Affiliation:
1. Department of Medicinal Chemistry, Jagiellonian University Medical College, Medyczna 9, 30-688 Kraków, Poland
Abstract
The main protease (Mpro) of SARS-CoV-2 is an essential enzyme that plays a critical part in the virus’s life cycle, making it a significant target for developing antiviral drugs. The inhibition of SARS-CoV-2 Mpro has emerged as a promising approach for developing therapeutic agents to treat COVID-19. This review explores the structure of the Mpro protein and analyzes the progress made in understanding protein–ligand interactions of Mpro inhibitors. It focuses on binding kinetics, origin, and the chemical structure of these inhibitors. The review provides an in-depth analysis of recent clinical trials involving covalent and non-covalent inhibitors and emerging dual inhibitors targeting SARS-CoV-2 Mpro. By integrating findings from the literature and ongoing clinical trials, this review captures the current state of research into Mpro inhibitors, offering a comprehensive understanding of challenges and directions in their future development as anti-coronavirus agents. This information provides new insights and inspiration for medicinal chemists, paving the way for developing more effective Mpro inhibitors as novel COVID-19 therapies.
Funder
THE POLISH NATIONAL AGENCY FOR ACADEMIC EXCHANGE
Reference116 articles.
1. Naseer, S., Khalid, S., Parveen, S., Abbass, K., Song, H., and Achim, M.V. (2022). COVID-19 Outbreak: Impact on Global Economy. Front. Public Health, 10.
2. Real-World COVID-19 Vaccine Effectiveness against the Omicron BA.2 Variant in a SARS-CoV-2 Infection-Naive Population;Lau;Nat. Med.,2023
3. SARS-CoV-2 Vaccination May Mitigate Dysregulation of IL-1/IL-18 and Gastrointestinal Symptoms of the Post-COVID-19 Condition;Fischer;NPJ Vaccines,2024
4. Oral Treatments for Outpatient COVID-19: Effectiveness and Value;Beinfeld;J. Manag. Care Spec. Pharm.,2022
5. Efficacy and Safety of Paxlovid in Severe Adult Patients with SARS-CoV-2 Infection: A Multicenter Randomized Controlled Study;Liu;Lancet Reg. Health West. Pac.,2023