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Updated: May 30, 2026

Use of Viral Entry Assays and Molecular Docking Analysis for the Identification of Antiviral Candidates against Coxsackievirus A16
Published on: July 15, 2019
Amiloride is a competitive inhibitor of coxsackievirus B3 RNA polymerase
Elena V Gazina1, Eric D Smidansky, Jessica K Holien
1Florey Neuroscience Institutes, The University of Melbourne, Victoria 3010, Australia. egazina@unimelb.edu.au
Abstract:
Amiloride and its derivative 5-(N-ethyl-N-isopropyl)amiloride (EIPA) were previously shown to inhibit coxsackievirus B3 (CVB3) RNA replication in cell culture, with two amino acid substitutions in the viral RNA-dependent RNA polymerase 3D(pol) conferring partial resistance of CVB3 to these compounds (D. N. Harrison, E. V. Gazina, D. F. Purcell, D. A. Anderson, and S. Petrou, J. Virol. 82:1465-1473, 2008). Here we demonstrate that amiloride and EIPA inhibit the enzymatic activity of CVB3 3D(pol) in vitro, affecting both VPg uridylylation and RNA elongation. Examination of the mechanism of inhibition of 3D(pol) by amiloride showed that the compound acts as a competitive inhibitor, competing with incoming nucleoside triphosphates (NTPs) and Mg(2+). Docking analysis suggested a binding site for amiloride and EIPA in 3D(pol), located in close proximity to one of the Mg(2+) ions and overlapping the nucleotide binding site, thus explaining the observed competition. This is the first report of a molecular mechanism of action of nonnucleoside inhibitors against a picornaviral RNA-dependent RNA polymerase.
Insights
Amiloride and EIPA non-nucleoside inhibitors block coxsackievirus B3 RNA replication by inhibiting the viral RNA-dependent RNA polymerase 3D(pol) enzyme activity. This study reveals their competitive inhibition mechanism at the molecular level.
Area of Science:
- Virology
- Molecular Biology
- Biochemistry
Background:
- Amiloride and its derivative EIPA inhibit coxsackievirus B3 (CVB3) RNA replication in cell culture.
- Specific mutations in the CVB3 RNA-dependent RNA polymerase (3Dpol) confer partial resistance to these compounds.
Purpose of the Study:
- To investigate the enzymatic activity of CVB3 3Dpol in the presence of amiloride and EIPA.
- To elucidate the molecular mechanism by which amiloride and EIPA inhibit CVB3 3Dpol.
Main Methods:
- In vitro enzymatic assays of CVB3 3Dpol activity.
- Analysis of VPg uridylylation and RNA elongation.
- Molecular docking analysis to predict inhibitor binding sites.
Main Results:
- Amiloride and EIPA inhibit both VPg uridylylation and RNA elongation by CVB3 3Dpol.
- Amiloride acts as a competitive inhibitor, competing with nucleoside triphosphates (NTPs) and Mg(2+).
- Docking analysis identified a binding site for amiloride and EIPA overlapping the nucleotide binding site of 3Dpol.
Conclusions:
- This study provides the first molecular mechanism for non-nucleoside inhibition of a picornaviral RNA-dependent RNA polymerase.
- Amiloride and EIPA's inhibition of CVB3 3Dpol offers potential therapeutic strategies against CVB3 infections.
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