Targeted degrader technologies as prospective SARS-CoV-2 therapies

Drug Discov Today. 2024 Jan;29(1):103847. doi: 10.1016/j.drudis.2023.103847. Epub 2023 Nov 28.

Abstract

COVID-19 remains a severe public health threat despite the WHO declaring an end to the public health emergency in May 2023. Continual development of SARS-CoV-2 variants with resistance to vaccine-induced or natural immunity necessitates constant vigilance as well as new vaccines and therapeutics. Targeted protein degradation (TPD) remains relatively untapped in antiviral drug discovery and holds the promise of attenuating viral resistance development. From a unique structural design perspective, this review covers antiviral degrader merits and challenges by highlighting key coronavirus protein targets and their co-crystal structures, specifically illustrating how TPD strategies can refine existing SARS-CoV-2 3CL protease inhibitors to potentially produce superior protease-degrading agents.

Keywords: PROTAC; SARS-CoV-2; antiviral; protease; targeted protein degradation.

Publication types

  • Review

MeSH terms

  • Antiviral Agents / chemistry
  • Antiviral Agents / pharmacology
  • Antiviral Agents / therapeutic use
  • COVID-19*
  • Humans
  • Prospective Studies
  • Protease Inhibitors / chemistry
  • SARS-CoV-2* / metabolism

Substances

  • Protease Inhibitors
  • Antiviral Agents

Supplementary concepts

  • SARS-CoV-2 variants