{"id":1969,"date":"2022-03-25T21:36:07","date_gmt":"2022-03-25T21:36:07","guid":{"rendered":"https:\/\/linksus.net\/covid-19-searching-for-variant-proof-drugs-medical-news-today\/"},"modified":"2022-03-25T21:36:07","modified_gmt":"2022-03-25T21:36:07","slug":"covid-19-searching-for-variant-proof-drugs-medical-news-today","status":"publish","type":"post","link":"https:\/\/linksus2.linksus.net\/index.php\/2022\/03\/25\/covid-19-searching-for-variant-proof-drugs-medical-news-today\/","title":{"rendered":"COVID-19: Searching for variant-proof drugs &#8211; Medical News Today"},"content":{"rendered":"<p><em>All data and statistics are based on publicly available data at the time of publication. Some information may be out of date. Visit our <\/em><a href=\"\/coronavirus\" class=\"content-link css-1pg8eb5\">coronavirus hub<\/a> <em>and follow our <\/em><a href=\"https:\/\/www.medicalnewstoday.com\/articles\/live-updates-coronavirus-covid-19\" class=\"content-link css-1pg8eb5\">live updates page<\/a><em> for the most recent information on the COVID-19 pandemic.<\/em><br \/>The spike proteins on which <a href=\"\/articles\/covid-19\" class=\"content-link css-1pg8eb5\">COVID-19<\/a> mRNA vaccines currently depend have been <a rel=\"noopener noreferrer\" href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1876034122000028#!\" target=\"_blank\" class=\"content-link css-1pg8eb5\">rapidly changing<\/a>, as mutations accumulate in the gene that encodes it. The recent <a href=\"\/articles\/covid-19-why-the-omicron-variant-has-scientists-worried\" class=\"content-link css-1pg8eb5\">Omicron variant<\/a>, for example, introduced <a rel=\"noopener noreferrer\" href=\"https:\/\/www.science.org\/doi\/10.1126\/science.abn8652\" target=\"_blank\" class=\"content-link css-1pg8eb5\">37<\/a> new spike mutations.<br \/>Experts eager to determine more stable therapeutic targets within the virus have previously identified a pair of candidates: viral enzymes <a rel=\"noopener noreferrer\" href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0968089620306908?via%3Dihub\" target=\"_blank\" class=\"content-link css-1pg8eb5\">Mpro and PLpro<\/a>, both of which are SARS-CoV-2 proteases.<br \/>The virus cannot replicate without them, and researchers have been seeking drugs that can inhibit their functionality.<br \/>One example is Pfizer\u2019s antiviral drug Paxlovid, which <a rel=\"noopener noreferrer\" href=\"https:\/\/www.covid19oralrx-patient.com\/?source=google&#038;HBX_PK=s_pfizer+covid+treatment&#038;skwid=43700068270576733&#038;gclid=CjwKCAiAyPyQBhB6EiwAFUuakh1RxqIpcOcQO1NJjrisR43Qe06ok8g_yHs7mDf4ucFpNQ0RkEO39xoC8U0QAvD_BwE&#038;gclsrc=aw.ds\" target=\"_blank\" class=\"content-link css-1pg8eb5\">recently<\/a> received emergency authorization use from the Federal Drug Administration (FDA) and which inhibits Mpro and PLpro.<br \/><strong>A team led by researchers at Penn State University in University Park, PA, has published a list of existing drugs that might hinder Mpro and PLpro, thereby stopping SARS-CoV-2 from replicating. In its study, the team used a novel <a href=\"https:\/\/ncats.nih.gov\/preclinical\/drugdev\/assay\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1pg8eb5\">test assay<\/a>.<\/strong><br \/>The new study appears in <em><hl-trusted-source source=\"Nature\" rationale=\"Highly respected journal,Expert written journal,Peer reviewed journal\"><a href=\"https:\/\/www.nature.com\/articles\/s42003-022-03090-9\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1pg8eb5\">Communications Biology<\/a><\/hl-trusted-source>.<\/em><br \/>Co-author Penn State professor of biochemistry and molecular biology <a rel=\"noopener noreferrer\" href=\"https:\/\/cancer.psu.edu\/researchers\/individual\/-\/researcher\/6DE1F79EEC824B92E0540010E056499A\/katsuhiko-murakami\" target=\"_blank\" class=\"content-link css-1pg8eb5\">Katsuhiko Murakami<\/a> explains to <em><a rel=\"noopener noreferrer\" href=\"https:\/\/www.psu.edu\/news\/research\/story\/repurposing-fda-approved-drugs-may-help-combat-covid-19\/\" target=\"_blank\" class=\"content-link css-1pg8eb5\">Penn State News<\/a><\/em> the critical role the proteases play in the replication of the SARS-CoV-2 virus:<br \/>\u201cSARS-CoV-2 produces long proteins, called polyproteins, from its RNA genome that must be cleaved into individual proteins by these proteases in an ordered fashion, leading to the formation of functional virus enzymes and proteins to start virus replication once it enters a cell. If you inhibit one of these proteases, further spread of SARS-CoV-2 [in an individual] could be stopped.\u201d<br \/><a href=\"https:\/\/sites.rutgers.edu\/jun-wang-lab\/people\/jun-wang\/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1pg8eb5\">Dr. Jun Wang<\/a>, who was not involved in the study, is the director of the Jun Wang Lab at Rutgers University, Piscataway, NJ. He told <em>Medical News Today<\/em>:<br \/>\u201cBoth viral polymerase [PLpro] and main protease [Mpro] are conserved viral proteins, and the corresponding inhibitors are expected to have a high genetic barrier to drug resistance.\u201d<br \/>However, he added, \u201cThere are conserved regions in the spike protein that can be potentially targeted by antibodies that have a higher genetic barrier to drug resistance.\u201d<br \/><strong>Dr. Wang said, \u201cIt is just a matter of time for the virus to evolve mutations to become drug resistant. Resistance is not a question of if, but a question of when.\u201d<\/strong><br \/>\u201cAlthough other assays are available,\u201d <a href=\"https:\/\/www.psu.edu\/news\/research\/story\/repurposing-fda-approved-drugs-may-help-combat-covid-19\/\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1pg8eb5\">says<\/a> senior author <a href=\"https:\/\/www.huck.psu.edu\/people\/joyce-jose\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"content-link css-1pg8eb5\">Dr. Joyce Jose<\/a>, \u201cwe designed our novel assay so it could be conducted in live cells, which enabled us to simultaneously measure the toxicity of the inhibitors to human cells.\u201d<br \/>Starting with a library of 64 compounds, the researchers identified 16 that showed promise. From this group, eight drugs proved effective against Mpro or PLpro in live human cells.<br \/>Combinations of anti-Mpro and anti-PLpro drugs proved especially effective. \u201cIn cell culture, we showed that if you combine Mpro and PLpro inhibitors, you have a stronger effect on the virus without increasing toxicity. This combination inhibition is highly potent,\u201d Dr. Jose says.<br \/>The researchers were especially intrigued by the behavior of MG-101, which contained the virus\u2019s ability to infect cells in addition to reducing its ability to replicate.<br \/><strong>Among the drugs identified as antiviral are FDA-approved drugs for <a href=\"\/articles\/294705\" class=\"content-link css-1pg8eb5\">hepatitis C<\/a>, <a href=\"\/articles\/311323\" class=\"content-link css-1pg8eb5\">HIV<\/a>, and <a href=\"\/articles\/317462\" class=\"content-link css-1pg8eb5\">type 2 diabetes<\/a>.<\/strong><br \/><a rel=\"noopener noreferrer\" href=\"https:\/\/pharmacy.unc.edu\/directory\/tropsha\/\" target=\"_blank\" class=\"content-link css-1pg8eb5\">Dr. Alexander Tropsha<\/a>, who also was not involved in this study, is associate dean of pharmacoinformatics at Eshelman School of Pharmacy at the University of North Carolina at Chapel Hill.<br \/>While lauding the researchers\u2019 assay methodologies, Dr. Tropsha explained to <em>MNT<\/em> that \u201cthe actionable results are not new, and it was surprising for me that the authors failed to acknowledge the already existing, and in some cases for a long time, experimental knowledge about what they position as new findings.\u201d<br \/><strong>Dr. Wang also described the researchers\u2019 methodology as the \u201chighlight\u201d of the study but told <em>MNT<\/em>, \u201cThe compounds identified from this study are not impressive.\u201d<\/strong><br \/>He continued:<br \/>\u201cAll of them have been identified from previous studies using other screening assays. In addition, atazanavir and nelfinavir, which were claimed as Mpro inhibitors from this study, were invalidated as Mpro inhibitors from <a rel=\"noopener noreferrer\" href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S2211383521004299?via%3Dihub\" target=\"_blank\" class=\"content-link css-1pg8eb5\">our study<\/a>.\u201d <br \/>Furthermore, he noted, \u201cThe inhibition of PLpro by daclatasvir HCl and sitagliptin needs to be further validated.\u201d<br \/><strong>Dr. Tropsha cautioned that looking to existing drugs as tools for solving new problems is not always productive.<\/strong><br \/>He reported:<br \/>\u201cDrug repurposing against COVID-19 has been one of the major trends in the current pandemics. We commented on this in a recent overarching <a rel=\"noopener noreferrer\" href=\"https:\/\/pubs.rsc.org\/en\/content\/articlelanding\/2021\/CS\/D0CS01065K\" target=\"_blank\" class=\"content-link css-1pg8eb5\">review<\/a>. Notably, per <hl-trusted-source source=\"Nature\" rationale=\"Highly respected journal,Expert written journal,Peer reviewed journal\"><a rel=\"noopener noreferrer\" href=\"https:\/\/www.nature.com\/articles\/d41573-021-00037-3\" target=\"_blank\" class=\"content-link css-1pg8eb5\">observations<\/a><\/hl-trusted-source> of the acting FDA commissioner Janet Woodcock and her colleague, \u2018The most important finding in our assessment is that the vast majority of <em>trials<\/em> of therapeutics for COVID-19 are <em>not designed to yield actionable information.<\/em>\u2019\u201d [Emphasis added by Dr. Tropsha.]<br \/>Ultimately, Dr. Tropsha described the study as one that \u201cadvocates for an approach that has been mainstream, and the highlighted results, for the most part, have been common knowledge, for years.\u201d<br \/><a class=\"css-onvglr\" data-event=\"engagement|bottom page content promo click|\/articles\/dementia-and-covid-19-why-are-scientists-concerned;engagement|bottom page content promo click index|1\" data-element-event=\"INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|COVID-19 and dementia: Are scientists concerned?|rn0\" href=\"\/articles\/dementia-and-covid-19-why-are-scientists-concerned\" data-testid=\"text-link\" aria-hidden=\"true\" tabindex=\"-1\">Medical News Today looked at emerging research and spoke to top experts to learn about the possible link between COVID-19 and dementia risk.<\/a><br \/><a class=\"css-onvglr\" data-event=\"engagement|bottom page content promo click|\/articles\/omicron-infection-what-are-the-symptoms;engagement|bottom page content promo click index|2\" data-element-event=\"INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Omicron infection: What are the symptoms?|rn1\" href=\"\/articles\/omicron-infection-what-are-the-symptoms\" data-testid=\"text-link\" aria-hidden=\"true\" tabindex=\"-1\">In this Snapshot feature, we look at what we know about symptoms of infection with Omicron, home treatments, and prevention measures.<\/a><br \/><a class=\"css-onvglr\" data-event=\"engagement|bottom page content promo click|\/articles\/omicron-what-do-we-know-about-the-stealth-variant;engagement|bottom page content promo click index|3\" data-element-event=\"INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|Omicron: What do we know about the &#x27;stealth variant&#x27;?|rn2\" href=\"\/articles\/omicron-what-do-we-know-about-the-stealth-variant\" data-testid=\"text-link\" aria-hidden=\"true\" tabindex=\"-1\">A subvariant of Omicron called BA.2, which some refer to as the &#x27;stealth variant,&#x27; has stirred public health experts&#x27; interests. Why is that, and\u2026<\/a><br \/><a class=\"css-onvglr\" data-event=\"engagement|bottom page content promo click|\/articles\/dna-vs-mrna-vaccines-similarities-and-differences;engagement|bottom page content promo click index|4\" data-element-event=\"INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|DNA vs. mRNA vaccines: Similarities and differences|rn3\" href=\"\/articles\/dna-vs-mrna-vaccines-similarities-and-differences\" data-testid=\"text-link\" aria-hidden=\"true\" tabindex=\"-1\">This Snapshot feature explains how DNA vaccines work, the differences between DNA and mRNA vaccines, and why DNA vaccines are so promising.<\/a><br \/><a class=\"css-onvglr\" data-event=\"engagement|bottom page content promo click|\/articles\/long-term-effects-of-coronavirus;engagement|bottom page content promo click index|5\" data-element-event=\"INTERNAL LINK|FOOTER|Any Page|Read This Next|LINK|What are the long-term effects of COVID-19?|rn4\" href=\"\/articles\/long-term-effects-of-coronavirus\" data-testid=\"text-link\" aria-hidden=\"true\" tabindex=\"-1\">COVID-19 can cause lasting symptoms, complications, and distress, and doctors are still unsure of the full scope of the long-term effects. Learn more\u2026<\/a><br \/>OUR BRANDS<\/p>\n<p><a href=\"https:\/\/www.medicalnewstoday.com\/articles\/study-joins-search-for-variant-proof-approach-to-sars-cov-2-treatment\">source<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>All data and statistics are based on publicly available data at the time of publication. Some information may be out of date. Visit our coronavirus hub and follow our live updates page for the most recent information on the COVID-19 pandemic.The spike proteins on which COVID-19 mRNA vaccines currently depend have been rapidly changing, as [&hellip;]<\/p>\n","protected":false},"author":869,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[],"tags":[],"_links":{"self":[{"href":"https:\/\/linksus2.linksus.net\/index.php\/wp-json\/wp\/v2\/posts\/1969"}],"collection":[{"href":"https:\/\/linksus2.linksus.net\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/linksus2.linksus.net\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/linksus2.linksus.net\/index.php\/wp-json\/wp\/v2\/users\/869"}],"replies":[{"embeddable":true,"href":"https:\/\/linksus2.linksus.net\/index.php\/wp-json\/wp\/v2\/comments?post=1969"}],"version-history":[{"count":0,"href":"https:\/\/linksus2.linksus.net\/index.php\/wp-json\/wp\/v2\/posts\/1969\/revisions"}],"wp:attachment":[{"href":"https:\/\/linksus2.linksus.net\/index.php\/wp-json\/wp\/v2\/media?parent=1969"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/linksus2.linksus.net\/index.php\/wp-json\/wp\/v2\/categories?post=1969"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/linksus2.linksus.net\/index.php\/wp-json\/wp\/v2\/tags?post=1969"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}