Viruses (Sep 2021)

A Novel Class of Norovirus Inhibitors Targeting the Viral Protease with Potent Antiviral Activity In Vitro and In Vivo

  • Jana Van Dycke,
  • Wenhao Dai,
  • Zoe Stylianidou,
  • Jian Li,
  • Arno Cuvry,
  • Emma Roux,
  • Bingqian Li,
  • Jasper Rymenants,
  • Lindsey Bervoets,
  • Peter de Witte,
  • Hong Liu,
  • Johan Neyts,
  • Joana Rocha-Pereira

DOI
https://doi.org/10.3390/v13091852
Journal volume & issue
Vol. 13, no. 9
p. 1852

Abstract

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Human noroviruses (HuNoVs) are the most common cause of viral gastroenteritis resulting annually in ~219,000 deaths and a societal cost of ~USD 60 billion, and no antivirals or vaccines are available. Here, we assess the anti-norovirus activity of new peptidomimetic aldehydes related to the protease inhibitor rupintrivir. The early hit compound 4 inhibited the replication of murine norovirus (MNV) and the HuNoV GI.1 replicon in vitro (EC50 ~1 µM) and swiftly cleared the HuNoV GI.1 replicon from the cells. Compound 4 still inhibits the proteolytic activity. We selected a resistant GI.1 replicon, with a mutation (I109V) in a highly conserved region of the viral protease, conferring a low yield of resistance against compound 4 and rupintrivir. After testing new derivatives, compound 10d was the most potent (EC50 nanomolar range). Molecular docking indicated that the aldehyde group of compounds 4 and 10d bind with Cys139 in the HuNoV 3CL protease by a covalent linkage. Finally, compound 10d inhibited the replication of HuNoV GII.4 in infected zebrafish larvae, and PK studies in mice showed an adequate profile.

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