Potential antiviral properties of antiplatelet agents against SARS-CoV-2 infection: an in silico perspective

J Thromb Thrombolysis. 2022 Feb;53(2):273-281. doi: 10.1007/s11239-021-02558-5. Epub 2021 Sep 12.

Abstract

SARS-CoV-2 represents the causative agent of the current pandemic (COVID-19). The drug repurposing technique is used to search for possible drugs that can bind to SARS-CoV-2 proteins and inhibit viral replication. In this study, the FDA-approved antiplatelets are tested against the main protease and spike proteins of SARS-CoV-2 using in silico methods. Molecular docking and molecular dynamics simulation are used in the current study. The results suggest the effectiveness of vorapaxar, ticagrelor, cilostazol, cangrelor, and prasugrel in binding the main protease (Mpro) of SARS-CoV-2. At the same time, vorapaxar, ticagrelor, and cilostazol are the best binders of the spike protein. Therefore, these compounds could be successful candidates against COVID-19 that need to be tested experimentally.

Keywords: Antiplatelet; COVID-19; Drug repurposing; Mpro; SARS-CoV-2; Spike.

MeSH terms

  • Antiviral Agents* / pharmacology
  • COVID-19 Drug Treatment
  • Cilostazol
  • Coronavirus 3C Proteases / antagonists & inhibitors
  • Humans
  • Lactones
  • Molecular Docking Simulation
  • Molecular Dynamics Simulation
  • Platelet Aggregation Inhibitors* / pharmacology
  • Pyridines
  • SARS-CoV-2 / drug effects*
  • Spike Glycoprotein, Coronavirus / antagonists & inhibitors
  • Ticagrelor

Substances

  • Antiviral Agents
  • Lactones
  • Platelet Aggregation Inhibitors
  • Pyridines
  • Spike Glycoprotein, Coronavirus
  • spike protein, SARS-CoV-2
  • 3C-like proteinase, SARS-CoV-2
  • Coronavirus 3C Proteases
  • Ticagrelor
  • Cilostazol
  • vorapaxar