<p>Three
coronaviruses (CoVs): severe acute respiratory syndrome coronavirus
(SARS-CoV-1), Middle East respiratory syndrome coronavirus (MERS-CoV), and the
recently identified SARS-CoV-2 in December 2019, have caused deadly pneumonia
in humans since the beginning of the 21st century. The SARS-CoV-2 causes
coronavirus disease-19 (COVID-19) with influenza-like symptoms ranging from
mild discomfort to severe lung injury and multi-organ failure, eventually
leading to death. As of April 30, 2020, more than three million (3,175,207)
COVID-19 cases were reported worldwide, and more than 220,000 (224,172)
patients have died
(https://www.who.int/emergencies/diseases/novel-coronavirus-2019). Effective
treatments and vaccines for SARS-CoV-2 infection do not currently exist. Thus,
it will be of great benefit to identify and repurpose already
well-characterized compounds and approved drugs for use in combating COVID-19.</p>
<p> </p>
<p>CoVs are
positive-sense RNA viruses that replicate in the cytoplasm of infected cells.
Replication and transcription of the CoV RNA genome are achieved by a complex
RNA replication/transcription machinery, consisting of at least 16 viral
nonstructural proteins (nsp). Previous studies demonstrated that nsp16 proteins
of SARS-CoV-1 and MERS-CoV have methyltransferase (MTase) activities that
catalyze methylation of the first transcribed nucleotide at the ribose 2’-O
position (2’-O-Me). The 2’-O-Me of virus cap RNAs protects itself from
degradation by 5′-3′ exoribonucleases, ensures efficient translation, and helps
to prevent recognition by the host innate immune system. The importance of
nsp16 2'-O-MTase activity for CoV infection and pathogenesis was previously
documented by in vitro and in vivo studies. For SARS-CoV-1, the absence of
nsp16 2′-O-MTase activity results in significant attenuation characterized by
decreased viral replication, reduced weight loss, and limited breathing dysfunction
in mice. In addition, nsp16 down-regulates the activities of innate immune
sensing factors: retinoic acid-inducible gene I (RIG-I) and melanoma
differentiation-associated gene 5 protein (MDA5). Thus, inhibition of nsp16
2’-O-MTase activities should restrain viral replication and enable recognition
by the host innate immune system, making the nsp16-MTase a promising target for
the identification of new anti-SARS-CoV-2 drugs. </p>
<p> </p>
<p>In the
present study, we employed structural analysis, virtual screening, and
systematic drug repurposing approaches to identify “approved” drugs which can
act as promising inhibitors against nsp16 2′-O-MTase of SARS-CoV-2. We first
performed comparative analysis of primary amino acid sequences and crystal
structures of seven human CoVs and defined the key residues for nsp16
2-O’-MTase functions. From the virtual screening against nsp16 2′-O-MTase of
SARS-CoV-2, we provide a ranking of the predicted binding affinities of 1,380
top hit compounds corresponding to 967 “approved” drugs. Furthermore, we have
calculated various structural parameters of our top-ranking drugs. Our studies
provided the foundation to further test and repurpose these candidate drugs
experimentally and clinically for COVID-19 treatment. </p><br>