RT Journal Article SR Electronic T1 Structure-based drug design, virtual screening and high-throughput screening rapidly identify antiviral leads targeting COVID-19 JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.02.26.964882 DO 10.1101/2020.02.26.964882 A1 Zhenming Jin A1 Xiaoyu Du A1 Yechun Xu A1 Yongqiang Deng A1 Meiqin Liu A1 Yao Zhao A1 Bing Zhang A1 Xiaofeng Li A1 Leike Zhang A1 Yinkai Duan A1 Jing Yu A1 Lin Wang A1 Kailin Yang A1 Fengjiang Liu A1 Tian You A1 Xiaoce Liu A1 Xiuna Yang A1 Fang Bai A1 Hong Liu A1 Xiang Liu A1 Luke W. Guddat A1 Gengfu Xiao A1 Chengfeng Qin A1 Zhengli Shi A1 Hualiang Jiang A1 Zihe Rao A1 Haitao Yang YR 2020 UL http://biorxiv.org/content/early/2020/02/27/2020.02.26.964882.abstract AB A coronavirus identified as 2019 novel coronavirus (COVID-19) is the etiological agent responsible for the 2019-2020 viral pneumonia outbreak that commenced in Wuhan1-4. Currently there is no targeted therapeutics and effective treatment options remain very limited. In order to rapidly discover lead compounds for clinical use, we initiated a program of combined structure-assisted drug design, virtual drug screening, and high-throughput screening to identify new drug leads that target the COVID-19 main protease (Mpro). Mpro is a key coronavirus enzyme, which plays a pivotal role in mediating viral replication and transcription, making it an attractive drug target for this virus5,6. Here, we identified a mechanism-based inhibitor, N3, by computer-aided drug design and subsequently determined the crystal structure of COVID-19 Mpro in complex with this compound. Next, through a combination of structure-based virtual and high-throughput screening, we assayed over 10,000 compounds including approved drugs, drug candidates in clinical trials, and other pharmacologically active compounds as inhibitors of Mpro. Seven of these inhibit Mpro with IC50 values ranging from 0.48 to 16.62 μM. Ebselen, thiadiazolidinone-8 (TDZD-8) and N3 also exhibited strong antiviral activity in cell-based assays. Our results demonstrate the efficacy of this screening strategy, and establishes a new paradigm for the rapid discovery of drug leads with clinical potential in response to new infectious diseases where no specific drugs or vaccines are available.