{"id":24410,"date":"2021-11-13T16:41:01","date_gmt":"2021-11-13T16:41:01","guid":{"rendered":"https:\/\/www.ch.imperial.ac.uk\/rzepa\/blog\/?p=24410"},"modified":"2021-11-13T16:41:01","modified_gmt":"2021-11-13T16:41:01","slug":"first-came-molnupiravir-now-there-is-paxlovid-as-a-sars-cov-2-protease-inhibitor","status":"publish","type":"post","link":"https:\/\/www.rzepa.net\/blog\/?p=24410","title":{"rendered":"First came Molnupiravir &#8211; now there is Paxlovid as a SARS-CoV-2 protease inhibitor. An NCI analysis of the ligand."},"content":{"rendered":"<div class=\"kcite-section\" kcite-section-id=\"24410\">\n<p>Earlier this year, <a href=\"https:\/\/www.ch.imperial.ac.uk\/rzepa\/blog\/?p=23410\">Molnupiravir<\/a> hit the headlines as a promising antiviral drug. This is now followed by <a href=\"https:\/\/www.science.org\/content\/blog-post\/pfizer-s-good-news-world-s-good-news\">Paxlovid<\/a>, which is the first small molecule to be aimed by design at the SAR-CoV-2 protein and which is reported as reducing greatly the risk of hospitalization or death when given within three days of symptoms appearing in high risk patients.<\/p>\n<p><a href=\"https:\/\/www.rzepa.net\/blog\/wp-content\/uploads\/2021\/11\/paxlovid.svg\"><img decoding=\"async\" class=\"aligncenter size-large wp-image-24412\" src=\"https:\/\/www.rzepa.net\/blog\/wp-content\/uploads\/2021\/11\/paxlovid.svg\" alt=\"\" width=\"300\" \/><\/a><\/p>\n<p>The Wikipedia page (first created in 2021) <a href=\"https:\/\/en.wikipedia.org\/wiki\/PF-07321332\"> will display a pretty good JSmol 3D model<\/a> of this; the coordinates being generated automatically on the fly from a SMILES string, which specifies only what atoms are connected in the structure by bonds.\u00a0Given that the structure of this molecule as embedded in the SARS-CoV-2 main protease<span id=\"cite_ITEM-24410-0\" name=\"citation\"><a href=\"#ITEM-24410-0\">[1]<\/a><\/span> has been determined (and can be viewed <a href=\"https:\/\/www.rcsb.org\/3d-view\/jsmol\/7vh8\" target=\"new\" rel=\"noopener\">here<\/a>),\u00a0I thought I might display those coordinates as an alternative to the Wikipedia\/JSmol generated structure.<\/p>\n<div id=\"attachment_24414\" style=\"width: 410px\" class=\"wp-caption aligncenter\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-24414\" data-attachment-id=\"24414\" data-permalink=\"https:\/\/www.rzepa.net\/blog\/?attachment_id=24414\" data-orig-file=\"https:\/\/i0.wp.com\/www.rzepa.net\/blog\/wp-content\/uploads\/2021\/11\/paxlovid.jpg?fit=1426%2C1285&amp;ssl=1\" data-orig-size=\"1426,1285\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;GaussView TIFF output&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;GaussView TIFF output&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"GaussView TIFF output\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;GaussView TIFF output&lt;\/p&gt;\n\" data-medium-file=\"https:\/\/i0.wp.com\/www.rzepa.net\/blog\/wp-content\/uploads\/2021\/11\/paxlovid.jpg?fit=300%2C270&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/www.rzepa.net\/blog\/wp-content\/uploads\/2021\/11\/paxlovid.jpg?fit=450%2C406&amp;ssl=1\" class=\"size-large wp-image-24414\" onclick=\"jmolApplet([400,400],'load wp-content\/uploads\/2021\/11\/paxlovid-H.mol2;measure 14 61;spin 3;','c2');\" src=\"https:\/\/i0.wp.com\/www.rzepa.net\/blog\/wp-content\/uploads\/2021\/11\/paxlovid.jpg?resize=400%2C406&#038;ssl=1\" alt=\"\" width=\"400\" height=\"406\" srcset=\"https:\/\/i0.wp.com\/www.rzepa.net\/blog\/wp-content\/uploads\/2021\/11\/paxlovid.jpg?resize=50%2C50&amp;ssl=1 50w, https:\/\/i0.wp.com\/www.rzepa.net\/blog\/wp-content\/uploads\/2021\/11\/paxlovid.jpg?zoom=2&amp;resize=400%2C406&amp;ssl=1 800w, https:\/\/i0.wp.com\/www.rzepa.net\/blog\/wp-content\/uploads\/2021\/11\/paxlovid.jpg?zoom=3&amp;resize=400%2C406&amp;ssl=1 1200w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><p id=\"caption-attachment-24414\" class=\"wp-caption-text\">Click to get 3D model<\/p><\/div>\n<p>I extracted the ligand from the PDF file and then added hydrogens manually to obtain the above result.<sup>&Dagger;<\/sup> There are two noteworthy points about these representations:<\/p>\n<ol>\n<li>A mystery concerns the nominal C\u2261N group on the top right, which displays an angle at the carbon of 117\u00b0. A cyano group is of course linear (180\u00b0). This is not a defect of the crystal structure determination, but an indication of a rather stronger interaction occurring (as indeed noted<span id=\"cite_ITEM-24410-0\" name=\"citation\"><a href=\"#ITEM-24410-0\">[1]<\/a><\/span>). The distance between the carbon of the cyano group and an adjacent sulfur is 1.814&Aring;, which indicates a covalent bond has formed to the cyano group. The nitrogen of the erstwhile cyano group is 3.013&Aring; away from an adjacent NH group, which suggests it is stabilised by a hydrogen bond.<\/li>\n<li>Crystal structure searching of units with S&#8230;C&#8230;N  in which the N has only one bond reveals zero hits, but searches of S&#8230;C&#8230;NH reveal nine hits, with S&#8230;C distances in the range 1.74 &#8211; 1.80&Aring; and C&#8230;N distances in the region 1.25-1.27&#038;Aring. The reported CN distance is 1.251&#038;ARing, confirming that when bound to the protein, the cyano group is replaced by an S-C=NH group and hence is clearly an important component of the mode of action of Paxlovid.<br \/>\n<a href=\"https:\/\/i0.wp.com\/www.rzepa.net\/blog\/wp-content\/uploads\/2021\/11\/Screenshot-938.jpg?ssl=1\"><img data-recalc-dims=\"1\" decoding=\"async\" data-attachment-id=\"24438\" data-permalink=\"https:\/\/www.rzepa.net\/blog\/?attachment_id=24438\" data-orig-file=\"https:\/\/i0.wp.com\/www.rzepa.net\/blog\/wp-content\/uploads\/2021\/11\/Screenshot-938.jpg?fit=1870%2C898&amp;ssl=1\" data-orig-size=\"1870,898\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Screenshot 938\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/www.rzepa.net\/blog\/wp-content\/uploads\/2021\/11\/Screenshot-938.jpg?fit=300%2C144&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/www.rzepa.net\/blog\/wp-content\/uploads\/2021\/11\/Screenshot-938.jpg?fit=450%2C216&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/www.rzepa.net\/blog\/wp-content\/uploads\/2021\/11\/Screenshot-938.jpg?w=400&#038;ssl=1\" alt=\"\"  class=\"aligncenter size-large wp-image-24438\" srcset=\"https:\/\/i0.wp.com\/www.rzepa.net\/blog\/wp-content\/uploads\/2021\/11\/Screenshot-938.jpg?w=1870&amp;ssl=1 1870w, https:\/\/i0.wp.com\/www.rzepa.net\/blog\/wp-content\/uploads\/2021\/11\/Screenshot-938.jpg?resize=300%2C144&amp;ssl=1 300w, https:\/\/i0.wp.com\/www.rzepa.net\/blog\/wp-content\/uploads\/2021\/11\/Screenshot-938.jpg?resize=1024%2C492&amp;ssl=1 1024w, https:\/\/i0.wp.com\/www.rzepa.net\/blog\/wp-content\/uploads\/2021\/11\/Screenshot-938.jpg?resize=768%2C369&amp;ssl=1 768w, https:\/\/i0.wp.com\/www.rzepa.net\/blog\/wp-content\/uploads\/2021\/11\/Screenshot-938.jpg?resize=1536%2C738&amp;ssl=1 1536w, https:\/\/i0.wp.com\/www.rzepa.net\/blog\/wp-content\/uploads\/2021\/11\/Screenshot-938.jpg?w=900&amp;ssl=1 900w, https:\/\/i0.wp.com\/www.rzepa.net\/blog\/wp-content\/uploads\/2021\/11\/Screenshot-938.jpg?w=1350&amp;ssl=1 1350w\" sizes=\"(max-width: 450px) 100vw, 450px\" \/><\/a>\n\t<\/li>\n<li>The conformation of Paxlovid is in one respect not fully represented by the\u00a0<a href=\"https:\/\/en.wikipedia.org\/wiki\/PF-07321332\">Wikipedia diagram<\/a>, as shown below. This implies the <strong>t-butyl<\/strong> group (on the left) as being well separated from the <strong>pyrrolidinone<\/strong> ring system at the right of the molecule.<br \/>\n<img decoding=\"async\" class=\"aligncenter size-large wp-image-24416\" src=\"https:\/\/www.ch.ic.ac.uk\/rzepa\/blog\/wp-content\/uploads\/2021\/11\/PF-07321332.svg\" alt=\"\" width=\"300\" \/><br \/>\nIn fact the two groups are adjacent, being held in that conformation by probably a combination of weak dispersion forces and a contribution from the surrounding protein in the crystal structure. This is more graphically shown by the NCI (non-covalent-interaction) diagram below (DOI: <a href=\"https:\/\/doi.org\/10.14469\/hpc\/9964\" rel=\"noopener\" target=\"_blank\">10.14469\/hpc\/9964<\/a>), where the green areas in the region between the two groups (ringed in red) represent stabilising interactions between them. You might also spot other green\/cyan regions indicating additional weak hydrogen bonds between C-H groups and oxygen!<\/li>\n<\/ol>\n<div id=\"attachment_24423\" style=\"width: 454px\" class=\"wp-caption aligncenter\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-24423\" data-attachment-id=\"24423\" data-permalink=\"https:\/\/www.rzepa.net\/blog\/?attachment_id=24423\" data-orig-file=\"https:\/\/i0.wp.com\/www.rzepa.net\/blog\/wp-content\/uploads\/2021\/11\/paxlovid-1.jpg?fit=444%2C476&amp;ssl=1\" data-orig-size=\"444,476\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"paxlovid\" data-image-description=\"&lt;p&gt;NCI isosurface&lt;\/p&gt;\n\" data-image-caption=\"&lt;p&gt;PAXLOVID&lt;\/p&gt;\n\" data-medium-file=\"https:\/\/i0.wp.com\/www.rzepa.net\/blog\/wp-content\/uploads\/2021\/11\/paxlovid-1.jpg?fit=280%2C300&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/www.rzepa.net\/blog\/wp-content\/uploads\/2021\/11\/paxlovid-1.jpg?fit=444%2C476&amp;ssl=1\" class=\"size-full wp-image-24423\" onclick=\"jmolApplet([450,450],'load wp-content\/uploads\/2021\/11\/paxlovid.xyz;isosurface wp-content\/uploads\/2021\/11\/paxlovid.jvxl;measure 14 61;spin 2;','c1');\" src=\"https:\/\/i0.wp.com\/www.rzepa.net\/blog\/wp-content\/uploads\/2021\/11\/paxlovid-1.jpg?resize=444%2C476&#038;ssl=1\" alt=\"\" width=\"444\" height=\"476\" srcset=\"https:\/\/i0.wp.com\/www.rzepa.net\/blog\/wp-content\/uploads\/2021\/11\/paxlovid-1.jpg?w=444&amp;ssl=1 444w, https:\/\/i0.wp.com\/www.rzepa.net\/blog\/wp-content\/uploads\/2021\/11\/paxlovid-1.jpg?resize=280%2C300&amp;ssl=1 280w\" sizes=\"auto, (max-width: 444px) 100vw, 444px\" \/><p id=\"caption-attachment-24423\" class=\"wp-caption-text\">PAXLOVID NCI analysis<\/p><\/div>\n<p>There are only a small number of crystal structures of small molecules containing the S-C=NH motif. I will try to find out how common this is in protein-ligand structures.<\/p>\n<hr \/>\n<p><sup>&Dagger;<\/sup> There are many tools for performing this operation. I used the following procedure. I downloaded the PDB file (<a href=\"https:\/\/files.rcsb.org\/download\/7vh8.cif\" rel=\"noopener\" target=\"_blank\">https:\/\/files.rcsb.org\/download\/7vh8.cif<\/a>), opened it in CSD Mercury, selected the ligand (by identifying the CF<sub>3<\/sub> group and clicking on one atom), inverted the selection so that everything but the ligand was then selected and using edit\/structure, I deleted the selected atoms, leaving only the ligand.<\/p>\n<h2>Postsript<\/h2>\n<p>The cyanopyrrolidine group such as in Paxlovid is well known as a specific probe.<span id=\"cite_ITEM-24410-1\" name=\"citation\"><a href=\"#ITEM-24410-1\">[2]<\/a><\/span>,<span id=\"cite_ITEM-24410-2\" name=\"citation\"><a href=\"#ITEM-24410-2\">[3]<\/a><\/span>,<span id=\"cite_ITEM-24410-3\" name=\"citation\"><a href=\"#ITEM-24410-3\">[4]<\/a><\/span> CovalentInDB is a comprehensive database facilitating the discovery of such covalent inhibitors<span id=\"cite_ITEM-24410-4\" name=\"citation\"><a href=\"#ITEM-24410-4\">[5]<\/a><\/span> and is available <a href=\"http:\/\/cadd.zju.edu.cn\/cidb\/\" target=database\">here<\/a>. There is also a program called <a href=\"https:\/\/openmolecules.org\/datawarrior\/download.html\">DataWarrior<\/a> that is potentially able to find such probes.<\/p>\n<h2>References<\/h2>\n    <ol class=\"kcite-bibliography csl-bib-body\"><li id=\"ITEM-24410-0\">Y. Zhao, C. Fang, Q. Zhang, R. Zhang, X. Zhao, Y. Duan, H. Wang, Y. Zhu, L. Feng, J. Zhao, M. Shao, X. Yang, L. Zhang, C. Peng, K. Yang, D. Ma, Z. Rao, and H. Yang, \"Crystal structure of SARS-CoV-2 main protease in complex with protease inhibitor PF-07321332\", <i>Protein &amp; Cell<\/i>, vol. 13, pp. 689-693, 2021. <a href=\"https:\/\/doi.org\/10.1007\/s13238-021-00883-2\">https:\/\/doi.org\/10.1007\/s13238-021-00883-2<\/a>\n\n<\/li>\n<li id=\"ITEM-24410-1\">N. Panyain, A. Godinat, A.R. Thawani, S. Lachiondo-Ortega, K. Mason, S. Elkhalifa, L.M. Smith, J.A. Harrigan, and E.W. Tate, \"Activity-based protein profiling reveals deubiquitinase and aldehyde dehydrogenase targets of a cyanopyrrolidine probe\", <i>RSC Medicinal Chemistry<\/i>, vol. 12, pp. 1935-1943, 2021. <a href=\"https:\/\/doi.org\/10.1039\/d1md00218j\">https:\/\/doi.org\/10.1039\/d1md00218j<\/a>\n\n<\/li>\n<li id=\"ITEM-24410-2\">N. Panyain, A. Godinat, T. Lanyon-Hogg, S. Lachiondo-Ortega, E.J. Will, C. Soudy, M. Mondal, K. Mason, S. Elkhalifa, L.M. Smith, J.A. Harrigan, and E.W. Tate, \"Discovery of a Potent and Selective Covalent Inhibitor and Activity-Based Probe for the Deubiquitylating Enzyme UCHL1, with Antifibrotic Activity\", <i>Journal of the American Chemical Society<\/i>, vol. 142, pp. 12020-12026, 2020. <a href=\"https:\/\/doi.org\/10.1021\/jacs.0c04527\">https:\/\/doi.org\/10.1021\/jacs.0c04527<\/a>\n\n<\/li>\n<li id=\"ITEM-24410-3\">C. Bashore, P. Jaishankar, N.J. Skelton, J. Fuhrmann, B.R. Hearn, P.S. Liu, A.R. Renslo, and E.C. Dueber, \"Cyanopyrrolidine Inhibitors of Ubiquitin Specific Protease 7 Mediate Desulfhydration of the Active-Site Cysteine\", <i>ACS Chemical Biology<\/i>, vol. 15, pp. 1392-1400, 2020. <a href=\"https:\/\/doi.org\/10.1021\/acschembio.0c00031\">https:\/\/doi.org\/10.1021\/acschembio.0c00031<\/a>\n\n<\/li>\n<li id=\"ITEM-24410-4\">H. Du, J. Gao, G. Weng, J. Ding, X. Chai, J. Pang, Y. Kang, D. Li, D. Cao, and T. Hou, \"CovalentInDB: a comprehensive database facilitating the discovery of covalent inhibitors\", <i>Nucleic Acids Research<\/i>, vol. 49, pp. D1122-D1129, 2020. <a href=\"https:\/\/doi.org\/10.1093\/nar\/gkaa876\">https:\/\/doi.org\/10.1093\/nar\/gkaa876<\/a>\n\n<\/li>\n<\/ol>\n\n<\/div> <!-- kcite-section 24410 -->","protected":false},"excerpt":{"rendered":"<p>Earlier this year, Molnupiravir hit the headlines as a promising antiviral drug. This is now followed by Paxlovid, which is the first small molecule to be aimed by design at the SAR-CoV-2 protein and which is reported as reducing greatly the risk of hospitalization or death when given within three days of symptoms appearing in [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[3,1754,4,6],"tags":[1523,1524,1526],"class_list":["post-24410","post","type-post","status-publish","format-standard","hentry","category-chemical-it","category-crystal_structure_mining","category-general","category-interesting-chemistry","tag-chemical-it","tag-general","tag-interesting-chemistry"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p1gPyz-6lI","jetpack_likes_enabled":true,"_links":{"self":[{"href":"https:\/\/www.rzepa.net\/blog\/index.php?rest_route=\/wp\/v2\/posts\/24410","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.rzepa.net\/blog\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.rzepa.net\/blog\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.rzepa.net\/blog\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.rzepa.net\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=24410"}],"version-history":[{"count":0,"href":"https:\/\/www.rzepa.net\/blog\/index.php?rest_route=\/wp\/v2\/posts\/24410\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rzepa.net\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=24410"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rzepa.net\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=24410"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rzepa.net\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=24410"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}