The papain-like protease inhibitor F0213 significantly improved survival in a lethal MERS-CoV mouse model (40% vs 0%, P=0.0273) and reduced viral replication and lung damage in SARS-CoV-2-infected hamsters.
Does F0213 inhibit coronavirus replication and improve survival in preclinical models of SARS-CoV-2 and MERS-CoV infection?
F0213 is a broad-spectrum papain-like protease inhibitor that demonstrates in vivo efficacy against SARS-CoV-2 and MERS-CoV in animal models.
Absolute Event Rate: 40% vs 0%
p-value: p=0.0273
The emergence of SARS-CoV-2 variants of concern and repeated outbreaks of coronavirus epidemics in the past two decades emphasize the need for next-generation pan-coronaviral therapeutics. Drugging the multi-functional papain-like protease (PLpro) domain of the viral nsp3 holds promise. However, none of the known coronavirus PLpro inhibitors has been shown to be in vivo active. Herein, we screened a structurally diverse library of 50,080 compounds for potential coronavirus PLpro inhibitors and identified a noncovalent lead inhibitor F0213 that has broad-spectrum anti-coronaviral activity, including against the Sarbecoviruses (SARS-CoV-1 and SARS-CoV-2), Merbecovirus (MERS-CoV), as well as the Alphacoronavirus (hCoV-229E and hCoV-OC43). Importantly, F0213 confers protection in both SARS-CoV-2-infected hamsters and MERS-CoV-infected human DPP4-knockin mice. F0213 possesses a dual therapeutic functionality that suppresses coronavirus replication via blocking viral polyprotein cleavage, as well as promoting antiviral immunity by antagonizing the PLpro deubiquitinase activity. Despite the significant difference of substrate recognition, mode of inhibition studies suggest that F0213 is a competitive inhibitor against SARS2-PLpro via binding with the 157K amino acid residue, whereas an allosteric inhibitor of MERS-PLpro interacting with its 271E position. Our proof-of-concept findings demonstrated that PLpro is a valid target for the development of broad-spectrum anti-coronavirus agents. The orally administered F0213 may serve as a promising lead compound for combating the ongoing COVID-19 pandemic and future coronavirus outbreaks.
Yuan et al. (Wed,) conducted a other in Coronavirus infection (SARS-CoV-2, MERS-CoV). F0213 vs. Vehicle control was evaluated on Survival rate in lethal MERS-CoV mouse model (p=0.0273). The papain-like protease inhibitor F0213 significantly improved survival in a lethal MERS-CoV mouse model (40% vs 0%, P=0.0273) and reduced viral replication and lung damage in SARS-CoV-2-infected hamsters.