1. Targeting the Complement Serine Protease MASP-2 as a Therapeutic Strategy for Coronavirus Infections
- Author
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Andrea Brancale, Ben Matthew Flude, Giulio Nannetti, Meike Heurich, Salvatore Ferla, Nina Compton, Chloe Richards, Marcella Bassetto, and Paige Mitchell
- Subjects
0301 basic medicine ,medicine.drug_class ,In silico ,coronaviruses ,lcsh:QR1-502 ,Lung injury ,medicine.disease_cause ,Monoclonal antibody ,lcsh:Microbiology ,Article ,Microbiology ,Structure-Activity Relationship ,03 medical and health sciences ,0302 clinical medicine ,Virology ,Coronavirus Nucleocapsid Proteins ,Humans ,Medicine ,Enzyme Inhibitors ,Coronavirus ,Serine protease ,biology ,drug repurposing ,business.industry ,Drug Repositioning ,MASP-2 ,Complement system ,molecular modelling ,Drug repositioning ,030104 developmental biology ,Infectious Diseases ,Mannose-Binding Protein-Associated Serine Proteases ,030220 oncology & carcinogenesis ,Lectin pathway ,biology.protein ,Coronavirus Infections ,business ,Protein Binding - Abstract
MASP-2, mannose-binding protein-associated serine protease 2, is a key enzyme in the lectin pathway of complement activation. Hyperactivation of this protein by human coronaviruses SARS-CoV, MERS-CoV and SARS-CoV-2 has been found to contribute to aberrant complement activation in patients, leading to aggravated lung injury with potentially fatal consequences. This hyperactivation is triggered in the lungs through a conserved, direct interaction between MASP-2 and coronavirus nucleocapsid (N) proteins. Blocking this interaction with monoclonal antibodies and interfering directly with the catalytic activity of MASP-2, have been found to alleviate coronavirus-induced lung injury both in vitro and in vivo. In this study, a virtual library of 8736 licensed drugs and clinical agents has been screened in silico according to two parallel strategies. The first strategy aims at identifying direct inhibitors of MASP-2 catalytic activity, while the second strategy focusses on finding protein-protein interaction inhibitors (PPIs) of MASP-2 and coronaviral N proteins. Such agents could represent promising support treatment options to prevent lung injury and reduce mortality rates of infections caused by both present and future-emerging coronaviruses. Forty-six drug repurposing candidates were purchased and, for the ones selected as potential direct inhibitors of MASP-2, a preliminary in vitro assay was conducted to assess their interference with the lectin pathway of complement activation. Some of the tested agents displayed a dose-response inhibitory activity of the lectin pathway, potentially providing the basis for a viable support strategy to prevent the severe complications of coronavirus infections.
- Published
- 2021