Key result
Suramin reduces SARS-CoV-2 cytopathic effects in vitro by inhibiting nucleocapsid RNA binding.
Why the study?
The potential emergence of vaccine-resistant SARS-CoV-2 variants necessitates the development of new COVID-19 drugs and the validation of novel therapeutic targets, such as the nucleocapsid phosphoprotein.
Should not change clinical practice for COVID-19; leaves open nucleocapsid inhibition as an antiviral strategy.
The coronavirus disease 2019 (COVID-19) pandemic is fading, however its etiologic agent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) continues posing - despite the availability of licensed vaccines – a global health threat, due to the potential emergence of vaccine-resistant SARS-CoV-2 variants. This makes the development of new drugs against COVID-19 a persistent urgency and sets as research priority the validation of novel therapeutic targets within the SARS-CoV-2 proteome. Among these, a promising one is the SARS-CoV-2 nucleocapsid (N) phosphoprotein, a major structural component of the virion with indispensable role in packaging the viral genome into a ribonucleoprotein (RNP) complex, which also contributes to SARS-CoV-2 innate immune evasion by inhibiting the host cell type-I interferon (IFN-I) response. By combining miniaturized differential scanning fluorimetry with microscale thermophoresis, we found that the 100-year-old drug Suramin interacts with SARS-CoV-2 N-terminal domain (NTD) and C-terminal domain (CTD), thereby inhibiting their single-stranded RNA (ssRNA) binding function with low-micromolar Kd and IC50 values. Molecular docking suggests that Suramin interacts with basic NTD cleft and CTD dimer interface groove, highlighting three potentially druggable ssRNA binding sites. Electron microscopy shows that Suramin inhibits the formation in vitro of RNP complex-like condensates by SARS-CoV-2 N with a synthetic ssRNA. In a dose-dependent manner, Suramin also reduced SARS-CoV-2-induced cytopathic effect on Vero E6 and Calu-3 cells, partially reverting the SARS-CoV-2 N-inhibited IFN-I production in 293T cells. Our findings indicate that Suramin inhibits SARS-CoV-2 replication by hampering viral genome packaging, thereby representing a starting model for design of new COVID-19 antivirals.
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Boniardi et al. (2023) studied COVID-19 / SARS-CoV-2. Suramin was evaluated on Inhibition of single-stranded RNA (ssRNA) binding function and SARS-CoV-2-induced cytopathic effect. Suramin interacts with the SARS-CoV-2 nucleocapsid protein to inhibit its RNA binding function and reduces SARS-CoV-2-induced cytopathic effects in vitro.
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