Repositioning of 8565 Existing Drugs for COVID-19

J Phys Chem Lett. 2020 Jul 2;11(13):5373-5382. doi: 10.1021/acs.jpclett.0c01579. Epub 2020 Jun 23.

Abstract

The coronavirus disease 2019 (COVID-19) pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has infected over 7.1 million people and led to over 0.4 million deaths. Currently, there is no specific anti-SARS-CoV-2 medication. New drug discovery typically takes more than 10 years. Drug repositioning becomes one of the most feasible approaches for combating COVID-19. This work curates the largest available experimental data set for SARS-CoV-2 or SARS-CoV 3CL (main) protease inhibitors. On the basis of this data set, we develop validated machine learning models with relatively low root-mean-square error to screen 1553 FDA-approved drugs as well as another 7012 investigational or off-market drugs in DrugBank. We found that many existing drugs might be potentially potent to SARS-CoV-2. The druggability of many potent SARS-CoV-2 3CL protease inhibitors is analyzed. This work offers a foundation for further experimental studies of COVID-19 drug repositioning.

MeSH terms

  • Antiviral Agents / metabolism*
  • Betacoronavirus / enzymology
  • COVID-19
  • COVID-19 Drug Treatment
  • Coronavirus 3C Proteases
  • Coronavirus Infections / drug therapy*
  • Coronavirus Infections / enzymology
  • Cysteine Endopeptidases / metabolism
  • Cysteine Proteinase Inhibitors / metabolism*
  • Databases, Protein / statistics & numerical data
  • Drug Repositioning*
  • Humans
  • Machine Learning
  • Pandemics
  • Pneumonia, Viral / drug therapy*
  • Pneumonia, Viral / enzymology
  • Protein Binding
  • SARS-CoV-2
  • Viral Nonstructural Proteins / antagonists & inhibitors
  • Viral Nonstructural Proteins / metabolism

Substances

  • Antiviral Agents
  • Cysteine Proteinase Inhibitors
  • Viral Nonstructural Proteins
  • Cysteine Endopeptidases
  • Coronavirus 3C Proteases