The coronavirus helicase is an essential
enzyme required for viral replication/transcription pathways. Structural studies revealed a sulphate moiety that interacts with key residues within the
nucleotide-binding site of the helicase. Compounds with a
sulphoxide or a sulphone moiety could interfere with these interactions and consequently inhibit the
enzyme. The molecular operating environment (MOE) was used to dock 189
sulphoxide and sulphone-containing FDA-approved compounds to the
nucleotide-binding site.
Zafirlukast, a
leukotriene receptor antagonist used to treat chronic
asthma, achieved the lowest docking score at -8.75 kcals/mol. The inhibitory effect of the compounds on the SARS-CoV-2 helicase dsDNA unwinding activity was tested by a FRET-based assay.
Zafirlukast was the only compound to inhibit the
enzyme (IC50 = 16.3 µM). The treatment of Vero E6 cells with 25 µM
zafirlukast prior to
SARS-CoV-2 infection decreased the cytopathic effects of SARS-CoV-2 significantly. These results suggest that
zafirlukast alleviates SARS-CoV-2 pathogenicity by inhibiting the viral helicase and impairing the viral replication/transcription pathway.
Zafirlukast could be clinically developed as a new
antiviral treatment for SARS-CoV-2 and other coronavirus diseases. This discovery is based on molecular modelling, in vitro inhibition of the SARS-CoV helicase activity and cell-based SARS-CoV-2 viral replication.