The SARS‐CoV‐2 main protease (M<sup>pro</sup>): Structure, function, and emerging therapies for COVID‐19

Qing Hu(Shanghai University of Traditional Chinese Medicine), Yuan Xiong(Shanghai University of Traditional Chinese Medicine), Guanghao Zhu(Shanghai University of Traditional Chinese Medicine), Yani Zhang(Shanghai University of Traditional Chinese Medicine), Yi‐Wen Zhang(Shanghai University of Traditional Chinese Medicine), Ping Huang(Zhejiang Provincial People's Hospital), Guang‐Bo Ge(Shanghai University of Traditional Chinese Medicine)
MedComm
July 14, 2022
Cited by 220Open Access
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Abstract

Abstract The main proteases (M pro ), also termed 3‐chymotrypsin‐like proteases (3CL pro ), are a class of highly conserved cysteine hydrolases in β‐coronaviruses. Increasing evidence has demonstrated that 3CL pro s play an indispensable role in viral replication and have been recognized as key targets for preventing and treating coronavirus‐caused infectious diseases, including COVID‐19. This review is focused on the structural features and biological function of the severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) main protease M pro (also known as 3CL pro ), as well as recent advances in discovering and developing SARS‐CoV‐2 3CL pro inhibitors. To better understand the characteristics of SARS‐CoV‐2 3CL pro inhibitors, the inhibition activities, inhibitory mechanisms, and key structural features of various 3CL pro inhibitors (including marketed drugs, peptidomimetic, and non‐peptidomimetic synthetic compounds, as well as natural compounds and their derivatives) are summarized comprehensively. Meanwhile, the challenges in this field are highlighted, while future directions for designing and developing efficacious 3CL pro inhibitors as novel anti‐coronavirus therapies are also proposed. Collectively, all information and knowledge presented here are very helpful for understanding the structural features and inhibitory mechanisms of SARS‐CoV‐2 3CL pro inhibitors, which offers new insights or inspiration to medicinal chemists for designing and developing more efficacious 3CL pro inhibitors as novel anti‐coronavirus agents.


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