Abstract

The coronavirus disease 2019 (COVID-19) global pandemic has turned into the largest public health and economic crisis in recent history impacting virtually all sectors of society. There is a need for effective therapeutics to battle the ongoing pandemic. Repurposing existing drugs with known pharmacological safety profiles is a fast and cost-effective approach to identify novel treatments. The COVID-19 etiologic agent is the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a single-stranded positive-sense RNA virus. Coronaviruses rely on the enzymatic activity of the replication–transcription complex (RTC) to multiply inside host cells. The RTC core catalytic component is the RNA-dependent RNA polymerase (RdRp) holoenzyme. The RdRp is one of the key druggable targets for CoVs due to its essential role in viral replication, high degree of sequence and structural conservation and the lack of homologues in human cells. Here, we have expressed, purified and biochemically characterised active SARS-CoV-2 RdRp complexes. We developed a novel fluorescence resonance energy transfer-based strand displacement assay for monitoring SARS-CoV-2 RdRp activity suitable for a high-throughput format. As part of a larger research project to identify inhibitors for all the enzymatic activities encoded by SARS-CoV-2, we used this assay to screen a custom chemical library of over 5000 approved and investigational compounds for novel SARS-CoV-2 RdRp inhibitors. We identified three novel compounds (GSK-650394, C646 and BH3I-1) and confirmed suramin and suramin-like compounds as in vitro SARS-CoV-2 RdRp activity inhibitors. We also characterised the antiviral efficacy of these drugs in cell-based assays that we developed to monitor SARS-CoV-2 growth.

Highlights

  • The coronavirus disease 2019 (COVID-19) outbreak caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is considered to be the most severe global public health crisis since the influenza pandemic in 1918 [1,2]

  • We developed a fluorescence resonance energy transfer (FRET)-based strand displacement assay suitable for high-throughput screening (HTS) to identify potential RNA-dependent RNA polymerase (RdRp) inhibitors using a custom chemical library of over 5000 compounds

  • Coronavirus RdRp constitutes the catalytic core of the replication–transcription complex (RTC) and is composed of nsp12 in complex with two copies of nsp8 and one copy of nsp7 [41]

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Summary

Introduction

The coronavirus disease 2019 (COVID-19) outbreak caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is considered to be the most severe global public health crisis since the influenza pandemic in 1918 [1,2]. Remdesivir is currently the only antiviral drug approved for COVID-19 treatment. Nucleoside analogues are one of the largest and most effective classes of small molecule drugs against viruses like human immunodeficiency virus, hepatitis B virus and herpesviruses [5,6]. Several other clinically approved nucleoside analogue compounds are currently under study for treating COVID-19 [11]. Molnupiravir [12,13] and AT-527 [14] are the most promising candidates so far, while ritonavir [15], ribavirin [16], favipiravir [17] and sofosbuvir [6,18] have not demonstrated significant antiviral effect against SARS-CoV-2 in the laboratory or clinical settings

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