Cysteine Proteinase Inhibitors

半胱氨酸蛋白酶抑制剂
  • 文章类型: Journal Article
    克氏锥虫是一种寄生虫,感染全球约6-7百万人,主要在拉丁美洲,导致查加斯病。Cruzain,克氏杆菌的主要半胱氨酸蛋白酶,是开发恰加斯病候选药物的有效目标。缩氨基硫酮是用于靶向Cruzain的共价抑制剂中最相关的弹头之一。尽管它的相关性,缩氨基硫脲抑制cruzain的机制尚不清楚。这里,我们将实验和模拟相结合,揭示了基于缩氨基硫脲的抑制剂(化合物1)对Cruzain的共价抑制机制。此外,我们研究了氨基脲(化合物2),在结构上与化合物1相似,但不抑制Cruzain。试验证实了化合物1抑制的可逆性,并提出了两步抑制机制。Ki估计为36.3μM,Ki*为11.5μM,表明前共价复合物与抑制有关。化合物1和2与cruzain的分子动力学模拟用于提出配体的推定结合模式。平均力(PMF)和气相能量的一维(1D)量子力学/分子力学(QM/MM)势表明,Cys25-S-对C=S或C=O键的攻击产生更稳定的中间体。二维(2D)QM/MMPMF揭示了化合物1的推定反应机理,涉及质子转移到配体,随后是C=S处的Cys25-S-攻击ΔG和能垒估计为-1.4和11.7kcal/mol,分别。总的来说,我们的研究结果揭示了缩氨基硫脲对cruzain的抑制机制。
    Trypanosoma cruzi is a parasite that infects about 6-7 million people worldwide, mostly in Latin America, causing Chagas disease. Cruzain, the main cysteine protease of T. cruzi, is a validated target for developing drug candidates for Chagas disease. Thiosemicarbazones are one of the most relevant warheads used in covalent inhibitors targeting cruzain. Despite its relevance, the mechanism of inhibition of cruzain by thiosemicarbazones is unknown. Here, we combined experiments and simulations to unveil the covalent inhibition mechanism of cruzain by a thiosemicarbazone-based inhibitor (compound 1). Additionally, we studied a semicarbazone (compound 2), which is structurally similar to compound 1 but does not inhibit cruzain. Assays confirmed the reversibility of inhibition by compound 1 and suggested a two-step mechanism of inhibition. The Ki was estimated to be 36.3 μM and Ki* to be 11.5 μM, suggesting the pre-covalent complex to be relevant for inhibition. Molecular dynamics simulations of compounds 1 and 2 with cruzain were used to propose putative binding modes for the ligands. One-dimensional (1D) quantum mechanics/molecular mechanics (QM/MM) potential of mean force (PMF) and gas-phase energies showed that the attack of Cys25-S- on the C═S or C═O bond yields a more stable intermediate than the attack on the C═N bond of the thiosemicarbazone/semicarbazone. Two-dimensional (2D) QM/MM PMF revealed a putative reaction mechanism for compound 1, involving the proton transfer to the ligand, followed by the Cys25-S- attack at C═S. The ΔG and energy barrier were estimated to be -1.4 and 11.7 kcal/mol, respectively. Overall, our results shed light on the inhibition mechanism of cruzain by thiosemicarbazones.
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  • 文章类型: Journal Article
    恶性疟原虫青蒿素抗性变体的出现需要紧急寻找新的抗疟药。在这方面,本文进行了一项计算机模拟研究,从一系列具有有趣的抗疟原虫特性的苯并咪唑-氨基硫脲杂合分子中筛选抗疟药候选药物,并探索其falcipain-2(FP2)抑制潜力。FP2是降解恶性疟原虫血红蛋白的关键半胱氨酸蛋白酶,是抗疟药物开发中的重要生物分子靶标。药代动力学特性,ADMET简介,基于MM/GBSA的结合自由能,反应机制,和相关的屏障高度已经被调查。DFT,分子动力学模拟,分子对接,并使用了ONIOM方法。从获得的结果来看,杂化分子(E)-2-(1-(5-氯-1H-苯并[d]咪唑-2-基)亚乙基)肼-1-硫代酰胺(1A)的四个4N-取代衍生物,表示为1B,1C,1D,和1E是FP2的药物样和有前途的抑制剂,表现出非常小的抑制常数(5.94×10-14-2.59×10-04[公式:见文字]M)和有利的结合自由能(-30.32至-17.17kcal/mol)。此外,ONIOM结果显示,1B和可能的1C和1D可能是FP2的共价抑制剂。热力学上有利的共价结合机制的速率决定步骤发生在水中24.18kcal/mol和乙醚中28.42kcal/mol的可超越势垒高度上。我们的发现可用于进一步对所研究的杂合分子的抗疟活性进行实验研究。
    The emergence of artemisinin-resistant variants of Plasmodium falciparum necessitates the urgent search for novel antimalarial drugs. In this regard, an in silico study to screen antimalarial drug candidates from a series of benzimidazole-thiosemicarbazone hybrid molecules with interesting antiplasmodial properties and explore their falcipain-2 (FP2) inhibitory potentials has been undertaken herein. FP2 is a key cysteine protease that degrades hemoglobin in Plasmodium falciparum and is an important biomolecular target in the development of antimalarial drugs. Pharmacokinetic properties, ADMET profiles, MM/GBSA-based binding free energies, reaction mechanisms, and associated barrier heights have been investigated. DFT, molecular dynamics simulation, molecular docking, and ONIOM methods were used. From the results obtained, four 4N-substituted derivatives of the hybrid molecule (E)-2-(1-(5-chloro-1H-benzo[d]imidazol-2-yl)ethylidene)hydrazine-1-carbothioamide (1A) denoted 1B, 1C, 1D, and 1E are drug-like and promising inhibitors of FP2, exhibiting remarkably small inhibitory constants (5.94 × 10-14 - 2.59 × 10-04 n M) and favorable binding free energies (-30.32 to -17.17 kcal/mol). Moreover, the ONIOM results have revealed that 1B and possibly 1C and 1D may act as covalent inhibitors of FP2. The rate-determining step of the thermodynamically favorable covalent binding mechanism occurs across a surmountable barrier height of 24.18 kcal/mol in water and 28.42 kcal/mol in diethyl ether. Our findings are useful for further experimental investigations on the antimalarial activities of the hybrid molecules studied.
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  • 文章类型: Journal Article
    虚拟筛选收集了约25,000个ChemBridge分子集合,确定了两个含氮杂环分子,在图12和15中,具有对锥虫壳硬珠蛋白酶和Rhodesain半胱氨酸蛋白酶的潜在双重抑制特性。DrugBank中的相似性搜索发现了具有新颖化学结构的两个虚拟命中,具有未报告的抗锥虫活性。通过100ns的分子动力学模拟对结合机制的研究表明,分子能够占据结合位点并稳定蛋白酶复合物。使用MM/PBSA方法计算的最后20ns的结合亲和力表明,虚拟命中与文献中的其他已知抑制剂具有相当的结合亲和力,表明这两种分子都是具有双重抑制特性的有前途的支架,即12对Cruzain和Rhodesain的预测ΔGbind值为-38.1和-38.2kcal/mol,分别,和15预测Rhodesain的ΔGbind值为-34.4和-25.8kcal/mol。每个残基结合自由能分解研究和在100ns快照下的目视检查显示,氢键和非极性吸引力与重要的氨基酸残基有关,这些氨基酸残基有助于ΔG结合值。该相互作用类似于文献中先前报道的那些。两种分子的总体ADMET预测有利于药物开发,具有可接受的药代动力学特征和足够的口服生物利用度。
    Virtual screening a collection of ~ 25,000 ChemBridge molecule collection identified two nitrogenous heterocyclic molecules, 12 and 15, with potential dual inhibitory properties against trypanosomal cruzain and rhodesain cysteine proteases. Similarity search in DrugBank found the two virtual hits with novel chemical structures with unreported anti-trypanosomal activities. Investigations into the binding mechanism by molecular dynamics simulations for 100 ns revealed the molecules were able to occupy the binding sites and stabilise the protease complexes. Binding affinities calculated using the MM/PBSA method for the last 20 ns showed that the virtual hits have comparable binding affinities to other known inhibitors from literature suggesting both molecules as promising scaffolds with dual cruzain and rhodesain inhibition properties, i.e. 12 has predicted ΔGbind values of - 38.1 and - 38.2 kcal/mol to cruzain and rhodesain, respectively, and 15 has predicted ΔGbind values of - 34.4 and - 25.8 kcal/mol to rhodesain. Per residue binding free energy decomposition studies and visual inspection at 100 ns snapshots revealed hydrogen bonding and non-polar attractions with important amino acid residues that contributed to the ΔGbind values. The interactions are similar to those previously reported in the literature. The overall ADMET predictions for the two molecules were favourable for drug development with acceptable pharmacokinetic profiles and adequate oral bioavailability.
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  • 文章类型: Journal Article
    治疗查加斯病的药物只有两种,即,硝福替莫和苯并咪唑,这可能会导致一些不良影响。尽管这些药物在疾病的急性期有效,他们在慢性期不被认为是治愈的,确定在疾病的所有阶段都需要更有效的治疗。Cruzain是一种酶,在病原体的生命周期中起着至关重要的作用,原生动物克氏锥虫,作为新药规划中的治疗靶点。利用分子对接和动力学模拟,我们已经研究了苯并咪唑化合物在原子分子水平上可能参与酶抑制过程的结构和动态因素,苯并咪唑化合物是具有体外杀胰蛋白酶活性的有效Cruzain抑制剂。研究表明,这些抑制剂通过空间和氢键相互作用结合Cruzain,而不会改变其二级结构含量和蛋白质压缩。此外,我们观察到这些抑制剂降低了Cruzain的Cα原子之间运动的相关性,增加原子群落的数量,主要存在于催化Cys25残基的α-螺旋中。不出所料,我们还观察到每种抑制剂的抑制活性与它们各自的自由结合能之间的相关性,增强复合物的亲和力似乎是酶抑制的相关因素。因此,这项工作的结果有助于通过竞争性和非共价抑制剂更好地理解cruzain酶抑制机制。由RamaswamyH.Sarma沟通。
    There are only two drugs for the treatment of Chagas disease, namely, nifurtimox and benznidazole, that can cause several adverse effects. Despite the effectiveness of these drugs in the disease\'s acute phase, they are not recognized as curative in the chronic phase, establishing the need for more effective treatment in all stages of the disease. Cruzain is an enzyme that plays a vital role in the life cycle of the etiologic agent, the protozoan Trypanosoma cruzi, being relevant as a therapeutic target in the planning of new drugs. Using molecular docking and dynamics simulations, we have investigated the structural and dynamic factors that can be involved in the enzyme inhibition process at the atomic-molecular level by benzimidazole compounds that are potent cruzain inhibitors with in vitro trypanocidal activity. The study suggests that these inhibitors bind cruzain through steric and hydrogen bonding interactions without altering its secondary structure content and protein compaction. Besides, we observed that these inhibitors decrease the correlation of movements between Cα-atoms of cruzain, increasing the number of atomic communities, mainly in the α-helix that presents the catalytic Cys25 residue. As expected, we also observed a correlation between the inhibitory activity of each inhibitor and their respective binding-free energies, reinforcing that the affinity of the complexes seems to be a relevant factor for enzymatic inhibition. Hence, the results presented in this work contribute to a better understanding of the cruzain enzyme inhibition mechanism through competitive and non-covalent inhibitors.Communicated by Ramaswamy H. Sarma.
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  • 文章类型: Journal Article
    Cruzipain抑制剂的开发代表了寻找治疗查加斯病的药物的最有吸引力的挑战之一。这种酶的重组形式,Cruzain,已经用许多抑制剂结晶,不包括缩氨基硫脲。这些化合物已被确定为有效的Cruzain抑制剂,尽管文献中关于缩氨基硫脲类药物在crazipain上测试的数据很少。在这项工作中,我们介绍了11种硫磺脲对crazipain的评估结果,从T.Cruziepimastigotes中分离出来,其中六人以前在cruzain上评估过。对于后者,我们通过计算方法研究,与cruzain活性位点的相互作用方式以及几何参数对观察到的抑制作用所涉及的可能作用机制的贡献。最后,从建模的TSC-Cruzain复合物上分析的一些几何参数,建立了半定量关系,可以解释氨基硫脲对cruzipain的抑制活性,这种酶实际上存在于寄生虫中。
    The development of cruzipain inhibitors represents one of the most attractive challenges in the search for drugs for the treatment of Chagas disease. A recombinant form of this enzyme, cruzain, has been crystallized with numerous inhibitors, excluding thiosemicarbazones. These compounds have been established as potent inhibitors of cruzain, although there is very little data in the literature of thiosemicarbazones tested on cruzipain. In this work, we present the results of the evaluation of eleven thiosemicarbazones on cruzipain, isolated from T. cruzi epimastigotes, six of them previously evaluated on cruzain. For these latter, we studied through computational methods, the mode of interaction with the active site of cruzain and the contribution of geometric parameters to the possible mechanism of action involved in the observed inhibition. Finally, from some geometric parameters analyzed on modeled TSC-cruzain complexes, a semi-quantitative relationship was established that could explain the inhibitory activity of thiosemicarbazones on cruzipain, the enzyme actually present in the parasite.
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  • 文章类型: Journal Article
    COVID-19大流行及其持续出现的变异强调需要发现适当的治疗方法,在那里,单独的疫苗未能显示出对病毒新变种的完全保护作用。因此,感染病例的治疗至关重要。本文讨论了三种吲哚二酮哌嗪生物碱的生物引导分离,新棘突蛋白A(1),棘突蛋白(2),和欧元他汀(3),来自红海衍生的烟曲霉MR2012。新虫菊素A(1)对SARS-CoV-2Mpro表现出有效的抑制作用,IC50值为0.47μM,与参考标准GC376相当。尽管这三种化合物的结构相似,只有1个显示出有希望的效果。根据一系列广泛的分子对接,讨论了抑制的机理,经典和转向分子动力学模拟实验。本文阐明了吲哚二酮哌嗪生物碱作为抗SARS-CoV-2Mpro的潜在结构基序。此外,它强调了不同的分子对接和分子动力学模拟方法在区分活性和非活性结构相关的Mpro抑制剂方面的潜力。
    The COVID-19 pandemic and its continuing emerging variants emphasize the need to discover appropriate treatment, where vaccines alone have failed to show complete protection against the new variants of the virus. Therefore, treatment of the infected cases is critical. This paper discusses the bio-guided isolation of three indole diketopiperazine alkaloids, neoechinulin A (1), echinulin (2), and eurocristatine (3), from the Red Sea-derived Aspergillus fumigatus MR2012. Neoechinulin A (1) exhibited a potent inhibitory effect against SARS-CoV-2 Mpro with IC50 value of 0.47 μM, which is comparable to the reference standard GC376. Despite the structural similarity between the three compounds, only 1 showed a promising effect. The mechanism of inhibition is discussed in light of a series of extensive molecular docking, classical and steered molecular dynamics simulation experiments. This paper sheds light on indole diketopiperazine alkaloids as a potential structural motif against SARS-CoV-2 Mpro. Additionally, it highlights the potential of different molecular docking and molecular dynamics simulation approaches in the discrimination between active and inactive structurally related Mpro inhibitors.
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  • 文章类型: Journal Article
    木瓜蛋白酶样蛋白酶(PLpro)是SARS-CoV-2病毒复制的关键蛋白质,这是新兴的COVID-19大流行的原因。靶向PLpro可以抑制病毒复制,并为COVID-19提供治疗选择。由于其结合位点环的动态性质,PLpro多重构象通过远程1微秒分子动力学(MD)模拟产生。对MD轨迹进行聚类使我们能够为生成的构象空间提取代表性结构。添加到MD代表结构,X射线结构参与了整体对接方法,以筛选FDA批准的药物以进行药物重新定位。在我们最近对SARS-CoV-2PLpro的基准研究的指导下,FRED对接软件被选择用于这样的虚拟筛选任务。结果强调了许多MD簇的潜在共识结合物以及新引入的与小分子复合的PLpro的X射线结构。例如,三种药物苄丝肼,多巴酚丁胺和Masoprocol对PLpro构象表现出优异的共识富集。与PLpro复合的这些药物的进一步MD模拟表明,与苄丝肼相比,多巴酚丁胺和马索普罗在结合位点内具有更好的稳定性和结合性。一般来说,这种方法可以通过靶向快速出现的COVID-19大流行的关键靶标的多个构象来帮助鉴定用于重新定位的药物.
    Papain-Like Protease (PLpro) is a key protein for SARS-CoV-2 viral replication which is the cause of the emerging COVID-19 pandemic. Targeting PLpro can suppress viral replication and provide treatment options for COVID-19. Due to the dynamic nature of its binding site loop, PLpro multiple conformations were generated through a long-range 1 micro-second molecular dynamics (MD) simulation. Clustering the MD trajectory enabled us to extract representative structures for the conformational space generated. Adding to the MD representative structures, X-ray structures were involved in an ensemble docking approach to screen the FDA approved drugs for a drug repositioning endeavor. Guided by our recent benchmarking study of SARS-CoV-2 PLpro, FRED docking software was selected for such a virtual screening task. The results highlighted potential consensus binders to many of the MD clusters as well as the newly introduced X-ray structure of PLpro complexed with a small molecule. For instance, three drugs Benserazide, Dobutamine and Masoprocol showed a superior consensus enrichment against the PLpro conformations. Further MD simulations for these drugs complexed with PLpro suggested the superior stability and binding of dobutamine and masoprocol inside the binding site compared to Benserazide. Generally, this approach can facilitate identifying drugs for repositioning via targeting multiple conformations of a crucial target for the rapidly emerging COVID-19 pandemic.
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  • 文章类型: Journal Article
    Several derivatives of benzoic acid and semisynthetic alkyl gallates were investigated by an in silico approach to evaluate their potential antiviral activity against SARS-CoV-2 main protease. Molecular docking studies were used to predict their binding affinity and interactions with amino acids residues from the active binding site of SARS-CoV-2 main protease, compared to boceprevir. Deep structural insights and quantum chemical reactivity analysis according to Koopmans\' theorem, as a result of density functional theory (DFT) computations, are reported. Additionally, drug-likeness assessment in terms of Lipinski\'s and Weber\'s rules for pharmaceutical candidates, is provided. The outcomes of docking and key molecular descriptors and properties were forward analyzed by the statistical approach of principal component analysis (PCA) to identify the degree of their correlation. The obtained results suggest two promising candidates for future drug development to fight against the coronavirus infection.
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  • 文章类型: Journal Article
    Ananascomosus茎提取物是一种复杂的混合物,含有C1A亚家族的各种半胱氨酸蛋白酶,如菠萝蛋白酶和ananain。这种混合物在中药中使用了几个世纪,有几种潜在的抗癌治疗应用,抗炎和瘀斑降解剂。在目前的工作中,我们确定了菠萝蛋白酶和ananain的结构,无论是游离形式还是与抑制剂E64和TLCK复合。这些结构与蛋白酶-底物复合物建模相结合,清楚地确定了Glu68对菠萝蛋白酶的高度区分作用,有利于P2处带正电荷残基的底物,并揭示了其被胱抑素和E64弱抑制的原因。我们的结果是纯化和完全活性的菠萝蛋白酶,Ananain和木瓜蛋白酶在约1μM的浓度下显示MDA-MB231和A2058癌细胞系的细胞增殖的强烈减少,对照实验清楚地强调了对蛋白水解活性的需要。相比之下,虽然菠萝蛋白酶和ananain对OCI-LY19和HL-60非贴壁细胞系的增殖有很强的影响,木瓜蛋白酶,C1A亚家族的原型成员,没有。这表明,在这种情况下,菠萝蛋白酶和ananain活性位点之外的序列/结构同一性比底物特异性更重要。
    The Ananas comosus stem extract is a complex mixture containing various cysteine ​​proteases of the C1A subfamily, such as bromelain and ananain. This mixture used for centuries in Chinese medicine, has several potential therapeutic applications as anti-cancer, anti-inflammatory and ecchymosis degradation agent. In the present work we determined the structures of bromelain and ananain, both in their free forms and in complex with the inhibitors E64 and TLCK. These structures combined with protease-substrate complexes modeling clearly identified the Glu68 as responsible for the high discrimination of bromelain in favor of substrates with positively charged residues at P2, and unveil the reasons for its weak inhibition by cystatins and E64. Our results with purified and fully active bromelain, ananain and papain show a strong reduction of cell proliferation with MDA-MB231 and A2058 cancer cell lines at a concentration of about 1 μM, control experiments clearly emphasizing the need for proteolytic activity. In contrast, while bromelain and ananain had a strong effect on the proliferation of the OCI-LY19 and HL-60 non-adherent cell lines, papain, the archetypal member of the C1A subfamily, had none. This indicates that, in this case, sequence/structure identity beyond the active site of bromelain and ananain is more important than substrate specificity.
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  • 文章类型: Journal Article
    奥司他韦是一线抗病毒药物,尤其是在基层医院。在2019年冠状病毒病(COVID-19)持续爆发期间,大多数有症状的COVID-19患者使用了奥司他韦.考虑到它作为抗病毒药物的流行和重要作用,有必要评估奥司他韦在COVID-19治疗中的作用。
    评价奥司他韦抗COVID-19的作用。
    Swiss模型用于构建核蛋白(NC)的N端RNA结合域(NRBD)的结构,木瓜蛋白酶(PLpro),和严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的RNA定向RNA聚合酶(RdRp)。进行TM-align程序以将病毒蛋白的结构与流感A的神经氨酸酶的结构进行比较。分子对接用于分析奥司他韦与病毒蛋白的活性中心有效结合的理论可能性。体外研究用于评估奥司他韦对SARS-CoV-2的抗病毒效率。通过临床病例分析,我们对奥司他韦使用史是否影响疾病进展进行了统计学评估.
    NRBD的结构,PLpro,RdRp构建成功。TM-align的结果表明,S蛋白,NRBD,3C样蛋白酶(3CLpro),PLPro,RdRp在结构上与甲型神经氨酸酶相似,TM评分分别为0.30077、0.19254、0.28766、0.30666和0.34047。有趣的是,通过分子对接分析,发现3CLpro的活性中心与甲型流感神经氨酸酶的活性中心相似,我们发现奥司他韦羧酸更有利于与3CLpro的活性位点有效结合,但与阳性组相比,其抑制作用不强。最后,我们使用体外研究和回顾性病例分析来验证我们的推测.我们发现奥司他韦对SARS-CoV-2的体外研究无效,奥司他韦的临床使用并没有改善患者的症状和体征,也没有减缓疾病的进展。
    我们认为奥司他韦不适合治疗COVID-19。在新型冠状病毒爆发期间,当奥司他韦服用后对患者无效时,卫生工作者应高度警惕COVID-19的可能性。
    Oseltamivir is a first-line antiviral drug, especially in primary hospitals. During the ongoing outbreak of coronavirus disease 2019 (COVID-19), most patients with COVID-19 who are symptomatic have used oseltamivir. Considering its popular and important role as an antiviral drug, it is necessary to evaluate oseltamivir in the treatment of COVID-19.
    To evaluate the effect of oseltamivir against COVID-19.
    Swiss-model was used to construct the structure of the N-terminal RNA-binding domain (NRBD) of the nucleoprotein (NC), papain-like protease (PLpro), and RNA-directed RNA polymerase (RdRp) of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). TM-align program was performed to compare the structure of the viral proteins with the structure of the neuraminidase of influenza A. Molecular docking was used to analyze the theoretical possibility of effective binding of oseltamivir with the active centers of the viral proteins. In vitro study was used to evaluate the antiviral efficiency of oseltamivir against SARS-CoV-2. By clinical case analysis, we statistically evaluated whether the history of oseltamivir use influenced the progression of the disease.
    The structures of NRBD, PLpro, and RdRp were built successfully. The results from TM-align suggested that the S protein, NRBD, 3C-like protease (3CLpro), PLPrO, and RdRp were structurally similar to the influenza A neuraminidase, with TM-scores of 0.30077, 0.19254, 0.28766, 0.30666, and 0.34047, respectively. Interestingly, the active center of 3CL pro was found to be similar to the active center from the neuraminidase of influenza A. Through an analysis of molecular docking, we discovered that oseltamivir carboxylic acid was more favorable to bind to the active site of 3CLpro effectively, but its inhibitory effect was not strong compared with the positive group. Finally, we used in vitro study and retrospective case analysis to verify our speculations. We found that oseltamivir is ineffective against SARS-CoV-2 in vitro study and the clinical use of oseltamivir did not improve the patients\' symptoms and signs and did not slow the disease progression.
    We consider that oseltamivir isn\'t suitable for the treatment of COVID-19. During the outbreak of novel coronavirus, when oseltamivir is not effective for the patients after they take it, health workers should be highly vigilant about the possibility of COVID-19.
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