key: cord-0811406-gxa1ma5n
authors: Ma, Chunlong; Wang, Jun
title: Validation and Invalidation of SARS-CoV-2 Papain-like Protease Inhibitors
date: 2022-01-24
journal: ACS Pharmacol Transl Sci
DOI: 10.1021/acsptsci.1c00240
sha: b3166bc42f0c538d0cf2312a767023f33d946787
doc_id: 811406
cord_uid: gxa1ma5n

[Image: see text] SARS-CoV-2 encodes two viral cysteine proteases, the main protease (M(pro)) and the papain-like protease (PL(pro)), both of which are validated antiviral drug targets. PL(pro) is involved in the cleavage of viral polyproteins as well as immune modulation by removing ubiquitin and interferon-stimulated gene product 15 (ISG15) from host proteins. Therefore, targeting PL(pro) might be a two-pronged approach. Several compounds including YM155, cryptotanshinone, tanshinone I, dihydrotanshinone I, tanshinone IIA, SJB2-043, 6-thioguanine, and 6-mercaptopurine were recently identified as SARS-CoV-2 PL(pro) inhibitors through high-throughput screenings. In this study, we aim to validate/invalidate the reported PL(pro) inhibitors using a combination of PL(pro) target-specific assays including enzymatic FRET assay, thermal shift binding assay (TSA), and cell-based FlipGFP assay. Collectively, our results showed that all compounds tested either did not show binding or led to denaturation of PL(pro) in the TSA binding assay, which might explain their weak enzymatic inhibition in the FRET assay. In addition, none of the compounds showed cellular PL(pro) inhibition as revealed by the FlipGFP assay. Therefore, more efforts are needed to search for potent and specific SARS-CoV-2 PL(pro) inhibitors.

T he COVID-19 pandemic is a timely reminder for the urgent need of antivirals, especially broad-spectrum antivirals that could be used as the first-line defense against not only the current pandemic but also future pandemics. 1 SARS-CoV-2, SARS-CoV, and MERS-CoV are the three coronaviruses in the β-coronavirus family that caused pandemics/epidemics in humans. 2 SARS-CoV and MERS-CoV had higher mortality rates than SARS-CoV-2. 3 However, SARS-CoV-2 has a much higher transmission rate than SARS-CoV and MERS-CoV, which leads to far greater infection cases and death tolls.

SARS-CoV-2 shares 86% sequence identity with SARS-CoV, which renders the rapid understanding of its viral pathogenicity feasible. SARS-CoV-2 expresses two viral proteases during the viral replication, the main protease (M pro ; nsp5) and the papain-like protease (PL pro ; nsp3). Both are cysteine proteases and have been validated as antiviral drug targets. 4−6 PL pro and M pro cleave the viral polyproteins pp1a and pp1ab at 3 and more than 11 sites, respectively, resulting in individual functional viral proteins for the assembly of a viral replication complex. Compared to PL pro , M pro is a more amenable drug target and has been the central focus of COVID-19 antiviral discovery. Structurally disparate compounds have been reported as M pro inhibitors from either drug repurposing screening or rational design. 7, 8 Although a large number of reported M pro inhibitors were later proven to be promiscuous cysteine modifiers, 9−13 several M pro inhibitors have been validated as specific inhibitors and have shown in vivo antiviral efficacy in animal model studies. 14−18 Significantly, two Pfizer M pro inhibitors PF-07304814 and PF-07321332 are advanced to human clinical trials. 17, 18 PL pro is the second viral cysteine protease that cleaves the viral polypeptide at three different sites during viral replication. In addition, PL pro modulates host immune response by cleaving ubiquitin and ISG15 (interferon-induced gene 15) from host proteins. 19−21 In contrast to M pro inhibitors, the development of PL pro inhibitors is still at its infancy. 22 The most promising PL pro inhibitors are the naphthalene-based GRL0617 series of compounds ( Figure 1A) . 6,21,23−25 However, their antiviral potency and pharmacokinetic properties need to be further optimized for the in vivo animal model study. PL pro specifically recognizes the P4-P1 sequence Leu-X-Gly-Gly that is conserved among the nsp1/2, nsp2/3, and nsp3/4 cleavage sites at the viral polyprotein. 26 The featureless P1 and P2 binding pockets present a grand challenge in developing potent PL pro inhibitors. 26 As the drug-binding site is far away from the catalytic cysteine 111 (>10 Å), the majority of the reported PL pro inhibitors are noncovalent inhibitors. 7 Although peptidomimetic covalent PL pro inhibitors have been reported, no antiviral activity is shown. 26 To identify additional novel PL pro inhibitors, several high-throughput screenings have been performed and structurally disparate compounds are found to inhibit PL pro ( Figure 1B ). 27−30 It is intriguing that structurally diverse compounds can act on the same protein; we therefore are interested in validating/ invalidating the reported PL pro inhibitors using a combination of orthogonal assays including the activity-based FRET enzymatic assay, the thermal shift binding (TSA) assay, and the cell-based FlipGFP assay. The purpose is to prioritize wellcharacterized PL pro inhibitors for medicinal chemistry optimization. The FRET assay is the gold standard assay for protease, which measures the activity of the purified enzyme in the presence of a compound. However, the FRET assay results might be complicated by the fluorescence interference compound, alkylating reagent, or redox compound. The TSA assay is a binding assay that measures the direct binding between the small molecule and the protein. High-affinity binders generally stabilize the protein, leading to the increase in the melting temperature. The cell-based FlipGFP assay measures the cellular protease activity and can rule out compounds that are cytotoxic, membrane-impermeable, or lack the cellular target engagement due to off-target effects. Collectively, in contrast to the literature-reported results, our data showed that the examined non-GRL0617-based PL pro inhibitors ( Figure 1B ) had weak enzymatic inhibition and no cellular PL pro inhibition; therefore, they should not be referenced as specific PL pro inhibitors.

Through a high-throughput screening of over 6,000 bioactive compounds using a quenched fluorescent substrate RLRGG-AMC, Zhao et al. identified four compounds, YM155, cryptotanshinone, tanshinone I, and GRL0617, as potent PL pro inhibitors with IC 50 values from 1.39 to 5.63 μM. 29 In the plaque reduction assay, YM155, cryptotanshinone, and tanshinone l inhibited SARS-CoV-2 replication in Vero E6 cells with EC 50 values of 0.17, 0.70, and 2.26 μM, respectively. The X-ray crystal structure of SARS-CoV-2 PL pro with YM155 was solved (PDB: 7D7L), revealing three different binding sites that are located in the thumb domain, the zinc-finger motif, and the substrate-binding pocket. In the substrate binding pocket, YM155 induces a conformational change of Y268 on the BL2 loop and forms a π-stacking interaction, which is similar to the binding mode of GRL0617. Binding at the thumb domain likely impedes the interaction between PL pro and ISG15. The third binding site at the zinc-finger domain might perturb its stability; however, this mechanism remains to be validated.

In our validation study, the positive control GRL0617 showed similar enzymatic inhibition with an IC 50 of 1.67 μM ( Figure 2A ). However, we found that the enzymatic inhibition potency for YM155, cryptotanshinone, and tanshinone I against PL pro was ∼10-fold less active than previously reported and the IC 50 values from our study were 20.16, 52.24, and 18.58 μM, respectively ( Figure 2A and Table 1 ). The discrepancy might be caused by the different substrates used. In Zhao et al.'s study, RLRGG-AMC was used, while we used a FRET substrate Dabcyl-FTLRGG/APTKV-Edans, which spans both the P and P′ sites. Nevertheless, in the thermal shift binding assay, YM155 had no effect on the stability of PL pro , while cryptotanshinone and tanshinone I caused destabilization of the protein ( Figure 2B and Table 1 ). In the cell-based FlipGFP assay, 6 the result for YM155 was not conclusive as it was cytotoxic to the 293T cells ( Figure 2C ). Both cryptotanshinone and tanshinone I were not active (EC 50 > 60 μM) ( Figure 2C ). Overall, our results indicate that cryptotanshinone and tanshinone I were not specific PL pro inhibitors, while YM155 might be a specific PL pro inhibitor. However, the large discrepancy between the enzymatic inhibition (IC 50 = 20.16 μM) and the reported cellular antiviral activity of YM155 (EC 50 = 0.17 μM) suggests that the other mechanisms might contribute to its potent antiviral activity against SARS-CoV-2.

In another study, cryptotanshinone and two analogs dihydrotanshinone I and tanshinone IIA were identified as SARS-CoV-2 PL pro inhibitors through a high-throughput screening (HTS). 28 Cryptotanshinone, dihydrotanshinone I, and tanshinone IIA inhibited SARS-CoV-2 PL pro with IC 50 values of 1.336, 0.5861, and 1.571 μM, respectively. It is noted that no complete inhibition was observed for cryptotanshinone; therefore, the IC 50 value might not be trustworthy. To rule out the possibility of fluorescence interference, these compounds were also tested in the gel-based PL pro assay using the GST-nsp2/3-MBP substrate. All these compounds inhibited the digestion of the protein substrate with tanshinone IIA and cryptotanshinone showing higher potency than dihydrotanshinone I. Dihydrotanshinone I also inhibited the deubiquitinase and deISGlase activities of PL pro in the gelbased digestion assay. In the SARS-CoV-2 antiviral assay in Vero E6 cells, dihydrotanshinone I had the highest potency with an EC 50 of 8.148 μM, while cryptotanshinone and tanshinone I were not active (EC 50 > 200 μM). The lack of correlation between the enzymatic inhibition and the cellular antiviral activity might be due to cell membrane permeability or off-target effects. In our validation study, both dihydrotanshinone I and tanshinone IIA were greater than 10-fold less potent in the enzymatic assay with IC 50 values of 33.01 and 15.30 μM, respectively ( Figure 2A and Table 1 ). Dihydrotanshinone I did not bind to PL pro as shown by the results from the TSA assay ( Figure 2B ). Tanshinone IIA led to denaturation of the protein (no melting peak). Dihydrotanshinone I and tanshinone IIA were not active in the FlipGFP assay (IC 50 > 20 μM) ( Figure  2C ). Overall, it appears that dihydrotanshinone I and tanshinone IIA were not specific SARS-CoV-2 PL pro inhibitors, and the antiviral activity of dihydrotanshinone I might involve other mechanisms.

Cho et al. reported SJB2-043 as a SARS-CoV-2 PL pro inhibitor through a focused screening of a library of deubiquitinase inhibitors. 27 SJB2-043 did not achieve complete inhibition and had an apparent IC 50 of 0.56 μM. When Ub-AMC was used as a substrate, the IC 50 of SJB2-043 was 0.091 μM. Similarly, no complete inhibition was achieved. In comparison, the positive control GRL0617 showed complete inhibition when both Z-LRGG-AMC and Ub-AMC were used as substrates, and the IC 50 values were 1.37 and 1.80 μM, respectively. Molecular docking suggests that SJB2-043 binds to an allosteric site in PL pro . When repeated in our assay, SJB2-043 did not inhibit SARS-CoV-2 PL pro (IC 50 > 60 μM) (Figure 2A) . The discrepancy might be caused by different methods used for data fitting. In our assay, SJB2-043 did not achieve more than 50% inhibition at the highest concentration tested, which is 60 μM; therefore, we deemed the IC 50 greater than 60 μM. In the TSA binding assay, SJB2-043 led to the destabilization of PL pro (ΔT m = −8.72°C) ( Figure 2B ). The result from the FlipGFP assay was not conclusive as SJB2-043 was cytotoxic ( Figure 2C ). Overall, SJB2-043 might not be a specific SARS-CoV-2 PL pro inhibitor and only shows partial inhibition.

Swaim et al. reported that 6-thioguanine inhibited SARS-CoV-2 replication in Vero E6 cells with an EC 50 of 2.13 μM. 30 Mechanistic studies showed that 6-thioguanine had potent inhibition against PL pro in cells and in vitro using the TAP-nsp123, TAP-nsp23, and Pro-ISG15-HA substrates. Another study from Fu et al. showed that 6-thioguanine inhibited SARS-CoV-2 PL pro in the enzymatic assay with an IC 50 of 72 μM. 31 In our study, 6-thioguanine was not active in the FRETbased enzymatic assay (IC 50 > 60 μM) (Figure 2A ). 6-Thioguanine also did not show binding in the TSA assay nor inhibition in the FlipGFP assay ( Figure 2B ,C). As such, the antiviral activity of 6-thioguanine might involve other mechanisms. 6-Mercaptopurine, which is an analog of 6thioguanine, was similarly not active in all three assays ( Figure  2 and Table 1 ). Therefore, it can be concluded that 6thioguanine and 6-mercaptopurine were not SARS-CoV-2 PL pro inhibitors.

Drug repurposing is often viewed as a fast-track drug discovery approach since it can potentially bypass the length safety tests before entering clinical trials. 32 However, we should remain cautiously optimistic about this approach. 33 Since the existing bioactive compounds were not specifically designed and optimized for the screening drug target, the identified hits need to be vigorously characterized to validate the target specificity. SARS-CoV-2 M pro and PL pro are cysteine proteases that are prone to nonspecific inhibition by alkylating agents or redox cycling compounds. Indeed, our recent studies, together with others, have collectively shown that a number of reported M pro inhibitors including ebselen, carmofur, disulfiram, and shikonin are promiscuous nonspecific cysteine protease inhibitors. 9−13 With our continuous interest in the validation/invalidation of literature-reported M pro and PL pro inhibitors, in this study, we characterized eight PL pro inhibitors using a combination of FRET-based enzymatic assay, TSA binding assay, and cell-based FlipGFP-PL pro assay. It is expected that specific inhibitors will show consistent results from all three assays. Among the compounds tested, cryptotanshinone, tanshinone I, dihydrotanshinone I, and tanshinone IIA were also previously reported as potent SARS-CoV PL pro inhibitors with IC 50 values ranging from 0.8 to 8.8 μM. 34 Interestingly, they also inhibited SARS-CoV M pro with IC 50 values ranging from 14.4 to 226.7 μM. Since M pro and PL pro do not share structural and sequence similarities, the dual inhibitory activities of these tanshinones, coupled with the weak PL pro enzymatic inhibition from our study, suggest that they might have a promiscuous mechanism of action.

Similarly, 6-thioguanine and 6-mercaptopurine were previously reported as SARS-CoV PL pro inhibitors with IC 50 values of 5.0 and 21.6 μM, respectively. 35, 36 In addition, Cheng et al. reported that 6-thioguanine and 6-mercaptopurine are competitive inhibitors of MERS-CoV PL pro with IC 50 values of 24.4 and 26.9 μM, respectively. 37 In contrast, YM155 and SJB2-043 were not previously shown to inhibit SARS-CoV PL pro . Given the 82.6% sequence similarity between SARS-CoV-2 PL pro and SARS-CoV PL pro , it is not a surprising finding that cryptotanshinone, tanshinone I, dihydrotanshinone I, tanshinone IIA, and 6-thioguanine were also reported as SARS-CoV-2 PL pro inhibitors from recent studies. Nevertheless, our independent study has shown that all eight compounds had drastically reduced enzymatic inhibition against SARS-CoV-2 PL pro compared to reported values (Table  1 ). In addition, all compounds either had no effect or destabilize PL pro as shown by the TSA binding assay (Table 1) . Furthermore, cryptotanshinone, tanshinone I, dihydrotanshinone I, tanshinone IIA, 6-thioguanine, and 6-mercaptopurine were not active in the FlipGFP-PL pro assay, suggesting that there is a lack of cellular PL pro target engagement. YM155 and SJB2-043 were cytotoxic; therefore, it remains unknown whether they can selectively bind to PL pro inside the cell. From the chemical structure perspective, YM155, cryptotanshinone, tanshinone, dihydrotanshinone I, tanshinone IIA, and SJB2-043 are quinones, which are known as cysteine modifiers. 38 Overall, our study calls for more stringent validation of the reported SARS-CoV-2 PL pro inhibitors to avoid the failure in the follow-up lead optimization and translational development.

In addition to the compounds examined (Table 1) , ebselen 39 and its analogs, 40 as well as disulfiram, 39, 41, 42 were also reported as SARS-CoV-2 PL pro inhibitors. Our previous results have shown that both ebselen and disulfiram are promiscuous PL pro inhibitors and their inhibition against PL pro is abolished in the presence of reducing reagent DTT. 10 In addition, ebselen and disulfiram also inhibit several other unrelated cysteine proteases in the absence of DTT, suggesting that both compounds are nonspecific cysteine modifiers.

It is important to highlight that the focus of this study is the pharmacological characterization of reported SARS-CoV-2 PL pro inhibitors. Although our results have shown that cryptotanshinone, tanshinone I, dihydrotanshinone I, tanshinone IIA, and 6-thioguanine are nonspecific PL pro inhibitors, they have been reported to inhibit SARS-CoV-2 replication in cell culture (Table 1) . Therefore, our results should not be interpreted as a discouragement to further pursue them as potential SARS-CoV-2 antivirals. If their antiviral activity is validated, follow-up studies are needed to delineate their mechanism of action.

Chemicals and Peptide Substrate. The SARS-CoV-2 PL pro substrate Dabcyl-FTLRGG/APTKV-Edans was synthesized by the solid-phase synthesis, and the detailed procedure was described in our previous publication. 6 The testing compounds were ordered from the following sources: tanshinone I (Sigma T5330), dihydrotanshinone I (Sigma D0947), tanshinone IIA (Sigma SML2517), cryptotanshinone (Sigma C5624), YM-155 (APExBIO A4221), and SJB2-043 (APExBIO A3823).

SARS-CoV-2 PL pro Expression and Purification. SARS-CoV-2 papain-like protease (PL pro ) gene (ORF 1ab 1564− 1876) from strain BetaCoV/Wuhan/WIV04/2019 with Escherichia coli codon optimization was ordered from Gen-Script in the pET28b(+) vector. The detailed expression and purification procedures were previously described. 6 ACS Pharmacology & Translational Science pubs.acs.org/ptsci Article FRET-Based Enzymatic Assay. For the IC 50 measurement with the FRET-based assay, the reaction was carried out in 96well format with 100 μL of 200 nM PL pro protein in a PL pro reaction buffer (50 mM HEPES (pH 7.5), 5 mM DTT, and 0.01% Triton X-100); 1 μL of testing compounds at various concentrations was added to each well and was incubated at 30°C for 30 min. The reaction was initiated by adding 1 μL of 1 mM FRET substrate and was monitored in a Cytation 5 image reader with filters for excitation at 360/40 nm and emission at 460/40 nm at 30°C for 1 h. The initial velocity of the enzymatic reaction was calculated from the initial 10 min enzymatic reaction. The IC 50 was calculated by plotting the initial velocity against various concentrations of testing compounds by the use of a four-parameter variable slope dose−response curve in Prism 8 software.

Differential Scanning Fluorimetry (DSF). The thermal shift binding assay (TSA) was carried out using a Thermo Fisher QuantStudio 5 Real-Time PCR system as described previously. 6 Cell-Based FlipGFP-PL pro Assay. The cell-based FlipGFP-PL pro assay was established as previously described. Briefly, 293T cells were maintained in Dulbecco's modified Eagle's medium (DMEM), supplemented with 10% heat-inactivated FBS and 1% penicillin−streptomycin antibiotics in a 37°C incubator with 5% CO 2 . A 96-well Greiner plate (catalog no. 655090) was seeded with 293T cells to overnight 70−90% confluency. Fifty nanograms of pcDNA3-flipGFP-PLpro-T2A-mCherry plasmid and 50 ng of pcDNA3.1-SARS2-PL pro were used for each well in the presence of transfection reagent TransIT-293 (Mirus) per the manufacturer's protocol. Three hours after transfection, 1 μL of testing compound was added to each well at 100-fold dilution. Two days after transfection, images were obtained with a Cytation 5 imaging reader (Biotek) with GFP and mCherry channels. SARS-CoV-2 PL pro protease activity was evaluated by the ratio of GFP signal intensity over the mCherry signal intensity. The compound FlipGFP-PLP assay IC 50 value was calculated by plotting the GFP/mCherry signal to the testing compound concentration with a four-parameter variable slope dose−response function in Prism 8. The mCherry signal alone was utilized to determine the compound cytotoxicity.

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