Discovery of Highly Potent Small Molecule Pan-Coronavirus Fusion Inhibitors

Francesca Curreli1, Kent Chau2, Thanh-Thuy Tran2

  • 1Laboratory of Molecular Modeling and Drug Design, Lindsey F. Kimball Research Institute, New York Blood Center, New York, NY 10065, USA.

Viruses
|April 28, 2023
PubMed

Insights

A new small molecule, NBCoV63, shows potent pan-coronavirus inhibition against SARS-CoV-2, SARS-CoV-1, and MERS-CoV. This drug candidate demonstrates broad efficacy against variants and favorable drug-like properties for potential therapeutic use.

Area of Science:

  • Virology
  • Drug Discovery
  • Medicinal Chemistry

Background:

  • The COVID-19 pandemic, caused by SARS-CoV-2, has resulted in global health and economic crises.
  • Emerging antibody-evasive variants like BQ and XBB necessitate the development of broad-spectrum antiviral agents.
  • Pan-coronavirus inhibitors are crucial for managing current and future viral pandemic threats.

Purpose of the Study:

  • To discover and characterize novel small-molecule inhibitors with pan-coronavirus activity.
  • To evaluate the antiviral potency and selectivity of identified inhibitors against various coronaviruses and their variants.
  • To assess the drug-like properties of promising inhibitor candidates.

Main Methods:

  • Pseudovirus-based assays were employed to determine the inhibitory concentrations (IC50) against SARS-CoV-2, SARS-CoV-1, and MERS-CoV.
  • Antiviral potency was tested against SARS-CoV-2 mutants and variants of concern (VOCs) including Delta and Omicron.
  • Plaque reduction assays in Calu-3 cells were used to compare efficacy with Remdesivir against authentic viruses and variants.
  • Inhibition of virus-mediated cell-to-cell fusion and ADME profiling were conducted.

Main Results:

  • NBCoV63 demonstrated low nanomolar potency against SARS-CoV-2 (IC50: 55 nM), SARS-CoV-1 (IC50: 59 nM), and MERS-CoV (IC50: 75 nM) with high selectivity (SI > 900).
  • NBCoV63 exhibited potent antiviral activity against SARS-CoV-2 D614G mutant, Delta, Omicron (BA.1, BA.4/BA.5), and Gamma variants.
  • The compound showed comparable efficacy to Remdesivir against authentic SARS-CoV-2, SARS-CoV-1, and MERS-CoV, including variants.
  • NBCoV63 effectively inhibited virus-mediated cell-to-cell fusion in a dose-dependent manner and displayed favorable ADME properties.

Conclusions:

  • NBCoV63 is a potent small-molecule inhibitor with broad-spectrum activity against multiple coronaviruses, including clinically relevant variants.
  • Its ability to inhibit cell-to-cell fusion and favorable pharmacokinetic profile suggest its potential as a therapeutic agent for COVID-19 and future coronavirus outbreaks.
  • The discovery of NBCoV63 offers a promising avenue for developing new treatments against emerging and re-emerging coronavirus infections.