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Challenges for targeting SARS-CoV-2 proteases as a therapeutic strategy for COVID-19

Kas Steuten, Heeyoung Kim, John C. Widen, Brett M. Babin, Ouma Onguka, Scott Lovell, Oguz Bolgi, Berati Cerikan, Mirko Cortese, Ryan K. Muir, John M. Bennett, Ruth Geiss-Friedlander, Christoph Peters, Ralf Bartenschlager, View ORCID ProfileMatthew Bogyo
doi: https://doi.org/10.1101/2020.11.21.392753
Kas Steuten
1Department of Pathology, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, California 94305, United States
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Heeyoung Kim
2Department of Infectious Diseases, Molecular Virology, University Hospital Heidelberg, Heidelberg, Germany
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John C. Widen
1Department of Pathology, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, California 94305, United States
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Brett M. Babin
1Department of Pathology, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, California 94305, United States
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Ouma Onguka
1Department of Pathology, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, California 94305, United States
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Scott Lovell
1Department of Pathology, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, California 94305, United States
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Oguz Bolgi
3Institute of Molecular Medicine and Cell Research, University of Freiburg, Freiburg, Germany
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Berati Cerikan
2Department of Infectious Diseases, Molecular Virology, University Hospital Heidelberg, Heidelberg, Germany
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Mirko Cortese
2Department of Infectious Diseases, Molecular Virology, University Hospital Heidelberg, Heidelberg, Germany
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Ryan K. Muir
1Department of Pathology, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, California 94305, United States
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John M. Bennett
1Department of Pathology, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, California 94305, United States
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Ruth Geiss-Friedlander
3Institute of Molecular Medicine and Cell Research, University of Freiburg, Freiburg, Germany
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Christoph Peters
3Institute of Molecular Medicine and Cell Research, University of Freiburg, Freiburg, Germany
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Ralf Bartenschlager
2Department of Infectious Diseases, Molecular Virology, University Hospital Heidelberg, Heidelberg, Germany
4Division Virus-Associated Carcinogenesis, German Cancer Research Center (DKFZ), Heidelberg, Germany
5German Center for Infection Research (DZIF), Heidelberg partner site, Heidelberg, Germany
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  • For correspondence: mbogyo@stanford.edu Ralf.Bartenschlager@med.uni-heidelberg.de
Matthew Bogyo
1Department of Pathology, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, California 94305, United States
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  • ORCID record for Matthew Bogyo
  • For correspondence: mbogyo@stanford.edu Ralf.Bartenschlager@med.uni-heidelberg.de
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ABSTRACT

Two proteases produced by the SARS-CoV-2 virus, Mpro and PLpro, are essential for viral replication and have become the focus of drug development programs for treatment of COVID-19. We screened a highly focused library of compounds containing covalent warheads designed to target cysteine proteases to identify new lead scaffolds for both Mpro and PLpro proteases. These efforts identified a small number of hits for the Mpro protease and no viable hits for the PLpro protease. Of the Mpro hits identified as inhibitors of the purified recombinant protease, only two compounds inhibited viral infectivity in cellular infection assays. However, we observed a substantial drop in antiviral potency upon expression of TMPRSS2, a transmembrane serine protease that acts in an alternative viral entry pathway to the lysosomal cathepsins. This loss of potency is explained by the fact that our lead Mpro inhibitors are also potent inhibitors of host cell cysteine cathepsins. To determine if this is a general property of Mpro inhibitors, we evaluated several recently reported compounds and found that they are also effective inhibitors of purified human cathepsin L and B and showed similar loss in activity in cells expressing TMPRSS2. Our results highlight the challenges of targeting Mpro and PLpro proteases and demonstrate the need to carefully assess selectivity of SARS-CoV-2 protease inhibitors to prevent clinical advancement of compounds that function through inhibition of a redundant viral entry pathway.

Competing Interest Statement

The authors have declared no competing interest.

Copyright 
The copyright holder for this preprint is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under a CC-BY-NC-ND 4.0 International license.
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Posted November 23, 2020.
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Challenges for targeting SARS-CoV-2 proteases as a therapeutic strategy for COVID-19
Kas Steuten, Heeyoung Kim, John C. Widen, Brett M. Babin, Ouma Onguka, Scott Lovell, Oguz Bolgi, Berati Cerikan, Mirko Cortese, Ryan K. Muir, John M. Bennett, Ruth Geiss-Friedlander, Christoph Peters, Ralf Bartenschlager, Matthew Bogyo
bioRxiv 2020.11.21.392753; doi: https://doi.org/10.1101/2020.11.21.392753
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Challenges for targeting SARS-CoV-2 proteases as a therapeutic strategy for COVID-19
Kas Steuten, Heeyoung Kim, John C. Widen, Brett M. Babin, Ouma Onguka, Scott Lovell, Oguz Bolgi, Berati Cerikan, Mirko Cortese, Ryan K. Muir, John M. Bennett, Ruth Geiss-Friedlander, Christoph Peters, Ralf Bartenschlager, Matthew Bogyo
bioRxiv 2020.11.21.392753; doi: https://doi.org/10.1101/2020.11.21.392753

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