Over the last 2 decades there have been several viral outbreaks caused by members of the coronavirus family the largest being the COVID-19 pandemic of 2019-2022 which claimed over 7 million lives worldwide. Currently only 3 drugs have been approved by the FDA for the treatment of COVID-19, a main protease inhibitor (Nirmatrelvir) and 2 RNA dependant RNA polymerase inhibitors (Remdesivir and Molnupiravir). Although these drugs have proven effective in the treatment of SARS-CoV-2, the emergence of drug-resistant strains has limited their efficacy.1 This paired with the high probability of future coronaviral outbreaks highlights the need to develop therapeutics with novel mechanisms of action
The papain-like protease (PLPro) plays a key role in SARS-CoV-2 replication and represents a promising target for the development of new antiviral therapies. To date almost all reported PLPro inhibitors have been derived from GRL-0617 - a PLPro inhibitor developed against SARS-CoV-1 in 2008 - with no candidates progressing to clinical trials.2 We have conducted a fragment-based screen of SARS-CoV-2 PLPro identifying a novel class of spiro chromanone inhibitors that bind adjacent to the active site. Subsequent fragment growing and merging strategies guided heavily by 30+ high resolution X-ray cocrystal structures have led to a greater than 10,000-fold increase in binding affinity with lead compounds displaying low nanomolar activity in biochemical and cellular antiviral assays. This presents an opportunity to develop a new class of anti-coronaviral medication suitable for current and future pandemics.