In Silico and In Vitro Evaluation of Some Amidine Derivatives as Hit Compounds towards Development of Inhibitors against Coronavirus Diseases

Coronaviruses, including SARS-CoV-2, SARS-CoV, MERS-CoV and influenza A virus, require the host proteases to mediate viral entry into cells. Rather than targeting the continuously mutating viral proteins, targeting the conserved host-based entry mechanism could offer advantages. Nafamostat and camostat were discovered as covalent inhibitors of TMPRSS2 protease involved in viral entry. To circumvent their limitations, a reversible inhibitor might be required. Considering nafamostat structure and using pentamidine as a starting point, a small set of structurally diverse rigid analogues were designed and evaluated in silico to guide selection of compounds to be prepared for biological evaluation. Based on the results of in silico study, six compounds were prepared and evaluated in vitro. At the enzyme level, compounds 10–12 triggered potential TMPRSS2 inhibition with low micromolar IC50 concentrations, but they were less effective in cellular assays. Meanwhile, compound 14 did not trigger potential TMPRSS2 inhibition at the enzyme level, but it showed potential cellular activity regarding inhibition of membrane fusion with a low micromolar IC50 value of 10.87 µM, suggesting its action could be mediated by another molecular target. Furthermore, in vitro evaluation showed that compound 14 inhibited pseudovirus entry as well as thrombin and factor Xa. Together, this study presents compound 14 as a hit compound that might serve as a starting point for developing potential viral entry inhibitors with possible application against coronaviruses.

[1]  Jong-Hyun Park,et al.  Synthesis and Biological Evaluation of O6-Aminoalkyl-Hispidol Analogs as Multifunctional Monoamine Oxidase-B Inhibitors towards Management of Neurodegenerative Diseases , 2023, Antioxidants.

[2]  A. Farahat,et al.  Escaping ESKAPE resistance: in vitro and in silico studies of multifunctional carbamimidoyl-tethered indoles against antibiotic-resistant bacteria , 2023, Royal Society Open Science.

[3]  Yeon Ju Kim,et al.  Scaffold hopping of N-benzyl-3,4,5-trimethoxyaniline: 5,6,7-Trimethoxyflavan derivatives as novel potential anticancer agents modulating hippo signaling pathway. , 2023, European journal of medicinal chemistry.

[4]  T. Phan,et al.  Design, synthesis, and repurposing of O6-aminoalkyl-sulfuretin analogs towards discovery of potential lead compounds as antileishmanial agents. , 2023, European journal of medicinal chemistry.

[5]  T. Phan,et al.  Bestatin analogs-4-quinolinone hybrids as antileishmanial hits: Design, repurposing rational, synthesis, in vitro and in silico studies. , 2023, European journal of medicinal chemistry.

[6]  E. Topol,et al.  Long COVID: major findings, mechanisms and recommendations , 2023, Nature Reviews Microbiology.

[7]  Ashutosh Kumar Singh,et al.  Recent changes in the mutational dynamics of the SARS-CoV-2 main protease substantiate the danger of emerging resistance to antiviral drugs , 2022, Frontiers in Medicine.

[8]  Ke Men,et al.  Small molecules in the treatment of COVID-19 , 2022, Signal Transduction and Targeted Therapy.

[9]  Kyung-Sook Chung,et al.  3',4'-Dihydroxyflavone mitigates inflammatory responses by inhibiting LPS and TLR4/MD2 interaction. , 2022, Phytomedicine : international journal of phytotherapy and phytopharmacology.

[10]  Aurélien F. A. Moumbock,et al.  BC‐11 is a covalent TMPRSS2 fragment inhibitor that impedes SARS‐CoV‐2 host cell entry , 2022, Archiv der Pharmazie.

[11]  Yuriko Tomita,et al.  Essential role of TMPRSS2 in SARS-CoV-2 infection in murine airways , 2022, Nature Communications.

[12]  K. Shiraki,et al.  A multicenter, double-blind, randomized, parallel-group, placebo-controlled study to evaluate the efficacy and safety of camostat mesilate in patients with COVID-19 (CANDLE study) , 2022, BMC Medicine.

[13]  H. Hsieh,et al.  A critical overview of current progress for COVID-19: development of vaccines, antiviral drugs, and therapeutic antibodies , 2022, Journal of biomedical science.

[14]  G. Lippi,et al.  Impact of COVID-19 vaccination on the risk of developing long-COVID and on existing long-COVID symptoms: A systematic review , 2022, eClinicalMedicine.

[15]  T. Phan,et al.  Design, Rational Repurposing, Synthesis, In Vitro Evaluation, Homology Modeling and In Silico Study of Sulfuretin Analogs as Potential Antileishmanial Hit Compounds , 2022, Pharmaceuticals.

[16]  E. Roh,et al.  Identification of Novel Aryl Carboxamide Derivatives as Death-Associated Protein Kinase 1 (DAPK1) Inhibitors with Anti-Proliferative Activities: Design, Synthesis, In Vitro, and In Silico Biological Studies , 2022, Pharmaceuticals.

[17]  Yuejun Shi,et al.  Adaptive Mutation in the Main Protease Cleavage Site of Feline Coronavirus Renders the Virus More Resistant to Main Protease Inhibitors , 2022, Journal of virology.

[18]  S. Subramaniam,et al.  Structure and activity of human TMPRSS2 protease implicated in SARS-CoV-2 activation , 2022, Nature Chemical Biology.

[19]  Giovanna Li Petri,et al.  Peptidomimetics: An Overview of Recent Medicinal Chemistry Efforts toward the Discovery of Novel Small Molecule Inhibitors. , 2022, Journal of medicinal chemistry.

[20]  A. Heine,et al.  Improving the selectivity of 3-amidinophenylalanine-derived matriptase inhibitors. , 2022, European journal of medicinal chemistry.

[21]  X. Ren,et al.  Nafamostat mesylate as a broad-spectrum candidate for the treatment of flavivirus infections by targeting envelope proteins. , 2022, Antiviral research.

[22]  Jared L. Johnson,et al.  Coagulation factors directly cleave SARS-CoV-2 spike and enhance viral entry , 2022, eLife.

[23]  M. Pellegrino,et al.  COVID-19 at a Glance: An Up-to-Date Overview on Variants, Drug Design and Therapies , 2022, Viruses.

[24]  Ki Duk Park,et al.  Positional scanning of natural product hispidol’s ring-B: discovery of highly selective human monoamine oxidase-B inhibitor analogues downregulating neuroinflammation for management of neurodegenerative diseases , 2022, Journal of enzyme inhibition and medicinal chemistry.

[25]  M. Shankar-Hari,et al.  Randomised controlled trial of intravenous nafamostat mesylate in COVID pneumonitis: Phase 1b/2a experimental study to investigate safety, Pharmacokinetics and Pharmacodynamics , 2022, eBioMedicine.

[26]  T. Murata,et al.  In Silico Analysis and Synthesis of Nafamostat Derivatives and Evaluation of Their Anti-SARS-CoV-2 Activity , 2022, Viruses.

[27]  F. Kirchhoff,et al.  The Transmembrane Protease TMPRSS2 as a Therapeutic Target for COVID-19 Treatment , 2022, International journal of molecular sciences.

[28]  T. Akiyama,et al.  Metalloproteinase-Dependent and TMPRSS2-Independent Cell Surface Entry Pathway of SARS-CoV-2 Requires the Furin Cleavage Site and the S2 Domain of Spike Protein , 2021, bioRxiv.

[29]  Weihao Shao,et al.  Real-world effectiveness of COVID-19 vaccines: a literature review and meta-analysis , 2021, International Journal of Infectious Diseases.

[30]  C. Craik,et al.  A novel class of TMPRSS2 inhibitors potently block SARS-CoV-2 and MERS-CoV viral entry and protect human epithelial lung cells , 2021, Proceedings of the National Academy of Sciences.

[31]  Khaled M. Darwish,et al.  Investigating the structure–activity relationship of marine natural polyketides as promising SARS-CoV-2 main protease inhibitors , 2021, RSC advances.

[32]  C. Fernández‐de‐las‐Peñas Long COVID: current definition , 2021, Infection.

[33]  Yang Zhang,et al.  Identification of 13 Guanidinobenzoyl- or Aminidinobenzoyl-Containing Drugs to Potentially Inhibit TMPRSS2 for COVID-19 Treatment , 2021, International journal of molecular sciences.

[34]  Xu Tan,et al.  Current Strategies of Antiviral Drug Discovery for COVID-19 , 2021, Frontiers in Molecular Biosciences.

[35]  Søren E. Jespersen,et al.  Efficacy of the TMPRSS2 inhibitor camostat mesilate in patients hospitalized with Covid-19-a double-blind randomized controlled trial. , 2021, EClinicalMedicine.

[36]  R. Jayadevan,et al.  Long COVID: An overview , 2021, Diabetes & Metabolic Syndrome: Clinical Research & Reviews.

[37]  S. Sahoo,et al.  Virtual screening by targeting proteolytic sites of furin and TMPRSS2 to propose potential compounds obstructing the entry of SARS-CoV-2 virus into human host cells , 2021, Journal of Traditional and Complementary Medicine.

[38]  C. Brooks,et al.  TMPRSS2 inhibitor discovery facilitated through an in silico and biochemical screening platform , 2021, bioRxiv.

[39]  J. Inoue,et al.  Discovery of New Fusion Inhibitor Peptides against SARS-CoV-2 by Targeting the Spike S2 Subunit , 2021, Biomolecules & therapeutics.

[40]  Yong Sup Lee,et al.  Pyrrolidine-based 3-deoxysphingosylphosphorylcholine analogs as possible candidates against neglected tropical diseases (NTDs): identification of hit compounds towards development of potential treatment of Leishmania donovani , 2021, Journal of enzyme inhibition and medicinal chemistry.

[41]  Qiang Huang,et al.  Spontaneous binding of potential COVID-19 drugs (Camostat and Nafamostat) to human serine protease TMPRSS2 , 2020, Computational and Structural Biotechnology Journal.

[42]  P. Fuentes-Prior Priming of SARS-CoV-2 S protein by several membrane-bound serine proteinases could explain enhanced viral infectivity and systemic COVID-19 infection , 2020, Journal of Biological Chemistry.

[43]  F. Noé,et al.  Molecular mechanism of inhibiting the SARS-CoV-2 cell entry facilitator TMPRSS2 with camostat and nafamostat , 2020, Chemical science.

[44]  Xihua Lian,et al.  From SARS and MERS to COVID-19: a brief summary and comparison of severe acute respiratory infections caused by three highly pathogenic human coronaviruses , 2020, Respiratory Research.

[45]  N. Mackman,et al.  Coagulation Abnormalities and Thrombosis in Patients Infected With SARS-CoV-2 and Other Pandemic Viruses , 2020, Arteriosclerosis, thrombosis, and vascular biology.

[46]  N. Campillo,et al.  COVID-19: Drug Targets and Potential Treatments , 2020, Journal of medicinal chemistry.

[47]  M. Kiso,et al.  The Anticoagulant Nafamostat Potently Inhibits SARS-CoV-2 S Protein-Mediated Fusion in a Cell Fusion Assay System and Viral Infection In Vitro in a Cell-Type-Dependent Manner , 2020, Viruses.

[48]  Ki Duk Park,et al.  Fluorinated CRA13 analogues: Synthesis, in vitro evaluation, radiosynthesis, in silico and in vivo PET study. , 2020, Bioorganic chemistry.

[49]  I. Ziogas,et al.  Coagulation disorders in coronavirus infected patients: COVID-19, SARS-CoV-1, MERS-CoV and lessons from the past , 2020, Journal of Clinical Virology.

[50]  G. Herrler,et al.  SARS-CoV-2 Cell Entry Depends on ACE2 and TMPRSS2 and Is Blocked by a Clinically Proven Protease Inhibitor , 2020, Cell.

[51]  Le Chang,et al.  Coronavirus Disease 2019: Coronaviruses and Blood Safety , 2020, Transfusion Medicine Reviews.

[52]  Kyung-Tae Lee,et al.  Flavone-based arylamides as potential anticancers: Design, synthesis and in vitro cell-based/cell-free evaluations. , 2019, European journal of medicinal chemistry.

[53]  Ki Duk Park,et al.  Reprofiling of pyrimidine-based DAPK1/CSF1R dual inhibitors: identification of 2,5-diamino-4-pyrimidinol derivatives as novel potential anticancer lead compounds , 2019, Journal of enzyme inhibition and medicinal chemistry.

[54]  Kyung-Tae Lee,et al.  Repurposing mosloflavone/5,6,7-trimethoxyflavone-resveratrol hybrids: Discovery of novel p38-α MAPK inhibitors as potent interceptors of macrophage-dependent production of proinflammatory mediators. , 2019, European journal of medicinal chemistry.

[55]  Kyung-Tae Lee,et al.  EGFR inhibitors from cancer to inflammation: Discovery of 4-fluoro-N-(4-(3-(trifluoromethyl)phenoxy)pyrimidin-5-yl)benzamide as a novel anti-inflammatory EGFR inhibitor. , 2019, Bioorganic chemistry.

[56]  Daniel P. Sweat,et al.  Heterocyclic Diamidine DNA Ligands as HOXA9 Transcription Factor Inhibitors: Design, Molecular Evaluation, and Cellular Consequences in a HOXA9-Dependant Leukemia Cell Model. , 2019, Journal of medicinal chemistry.

[57]  S. Paek,et al.  Repositioning of the antipsychotic trifluoperazine: Synthesis, biological evaluation and in silico study of trifluoperazine analogs as anti-glioblastoma agents. , 2018, European journal of medicinal chemistry.

[58]  Yong Sup Lee,et al.  Hit discovery of 4-amino-N-(4-(3-(trifluoromethyl)phenoxy)pyrimidin-5-yl)benzamide: A novel EGFR inhibitor from a designed small library. , 2017, Bioorganic chemistry.

[59]  M. Kim,et al.  New compounds identified through in silico approaches reduce the α-synuclein expression by inhibiting prolyl oligopeptidase in vitro , 2017, Scientific Reports.

[60]  G. Chessari,et al.  Discovery of a Potent Nonpeptidomimetic, Small-Molecule Antagonist of Cellular Inhibitor of Apoptosis Protein 1 (cIAP1) and X-Linked Inhibitor of Apoptosis Protein (XIAP). , 2017, Journal of medicinal chemistry.

[61]  Rupesh K. Nanjunda,et al.  Systematic synthetic and biophysical development of mixed sequence DNA binding agents. , 2017, Organic & biomolecular chemistry.

[62]  Rupesh K. Nanjunda,et al.  Mixed up minor groove binders: Convincing A·T specific compounds to recognize a G·C base pair. , 2015, Bioorganic & medicinal chemistry letters.

[63]  O. Koch,et al.  Structure-Based Design of Inhibitors of Protein–Protein Interactions: Mimicking Peptide Binding Epitopes , 2015, Angewandte Chemie.

[64]  W. Garten,et al.  Identification of the first synthetic inhibitors of the type II transmembrane serine protease TMPRSS2 suitable for inhibition of influenza virus activation. , 2013, The Biochemical journal.

[65]  R. Leduc,et al.  Matriptase Proteolytically Activates Influenza Virus and Promotes Multicycle Replication in the Human Airway Epithelium , 2013, Journal of Virology.

[66]  R. Najmanovich,et al.  Design and synthesis of potent, selective inhibitors of matriptase. , 2012, ACS medicinal chemistry letters.

[67]  Y. Matsuura,et al.  Involvement of Ceramide in the Propagation of Japanese Encephalitis Virus , 2010, Journal of Virology.

[68]  N. Hayashi,et al.  Replication-Competent Recombinant Vesicular Stomatitis Virus Encoding Hepatitis C Virus Envelope Proteins , 2007, Journal of Virology.

[69]  D. Boykin,et al.  Direct Conversion of Amidoximes to Amidines via Transfer Hydrogenation. , 2004 .

[70]  S. Tsukagoshi [Pharmacokinetics studies of nafamostat mesilate (FUT), a synthetic protease inhibitor, which has been used for the treatments of DIC and acute pancreatitis, and as an anticoagulant in extracorporeal circulation]. , 2000, Gan to kagaku ryoho. Cancer & chemotherapy.

[71]  S. Neidle,et al.  Targeting the minor groove of DNA: crystal structures of two complexes between furan derivatives of berenil and the DNA dodecamer d(CGCGAATTCGCG)2. , 1996, Journal of medicinal chemistry.

[72]  D. Boykin,et al.  Synthesis and antiprotozoal activity of 2,5-bis(4-guanylphenyl)furans. , 1977, Journal of medicinal chemistry.

[73]  G. Patrick Plasmepsins as targets for antimalarial agents , 2020 .

[74]  A. Trabocchi Principles and applications of small molecule peptidomimetics , 2020 .

[75]  C. González‐Bello Designing Irreversible Inhibitors—Worth the Effort? , 2016, ChemMedChem.

[76]  K. N. Cheng,et al.  Metabolic fate of 14C-camostat mesylate in man, rat and dog after intravenous administration. , 1994, Xenobiotica; the fate of foreign compounds in biological systems.