Repurposing of potential antiviral drugs against RNA-dependent RNA polymerase of SARS-CoV-2 by computational approach

J Infect Public Health. 2022 Nov;15(11):1180-1191. doi: 10.1016/j.jiph.2022.09.007. Epub 2022 Sep 27.

Abstract

The high incidences of COVID-19 cases are believed to be associated with high transmissibility rates, which emphasizes the need for the discovery of evidence-based antiviral therapies for curing the disease. The rationale of repurposing existing classes of antiviral small molecule therapeutics against SARS-CoV-2 infection has been expected to accelerate the tedious and expensive drug development process. While Remdesivir has been recently approved to be the first treatment option for specific groups of COVID-19 patients, combinatory therapy with potential antiviral drugs may be necessary to enhance the efficacy in different populations. Hence, a comprehensive list of investigational antimicrobial drug compounds such as Favipiravir, Fidaxomicin, Galidesivir, GC376, Ribavirin, Rifabutin, and Umifenovir were computationally evaluated in this study. We performed in silico docking and molecular dynamics simulation on the selected small molecules against RNA-dependent RNA polymerase, which is one of the key target proteins of SARS-CoV-2, using AutoDock and GROMACS. Interestingly, our results revealed that the macrocyclic antibiotic, Fidaxomicin, possesses the highest binding affinity with the lowest energy value of -8.97 kcal/mol binding to the same active sites of RdRp. GC376, Rifabutin, Umifenovir and Remdesivir were identified as the next best compounds. Therefore, the above-mentioned compounds could be considered good leads for further preclinical and clinical experimentations as potentially efficient antiviral inhibitors for combination therapies against SARS-CoV-2.

Keywords: Antiviral drugs; COVID-19; Drug repurposing; In silico screening; Molecular docking; RNA-dependent RNA polymerase; RdRp inhibitors; SARS-CoV-2.

MeSH terms

  • Antiviral Agents / chemistry
  • Antiviral Agents / pharmacology
  • COVID-19*
  • Drug Repositioning
  • Fidaxomicin
  • Humans
  • Molecular Docking Simulation
  • RNA-Dependent RNA Polymerase
  • Rifabutin
  • SARS-CoV-2*

Substances

  • umifenovir
  • RNA-Dependent RNA Polymerase
  • Antiviral Agents
  • Fidaxomicin
  • GC376
  • Rifabutin