1.1. The main protease (Mpro) enzyme of SARS-CoV-2
The World Health Organisation (WHO) defines the coronavirus that causes severe acute respiratory syndrome (SARS-CoV-2) as COVID-19 [
1]. Recently, the virus has become a global threat [
2]. With a genome size of about 30 kb, it is a highly contagious positive-strand RNA virus that codes for 29 distinct proteins essential to the virus's survival and life cycle [
3]. The beta coronavirus, or SARSCoV-2, is closely linked to the SARS-CoV virus that caused the outbreak of the disease in 2002 and 2004 [
4]. The SARS-CoV-2 virion was made up of four structural proteins: spike proteins (S), envelope proteins (E), membrane proteins (M), and nucleocapsid proteins (N) [
3]. Like other coronaviruses, these proteins enclose the RNA genome [
5]. The Mpro, commonly referred to as 3CLpro, 3-ChymotrypsinLike Protease, or Mpro, and the spike proteins (S) are the primary targets for drug development against SARS-CoV-2 virus [
6].
The coronavirus SARS-CoV-2 is a large, enveloped virus with a single-stranded, non-segmented, positive-sense RNA genome broadly distributed in humans and other mammals [
7]. As shown in the basic structure of the SARS-CoV-2 virus in
Figure 1, SARS-CoV-2 has four primary structural proteins: spike (S) glycoprotein, small envelope (E) glycoprotein, membrane (M) glycoprotein, and nucleocapsid (N) protein, along with several accessory proteins [
8].
The spike (S) glycoprotein, a transmembrane protein with a molecular weight of approximately 150 kDa, is located on the virus's outer surface. S protein forms homotrimers that protrude from the viral surface, facilitating the binding of the virus to host cells by interacting with the angiotensinconverting enzyme 2 (ACE2) receptors, which are expressed in the cells of the lower respiratory tract.
This glycoprotein is cleaved by host cell furin-like proteases into two subunits: S1 and S2. The S1 subunit determines the host range and cellular tropism of the virus through its receptor-binding domain, while the S2 subunit mediates the fusion of the virus with host cells, enabling viral transmission [
7].
The nucleocapsid, also known as the N protein in
Figure 1, is a structural component of coronaviruses (CoV) that localizes in the endoplasmic reticulum-Golgi region. It binds to the viral nucleic acid material, specifically RNA, and plays a crucial role in various processes involving the viral genome, such as the replication cycle and the host cell's response to infection. Due to its binding to RNA, the N protein is integral to these processes. Additionally, the N protein undergoes significant phosphorylation, which is believed to induce structural changes that enhance its affinity for viral RNA. Another key structural element of the virus is the membrane, or M protein, which is the most abundant structural protein and is critical in determining the shape of the viral envelope. The M protein interacts with all other structural proteins and plays a stabilizing role. By binding to the N protein, the M protein helps stabilize the nucleocapsid and supports the final stages of viral assembly by stabilizing the N protein-RNA complex within the virion. The envelope, or E protein, is the smallest structural protein in the SARS-CoV virus, yet it plays a significant role in the production and maturation of the virus [
7]. The Mpro enzyme found in the SARS-CoV-2 virus is responsible for the development of COVID19 [
2]. This protease is vital for processing virus polyproteins, which are required for viral replication [
1]. Mpro is a cysteine protease with three domains: I (residues 8-101), II (102-184), and III (201-306) [
9], which works by cleaving viral polypeptides and promoting viral replication [
9]. Active Mpro exists as a homodimer made up of two protomers [
10], as displayed in
Figure 2. Despite differences amongst coronaviruses, Mpro has strong sequence and structural conservation, distinguishing it from human proteases. This property makes Mpro a good choice for drug screening activities aimed at inhibiting the replication and proliferation of SARS-CoV-2 [
11].
Drug repurposing has emerged as a highly attractive and practical approach to drug discovery [
13]. By exploring new therapeutic applications for drugs that have already been approved for human use, this strategy has proven to be especially valuable in the rapid response to the COVID-19 pandemic [
13]. One of the key advantages of drug repurposing, particularly for identifying SARS-CoV-2 inhibitors, is the ability to accelerate the drug development process significantly. Since these drugs have already undergone extensive testing for safety and efficacy, they can quickly move into clinical trials for new indications, bypassing much of the early-stage research and regulatory hurdles typically required for novel compounds. This fast-tracking is crucial in public health emergencies, such as the COVID-19 crisis, where time is critical [
13] [
14]. In addition to speeding up the development process, drug repurposing reduces the financial risks of drug discovery. Developing entirely new drugs is expensive and uncertain, whereas repurposing existing drugs leverages previous investments in research and development [
15,
16]. Another major benefit is the wealth of available data on repurposed drugs. Since these drugs have been previously approved, their safety profiles, potential side effects, and pharmacokinetics are well understood, making it easier to predict their behaviour in new therapeutic contexts [
17].
Finally, many of these drugs are already in production and readily available, which is a critical advantage during a pandemic, where immediate access to treatment options can save lives. By utilizing existing drugs, repurposing can provide timely solutions to emerging health crises while minimizing the delays and uncertainties inherent in developing new drugs from scratch [
18].
Although several vaccinations are now being developed to target the disease [
19], there is still a significant demand for SARS-CoV-2 inhibitors to treat people who become affected [
13]. In addition, the recurrence for many people occurs due to the introduction of novel SARS-CoV-2 variants [
16]. Some antiviral drugs and prodrugs, such as GS-441524, Molnupiravir, and PF-07321332 (nirmatrelvir), are therapeutically efficacious antiviral drugs, could potentially lead to the development of drug-resistant mutations [
17].
The alarming worldwide spread of the virus [
20] and the emergence of novel SARS-CoV-2 variants in various regions [
18] underscores the urgent need for effective therapeutic strategies. As a result, there is a need to rapidly develop and/or repurpose Mpro inhibitors to combat SARS-CoV-2, which has been a pressing global issue [
21]. Recent studies indicate that the effects of SARS-CoV-2 extend beyond the respiratory system (RS) to the central neurological system (CNS) [
18]. As a result, therapeutic strategies for combating coronavirus outbreaks are urgently needed [
18]. The time-consuming and costly procedure of generating novel inhibitors makes drug repurposing and computer-assisted approaches increasingly attractive [
14].
Given the time-consuming and expensive nature of developing new antiviral inhibitors from scratch, drug repurposing and in silico computer-assisted drug design have emerged as an increasingly attractive approach [
14]. These strategies can help expedite the identification of effective treatments while mitigating the costs and risks typically associated with traditional drug development pathways.
1.2. The need for novel inhibitors
Existing inhibitors may suffer reduced efficacy, resistance development, or unfavourable adverse side effects [
16]. Thus, pursuing novel inhibitor development will overcome these challenges and enhance therapeutic efficacy [
16]. Above mentioned antiviral drugs, such as molnupiravir, remdesivir, and PF-07321332 (nirmatrelvir), have demonstrated clinical effectiveness [
16], while prolonged use may lead to the emergence of drug-resistant mutations, highlighting the ongoing need for research and development of new inhibitors [
17].
Other inhibitors, such as FB2001, SIM0417, vv116, and RAY003, primarily use a peptide-based covalent method. This method provides challenges in terms of target selectivity and pharmacokinetic features [
22]. As a result, there is a rising emphasis on developing safer coronavirus antiviral drugs that are neither covalent nor peptidomimetic, such as Shionogi's S-217622 [
22]. Compared to other inhibitors such as PF-07321332, S-217622 exhibits improved drug metabolism and pharmacokinetic properties, addressing certain current limitations [
22]. While the US Food and Drug Administration (FDA)approved antivirals like boceprevir and telaprevir efficiently suppress Mpro, certain mutants have shown lower binding affinity to these drugs, especially at critical residues likely to undergo positive selection [
23]. Novel coronavirus strains can potentially establish endemicity, posing a significant risk of another global pandemic necessitating the development of effective antiviral therapies [
24].
Mpro is an essential target of many existing vaccines and antiviral medicines [
25]. Despite improvements, challenges remain for advancing Mpro non-covalent inhibitors into clinical trials and eventual approval [
26]. Weak inhibitory activity, the necessity for structurally diverse inhibitors, undesirable drug metabolism and pharmacokinetics (DMPK) characteristics, and toxicity concerns are also hurdles [
27]. As a result, integrating modern computational approaches with experimental practice, considering numerous factors simultaneously in compound optimization, using efficient screening methods, paying attention to ligand effectiveness, and exploring non-catalytic sites could potentially overcome these challenges [
27].
Computer-aided drug design (CADD) has shown considerable promise in identifying lead compounds from traditional medicinal plants, bridging the gap between traditional and modern medicine [
25]. Various compounds discovered through virtual screening and drug repurposing using computational approaches have been developed to inhibit the Mpro’s active site [
28]. Moreover, combining molecular dynamics (MD) simulations, artificial intelligence (AI), and other computational techniques enhances the prediction of drug efficacy and underscores the importance of in vivo studies to validate findings [
28].
Non-covalent inhibitors of Mpro have attracted significant attention in SARS-CoV-2 inhibitors [
15]. These inhibitors offer a combination of efficacy, selectivity, safety, and the potential to minimize resistance, making them a promising approach in antiviral drug development, particularly for diseases like COVID-19 caused by SARS-CoV-2 [
15]. There has been a shift from earlier peptide-like inhibitors towards non-covalent inhibitors since the SARS-CoV-1 outbreak, which led to the development of promising inhibitors such as ML300 and ML188, as demonstrated in
Figure 3 [
15]. While covalent inhibitors like GC-376 and PF-00835231 have progressed to clinical trials during the COVID-19 pandemic, exploring non-covalent inhibitors remains essential for their potential therapeutic advantages [
15].
This present review provides information through the development of non-covalent therapeutic candidates with potential activity in suppressing SARS-CoV-2's Mpro enzyme, with emphasis on inhibitor optimization and molecular dynamic (MD) simulations in the development of new inhibitors, particularly at the molecular level. This would contribute to understanding the mechanism of action and aid in designing more effective candidates, making this a potential research avenue.