key: cord-0953945-i5oa5o7l authors: Ahmed, Shimaa A.; Abdelrheem, Doaa A.; El-Mageed, H. R. Abd; Mohamed, Hussein S.; Rahman, Aziz A.; Elsayed, Khaled N. M.; Ahmed, Sayed A. title: Destabilizing the structural integrity of COVID-19 by caulerpin and its derivatives along with some antiviral drugs: An in silico approaches for a combination therapy date: 2020-07-23 journal: Struct Chem DOI: 10.1007/s11224-020-01586-w sha: 21cddd2ceb8e523d6c795333907cf6218cf6b65f doc_id: 953945 cord_uid: i5oa5o7l Presently, the SARS-CoV-2 (COVID-19) pandemic has been spreading throughout the world. Some drugs such as lopinavir, simeprevir, hydroxychloroquine, chloroquine, and amprenavir have been recommended for COVID-19 treatment by some researchers, but these drugs were not effective enough against this virus. This study based on in silico approaches was aimed to increase the anti-COVID-19 activities of these drugs by using caulerpin and its derivatives as an adjunct drug against SARS-CoV-2 receptor proteins: the SARS-CoV-2 main protease and the SARS-CoV-2 spike protein. Caulerpin exhibited antiviral activities against chikungunya virus and herpes simplex virus type 1. Caulerpin and some of its derivatives showed inhibitory activity against Alzheimer’s disease. The web server ANCHOR revealed higher protein stability for the two receptors with disordered score (< 0.6). Molecular docking analysis showed that the binding energies of most of the caulerpin derivatives were higher than all the suggested drugs for the two receptors. Also, we deduced that inserting NH(2), halogen, and vinyl groups can increase the binding affinity of caulerpin toward 6VYB and 6LU7, while inserting an alkyl group decreases the binding affinity of caulerpin toward 6VYB and 6LU7. So, we can modify the inhibitory effect of caulerpin against 6VYB and 6LU7 by inserting NH(2), halogen, and vinyl groups. Based on the protein disordered results, the SARS-CoV-2 main protease and SARS-CoV-2 spike protein domain are highly stable proteins, so it is quite difficult to unstabilize their integrity by using individual drugs. Also, molecular dynamics (MD) simulation indicates that binding of the combination therapy of simeprevir and the candidate studied compounds to the receptors was stable and had no major effect on the flexibility of the protein throughout the simulations and provided a suitable basis for our study. So, this study suggested that caulerpin and its derivatives could be used as a combination therapy along with lopinavir, simeprevir, hydroxychloroquine, chloroquine, and amprenavir for disrupting the stability of SARS-CoV2 receptor proteins to increase the antiviral activity of these drugs. Currently, the world suffers from the spreading of a novel SARS-coronavirus called COVID-19 or SARS-Cov-2, and unfortunately, it is now a global epidemic. The record of the first cases with COVID-19 infections was in Wuhan, Hubei Province, China, at the end of December 2019, and then the infections spread worldwide [1] . On April 9, 2020, the total number of confirmed cases of COVID-19 exceeded one and a half million with more than 88,000 deaths worldwide. There are four genera of CoVs-α, β, γ, and δ-and the SARS-CoV-2 belongs to β-coronavirus [1, 2] . The genetic sequence of the 2019 novel coronavirus is similar to the genetic sequence of SARS-CoV more than that of MERS-CoV [3] . The most common symptoms of SARS-CoV-2 infection are lymphopenia, fever, dry cough, and fatigue [4] , but it may lead to severe pneumonia and pulmonary edema [5] . Until now, there is no specific effective drug against SARS-CoV-2, but some previous studies reported that chloroquine and remdesivir inhibited SARS-CoV-2 and the possibility of using these drugs in the treatment of COVID-19 [6] . The genome encodes four structural proteins of the coronavirus, which are spike glycoprotein (S), small envelope protein (E), matrix glycoprotein (M), and nucleocapsid protein (N) [1] . The human angiotensin-converting enzyme 2 (hACE2) is an important SARS-CoV-2 receptor which is found in the cells of lung tissue [7] , and the SARS-CoV-2 (S) glycoprotein enters cells by using this receptor. Among the functional coronavirus proteins is 3CLpro, which is essential for transcription, processing, synthesis and modification of RNA, and replication of the virus [8] . Natural sources of active constituents are more preferable in the treatment than chemically synthesized drugs because most synthesized drugs have unwanted side effects on human health [9] . Most natural compounds have various and effective biological activities such as antimicrobial, anticancer, anti-inflammatory, and antidiabetic [10] . Caulerpin, a low toxic bisindole alkaloid, is a more common compound of the genus Caulerpa of green macroalgae and it was isolated from Caulerpa racemosa and the red alga Chondrus armatus [11] . Caulerpin is characterized by a variety of biological activities being an antitumor [12] , growth regulator [13] , antidiabetic, anticancer, antilarvicidal, antitubercular, antimicrobial, antiviral, spasmolytic, antinociceptive, plant growth regulator [14] [15] [16] [17] , and anti-inflammatory [18] . Caulerpin exhibited antiviral activities against chikungunya virus [19] and herpes simplex virus type 1 [11] . Caulerpin and some of its derivatives showed inhibitory activity against Alzheimer's disease [20] . In this study, we aim to evaluate the inhibitory effect of caulerpin and its analogs against the SARS-CoV-2 main protease Mpro (PDB ID: 6LU7) protease and the SARS-CoV-2 spike protein Sp (PDB ID: 6VYB) by molecular docking analysis. Also, we study the effect of side chain replacement of caulerpin on its inhibitory effect compared with some used drugs which are currently used as SARS-CoV-2 inhibitors such as lopinavir, simeprevir, hydroxychloroquine, chloroquine, and amprenavir. Also, drug-likeness model score and ADMET properties were computed and analyzed. The protein disordered results from ANCHOR was computed to show the stability of the SARS-CoV-2 main protease and the SARS-CoV-2 spike protein domain. Also, a combination therapy between caulerpin and its derivatives along with lopinavir, simeprevir, hydroxychloroquine, chloroquine, and amprenavir for disrupting the stability of SARS-CoV-2 receptor proteins to increase the antiviral activity of these drugs was studied in this work. Also, molecular dynamics (MD) simulation was performed to study the binding of the combination therapy of simeprevir and the candidate studied compounds to the receptors and the stability of these complexes throughout the simulations in the presence of water. The structures of all the studied compounds were downloaded in SDF format and shown in Fig. 1 , and their SMILES are displayed in Table 1 . The structures of all the studied compounds were further refined in ChemDraw3D Ultra to avoid any repetition, and energy minimization was carried out on all the studied compounds using Molecular Mechanics 2 (MM2) force field method before docking. The structures of lopinavir, simeprevir, hydroxychloroquine, chloroquine, and amprenavir were obtained from the PubChem database. The structural optimization was carried out using MM2 force field. Afterwards, the structures were converted into pdbqt format by using the AutoDockTools 1.5.6 software. The 3D crystal structure of the SARS-CoV-2 main protease Mpro (PDB ID: 6LU7) and the cryo-electron microscopic structure of the SARS-CoV-2 spike protein Sp (PDB ID: 6VYB) were taken from the PDB (Protein Data Bank) site. Small molecules were removed from the crystal structures of 6LU7 by using the BIOVIA Discovery Studio software [21] . Polar hydrogens and Kollman charges were added to the protein and a pdbqt format file was generated by using the AutoDockTools 1.5.6 software. The protein was prepared using the protein preparation wizard of AutoDockTools 1.5.6. Polar hydrogens and Kollman charges were added to the protein and a pdbqt format file was generated by using AutoDockTools. All water molecules were deleted from 6LU7 and 6VYB. The torsions for the ligands were set by detecting the roots in AutoDockTools 1.5.6 followed by setting aromaticity criteria of 7.5. We defined a grid size with 60 Å × 60 Å × 60 Å for two receptors and the Lamarckian genetic algorithm (LGA) was assigned to carry out the molecular docking process, as described in this study [22] . To validate the docking protocol, bound ligand inhibitor N3 coordinates in the crystal complex of 6LU7 were removed and the bond orders were checked. Then, we performed the docking Once docking is done, the best pose was selected based on binding energy, ligand-receptor interactions, and active site residues. Then, the docked pose with that of the cocrystallized structure was simply aligned and then root mean square deviation (RMSD) was calculated lower than 1.0 Å. For docking calculations, Gasteiger partial charges were assigned to the tested derivatives and inhibitor N3, and nonpolar hydrogen atoms were merged. All torsions were allowed to rotate during docking. The standard docking protocol for rigid and flexible ligand docking consisted of 10 independent runs per ligand, using an initial population of 50 randomly placed individuals, with 2.5 × 10 6 energy evaluations, a maximum number of 27,000 iterations, a mutation rate of 0.02, a crossover rate of 0.80, and an elitism value of 1. The probability of performing a local search on an individual in the population was 0.06, using a maximum of 300 iterations per local search. After docking, the 10 solutions were clustered into groups with RMS deviations lower than 1.0 Å. The clusters were ranked by the lowest energy representative of each cluster. The results obtained from the docking process were visualized using the BIOVIA Discovery Studio software. Multiple ligand simultaneous docking (MLSD) method simulates the interaction of multiple ligands inside the receptor. The multiple ligands can be a mixture of substrates or cofactors. The present implementation of MLSD assumes the algorithms and scoring function of AutoDock4 and helps in investigating the interaction between multiple ligands with the target receptor. In setting the dock parameters for MLSD, inhibitor molecules were read separately using AutoDockTools (ADT) and saved with appropriate torsions and charges as .PDBQT files. Meanwhile, the receptor molecule was also read and a dock parameter file (.dpf) was generated. With individual dock parameter files of the inhibitor molecules, the substrate's dpf was merged into one single file to run MLSD simulation. Once prepared with the merged dock parameter file, docking begins with the random Compound 7 Compound 10 initialization of the population. MLSD stands separate from single ligand docking where different conformations of multiple ligands can be run simultaneously. To achieve this, the program loads the .PDBQT files of both substrate and inhibitor to perform simulation. Each ligand will be randomly initialized with its own set of state variables attaining specific configuration, ligand center, torsion tree, and a group of atomic coordinates. Standard LGA procedure and the pseudo-Solis and Wets method were applied for energy minimization. After each generation of genetic operations, the MLSD program maps the genotype of a ligand back to phenotype so that each ligand has its own phenotype, and the coordinates of all the parameters set in the docking MLSD protocol and the validation of the docking method were done according to this study [23] . The drug-likeness prediction of all the studied bioactive compounds was carried out by Lipinski filter (http:// www.scfbio-iitd.res.in/software/drugdesign/lipinski.jsp), according to which an orally active drug should comply with a minimum of four of the five laid down criteria for drug-likeness, namely: molecular mass, cLogP, hydrogen donor and acceptor, and molar refractive index [24] . Furthermore, pharmacokinetic properties like absorption, distribution, metabolism, excretion, and toxicity of all the studied compounds were predicted utilizing the admetSAR database (http://lmmd.ecust.edu. cn/admetsar1/predict) [25] . Also, all the studied compounds were submitted to an in silico molecular properties of descriptors and prediction of bioactivity score based on Lipinski's rule of five using the Molinspiration server (http://www.molinspiration.com). The structures of the highest binding complexes obtained from the molecular docking study of simeprevir + compound 7-6LU7, simeprevir + compound 19-6LU7, simeprevir + compound 7-6VYP, and simeprevir + compound 7-6VYP complexes were prepared for MD simulation using standard dynamic cascade implicit in Discovery Studio. The MD simulation of the studied complexes was carried out at 10 ns using CHARMm force field for all atoms in the complex. The simulation started by solvating the complex in triclinic box using Compound 20 Fig. 6 2D interaction of the studied compounds (16) (17) (18) (19) (20) inside 6LU7 the TIP3P water model. The counter ions were added to neutralize the system. In the 6LU7 complexes, the studied systems were solvated in 6506 water molecules and neutralized by 20 sodium and 17 chloride as counter ions, while in the state of 6VYP complexes, the studied systems were solvated in 46,502 water molecules and neutralized by 128 sodium and 123 chloride as counter ions. Periodic boundary conditions were used. Throughout the simulation, each complex system is maintained at the temperature of 300 K with constant pressure. Energy minimization was done for 50,000 steps. The trajectories were collected for every nanosecond to get insights into the interactions at the atomistic level. All MD protocol was carried out according to this study [26] . The complexes resulting from MD simulation were analyzed for RMSD and root mean square fluctuation (RMSF). Also, the interaction energy was calculated to gain insight into the importance of electrostatic and van der Waals contributions in the formation of complexes. The calculation of interaction energy was carried out also by Discovery Studio on the last 1 ns obtained from the MD of the system. The stability of protein receptors was decided using the web server (http://iupred.enzim.hu and http://iupred.elte. hu) algorithm IUPred2 and ANCHOR that were assigned for this step. The FASTA files of the protein receptors of SARS-CoV-2 main protease (PDB ID: 6LU7) containing 306 residues and SARS-CoV-2 spike protein domain (PDB ID: 6VYB) with 975 residues were uploaded on the web server for protein disorders estimation [27, 28] . The predication mechanism of the IUPred algorithm depends on the energy estimation approach at a low-resolution statistical potential to discover the ability of amino acid pairs to produce contacts and examine as globular protein structures [29] . The statistical potential computes the energy for all residues related to its interactions with other structure-contacting residues in the state of known structure. The total Compound 8 Compound 9 Compound 10 stabilizing energy of the system can be calculated by the sum of residue-level energy and intrachain interactions in protein structure energy. Consequently, this novel technique has been established to decide these energies are exactly from the amino acid sequence of unknown structure as shown in this study [30] . Similar to IUPred, ANCHOR also utilizes the energy calculation method for identifying the disordered binding sites. In spite of the general disorder tendency, two additional terms have also been inserted into this method, to calculate energy based on the interaction with a globular protein and with the disturbed sequence [31] . Prediction of protein stability The diagram taken from the web server (https://iupred2a.elte.hu) (Fig. 2) after downloading the FASTA file of each protein receptor produced a score less than 0.6 for all residues of 6LU7 as shown in Fig. 2a and of 6VYB as shown in Fig. 2b , showing that the reliability of residues in selected protein receptors of SARS-CoV-2 is very high [32, 33] . So, SARS-CoV-2 main protease and SARS-CoV-2 spike protein are extremely stable proteins, so it is very difficult to unstabilize the stability of these Table 2 in the state of 6VYB. Also, the studied compounds which exhibited the highest binding energy interact with amino acid residuals of 6LU7 through different types of interactions such as hydrogen bond, halogen, pi-alkyl, pi-sigma, and van der Waals. Compound 7 interacts with TYR 612 and ARG 319 residuals of 6VYB through hydrogen bond interaction, with GLN 321 and VAL 620 through van der Waals interaction, and also with PHE 318 through pi-pi-Tshaped interaction as shown in Fig. 8 . Compound 10 interacts with LEU 303 and GLN 957 residuals of 6VYB through hydrogen bond interaction and also with LYS 304 and TYR 313 through pi-alkyl interactions as shown in Fig. 8 . Compound 19 interacts with SER 596 residual of 6LU7 through hydrogen bond interaction and also with LYS 310 and GLN 314 and 613 through van der Waals interaction as shown in Fig. 10 , while compound 20 interacts with LYS 964, LEU 48, and SER 305 residuals of 6LU7 through hydrogen bond interaction and with ASN 860 through van der Waals interactions as shown in Fig. 10 . In general, the binding affinity of the studied compounds in the state of 6VYB is larger than that of 6LU7. Also, we found that compounds 7, 10, and 19 have the same behavior against 6VYB and 6LU7. So, most of the studied compounds can act as 6VYB and 6LU7 inhibitors, especially compounds 7, 10, and 19. In this section, we summarize the effect of side chain replacement on the binding energy of all the studied compounds against 6VYB and 6LU7 as shown in Table 3 . The study on the effect of side chain on binding energy is very important in this work to summarize the ability of different functional groups in binding energy contribution. As shown in Table 3 , inserting NH 2 , halogen, and vinyl groups can increase the binding affinity of caulerpin toward 6VYB and 6LU7 due to their high electronegativity, which can yield more different interactions with active sites of receptors. These interactions lead to an increase in the binding energy between these ligands inside receptors, while inserting an alkyl group decreases the binding affinity of caulerpin toward 6VYB and 6LU7 as shown in Table 3 , due to their low electronegativity, which can yield less different interactions than the previous groups with active sites of receptors. These interactions lead to a decrease in the binding energy between these ligands inside the receptors. The effect of side chain on binding energy in this study is in good agreement with this previous study [20] . Because there is a simple difference between side chains of all derivatives in this study (there are high similarities between all studied compounds in their structures in which their backbones are the same), the contribution of substituents in binding energy is a simple difference between the main scaffold and substituted derivatives. So, we can modify the inhibitory effect of caulerpin against 6VYB and 6LU7 by inserting NH 2 , halogen, and vinyl groups. Analysis of the drug-likeness model score and ADMET properties of all the studied bioactive compounds The drug-likeness model scores for all the studied compounds were computed using the Molinspiration server (http://www. molinspiration.com) and their values are presented in Table 4 . Compounds having zero or negative value should not be considered as drug-like. The maximum drug-likeness score was found out to be 0.94 for compound 7 followed by compounds 10 and 19 with a drug-likeness score of 0.88 and 0.87, respectively, suggesting that these compounds have a better chance to be developed as drug leads. The ADMET properties such as absorption, distribution, metabolism, excretion, and toxicity of all the studied compounds were predicted using the admetSAR database (http://lmmd.ecust.edu.cn/ admetsar1/predict). The database supports ADMET profiles which involve some features to study the ability of the studied compounds to act as drug leads such as blood-brain barrier (BBB) penetration, human intestinal absorption (HIA), Caco-2 cell permeability, cytochrome P450 (CYP) inhibitory promiscuity, AMES toxicity, carcinogenicity, and rat acute toxicity LD50 which are calculated and displayed in Table 5 . As shown in Table 5 , all the studied compounds may cross the BBB and are absorbed in the human intestine (HIA) showing permeability for Caco-2 cells, whereas compound 5 showed negative result for BBB, HIA, and Caco-2 cell permeability. CYP is a group of isozymes containing the metabolism of drugs, steroids, fatty acids, bile acids, and carcinogens. The results indicate that these studied compounds are nonsubstrate and noninhibitor of CYP enzymes [34] . In terms of AMES toxicity, all the studied compounds were observed to be nontoxic. The carcinogenicity model indicated a noncarcinogenic nature of all the studied compounds. Rat acute toxicity LD50 of all the studied compounds was found between 1.84 and 2. 55 mol/kg. The finding strongly provides the ability of most studied compounds to act as a drug, except compounds 3, 5, and 9 as shown in Table 5 . The molecular properties of descriptors and prediction of bioactivity score of all the studied compounds were analyzed based on Lipinski's rule of five using the Molinspiration server (http://www.molinspiration.com) and their values are given in Tables 6 and 7 , respectively. All theoretical background of these calculations was carried out according to this study [35] . Lipinski's rule of five is commonly used in the development and drug design to expect oral bioavailability of drug molecules. Lipinski's rule was established based on five rules to compute the ability of the compound to act as an orally active drug. So, the orally active drug must have no more than one violation of the following standards: (i) octanol/water partition coefficient (logP), which measured the lipophilicity of a molecule must be not greater than five; (ii) a molecular weight (MW) less than 500 Da; (iii) not more than five hydrogen bond donors (nON); (iv) not more than 10 hydrogen bond acceptors (nOHN); and (v) topological polar surface area (TPSA) below the limit of 160 Å. As shown in Table 6 , only compounds 4, 6, 7, 10-13, and 19 did not violate any of Lipinski's rule of five. TPSA measures the bioavailability of the drug molecule and is closely related to the hydrogen bonding potential of a compound. The TPSA of the studied compounds was observed in the range of 36.46-108. 38 Å and is well below the limit of 160 Å. The number of rotatable bonds (nRot) measures conformational stability GPCR GPCR ligand, ICM ion channel modulator, KI kinase inhibitor, NRL nuclear receptor ligand, PI protease inhibitor, EI enzyme inhibitor which was found to be acceptable for most of the studied compounds. All calculated values for the studied compounds are less than 10, so these compounds are conformationally stable. It can be predicted that only compounds 4, 6, 7, 9, 11, 12, 13 , and 19 obeyed Lipinski's rule of five and are likely to be orally active. The bioactivity scores of all the studied compounds for drug targets are presented in Table 7 . A molecule having a bioactivity score more than 0.00 is most likely to display significant biological activities; values − 0.50 to 0.00 are assumed to be moderately active, while values less than − 0.50 are presumed to be inactive. As shown in Table 7 The global energy of interacted molecules was associated with free binding energy and their higher negative value explains higher binding probability [36] . Based on the molecular docking study, it was noticed that the predicted antiviral activity of most of the caulerpin derivatives against SARS-CoV-2 infection targeting remarkable COVID-19 main protease and S-receptor binding domain are larger than those of all drugs in this study especially compounds 7, 10, and 19. In this section, we study combination therapy of compounds yielding the highest binding in molecular docking together with lopinavir, simeprevir, hydroxychloroquine, chloroquine, and amprenavir for disrupting the stability of SARS-CoV-2 main protease and SARS-CoV-2 spike proteins. As shown in the "Introduction," all compounds under investigation in this study showed inhibitory activity against Alzheimer's disease [20] , so all compounds are safe and nontoxic for biological applications. So, we can use them in combination therapy along with lopinavir, simeprevir, hydroxychloroquine, chloroquine, and amprenavir drugs which are actually used in the treatment of COVID-19 patients. The obtained binding energy values of compounds 7, 10, and 19 are higher than those of the drugs lopinavir, simeprevir, hydroxychloroquine, chloroquine, and amprenavir against 6VYB and 6LU7. These results of molecular docking indicated that compounds 7, 10, and 19 as adjunct drugs could be potent antiviral molecules along with lopinavir, simeprevir, hydroxychloroquine, chloroquine, and amprenavir or other antiviral conventional drugs for disruption of the integrity of SARS-CoV-2 protein receptors. Simeprevir produces the highest binding energy toward 6VYB and 6LU7 compared with other drugs. Figures 11 and 12 show the schematic presentation of combination therapy of simeprevir with compounds 7, 10, and 19 suppressing the activity of the main protease and receptor binding protein which plays an essential role in the completion of the SARS-CoV-2 life cycle, respectively. Compound 19 Simeprevir To confirm the docking results and get more insight into the stability of the ligand-protein complex, MD simulations were carried out for the highest binding energy of simeprevir with compounds 7 and 19 inside 6VYB and 6LU7 receptor complexes in the solvated states at 10 ns as shown in Fig. 13 . The results of MD simulations have been examined on the basis of RMSD and RMSF values as a function of time. To examine the change in the protein dynamics and the conformational stability of the protein-ligand complexes, the protein complexed with the studied compounds were subjected to 10 ns MD simulations. Standard dynamics cascade module implicit in the DS software was employed to measure the RMSD and RMSF. The RMSD measures the direct changes in the protein from the initial coordinates. The RMSD values of the protein backbone in complex with the potential inhibitors were computed with respect to the initial structure as a frame reference (0 to 10 ns). The RMSD values steadily increased from 0 to 4 ns and reached equilibration after that throughout the simulation period. The RMSD values for all the studied complexes showed oscillations between 2 and 4 ns indicating that the studied compounds were adapting another conformation within the binding pocket as shown in Fig. 14 . The average RMSD values for the last 1 ns for all the studied systems were 1.15 ± 0.04, 1.74 ± 0.08, 1.53 ± 0.03, and 1.30 ± 0.12 for simeprevir + compound 7-6LU7, simeprevir + compound 19-6LU7, simeprevir + compound 7-6VYP, and simeprevir + compound 7-6VYP complexes, respectively. Lower RMSD value of the complex indicates its stability with combination therapy of simeprevir and the two candidate compounds and provided a suitable basis for our study. Root mean square fluctuation RMSF was measured with respect to the backbone atom of each amino acid residue, and the plot of RMSF was used to depict the fluctuations at the residue level. The RMSF plot as shown in Figs. 15 and 16 of solvated 6LU7 and 6VYB receptors, receptively, in complex with simeprevir + compounds 7 and 19 during 10 ns molecular dynamics simulations at 10 nm exhibited a similar trend of residue fluctuation profile for both free receptors (6LU7 and 6VYB) and the complexes with a low average RMSF. This trend in the RMSF plot for the complex indicates that binding of combination therapy of simeprevir and the two candidate compounds to the receptors was stable and had no major effect on the flexibility of the protein throughout the simulations. To explore more insights on the local protein flexibility, the time average of RMSF values of the 300 amino acids of 6LU7 and 975 amino acids of 6VYB receptors in the presence of the inhibitor (simeprevir + compounds 7 and 19) over the simulation period was calculated. The RMSF values for the three complexes suggested that the following residues ALA 206, VAL 204, and LEU 205 showed less fluctuation in all complexes in the state of 6LU7 and ALA27, TYR28, and THR29 in the state of 6VYB as shown in Figs. 15 and 16, respectively. The average RMSF values were 0.55 ± 0.07, 0.69 ± 0.09, and 0.87 ± 0.07 Å for 6LU7, simeprevir + compound 7-6LU7, and simeprevir + compound 19-6LU7 complexes, respectively, and 0.35 ± 0.03, 0.41 ± 0.07, and 0.58 ± 0.05 Å for 6VYB, simeprevir + compound 7-6VYB, and simeprevir + compound 19-6VYB complexes, respectively. Numerous antiviral or other conventional drugs are being examined against COVID-19, but there are still no positive results yet. This study has emphasized to know the exact reason, by considering the two receptor proteins of SARS-CoV-2: SARS-CoV-2 main protease (PDB ID: 6LU7) and SARS-CoV-2 spike protein domain (PDB ID: 6VYB), why FDA (Food and Drug Administration)-approved drugs or other conventional drugs are not working against SARS-CoV-2. The Fig. 16 The root mean square fluctuation (RMSF) values of 6VYB receptor alone and in complex with simeprevir + compounds 7 and 19 were plotted against residue numbers protein disordered results from ANCHOR showed that the SARS-CoV-2 main protease and the SARS-CoV-2 spike protein domain are highly stable proteins, so it is quite difficult to unstabilize the integrity of these proteins by using individual drugs. The molecular docking analysis revealed that most of the studied compounds can act as 6VYB and 6LU7 inhibitors, especially compounds 7, 10, and 19. Also, we deduced that inserting NH 2 , halogen, and vinyl groups can increase the binding affinity of caulerpin toward 6VYB and 6LU7, while inserting an alkyl group decreases the binding affinity of caulerpin toward 6VYB and 6LU7. So, we can modify the inhibitory effect of caulerpin against 6VYB and 6LU7 by inserting NH 2 , halogen, and vinyl groups. The drug-likeness model score suggested that most of the studied compounds, especially 7, 10, and 19, have a better chance to be developed as drug leads. The ADMET properties strongly provide the ability of most studied compounds to act as a drug, except compounds 3, 5, and 9. The molecular properties of descriptors and prediction of bioactivity score confirmed that compounds 7, 10, and 19 did not violate any of Lipinski's rule of five and exhibit significant biological activities. Based on protein disordered results, we study combination therapy for compounds yielding the highest binding in molecular docking along with lopinavir, simeprevir, hydroxychloroquine, chloroquine, and amprenavir for disrupting the stability of SARS-CoV-2 main protease and SARS-CoV-2 spike proteins. The RMSD of the receptor-ligand complexes of both receptors has maintained stability at around 2 Å and the RMSD of the three drugs complexed with the protein is in the favorable range within 1.2 Å and has remained stable during the simulations. The backbone atoms of the complex and free receptor show similar RMSF, indicating the stability of the combination therapy between the studied compounds and simeprevir inside 6LU7 and 6VYB receptors. Hence, the combination of the studied compounds and simeprevir is highly effective against SARS-CoV-2 protease, and these drugs can be explored further for drug repurposing against the successful inhibition of COVID-19. Finally, the antiviral activity of lopinavir, simeprevir, hydroxychloroquine, chloroquine, and amprenavir could be increased against SARS-CoV-2 by using caulerpin and its derivatives as combination therapy. 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Abd El-Mageed is grateful to Dr. F.M. Mustafa (Chemistry Department, Faculty of Sciences, Beni-Suef University, Beni Suef, Egypt) for her continuous assistance, moral and scientific support, and fruitful discussions. Conflict of interest The authors declare that they have no conflict of interest.