Статья

Strategies for Targeting SARS CoV-2: Small Molecule Inhibitors—The Current Status

N. Beeraka, S. Sadhu, S. Madhunapantula, P. Rao, A. Svistunov, V. Nikolenko, L. Mikhaleva, G. Aliev,
2021

Severe Acute Respiratory Syndrome-Corona Virus-2 (SARS-CoV-2) induced Coronavirus Disease - 19 (COVID-19) cases have been increasing at an alarming rate (7.4 million positive cases as on June 11 2020), causing high mortality (4,17,956 deaths as on June 11 2020) and economic loss (a 3.2% shrink in global economy in 2020) across 212 countries globally. The clinical manifestations of this disease are pneumonia, lung injury, inflammation, and severe acute respiratory syndrome (SARS). Currently, there is no vaccine or effective pharmacological agents available for the prevention/treatment of SARS-CoV2 infections. Moreover, development of a suitable vaccine is a challenging task due to antibody-dependent enhancement (ADE) and Th-2 immunopathology, which aggravates infection with SARS-CoV-2. Furthermore, the emerging SARS-CoV-2 strain exhibits several distinct genomic and structural patterns compared to other coronavirus strains, making the development of a suitable vaccine even more difficult. Therefore, the identification of novel small molecule inhibitors (NSMIs) that can interfere with viral entry or viral propagation is of special interest and is vital in managing already infected cases. SARS-CoV-2 infection is mediated by the binding of viral Spike proteins (S-protein) to human cells through a 2-step process, which involves Angiotensin Converting Enzyme-2 (ACE2) and Transmembrane Serine Protease (TMPRSS)-2. Therefore, the development of novel inhibitors of ACE2/TMPRSS2 is likely to be beneficial in combating SARS-CoV-2 infections. However, the usage of ACE-2 inhibitors to block the SARS-CoV-2 viral entry requires additional studies as there are conflicting findings and severe health complications reported for these inhibitors in patients. Hence, the current interest is shifted toward the development of NSMIs, which includes natural antiviral phytochemicals and Nrf-2 activators to manage a SARS-CoV-2 infection. It is imperative to investigate the efficacy of existing antiviral phytochemicals and Nrf-2 activators to mitigate the SARS-CoV-2-mediated oxidative stress. Therefore, in this review, we have reviewed structural features of SARS-CoV-2 with special emphasis on key molecular targets and their known modulators that can be considered for the development of NSMIs. © Copyright © 2020 Beeraka, Sadhu, Madhunapantula, Rao Pragada, Svistunov, Nikolenko, Mikhaleva and Aliev.

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  • 1. Version of Record от 2021-04-27

Метаданные

Об авторах
  • N. Beeraka
    Department of Biochemistry, Center of Excellence in Molecular Biology and Regenerative Medicine (CEMR), JSS Academy of Higher Education Research (JSS AHER), Mysore, India
  • S. Sadhu
    AU College of Pharmaceutical Sciences, Andhra University, Visakhapatnam, India
  • S. Madhunapantula
    Special Interest Group in Cancer Biology and Cancer Stem Cells (SIG-CBCSC), JSS Medical College, JSS Academy of Higher Education Research (JSS AHER), Mysore, India
  • P. Rao
    I. M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), Moscow, Russian Federation
  • A. Svistunov
    Department of Normal and Topographic Anatomy, M.V. Lomonosov Moscow State University, Moscow, Russian Federation
  • V. Nikolenko
    Research Institute of Human Morphology, Moscow, Russian Federation
  • L. Mikhaleva
    Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation
  • G. Aliev
    Institute of Physiologically Active Compounds, Russian Academy of Sciences, Moscow, Russian Federation
Название журнала
  • Frontiers in Immunology
Том
  • 11
Страницы
  • -
Ключевые слова
  • angiotensin converting enzyme 2; dipeptidyl carboxypeptidase inhibitor; envelope protein; inhibitor protein; interferon; matrix protein; mitogen activated protein kinase inhibitor; monoclonal antibody; nucleoprotein; phosphotransferase inhibitor; phytochemical; proteinase inhibitor; serine proteinase; small interfering RNA; small molecule inhibitor; transcription factor Nrf2; tryptase; tumor necrosis factor alpha converting enzyme; unclassified drug; virus fusion inhibitor; virus spike protein; angiotensin converting enzyme 2; antivirus agent; coronavirus spike glycoprotein; dipeptidyl carboxypeptidase; dipeptidyl carboxypeptidase inhibitor; serine proteinase; serine proteinase inhibitor; spike protein, SARS-CoV-2; TMPRSS2 protein, human; virus vaccine; antibody dependent enhancement; coronavirus disease 2019; drug repositioning; immunopathology; molecular pathology; nonhuman; oxidative stress; Review; Severe acute respiratory syndrome coronavirus 2; Th2 cell; virus entry; virus infection; Betacoronavirus; Coronavirus infection; drug delivery system; drug effect; human; immunology; mortality; pandemic; virus pneumonia; Angiotensin-Converting Enzyme Inhibitors; Antiviral Agents; Betacoronavirus; Coronavirus Infections; Drug Delivery Systems; Humans; Pandemics; Peptidyl-Dipeptidase A; Pneumonia, Viral; Serine Endopeptidases; Serine Proteinase Inhibitors; Spike Glycoprotein, Coronavirus; Th2 Cells; Viral Vaccines; Virus Internalization
Издатель
  • Frontiers Media S.A.
Тип документа
  • Review
Тип лицензии Creative Commons
  • CC
Правовой статус документа
  • Свободная лицензия
Источник
  • scopus