key: cord-0752863-rgp6nc9f authors: Frecer, Vladimir; Miertus, Stanislav title: Antiviral agents against COVID-19: structure-based design of specific peptidomimetic inhibitors of SARS-CoV-2 main protease date: 2020-11-04 journal: RSC advances DOI: 10.1039/d0ra08304f sha: 9b4166fae46c274d4fdfff7b0782b3d23e4e7341 doc_id: 752863 cord_uid: rgp6nc9f Despite the intense development of vaccines and antiviral therapeutics, no specific treatment of coronavirus disease 2019 (COVID-19), caused by the new severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is currently available. Recently, X-ray crystallographic structures of a validated pharmacological target of SARS-CoV-2, the main protease (M(pro) also called 3CL(pro)) in complex with peptide-like irreversible inhibitors have been published. We have carried out computer-aided structure-based design and optimization of peptidomimetic irreversible α-ketoamide M(pro) inhibitors and their analogues using MM, MD and QM/MM methodology, with the goal to propose lead compounds with improved binding affinity to SARS-CoV-2 M(pro), enhanced specificity for pathogenic coronaviruses, decreased peptidic character, and favourable drug-like properties. The best inhibitor candidates designed in this work show largely improved interaction energies towards the M(pro) and enhanced specificity due to 6 additional hydrogen bonds to the active site residues. The presented results on new SARS-CoV-2 M(pro) inhibitors are expected to stimulate further research towards the development of specific anti-COVID-19 drugs. The outbreak of the new severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) belonging to the b-lineage of the betacoronaviridae family, which causes severe viral pneumonia in humans known as coronavirus disease 2019 (COVID- 19) , commenced in Wuhan, China in December 2019 and spread widely in 2020. 1, 2 Although intense research and development of vaccines and antiviral therapeutics is ongoing worldwide, at present only one intravenous broad-spectrum antiviral medication has been approved for treatment of COVID-19. 3 SARS-CoV-2 is a positive-sense single-stranded enveloped RNA virus containing an RNA sequence of approx. 30 thousand bases. This unusually large viral genome codes for 4 structural proteins: spike, envelope and membrane proteins creating the viral envelope, and nucleocapsid protein holding the RNA genome, and 16 non-structural proteins (nsp1-nsp16) forming the replication-transcription complex of SARS-CoV-2. 4,5 These proteins are expressed in the form of two polypeptides: pp1ab and pp1a, which are then processed by virally encoded chymotrypsin-like protease (called main protease M pro or also 3CL pro ), and papain-like protease (PL pro ). The 33.8 kDa cysteine protease M pro (EC 3.4.22 .69) encoded in the nsp5 is a key viral enzyme essential for the viral life cycle of coronaviruses. The M pro digests the larger polyprotein pp1ab ($790 kDa) at 11 or more conserved sites with recognition sequences P3[Val, hydrophob., cationic] À P2[Leu, hydrophob., aromat.] À P1[Gln, His] + P1 0 [Ser, Ala, Gly] starting with an autocatalytic cleavage, to produce the functional nsps. [6] [7] [8] In absence of closely related homologues in humans or proteases sharing similar cleavage site specicity, the M pro forms an attractive pharmacological target for antiviral drug discovery. 5, 9 Recently, X-ray crystallographic structures of the M pro of SARS-CoV-2 in complex with peptide-like irreversible inhibitors -Michael acceptor N3 10, 11 and a-ketoamide 13b, 12 were resolved (PDB entries 6LU7 and 6Y2F), [12] [13] [14] Fig. 1 . The N3 and 13b are potent covalent inhibitors of the SARS-CoV (2003) M pro that act through a two-step irreversible inactivation mechanism. The inhibitor rst associates with the M pro to form enzyme-inhibitor complex (E/I) with an equilibrium binding constant. Then, a stable covalent bond is formed between the inhibitors and M pro via nucleophilic attack of the catalytic cysteine upon the vinyl group of N3 or a-ketoamide group of 13b (Fig. 1) , characterized by high rate constant of M pro inactivation resulting in a thiohemiketal formation. 10, 14 The N3 shows notable structural similarity to rupintrivir (AG-7088), a peptidomimetic antiviral drug which inhibits 3CL pro proteases of rhinoviruses and is investigated also for treatment of infections caused by picornaviruses, norovirus, and coronaviruses, such as SARS. 4, [15] [16] [17] The 3D structure of SARS-CoV-2 M pro forms, like the main proteases of other coronaviruses, a C 2 -symmetric dimer of two protomers A and B, each composed of three domains. Domains I and II (residues 8-184) contain six-stranded antiparallel bbarrels that adopt the chymotrypsin fold, while domain III (residues 201-306) forms a-helical structure connected to domain II by a long linking loop (residues 185-200). 5, 9, 10, [12] [13] [14] Active site of the M pro containing Cys-His catalytic dyad, in which the Cys145 behaves as the nucleophile, while the His41 acts as the general acid/base. The substrate binding pocket is in a shallow cle between domains I and II bordered by residues 164-168 of a long b-strand on one side and the linking loop residues 189-191 on the other side. The N-terminal part of each monomer (N-nger, residues 1-7) takes part in the M pro dimerization and formation of the active site of the other monomer by interacting with Glu166, a residue important for the substrate recognition and inhibitor binding. 9,10,12, 18 The subsite S1 of the M pro confers almost absolute specicity for the Gln residues of substrate. The binding site of M pro is highly conserved among all coronavirus species suggesting that inhibitors targeting this site should display broad-spectrum anti-coronavirus activity. 12, 14 Therefore, the binding site of M pro is likely to remain constant and less susceptible to drugresistance conferring mutations also in the progeny strains of the SARS-CoV-2 virus of the 2019/20 season. Since the emergence of SARS in 2003 and identication of coronavirus as the causative agent of the disease, a considerable number of peptidomimetic and small-molecule inhibitors of the M pro were developed. These antiviral compounds comprise also covalent inhibitors using reactive warhead groups, which include Michael acceptors, aldehydes, epoxy ketones, electrophilic ketones such as halomethyl ketones, triuoromethyl ketones and a-ketoamides. 9, 13, [18] [19] [20] [21] [22] [23] Unfortunately, due to reactivity, potential for toxicity and undesired side-effects, rapid in vivo metabolism and reduced oral bioavailability, the irreversible inhibitors are less likely to make efficient therapeutic Below: chemical structures of peptidomimetic covalent inhibitors N3 and 13b 12,14 and corresponding standard notation of protease substrate residues. Stars (*) indicate the sites of nucleophilic attack of anionic sulphur of cysteine of the catalytic dyad His41 -Cys145 of the cysteine protease on the trans-a,b-unsaturated benzyl ester of the Michael acceptor N3 14 or the a-ketoamide group of 13b, 12 leading to thiohemiketal linkage formation with the Cys145. 9 agents. 9, 14 In fact, till present, there is no effective antiviral therapy for the treatment of SARS, MERS, and COVID-19 in humans. 12, 24, 25 The price for lacking chemotherapeutics for coronaviruses in terms of lost human lives is too high and can be even higher in the future. Due to the extent and death toll of the present SARS-CoV-2 pandemic and limited therapeutic options, it is rather urgent to develop improved reversible or irreversible M pro inhibitors as potential antiviral agents for the treatment of COVID-19. The structure of SARS-CoV-2 M pro in complex with N3, 14 13b 12 and series of a-ketoamide inhibitors 11a-11u 23 provided a solid ground for design and discovery of new coronavirus inhibitors. We have performed computer-assisted structure-based design and optimization of peptidomimetic a-ketoamide M pro inhibitors validated by a QSAR model starting from compounds published in ref. 10, 12 and 23 and their reversible analogues with the aim to propose antiviral lead compounds with improved specicity and binding affinity to SARS-CoV-2 M pro , decreased peptidic character and favourable drug-like properties. The inhibitor design employed molecular mechanics (MM), conformational searching, validation by a QSAR model, molecular dynamics (MD), and was also supported by rigorous quantum chemistry method (QM/MM). The 3D-structures of the SARS-CoV-2 M pro in complex with covalent inhibitors N3 and 13b were obtained from recently published crystallographic data stored in the Protein Data Bank 26 (PDB ID: 6LU7 and 6Y2F). 12, 14 In these complexes, the electrophilic warheadsunsaturated benzyl ester of the Michael-acceptor N3 and a-ketoamide of 13b ( Fig. 1) were covalently linked to the catalytic residue Cys145. [10] [11] [12] These covalent bonds were removed. Protonation and tautomeric states at physiological pH of amino acids of the M pro and of inhibitors were assigned according to predicted pK a values computed by Epik. 27, 28 All crystallographic water molecules and other crystallization additives were removed. The complexes were rened by molecular mechanics (MM) energy minimization to a minimum on the potential energy landscape by employing Polak-Ribière conjugate gradient method with convergence criterion set to energy gradient of 0.01 kJ mol À1 A À1 . During the geometry optimization an extended cut-off distance of 20Å was used for electrostatic interactions. The OPLS3e force eld, which is suitable for simulations of small molecules and proteins, 29 together with implicit GB/SA solvent model (water), 30 were employed throughout the minimization in MacroModel (Schrödinger, LLC.). 31 Complexes of SARS-CoV-2 M pro with other known or new inhibitors were prepared by in situ modication of the ligands N3 and 13b in the relaxed consensus structure of the M pro -N3 and M pro -13b complexes (6Y2F 12 and 6LU7, 14 rmsd ¼ 1.79Å for 26 active site residues, 420 atoms), by changing the side chains or backbone atoms of P3 to P1 0 residues into novel molecular fragments. Initial conformations of the built-in function groups were selected according to location of energy minima on the conformational maps for rotations over rotatable bonds of the side chains, which were explored by dihedral angle coordinate scans of MacroModel, 31 as illustrated in ref. [35] [36] [37] [38] . Total MM energy of the reference unliganded SARS-CoV-2 M pro was obtained by relaxation of the proteases aer removing the inhibitor by energy-minimization as the lower energy state of the two M pro structures. Total energies of free inhibitors in solution was determined by conformational searching using mixed torsional/low-mode sampling method, which combines random changes in torsion angles and/or molecular position with exploring low-vibrational-frequency eigenvectors of the system that are related to 'so' degrees of freedom, such as the variable torsion angles, 39 followed by energy minimization of generated conformers. 31 To prepare a QSAR model of inhibition of the coronavirus M pro by peptidomimetics we have considered a series of eleven aketoamides 11a-11u 23 ) was used to model the complexes of the training set inhibitors. 23 The P2 residue side chain conformations of the peptidomimetic inhibitors were modelled by in situ modication of the ligand of the M pro -11a complex combined with a 360-degree conformational search over the torsion angles of C a -C b and C b -C g bonds with an increment of 10 degrees using the coordinate scan of MacroModel. 31 The correlation between computed relative interaction energies DDE int,MM of the series 11a-11u 23 and experimental inhibition potencies IC 50 exp was obtained by linear regression and outliers removal. Due to limited number of the a-ketoamide inhibitors with IC 50 exp data splitting of the series into training set and test set was not appropriate. Conformational stability of the modelled ligands and interactions at the active site of the M pro -inhibitor complexes were Table 2 ). Plot of correlation equation: Àlog 10 IC 50 exp ¼ À0.1723 Â DDE int,MM À 0.0890 obtained by linear regression. Number of compounds: n ¼ 11, number of removed outliers: n o ¼ 4, squared regression coefficient: tested by molecular dynamics (MD) simulations. We have carried out 200 ns long simulations of the solvated M proinhibitor complexes in the NPT statistical ensemble (300 K, 1 bar) by using Desmond. 32 A periodic box with 10Å buffer containing the M pro -inhibitor complex was lled with approx. 11 000 TIP3P water molecules and neutralized by adding four Na + ions to reach the electro-neutrality. During the simulation, OPLS3e force eld, 1.5 fs integration step, and coulombic interaction cut-off of 14Å, were used. The Nose-Hoover chains thermostat and Martyna-Tobias-Klein barostat methods were employed during the simulations. 33, 34 Aer initial heating and relaxation, the productive simulation trajectory was recorder and analysed for ligand-receptor interactions every 400 ps. The MM interaction energies of inhibitors to M pro were calculated by the supermolecular approach (for details see the footnote of Table 1 ). [35] [36] [37] [38] In addition to MM calculations, we have computed the inhibitor binding energies by hybrid quantum mechanical/molecular mechanical (QM/MM) approach using the density functional theory by employing QSite 41,42 and Jaguar. [43] [44] [45] In the M pro -inhibitor complexes, the quantum region of the QM/MM calculation included the inhibitor and selected polar active site residues forming hydrogen bonds (HBs) or polar interactions with the ligands. The quantum region included the ligand (82 to 99 atoms) plus active site residues: Gln19sc, Thr26$, His41sc, Asn142-Gly143-Ser144-Cys145, His163sc, $Glu166$, His172sc, Gln189-Thr190$ (155 atoms of the protease, scside chain only, ($)an additional bond along the backbone was included into the quantum region, total charge q ¼ À1e). The individual residues or groups were terminated by H-caps and electrostatic interactions of atoms in the MM region neighbouring the H-caps with the quantum motif were represented by a Gaussian grid. 44 Full geometry optimizations of the enzymeinhibitor systems were done using DFT-M06-2X/6-311++G(d,p)//MM-OPLS-2005 level of theory using electronic embedding and analytic gradients with default convergence criteria and extended electrostatic interaction cut-off (20Å). 44 The embedding consists of coulombic interaction (OPLS-2005 point charges of the MM region within cut-off distance explicitly contribute to one-electron part of the QM Hamiltonian) and van der Waals interaction between the QM and MM regions (OPLS-2005 force eld parameters are used for atoms of both regions). 44 The effect of solvent was included by means of implicit solvation model as a single point calculation for the optimized geometry DFT-M06-2X/6-311++G(d,p)// MM-OPLS-2005-PBF (water). The meta-GGA global exchangecorrelation density functional M06-2X with Hartree-Fock exchange is widely employed in computational chemistry for calculating energy-related quantities, and was recommended for describing thermochemistry, kinetics and non-covalent interactions by its developers. 46, 47 The exible split-valence triple-zeta basis set with additional polarization and diffuse functions on all atoms 6-311++G(d,p) 48 was previously found to lead to satisfactory predicted molecular geometries. 49 In the QM/MM calculations the OPLS-2005 force eld was employed, 41,42,50 since until recently it was the only force eld available in QSite with parameterization suitable for describing the interface between quantum and classical regions. 44 The Poisson-Boltzmann continuum solvation model (PBF) 51 that uses nite-element method on a high-resolution grid was employed to mimic the effect of the physiological aqueous environment on the molecular structure and ligand-receptor binding. 45 The disadvantage of the QM/MM calculations using larger basis sets and extensive quantum regions, such as inhibitor bound to enzyme active site, is in rather high computational costs. † Recently, the Hilgenfeld laboratory described a series of peptidomimetic a-ketoamides as broad-spectrum covalent inhibitors of coronavirus and enterovirus replication 23 and proposed some modications directed against the main protease of the SARS-CoV-2 (2019/20). 12 Based on their work, we decided to carry on the inhibitor optimization, explore a wider section of the chemical space of covalent and non-covalent tight-binding peptidomimetic inhibitors, and propose new potent lead compounds specic for the SARS-CoV-2 M pro by means of computer-aided drug design. The optimization procedure departed from the crystal structures of SARS-CoV-2 M pro in complex with the Michael-acceptor N3 (PDB ID 6LU7), 14 and aketoamide 13b (PDB ID 6Y2F), 12 which were recently made available in the Protein Data Bank. 26 Both inhibitors N3 and 13b are bound at the active site of the M pro in predominantly extended conformations, 11, 12, 14 it was therefore possible to model the binding of peptidomimetic inhibitors, which share some of P1 to P3 residues with the N3 or 13b, by in situ modi-cation of the M pro -inhibitor crystal structures. 12, 14 To determine a quantity related to the binding affinity of inhibitors to the M pro , we have computed relative interaction energies (DDE int,MM ) of known and designed inhibitors using molecular mechanics (MM) and hybrid QM/MM approach (DDE int,QM/MM , see the Methods section). The MM interaction energy guided us in the search for more potent M pro inhibitors generated by structure-based design. Table 1 gives computed DDE int,MM of known M pro inhibitors together with their experimental half-maximal inhibitory concentrations (IC 50 exp ) determined in enzyme inhibition assays on the SARS-CoV M pro (2003) and the SARS-CoV-2 M pro (2019/20). 12, 14, 23 All inhibitors shown in Table 1 share the g-lactam derivative of glutamine as the P1 residue, which was found to enhance the inhibitory potency compared to the exible glutamine side chain, most probably due to reduction of entropy loss upon binding to the M pro . 23, 52, 53 The largest inhibitor N3 containing unsaturated benzyl ester electrophilic linkage, which occupies binding site specicity pockets S5 to S1 0 and satises the known cleavage site preference of SARS-CoV M pro for P1 to P3, displayed the strongest computed interaction energy. Unfortunately, the IC 50 exp value for the N3 inhibition of SARS-CoV-2 M pro is not known. 14 On the other hand, the IC 50 exp values of the a-ketoamide inhibitors 11r 23 (Table 1) . 12 As it can be expected from the 96% sequence identity and similar 3D-structures of both viral proteases the IC 50 exp of these two viral strains are rather similar. Experimental activities of the SARS-CoV-2 M pro inhibition are available only for a couple of compounds ( Table 2 and Fig. 2 . The structural variability of the training set is restricted to the P2 residue only, consequently, the range of observed activities of this set of inhibitors is relatively narrow (3 orders of magnitude). Nevertheless, in the absence of other consistent sets of activity data of peptidomimetic inhibitors of SASR-CoV-2 M pro in the literature, this series can be used for the validation of the computational approach. As we can see from the statistical parameters of the correlation (Fig. 2) We have modelled the potent a-ketoamide inhibitor 11n 23 at the binding site of the SARS-CoV-2 M pro , 12, 14 and optimized the P1 residue that lls the specicity pocket S1 of the protease. The S1 subsite is formed by the side chains of residues Phe140, Asn142, Glu166, His163, and His172 of protomer A and in part also by the side chain of Ser1 of the other protomer B. In addition, main chain atoms of Phe140 and Leu141 also contribute to the S1 subsite formation. This polar pocket offers the potential for more than 2 hydrogen bonds (HB) formed by the glutamine side chain. Therefore, we have explored the replacement of Glu side chain by g-lactam, unsaturated g-lactams, and hydantoin moieties, Table 3 . When comparing the DDE int,MM values (representing here the approximate binding affinity of the ligands to M pro ) of the inhibitor candidates C1 to C4, the hydantoin heterocyclic moiety improved the predicted binding by more than 5 kcal mol À1 . The reason for this enhancement is that in the relaxed structure of the M pro -C4 complex the P1 residue penetrates deeper into the S1 pocket compared to N3 or 13b and forms four HBs with the main-chain of Phe140 and side chains of Asn142, His163, and His172. The main-chain carbonyl group of the P1 residue makes 3 HBs with the backbone NH groups of Gly143, Ser144, and Cys145, which create the canonical "oxyanion hole" of the M pro cysteine protease. 12,14 Therefore, we retained the glutamine hydantoin residue as the best building block in the P1 position of all following inhibitor candidates. The substrate selectivity of the S2 pocket of the active site of coronaviruses M pro for leucine was determined previously. 6, 7 Recently, the substrate recognition and cleavage site preference of SARS-CoV-2 M pro were probed by a library of uorogenic substrates, with glutamine in the P1 position, containing natural and a large panel of unnatural amino acids. 8 Rut et al. 8 concluded that the most preferred amino acid at the P2 position of SARS-CoV-2 M pro is leucine. In addition, the S2 pocket can accommodate also other larger hydrophobic residues, such as 2-Abz, Phe(4-NO 2 ), 3-Abz, b-Ala, Dht, hLeu, Met, and Ile (see table S1 of ref. 8 for the chemical structures of these unnatural a.u.). However, the substrate library of Rut et al. 8 did not contain any unusual amino acids with bulkier and branched aliphatic Paper side chains, as such chemicals are commercially not available. We have tested the preference of the S2 subsite of the SARS-CoV-2 M pro for further branched or cyclic aliphatic side chains larger than that of leucine. The reason for selecting bulkier P2 residues was based on the 3D structure of inhibitor-M pro complexes, which indicated that larger and branched side chains could be accommodated in the deeper S2 pocket and could extend also into the neighbouring larger hydrophobic S1 0 subsite thus anchoring the inhibitor in the substrate binding pocket. The computed the DDE int,MM values of inhibitor candidates C4-C10 (Table 4 ) suggest that besides leucine and isoleucine the P2 residue can almost equally well be composed of larger branched side chains, e.g. such as 4-isoheptane (C9), that is housed both by the S2 and S1 0 subsites, Table 4 and Fig. 3 . We have selected the C9 as the inhibitor with optimal P2 residue and retained it throughout optimization of the remaining residues of new inhibitors. We may assume that the larger and branched structure of the side chain of P2 residue could enhance the specicity for the SARS-CoV-2 M pro over main proteases of other coronaviruses and enteroviruses which universally prefer Leu at the P2 position of their substrates. The S3 subsite of the M pro is solvent-exposed, which suggests that this site can tolerate a wider range of functional groups. 12, 14 To diminish unfavourable entropic effects associated with the ligand binding we decided to reduce the linker length and exibility of the anking P3 residue. In addition, we have extended the solvent exposed surface area of the P3 moiety by introducing rigid condensed aromatic systems that contribute to the inhibitor binding by an elevated hydrophobic effect. Moreover, we have increased the contribution of the P3 to the overall binding affinity by adding specic HB interactions to the binding site residues that occupy the S3 and S4 subsites. The S4 subsite is composed of Met165, Leu167, Pro168, Gln182, and Gln189, which can enter polar as well as nonpolar interactions with the ligand. Thus, we have introduced a hydroxyl group making a proton-donor HB to the backbone carbonyl of Thr190 (C11, Table 5 ). Next, we have considered introducing a larger heterocyclic moiety into the P3 position to decrease exibility and peptidic character of the P3 residue and rise the stability of the inhibitor structure. The 1,4-dihydroquinoxaline at the P3 position brought an additional proton-donor HB to backbone carbonyl of Glu166 (C12). Other condensed aromatic moieties included quinoxalin-1(4H)-ol (C14), quinolin-4(1H)-one (C15), 4H-1,4-benzoxazine (C16), and 4H-1,4-benzothiazine (C17). Various heterocycles were considered for the P3 residues with the goal to gain an additional HB of the heteroatoms or function groups to the side chain of Gln189. In addition, the substituted fused ring of the P3 residue of C12 to C17 contribute to the ligand binding by a lone pair -p interaction with the nitrogen of Pro168. 54, 55 Out of the inhibitor candidates with modied P3 residue the C17 appeared as the most perspective one displaying binding affinity enhancement by more than 4 kcal mol À1 compared to C9 (Table 4) , and increased specicity of binding by 2 additional HBs to the residues of the M pro active site. Interestingly, the hydroxylamine function group of quinoxaline in C14 showed to be less favourable than the thioether group of benzothiazine in C17 probably due to its elevated hydrophobic character. The S1 0 site of SARS-CoV-2 M pro (2019/20) is formed chiey by hydrophobic residues Leu27, His41, Val42, and Cys145 and the P1 0 benzyl ester portion of the inhibitor N3 is protruding out of the S1 0 into the solvent. 14 Alike the P3 residue optimization strategy, the improvement of the P1 0 building block involved shortening of the linkage, introducing condensed aromatic system that could partially occupy the hydrophobic S1 0 subsite, and adding new function groups able to interact with Gln19 located at the edge of the S1 0 pocket (C17-C23, Table 5 ). Naphthalene diol of C20, which forms a proton-donor HBs to the side chain of Gln19 appeared as the most suitable replacement of the P1 0 phenylmethanamine of the C17. This modication enhanced the binding affinity of C20 to the M pro by over 11 kcal mol À1 compared to C17 (Table 6 ). Other benzenediol, naphthalenediol, phenol, or hydroxynaphthalene groups in C17-C23 proved to be less effective. In the Table 7 we present computed binding affinities of inhibitor candidates C20-C28, which contain structural modi-cations leading to increased proteolytic stability of the peptidomimetic inhibitors. We have adopted replacements of the aketoamide linkage and peptide bonds by isosteres noncleavable by proteases to reduce reactivity, potential toxicity, side effects and instability of the covalent inhibitors (C24-C26). In addition, we have tested introduction of a rigid cyclic molecular core that could stabilize the peptidomimetics in their bound conformation (C27, C28). The non-covalent inhibitor candidate C25 with diacetyl group replaced by the ester linkage appears as a plausible alternative peptidomimetic inhibitor candidate of the SARS-CoV-2 M pro . In the last optimization step, we have evaluated whether additional combinations of the anking P3 and P1 0 residues Fig. 4 Left: 2D-interactions scheme of inhibitor candidate C33 at the SARS-CoV-2 M pro binding site optimized by MM. Right: 3D structure of inhibitor C33 bound to M pro in tube representation (yellowcarbon, bluenitrogen, redoxygen, beigesulphur, hydrogens are not displayed). Hydrogen bonds are shown as yellow dashed lines. The protein ribbon is coloured by residue charge (bluecationic, greenneutral, redanionic). Fig. 3 Partially transparent molecular surface of the SARS-CoV-2 M pro binding site with bound inhibitor candidate C9 in stick representation (yellowcarbon, bluenitrogen, redoxygen, hydrogen atoms are not shown) and enclosed by a ligand surface (white mesh). The branched and bulky side chain of the P2 residue of C9 is harboured by the S2 pocket lined with residues His41, Met49, Tyr54, Met165 and Asp187 and also by S1 0 pocket formed by residues Leu27, His41, Val42, and Cys145. The N-benzylformamide group in P1 0 position of C9 partially sticks out of the S1 0 into the solvent. This journal is © The Royal Society of Chemistry 2020 RSC Adv., 2020, 10, 40244-40263 | 40257 and peptide and ester linkage replacements could lead to smaller, stable and more potent inhibitors. Table 8 shows that the best inhibitor structures with the lowest computed relative interaction energy to the SARS-CoV-2 M pro are the butanedione linked candidates C31 and C33 with phenol or ocresol at the P1 0 position, modest molecular mass, and 9 HBs to residues: Thr26, Gly143, Ser144, His163, Glu166, His172, Gln189, and Thr190, Fig. 4 . The 2 substituents on the phenyl ring of P1 0 residue in C33 and C34 form HBs and van der Waals contacts with the main-chain and side chain of Thr26. These interactions in combination with the effect of solvent contribute favourably to the ligand binding. It is interesting to notice that replacement of ester bridge to the P1 0 residue with the butanedione linkage enhanced the affinity of the peptidomimetic inhibitors towards the M pro . Also, analogue C34 containing the ester linkage of the P1 0 residue represents a promising lead compound, which displays predicted Table 9 Comparison of relative enzyme-inhibitor interaction energies of known and designed a-ketoamide and ester M pro inhibitors computed by the QM/MM method interaction energy to the SARS-CoV-2 M pro better than the submicromolar inhibitors 13b and 11r (Table 8) . 12 To evaluate the stability of selected modelled M pro -inhibitor complexes and conformational exibility of the bound inhibitors we have carried out 200 ns MD simulations (see the Methods section) using Desmond soware. 32 Fig. 5 illustrates the simulated system and evolutions of active site interactions within the complexes and ligand properties during the simulation. The assessment showed that complexes of the most stable proposed inhibitor candidates C31-C34 preserve the binding mode as well as the ligand conformation during the MD simulation. The binding analysis also indicated that the main contribution to the inhibitor binding originates from HB and polar interactions of the P3 residue with the Glu166, which is essential for the structure of M pro dimer and its catalytic function. 9, 10, 12, 18 The other signicant contribution to the inhibitor binding comes from the novel glutamine hydantoin residue P1 that maintains the HBs with Phe140, His163, and His172 residues. Also, other substitutions guided by the M pro structure, such as introduction of polar hydroxyl groups to the aromatic rings of anking P3 and P1 0 residues, which bind through HBs to the Thr26, Thr190, and Gln192, and water molecules, were preserved during most of the MD simulation time and stabilized the M pro -C33 complex ( Fig. 5C and D) . The results of MD simulations conrmed the validity of the binding mode of peptidomimetic inhibitors predicted from modelling of the M pro -inhibitor complexes and MM calculations. In the crystal structure of SARS-CoV-2 M pro -13b 12 the residues P1 and P1 0 of the inhibitor make polar contacts with amino acid side chains forming the S1 and S1 0 subsites. Moreover, the 13b and N3 form at least 4 HBs with the main chain of the active site residues, which helps to lock the inhibitor inside the substrate binding pocket. 12 To evaluate the binding affinities of designed inhibitors towards the M pro with a higher accuracy, including also the effects of polarization, charge transfer, lone pairaromatic interactions, and solvent polarization, we have used a more rigorous QM/MM approach at the DFT-M06-2X/6-311++G(d,p)//MM-OPLS-2005-PBF (water) level of theory (see the Methods section) for a limited number of known inhibitors and new inhibitor candidates. Table 9 gives a more accurate estimate of the enzymeinhibitor interaction energies DDE int,QM/MM for 3 reference inhibitors 13b, 11n and 11r, 12,23 and 3 designed inhibitor candidates C31, C33 and C34. Both the a-ketoamide covalent inhibitors C31 and C33 as well as the ester analogue C34 show considerably better predicted interaction energies to M pro then the submicromolar a-ketoamides 13b, 11n, and 11r, Table 9 . The QM/MM calculations conrmed the trend in DDE int,MM obtained by simpler MM calculations shown above (Tables 3-8 ). The quantum mechanical description of the enzyme-inhibitor interactions within the active site clearly favoured the more polar new molecules C31, C33 and C34 over the known inhibitors. The specicity of these lead compounds towards the SARS-CoV-2 M pro is highly increased. Compared to the submicromolar inhibitor 13b, the leads C31, C33, and C34 form 6 additional HBs to the binding site residues of the M pro . The novel hydantoin moiety, which occupies the S1 subsite, contributes alone by 3 HBs to His163, Glu166, and His172 side chains towards the inhibitor binding affinity and specicity (Fig. 6) . The compound 13b inhibits the recombinant SARS-CoV-2 M pro with the IC 50 exp of 0.67 mM (ref. 12 ) and 11r with IC 50 exp ¼ 0.18 mM, Table 9 . 12,23 The predicted signicantly enhanced binding affinities of C31, C33, and C34 compared to the known inhibitors 13b, 11n, and 11r suggest that these analogues could represent new promising lead compounds worthwhile of further development. The net atomic charge (Q C* ) of the electrophilic carbon atom of the carbonyl group (indicated by * in Table 9 ), 56 targeted during the nucleophilic attack by the S g of the catalytic Cys145, demonstrates the susceptibility of the ligands to start formation of the covalent thiohemiketal linkage to the Cys145. 9 As we can see from Table 9 , the net charge Q C* of inhibitor candidates C31 and C33 is comparable to that in the a-ketoamide inhibitors 13b, 11n, and 11r, which indicates similar reactivity towards nucleophiles and equivalent potential for undesired sideeffects. On the other hand, the ester analogue C34 with Q C* of 0.315e may represent a stronger electrophile than the reference a-ketoamide inhibitors. Many lead compounds fail at an advanced stage of pharmaceutical development due to adverse pharmacokinetic proles. 57 It is therefore essential to incorporate ADME properties prediction already into the lead prioritization. Therefore, we have calculated a set of 24 ADME-related descriptors of known M pro inhibitors as well as the 3 best designed inhibitor candidates by the QikProp soware. 58 Table 10 lists 9 selected descriptors, which were computed by the methods of Jorgensen. [59] [60] [61] The overall drug- Fig. 6 Detailed view of HB interactions of inhibitor candidate C33 bound to the active site of SARS-CoV-2 M pro obtained by QM/MM geometry optimization of the enzyme inhibitor complex (in tube representation, yellowcarbon, bluenitrogen, redoxygen, beige sulphur, nonpolar hydrogens are not displayed). Eleven HBs of C33 to eight M pro active site residues are shown as beige dashed lines. This journal is © The Royal Society of Chemistry 2020 RSC Adv., 2020, 10, 40244-40263 | 40259 likeness parameter (#stars), which describes the compliance of ADME properties with the requirements for drug-like molecules, characterizes in a simple manner the pharmacokinetic prole of inhibitor candidates and can serve as a secondary compound selection criterion. The new inhibitor candidates listed in Table 10 , C31, C33, and C34 display acceptable ADME properties. Therefore, these molecules can be recommended for further pharmaceutical development. The SARS-CoV-2 M pro was recognized as a validated pharmacological target for the design of antiviral drugs, which are urgently needed to combat the ongoing COVID-19 pandemic. Computer-aided structure-based design of reversible and irreversible inhibitors of the M pro took advantage of the crystal structures of complexes of viral protease co-crystallized with peptidomimetic inhibitors N3 and 13b. 12, 14 Hydantoin, benzothiazine and cresol moieties were identied as promising design elements that can occupy S1, S3-S4, and S1 0 subsites of the M pro active site. Our effort resulted in the identication of new analogues C31, C33 and C34 with predicted enhanced binding affinities to M pro , elevated specicity, and favourable ADME-related properties. Predictions based on MM calculations and QSAR model of M pro inhibition were assessed by MD simulations and qualitatively conrmed by the more comprehensive QM/MM approach. 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