhibits RNA-dependent RNA polymerase from severe acute respiratory syndrome coronavirus 2 with high potency. J. Biol. Chem. 295, 6785–6797 (2020).
Grein, J. et al. Compassionate Use of Remdesivir for Patients with Severe Covid-19. N. Engl. J. Med. 382, https://doi.org/10.1056/NEJMoa2007016 (2020).
Sheahan, T. P. et al. An orally bioavailable broad-spectrum antiviral inhibits SARS-CoV-2 in human airway epithelial cell cultures and multiple coronaviruses in mice. Sci. Transl. Med. 12, eabb5883 (2020).
Deng, X. et al. Coronaviruses resistant to a 3C-like protease inhibitor are attenuated for replication and pathogenesis, revealing a low genetic barrier but high fitness cost of resistance. J. Virol. 88, 11886–11898 (2014).
Menendez-Arias, L. Molecular basis of human immunodeficiency virus type 1 drug resistance: overview and recent developments. Antivir. Res. 98, 93–120 (2013).
Gonzalez, A. et al. Web-Ice: integrated data collection and analysis for macromolecular crystallography. J. Appl. Crystallogr. 41, 176–184 (2008).
Kabsch, W. XDS. Acta Crystallogr. Sect. D. Biol. Crystallogr. 66, 125–132 (2010).
Liebschner, D. et al. Macromolecular structure determination using X-rays, neutrons and electrons: recent developments in Phenix. Acta Crystallogr. Sect. D. Struct. Biol. 75, 861–877 (2019).
We would like to thank the staff at the Stanford Synchrotron Light Source, in particular Dr. Silvia Russi and Lisa Dunn. We greatly thank Dr. Randy Whittal and Béla Reiz for their help in the acquisition and interpretation of mass spectrometry data. M.J.L, J.C.V., and D.L.T. acknowledge funding from CIHR and NSERC (COVID-19 SOF-549297-2019). D.L.T. acknowledges support from Li Ka Shing Institute of Virology and the GSK Chair in Virology. W.V. was supported by an Alberta Innovates Graduate Scholarship and T.L. by a CIHR CGSM Scholarship. Use of the Stanford Synchrotron Radiation Lightsource, SLAC National Accelerator Laboratory, is supported by the US Department of Energy, Office of Science, Office of Basic Energy Sciences under contract no. DE-AC02-76SF00515. The SSRL Structural Molecular Biology Program is supported by the DOE Office of Biological and Environmental Research, and by the National Institutes of Health, National Institute of General Medical Sciences (P41GM103393). The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of NIGMS or NIH.
The authors declare no competing interests.
Peer review information Nature Communications thanks Henry van den Bedem and the other, anonymous, reviewer(s) for their contribution to the peer review of this work.
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Vuong, W., Khan, M.B., Fischer, C. et al. Feline coronavirus drug inhibits the main protease of SARS-CoV-2 and blocks virus replication. Nat Commun 11, 4282 (2020). https://doi.org/10.1038/s41467-020-18096-2
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