• FluTrackers.com Inc. does not provide medical advice. Information on this web site is collected from various internet resources, and the FluTrackers board of directors makes no warranty to the safety, efficacy, correctness or completeness of the information posted on this site by any author or poster. The information collated here is for instructional and/or discussion purposes only and is NOT intended to diagnose or treat any disease, illness, or other medical condition. Every individual reader or poster should seek advice from their personal physician/healthcare practitioner before considering or using any interventions that are discussed on this website. By continuing to access this website you agree to consult your personal physican before using any interventions posted on this website, and you agree to hold harmless FluTrackers.com Inc., the board of directors, the members, and all authors and posters for any effects from use of any medication, supplement, vitamin or other substance, device, intervention, etc. mentioned in posts on this website, or other internet venues referenced in posts on this website.
  • We are not asking for any donations. Do not donate to any entity who says they are raising funds for us.

Antivir Ther . Repurposing FDA-approved drugs for COVID-19: targeting the main protease through multi-phase in silico approach

tetano

Editor, Senior Moderator
Antivir Ther


. 2024 Dec;29(6):13596535241305536.
doi: 10.1177/13596535241305536. Repurposing FDA-approved drugs for COVID-19: targeting the main protease through multi-phase in silico approach

Ahmed M Metwaly[SUP] 1 [/SUP], Eslam B Elkaeed[SUP] 2 [/SUP], Aisha A Alsfouk[SUP] 3 [/SUP], Ibrahim M Ibrahim[SUP] 4 [/SUP], Hazem Elkady[SUP] 5 [/SUP], Ibrahim H Eissa[SUP] 5 [/SUP]



Affiliations
Abstract

Background: The COVID-19 pandemic has created an urgent need for effective therapeutic agents. The SARS-CoV-2 Main Protease (M[SUP]pro[/SUP]) plays a crucial role in viral replication and immune evasion, making it a key target for drug development. While several studies have explored M[SUP]pro[/SUP] inhibition, identifying FDA-approved drugs with potential efficacy remains a critical research focus.
Purpose: This study aims to identify FDA-approved drugs that could inhibit SARS-CoV-2 M[SUP]pro[/SUP]. Using computational screening, we seek compounds that share structural similarities with a known co-crystallized ligand (PRD_002214) and exhibit strong binding affinity to the enzyme, providing viable candidates for COVID-19 treatment.
Research design: A systematic in silico approach was used, screening 3009 FDA-approved drugs. The initial screening focused on structural similarity to PRD_002214 (PDB ID: 6LU7), followed by molecular docking studies to predict binding affinity. Promising compounds were further analyzed through molecular dynamics (MD) simulations to evaluate their stability and interactions with M[SUP]pro[/SUP] over 100 ns.
Study sample: Of the 3009 FDA-approved drugs screened, 74 were selected for initial evaluation. After refinement, 28 compounds underwent docking analysis, with eight showing strong binding potential to M[SUP]pro[/SUP].
Analysis: Molecular docking assessed the binding affinity and interaction of the selected compounds with M[SUP]pro[/SUP]. MD simulations were conducted on the top compound, Atazanavir, to study its dynamic interactions. MM-GBSA, PLIP, and PCAT analyses were used to validate binding affinity and interactions.
Results: Eight compounds, including Carfilzomib, Atazanavir, Darunavir, and others, exhibited promising binding affinities. Among them, Atazanavir showed the highest binding strength and was selected for further MD simulation studies. These simulations revealed that Atazanavir forms stable interactions with M[SUP]pro[/SUP], demonstrating favorable binding and dynamic stability. The binding affinity was further confirmed through MM-GBSA, PLIP, and PCAT analyses, supporting Atazanavir's potential as an effective M[SUP]pro[/SUP] inhibitor.
Conclusions: In silico results suggest that Atazanavir is a promising candidate for targeting SARS-CoV-2 M[SUP]pro[/SUP], with strong binding affinity and dynamic stability. These findings support its potential as a lead compound for further preclinical and clinical testing, though in vitro and in vivo validation are needed to confirm its therapeutic efficacy against COVID-19.

Keywords: Atazanavir; FDA-approved drugs; SARS-CoV-2; drug repurposing; main protease; molecular docking; molecular dynamics simulation.

 
Back
Top Bottom