Identify potent SARS-CoV-2 main protease inhibitors via accelerated free energy perturbation-based virtual screening of existing drugs
Open accessPublished version of a preprint
Abstract
Significance: Drug repurposing effort for treatment of a new disease, such as COVID-19, usually starts from a virtual screening of existing drugs, followed by experimental validation, but the actual hit rate is generally rather low with traditional computational methods. It has been demonstrated that a new virtual screening approach with accelerated free energy perturbation-based absolute binding free energy (FEP-ABFE) predictions can reach an unprecedentedly high hit rate, leading to successful identification of 15 potent inhibitors of SARS-CoV-2 main protease (M pro ) from 25 computationally selected drugs under a threshold of K i = 4 μM. The outcomes of this study are valuable for not only drug repurposing to treat COVID-19 but also demonstrating the promising potential of the FEP-ABFE prediction-based virtual screening approach.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
DIS is a potent SARS-CoV-2 main protease Mpro and PLpro inhibitor, also targets other SARS-CoV-2 proteins such as nsp13 and nsp14, and is an inhibitor of pyroptosis via inhibition of gasdermin D.
“Recently, DIS was confirmed to be potent SARS-CoV-2 main proteases Mpro and PLpro inhibitor, but also targets other SARS-CoV-2 proteins such as nsp13 and nsp14 and is even an inhibitor of pyroptosis via inhibition of gasdermin D.93,94,95,96”
From Off-label and repurposed use of disulfiram beyond alcohol dependence: A systematic review of clinical and preclinical evidence (2026) · cites this paper as [93]
The Results and Discussion section (page not available) identifies disulfiram as a confirmed SARS-CoV-2 Mpro inhibitor and reports an IC50 of 4.7 µM in the authors’ test. The passages do not establish that it inhibits PLpro, targets nsp13 or nsp14, or inhibits pyroptosis through gasdermin D. The paper’s most potent Mpro inhibitor is DIP (dipyridamole), not DIS (disulfiram). (LLM, conf=0.88)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Predictions of Ligand Selectivity from Absolute Binding Free Energy Calculations
Aldeghi, M., Heifetz, A., Bodkin, M. J., Knapp, S., & Biggin, P. C. (2017) · Journal of the American Chemical Society · doi:10.1021/jacs.6b11467 · Cited by 177 · see citing works
Flagged first, then by citations
Research works printed but not linked: 41
- [1]N. Chen., Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: A descriptive study. Lancet 395, 507– 513 (2020). 32007143 PMC7135076
- [2]C. Huang., Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 395, 497– 506 (2020). 31986264 PMC7159299
- [3]M. L. Holshue.; Washington State 2019-nCoV Case Investigation Team, First case of 2019 novel coronavirus in the United States. N. Engl. J. Med. 382, 929– 936 (2020). 32004427 PMC7092802
- [4]A. O. Adedeji, S. G. Sarafianos, Antiviral drugs specific for coronaviruses in preclinical development. Curr. Opin. Virol. 8, 45– 53 (2014). 24997250 PMC4195804
- [5]R. Xiong., Novel and potent inhibitors targeting DHODH are broad-spectrum antivirals against RNA viruses including newly-emerged coronavirus SARS-CoV-2. Protein Cell 11, 723– 739 (2020). 32754890 PMC7402641
- [6]Z. Jin., Structure of Mpro from SARS-CoV-2 and discovery of its inhibitors. Nature 582, 289– 293 (2020). 32272481
- [7]C. Liu., Research and development on therapeutic agents and vaccines for COVID-19 and related human coronavirus diseases. ACS Cent. Sci. 6, 315– 331 (2020). 32226821 PMC10467574
- [8]A. Zumla, J. F. W. Chan, E. I. Azhar, D. S. C. Hui, K.-Y. Yuen, Coronaviruses—Drug discovery and therapeutic options. Nat. Rev. Drug Discov. 15, 327– 347 (2016). 26868298 PMC7097181
- [9]M. Wang., Remdesivir and chloroquine effectively inhibit the recently emerged novel coronavirus (2019-nCoV) in vitro. Cell Res. 30, 269– 271 (2020). 32020029 PMC7054408
- [11]M. L. Peach, M. C. Nicklaus, Combining docking with pharmacophore filtering for improved virtual screening. J. Cheminform. 1, 6 (2009). 20298524 PMC3152774
- [12]C. Gorgulla., An open-source drug discovery platform enables ultra-large virtual screens. Nature 580, 663– 668 (2020). 32152607 PMC8352709
- [15]L. Wang., Accurate and reliable prediction of relative ligand binding potency in prospective drug discovery by way of a modern free-energy calculation protocol and force field. J. Am. Chem. Soc. 137, 2695– 2703 (2015). 25625324
- [16]T. B. Steinbrecher., Accurate binding free energy predictions in fragment optimization. J. Chem. Inf. Model. 55, 2411– 2420 (2015). 26457994
- [19]J. M. Briggs, T. J. Marrone, J. A. McCammon, Computational science new horizons and relevance to pharmaceutical design. Trends Cardiovasc. Med. 6, 198– 203 (1996). 21232297
- [20]J. T. Kim., FEP-guided selection of bicyclic heterocycles in lead optimization for non-nucleoside inhibitors of HIV-1 reverse transcriptase. J. Am. Chem. Soc. 128, 15372– 15373 (2006). 17131993
- [21]W. L. Jorgensen, Computer-aided discovery of anti-HIV agents. Bioorg. Med. Chem. 24, 4768– 4778 (2016). 27485603 PMC5114837
- [22]J. A. McCammon, Computer-aided molecular design. Science 238, 486– 491 (1987). 3310236
- [23]M. K. Gilson, J. A. Given, B. L. Bush, J. A. McCammon, The statistical-thermodynamic basis for computation of binding affinities: A critical review. Biophys. J. 72, 1047– 1069 (1997). 9138555 PMC1184492
- [24]J. Wereszczynski, J. A. McCammon, Statistical mechanics and molecular dynamics in evaluating thermodynamic properties of biomolecular recognition. Q. Rev. Biophys. 45, 1– 25 (2012). 22082669 PMC3291752
- [25]R. Abel, L. Wang, E. D. Harder, B. J. Berne, R. A. Friesner, Advancing drug discovery through enhanced free energy calculations. Acc. Chem. Res. 50, 1625– 1632 (2017). 28677954
- [26]W. L. Jorgensen, Efficient drug lead discovery and optimization. Acc. Chem. Res. 42, 724– 733 (2009). 19317443 PMC2727934
- [27]J. D. Chodera., Alchemical free energy methods for drug discovery: Progress and challenges. Curr. Opin. Struct. Biol. 21, 150– 160 (2011). 21349700 PMC3085996
- [28]Z. Cournia, B. Allen, W. Sherman, Relative binding free energy calculations in drug discovery: Recent advances and practical considerations. J. Chem. Inf. Model. 57, 2911– 2937 (2017). 29243483
- [29]G. Heinzelmann, M. K. Gilson, Automated docking refinement and virtual compound screening with absolute binding free energy calculations. bioRxiv:10.1101/2020.04.15.043240 (16 April 2020). · DOI
- [30]Z. Cournia., Rigorous free energy simulations in virtual screening. J. Chem. Inf. Model. 60, 4153– 4169 (2020). 32539386
- [31]Z. Li., Absolute binding free energy calculation and design of a subnanomolar inhibitor of phosphodiesterase-10. J. Med. Chem. 62, 2099– 2111 (2019). 30689375
- [32]M. Aldeghi, A. Heifetz, M. J. Bodkin, S. Knapp, P. C. Biggin, Accurate calculation of the absolute free energy of binding for drug molecules. Chem. Sci. (Camb.) 7, 207– 218 (2016). PMC4700411 26798447
- [34]X. Liu., Potential therapeutic effects of dipyridamole in the severely ill patients with COVID-19. Acta Pharm. Sin. B 10, 1205– 1215 (2020). 32318327 PMC7169892
- [35]S. Zhou., DREAM-in-CDM approach and identification of a new generation of anti-inflammatory drugs targeting mPGES-1. Sci. Rep. 10, 10187 (2020). 32576928 PMC7311425
- [36]N. Fintelman-Rodrigues., Atazanavir inhibits SARS-CoV-2 replication and pro-inflammatory cytokine production. bioRxiv:10.1101/2020.04.04.020925 (6 April 2020). · DOI
- [37]L. Dong, S. Hu, J. Gao, Discovering drugs to treat coronavirus disease 2019 (COVID-19). Drug Discov. Ther. 14, 58– 60 (2020). 32147628
- [38]A. Farag, P. Wang, M. Ahmed, H. Sadek, Identification of FDA approved drugs targeting COVID-19 virus by structure-based drug repositioning. ChemRxiv:10.26434/chemrxiv.12003930.v1 (19 March 2020). · DOI
- [39]Z. Xu., Nelfinavir is active against SARS-CoV-2 in Vero E6 cells. ChemRxiv:10.26434/chemrxiv.12039888.v1 (30 March 2020). · DOI
- [40]A. Savarino, J. R. Boelaert, A. Cassone, G. Majori, R. Cauda, Effects of chloroquine on viral infections: An old drug against today’s diseases? Lancet Infect. Dis. 3, 722– 727 (2003). 14592603 PMC7128816
- [41]M. A. A. Al-Bari, Targeting endosomal acidification by chloroquine analogs as a promising strategy for the treatment of emerging viral diseases. Pharmacol. Res. Perspect. 5, e00293 (2017). 28596841 PMC5461643
- [42]M. J. Vincent., Chloroquine is a potent inhibitor of SARS coronavirus infection and spread. Virol. J. 2, 69 (2005). 16115318 PMC1232869
- [43]V. Shivanna, Y. Kim, K.-O. Chang, Endosomal acidification and cathepsin L activity is required for calicivirus replication. Virology 464–465, 287– 295 (2014). PMC4157107 25108379
- [44]E. Chorin., QT interval prolongation and torsade de pointes in patients with COVID-19 treated with hydroxychloroquine/azithromycin. Heart Rhythm 17, 1425– 1433 (2020). 32407884 PMC7214283
- [45]G. Wang, Mechanistic insights into ventricular arrhythmogenesis of hydroxychloroquine and azithromycin for the treatment of COVID-19. bioRxiv:10.1101/2020.05.21.108605 (28 May 2020). · DOI
- [46]M. Traebert., Inhibition of hERG K+ currents by antimalarial drugs in stably transfected HEK293 cells. Eur. J. Pharmacol. 484, 41– 48 (2004). 14729380
- [47]M. Garcia-Cremades., Optimizing hydroxychloroquine dosing for patients with COVID-19: An integrative modeling approach for effective drug repurposing. Clin. Pharmacol. Ther. 108, 253– 263 (2020). 32285930 PMC7262072
Cited by
Sorted by citations
Pham, Q.-V., Nguyen, D. C., Huynh-The, T., Hwang, W.-J., & Pathirana, P. N. (2020) · IEEE Access · doi:10.1109/access.2020.3009328 · Cited by 413 · see citing works
Ma, C., Tan, H., Choza, J., Wang, Y., & Wang, J. (2022) · Acta Pharmaceutica Sinica B · doi:10.1016/j.apsb.2021.10.026 · Cited by 86 · see citing works
Mutexa: A Computational Ecosystem for Intelligent Protein Engineering
Yang, Z. J., Shao, Q., Jiang, Y., Jurich, C., Ran, X., Juarez, R. J., Yan, B., Stull, S. L., Gollu, A., & Ding, N. (2023) · Journal of Chemical Theory and Computation · doi:10.1021/acs.jctc.3c00602 · Cited by 28 · see citing works
Benkő, B.-M., De Brito Parreirinha, N. S., Sebe, I., & Zelkó, R. (2026) · iScience · doi:10.1016/j.isci.2026.115441 · Cited by 2 · see citing works
- Authors
- Li, Z., Li, X., Huang, Y.-Y., Wu, Y., Liu, R., Zhou, L., Lin, Y., Wu, D., Zhang, L., Liu, H., Xu, X., Yu, K., Zhang, Y., Cui, J., Zhan, C.-G., Wang, X., & Luo, H.-B.
- Affiliations
- Sun Yat-sen University (CN)
- Ocean University of China (CN)
- Qingdao National Laboratory for Marine Science and Technology (CN)
- Marine Biomedical Research Institute of Qingdao (CN)
- Chinese Academy of Sciences (CN)
- Guangzhou Women and Children Medical Center (CN)
- University of Kentucky (US)
- Corresponding author
- Cui, Jun
- Zhan, Chang-Guo
- Wang, Xin
- Luo, Hai-Bin
- ORCID
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2020-10-13
- Volume
- 117
- Issue
- 44
- Pages
- 27381-27387
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC7959488
- OpenAlex
- W3092297806
- Cited by
- 255
- References
- 1
- Citations by year
- 2026: 13 · 2025: 13 · 2024: 24 · 2023: 32 · 2022: 58 · 2021: 89 · 2020: 26
- FWCI
- 25.59
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion, cc-by)
- bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Lanzhou University Institutional Repository (submittedVersion, cc-by-nc-sa)
- Lanzhou University Institutional Repository (submittedVersion)
- Funders
- National Key R&D Program of China (2017YFB0202600)
- National Natural Science Foundation of China (81903542, 81522041, 21877134)
- Guangdong Provincial Key Laboratory of Construction Foundation (2017B030314030)
- National Science Foundation (CHE-1111761)
- Topics
- Physical Sciences › Computer Science › Computational Theory and Mathematics › Computational Drug Discovery Methods
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
- Health Sciences › Medicine › Pharmacology › Cholinesterase and Neurodegenerative Diseases
- Keywords
- main protease, Mpro inhibitors, COVID-19 drug repurposing, hit rate, binding affinity prediction
- MeSH terms
- Betacoronavirus, COVID-19, SARS-CoV-2, Coronavirus 3C Proteases, Antiviral Agents, Chloroquine, Cysteine Endopeptidases, Dipyridamole, Humans, Hydroxychloroquine, Pneumonia, Viral, Protease Inhibitors, Molecular Structure, Viral Nonstructural Proteins, Coronavirus Infections, Drug Repositioning, Pandemics, Molecular Docking Simulation
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review