The enterovirus 3C protease inhibitor SG85 efficiently blocks rhinovirus replication and is not cross-resistant with

Céline Lacroix1, Shyla George2, Pieter Leyssen1

  • 1Laboratory for Virology, Rega Institute for Medical Research, KU Leuven, Leuven, Belgium.

Insights

A new enterovirus protease inhibitor, SG85, effectively blocks rhinovirus replication in lab tests. Resistance requires two specific mutations in the 3C protease, showing no cross-resistance with other inhibitors.

Area of Science:

  • Virology
  • Drug Discovery
  • Molecular Biology

Background:

  • Enteroviruses, including rhinoviruses, are significant human pathogens.
  • Developing effective antiviral therapies is crucial for managing enterovirus infections.
  • Protease inhibitors (PIs) are a promising class of antiviral drugs.

Purpose of the Study:

  • To evaluate the efficacy of the novel enterovirus protease inhibitor SG85.
  • To investigate the mechanisms of resistance to SG85.
  • To explore potential cross-resistance with other PIs.

Main Methods:

  • In vitro replication assays were performed using 14 rhinovirus strains.
  • Resistant variants were selected and characterized.
  • Reverse genetics was employed to confirm the role of specific mutations.
  • Structural analysis was conducted to understand drug-target interactions.

Main Results:

  • SG85 demonstrated potent inhibition of rhinovirus replication (median EC50 = 0.04 μM).
  • A low-level resistant variant emerged with dual amino acid substitutions (S127G and T143A) in the 3C protease.
  • Both mutations were essential for SG85 resistance, confirmed by reverse genetics.
  • No cross-resistance was observed between SG85 and rupintrivir.

Conclusions:

  • SG85 is a highly effective inhibitor of diverse rhinovirus species.
  • Resistance to SG85 is dependent on specific mutations in the 3C protease.
  • The lack of cross-resistance suggests distinct binding mechanisms, offering therapeutic flexibility.