Q1 · MEDICINE
Article
Author: Tang, Arthur H. ; Stoye, Alexander ; Meek, Thomas D. ; Hook, Vivian ; McKerrow, James H. ; Fajtová, Pavla ; Payne, Richard J. ; Larance, Mark ; Aggarwal, Anupriya ; O’Donoghue, Anthony J. ; Gerwick, William H. ; Beretta, Laura ; Yoon, Michael C. ; Bedding, Max J. ; Pwee, Dustin ; Drelich, Aleksandra ; Ashhurst, Anneliese S. ; Tseng, Chien-Te ; Turville, Stuart ; Skinner, Danielle ; Li, Linfeng
Cathepsin L is a key host cysteine protease utilized by coronaviruses for cell entry and is a promising drug target for novel antivirals against SARS-CoV-2. The marine natural product gallinamide A and several synthetic analogues were identified as potent inhibitors of cathepsin L with IC50 values in the picomolar range. Lead molecules possessed selectivity over other cathepsins and alternative host proteases involved in viral entry. Gallinamide A directly interacted with cathepsin L in cells and, together with two lead analogues, potently inhibited SARS-CoV-2 infection in vitro, with EC50 values in the nanomolar range. Reduced antiviral activity was observed in cells overexpressing transmembrane protease, serine 2 (TMPRSS2); however, a synergistic improvement in antiviral activity was achieved when combined with a TMPRSS2 inhibitor. These data highlight the potential of cathepsin L as a COVID-19 drug target as well as the likely need to inhibit multiple routes of viral entry to achieve efficacy.