Abstract

As a follow-up to our teamwork’s former work against SARS-CoV-2, eight compounds (ramelteon (68), prilocaine (224), nefiracetam (339), cyclandelate (911), mepivacaine (2325), ropivacaine (2351), tasimelteon (2384), and levobupivacaine (2840)) were revealed as the best potentially active SARS-CoV-2 inhibitors targeting the main protease (PDB ID: 5R84), Mpro. The compounds were named in the midst of 3009 FDA and clinically approved compounds employing a multistaged in silico method. A molecular fingerprints study with GWS, the cocrystallized ligand of the Mpro, indicated the resemblance of 150 candidates. Consequently, a structure similarity experiment disclosed the best twenty-nine analogous. Then, molecular docking studies were done against the Mpro active site and showed the binding of the best compounds. Next, a 3D-pharmacophore study confirmed the obtained results for the eight compounds by exhibiting relative fit values of more than 90% (except for 68, 74%, and 2384, 83%). Levobupivacaine (2840) showed the most accurate docking and pharmacophore scores and was picked for further MD simulations experiments (RMSD, RMSF, Rg, SASA, and H-H bonding) over 100 ns. The MD simulations results revealed the accurate binding as well as the optimum dynamics of the Mpro-levobupivacaine complex. Finally, MM-PBSA studies were conducted and indicated the favorable bonding of the Mpro-levobupivacaine complex with a free energy value of −235 kJ/mol. The fulfilled outcomes hold out hope of beating COVID-19 through more in vitro and in vivo research for the named compounds.

1. Introduction

The WHO noted on March 4, 2022, that the confirmed infections of COVID-19 on a worldwide basis are 440,807,756 humans. In sorrow, 5,978,096 humans among them are dead [1]. Despite the fact that the number of vaccine doses reached 10,585,766,316, the dangerous virus still has the ability to infect vastly [2]. According to these horrible numbers, massive work is demanded from scientists all over the world to find a cure. The routine process of drug discovery and detection is greatly expensive and lasts for a very long time. The usual time needed for new drug discovery is twelve years costing about 2.6 billion USD [3]. On the other hand, drug repurposing is a much faster process [4, 5].

Drug repurposing includes the identification of new biological use or uses for an old drug [6]. The process of drug repositioning was employed successfully in the development of anticancer [7], anti-COVID-19 [8], anti-inflammatory [9] antibacterial [10], antiparasitic [11], and antiviral [12] drugs.

Methods of computational chemistry were used to explore various pharmacokinetic and pharmacodynamic parameters that connect the chemical structure to activity as well as to explore the interaction of ligands with biological proteins such as structure similarity [13], molecular fingerprints [14], QSAR [15], pharmacophores [16], homology models [17], molecular modeling, drug molecular design [18], rational drug design [19], molecular docking [20], MD simulations [21], absorption [22], distribution, metabolism [23], excretion [24], and toxicity properties [25] as well as physicochemical characterization [26] assessment and DFT.

For that reason, our team composed a multiple-phase computational screening approach to name the most effective inhibitor/s for an essential SARS-CoV-2 enzyme in the midst of hundreds or thousands of compounds. Among a set of 310 antiviral natural metabolites, we pointed the most potential inhibitors against various SARS-CoV-2 proteins, including nsp10 [27], helicase [28], the main protease [29, 30], and the papain-like protease [31]. Similarly, the most potential FDA-approved drugs were anticipated against the SARS-CoV-2 nsp16-nsp10 2′-o-methyltransferase complex [32] and the SARS-CoV-2 RNA-dependent RNA polymerase [33]. We also expected potential natural inhibitors for the SARS-CoV-2 helicase [34] and RdRp [35].

Viral proteases stand out as promising targets for the development of antiviral treatments, demonstrating efficacy against specific viruses such as the human immunodeficiency virus and hepatitis C virus when targeted by aspartyl and serine proteases, respectively [36]. In the context of SARS-CoV-2, the main protease (Mpro) plays a pivotal role in the activation of sixteen functional and nonstructural proteins through the cleavage of the large polyproteins (pp1a and pp1ab). The inhibition of Mpro emerges as a strategic approach, causing substantial impairment to the virus and impeding its replication [37]. It is noteworthy that the structural and sequential distinctions between the viral main protease (Mpro) and human proteases further emphasize Mpro as a viable target for anti-COVID-19 drug discovery [38]. The unique structural properties of the SARS-CoV-2 Mpro, coupled with its significant role in the viral life cycle, underscore its potential as a focal point for developing novel and effective therapeutic interventions against COVID-19 [39, 40]. In this work, a set of 3009 clinical and FDA-approved compounds were retrieved from the website of https://Selleckchem.com [41] and has been subjected to multi-staged in silico methods to determine the most potent inhibitors targeting SARS-CoV-2 main protease (Mpro). The applied methods included molecular structures similarity study against the cocrystallized ligand (GWS) of Mpro (PDB ID: 5R84) [42] (Figure 1), molecular fingerprints study against the same ligand, molecular docking, molecular dynamics (MD) simulations and MM-PBSA experiments against Mpro.

Unfortunately, the in vitro and in vivo examinations against COVID-19 are not accessible for our team currently. However, we employed extensive well-structured in silico methods to present a sort of strong potential SARS-CoV-2 inhibitors for every scientist who has these facilities aiming at finding a treatment.

2. Results and Discussion

2.1. Filter Using Fingerprints

The cocrystallized ligand is a compound that strongly binds to a specific protein, forming a crystalized complex [43]. This complex provides crucial insights into the nature of interaction, revealing important structural and chemical characteristics that contribute to the strong binding with that protein [44]. The chemical structural features of the cocrystallized ligand serve as a valuable blueprint for designing inhibitors that can effectively bind to the target protein. By examining the structural features and functional groups of the cocrystallized ligand, we can better understand the key elements responsible for its strong binding [45]. We used this knowledge to select compounds similar to GWS, aiming to discover potent inhibitors with a high affinity for the Mpro protein (Table 1). This approach is rooted in the principle of a structure-activity relationship (SAR), which suggests that compounds with similar chemical structures are likely to have similar biological effects [46]. The molecular fingerprints analysis represented the absence or existence of the next descriptors in the fragments and atoms of the considered compounds and GWS: H-bond acceptors [47], H-bond donors [48], charges [49], hybridization [50], positive ionizable atoms [51], negative ionizable atoms [52], halogens [53], and aromatic groups [54], align with the ALogP [55].

2.2. Molecular Similarity

A fundamental distinction between molecular similarity studies and fingerprint studies lies in the depth of molecular information they capture. Molecular similarity studies embrace a wider array of molecular descriptors and properties, facilitating a comprehensive evaluation of structural and chemical resemblances. These studies encompass considerations such as molecular shape, electrostatic characteristics, and pharmacophoric attributes. In contrast, fingerprint studies focus on specific structural motifs encoded in binary fingerprints, presenting a more condensed representation of molecular structures [56]. In a molecular similarity study, a holistic analysis is conducted, wherein the complete structures of the reference compound and the examination set are characterized and juxtaposed, employing descriptors encompassing steric, topological, electronic, or physicochemical attributes [57]. Molecular structural similarity study also belongs to the approaches of ligand-based in silico (computational) type that considered following descriptors; hydrogen bond donors (HBA) [58], acceptors (HBD) [59] partition coefficient (Alog p) [60], molecular weight (M. W) [61], rotatable bonds [62], rings and aromatic rings [63], and molecular fractional polar surface area (MFPSA) [64]. The computation of the mentioned features using Discovery Studio software led to the revelation of the best 29 analogs (Figure 2, and Table 2).

2.3. Docking Studies
2.3.1. Validation of Molecular Docking

The molecular docking algorithm was initially validated by redocking of the cocrystallized ligand into the active site of the target receptor (SARS-CoV-2 Mpro PDB ID: 5R84) with the calculation of root mean square deviation (RMSD) for reliability and reproducibility of the proposed docking algorithm. The redocked ligand showed an RMSD value of 0.56 A indicating a validated docking process (Figure 3).

The binding mode of the cocrystallized ligand (GWS) exhibited a binding energy of −6.51 kcal/mol against Mpro. The cyclohexyl moiety formed three Pi-Alkyl interactions with His41, Met165, and Met49. Additionally, the amino group in (pyridine-3-yl) acetamide moiety interacted with His163 by one hydrogen bond with a distance of 1.99°A. Moreover, the amide linker interacted with Glu166 and Asn142 by two hydrogen bonds with distances of 2.04 and 2.72°A, respectively (Figure 4).

The binding mode of compound 68 (Ramelteon) exhibited a binding energy of −6.49 kcal/mol against Mpro. The tetrahydro-2H-indeno[5,4-b]furan-8-yl moiety formed three Pi-alkyl interactions with Met49, His41, and Met165. Additionally, the ethyl propionamide moiety formed two hydrogen bonds with Glu166(2.51°A) and Asn142 (2.35°A) (Figure 5).

Compound 224 (Prilocaine) exhibited a binding energy of −6.05 kcal/mol against Mpro. The o-tolyl moiety formed three Pi-alkyl and Pi-Pi interactions with Cys145, His163, and Leu141. The amide moiety interacted with Asn142 and Glu166 by two hydrogen bonds with distances of 2.31 and 1.97°A, respectively (Figure 6).

The binding mode of compound 339 (Nefiracetam) exhibited a binding energy of −6.12 kcal/mol against Mpro. The 2,6-dimethylphenyl moiety formed three Pi-alkyl interactions with His41 and Met165. The (2-oxopyrrolidin-1-yl) acetamide moiety formed two hydrophobic interactions with His163 and Cys145. Moreover, the central amide moiety interacted with two hydrogen bonds with Asn142 and Glu166 with a distance of 2.42 and 2.01°A, respectively. (Figure 7).

Compound 911 (Cyclandelate) exhibited a binding energy of −6.89 kcal/mol against Mpro. The trimethyl cyclohexyl moiety formed six hydrophobic interactions with His41, Met49, and Met165. Additionally, the 2-hydroxy-2-phenylacetate moiety formed three hydrogen bonds with Glu166, Asn142, and Leu141 with distances of 1.99, 2.45, and 2.55°A, respectively (Figure 8).

Compound 2325 (Mepivacaine) exhibited a binding score of −6.19 kcal/mol. The 2,6-dimethyl phenyl moiety formed three Pi-alkyl and Pi-sulfur interactions with His163 and Cys145. The piperidine moiety formed two Pi-alkyl interactions with His41 and Met49. Moreover, the central amide moiety interacted with two hydrogen bonds with Glu166 and Asn142 with a distance of 2.01 and 2.40°A, respectively (Figure 9).

The binding mode of compound 2351 (Ropivacaine) exhibited an energy binding of −6.38 kcal/mol against Mpro. The 2,6-dimethyl phenyl moiety formed three Pi-alkyl and Pi-sulfur interactions with His163 and Cys145. The propylpiperidine moiety formed two Pi-alkyl interactions with His41 and Met49. Moreover, the central amide moiety interacted by two hydrogen bonds with Glu166 and Asn142 with a distance of 2.27 and 2.25°A, respectively (Figure 10).

The binding mode of compound 2384 (Tasimelteon) exhibited an energy binding of −6.45 kcal/mol-1 against Mpro. The 2,3-dihydrobenzofuran-4-yl moiety formed four Pi-alkyl and Pi-Pi interactions with Met49, Met165, and His41. Additionally, it formed one hydrogen bond with Glu166 at a distance of 2.44°A. The (cyclopropyl methyl) propionamide moiety interacted with Asn142 through one hydrogen bond with a distance of 2.63°A. Moreover, it was incorporated in four Pi-alkyl interactions with His163, His172, His41, and Cys145 (Figure 11).

Interestingly, the binding mode of compound 2840 (Levobupivacaine) was very similar to that of the cocrystallized ligand (GWS) exhibiting a binding energy of −6.65 kcal/mol, slightly bitter that GWS (−6.51 kcal/mol) against the Mpro. In detail, The 2,6-dimethylphenyl moiety of compound 2840, in a similar way to the cyclohexyl moiety of GWS formed hydrophobic interactions with the same three amino acids; Met49, His41, and Met165. Additionally, the butylpiperidine moiety of compound 2840 interacted with Asn142 by a hydrogen bond with a distance of 2.36°A. The amide linker of GWS interacted with the same amino acid through a hydrogen bond with distances of 2.72°A. Furthermore, the butylpiperidine moiety of compound 2840 formed one hydrophobic interaction with His163 similar to the amino group in (pyridine-3-yl) acetamide moiety of GWS. Finally, the amide linker of compound 2840 formed two hydrogen bonds with Gln189, and Glu166 in a distance of 2.24, and 2.64°A, respectively. This interaction was similar to that of the amide linker of GWS with Glu166 a hydrogen bond with a distance of 2.04°A. In summary, compound 2840 (Levobupivacaine) exhibited interactions with all the amino acids that the cocrystallized ligand (GWS) interacted with. Additionally, there was an extra interaction observed with Gln189 (Figure 12, and Table 3).

2.4. Pharmacophore Study

The pharmacophore recognizes the key features in a ligand to interact with a protein target resulting in elicitation or blockage of a certain biological activity. The 3D pharmacophore model determines the essential chemical feature of a metabolite to be active against a specific protein. Additionally, it specifies the 3D geometry of these essential features [65]. The generated 3D model is an important key that can be used to predict definite bioactivity based on the presence or absence of these features [66, 67]. The presented study concerned the optimization of the key pharmacophoric interaction features of the cocrystallized ligand (GWS) of the main protease (PDB ID: 5R84) and the consequent examination of the presence of these features in the tested FDA-approved drug to pick the most promising candidates.

2.4.1. Generation of a 3D-Pharmacophore Model

The generated 3D pharmacophore model consisted of three features: one H-bond donor and two hydrophobic centers (Figure 13(a)). The generated model was used as a 3D search query to evaluate the tested drugs as possible SARS-CoV-2 main protease inhibitors. The fitting of the cocrystallized ligand against the generated pharmacophore model was illustrated in Figure 13(b).

2.4.2. The Test Set Activity Prediction

The test set of thirty FDA-approved drugs was mapped to the generated 3D pharmacophore model. As a result, the FDA-approved drugs that verified the essential pharmacophoric features and the fit value were selected as promising candidates.

The results privileged nineteen drugs that have the main essential features of SARS-CoV-2 main protease inhibitors. Surprisingly, the drugs that showed good binding mode against SARS-CoV-2 main protease showed high fit and high relative fit values. In detail, compounds 68 (Fit value = 2.86, Relative Fit = 74.48%), 224 (Fit value = 2.75, Relative Fit = 96.15%), 339 (Fit value = 2.56, Relative Fit = 89.51), 911 (Fit value = 2.81, Relative Fit = 98.25%), 2325 (Fit value = 2.73, Relative Fit = 95.45%), 2351 (Fit value = 2.75, Relative Fit = 96.15%), 2384 (Fit value = 2.38, Relative Fit = 83.22%), and 2840 (Fit value = 2.78, Relative Fit = 97.20%) showed high fit value comparing to the cocrystallized ligand (Fit value = 2.86, Relative Fit = 100%) (Table 4).

Figure 14 shows the mapping of the most promising drugs that showed good fitting value against the generated 3D-pharmacophore and well as good binding mode against SARS-CoV-2 main protease.

In summation, eight compounds were appointed as potential Mpro inhibitors (ramelteon (68), prilocaine (224), nefiracetam (339), cyclandelate (911), mepivacaine (2325), ropivacaine (2351), tasimelteon (2384), and levobupivacaine (2840)). levobupivacaine (2840) demonstrated identical 3D pharmacophore features to the cocrystallized ligand (GWS), encompassing HBD-1, hydrophobic-2, and aromatic ring-3. Notably, levobupivacaine (2840) displayed the highest fit value at 2.78, accompanied by the highest relative Fit of 97.20%. Ramelteon, the melatonin agonist, is used to treat insomnia [68]. Interestingly, Ramelteon demonstrated significant in silico anti-SARS-CoV-2 activities through binding and inhibition of SARS-CoV-2 RBD and ACE 2 [69]. A drug repositioning study identified prilocaine as a potential candidate against COVID-19 [70]. Stimulatingly, cyclandelate showed in vitro inhibitory effect against 1 ribosomal frameshifting of SARS-CoV-2 at a concentration of 2 μM [71]. Additionally, mepivacaine, the local anesthetic, demonstrated an in vitro inhibitory effect against Herpes simplex 1 before [72]. Further, tasimelteon displayed significant in silico binding with the COVID-19 PLpro [73]. Also, a molecular modeling study suggested the anti-COVID-19 potential of the local anesthetic, levobupivacaine [74]. On the other side, this is the first time to referee an antiviral potentiality for both nefiracetam and ropivacaine. Because several selected compounds are local anesthetics, further studies regarding the route of administration and systemic safety of these drugs are essential.

2.5. Molecular Dynamic Simulations

Molecular dynamics (MD) simulations can be used to examine almost all sorts of big molecules (proteins, nucleic acids, and carbohydrates) of medicinal significance. The MD experiments can supply not only galore energetic records on the considered macromolecules but also a considerable of dynamical structural specifics about the interactions that happen between the ligand and the targeted protein. The acquired information is very beneficial to understand several parameters regarding the protein-ligand interaction [75]. Being an effective guide, MD simulations experiments have been applied widely and successfully in the process of modern drug discovery and discovery [76].

Levobupivacaine (2840) demonstrated excellent fitting value against the generated 3D-pharmacophore as well as an ideal binding mode against Mpro. Consequently, it was selected for further molecular dynamic simulations.

The dynamic structural changes of the backbone of the levobupivacaine—Mpro complex were calculated on an atomic resolution by RMSD to investigate the stability of the explored complex after binding. Stimulatingly, levobupivacaine—Mpro complex displayed a low value of root mean square deviation (RMSD) exhibiting no major fluctuations (Figure 15(a)). This outcome indicates the stability of the reviewed complex. The flexibility of the levobupivacaine—Mpro complex was diagnosed in terms of root mean square fluctuation (RMSF) to expose the fluctuated regions of Mpro during the simulation. It was confirmed that the binding of levobupivacaine does not change the flexibility of Mpro significantly (Figure 15(b)). To study the compactness of the levobupivacaine—Mpro complex, the radius of gyration (Rg) of Mpro was computed. The Rg of the Mpro was more constant at the end of the experiment than at the starting period (Figure 15(c)). Interaction between levobupivacaine—Mpro complex and the surrounding solvents was estimated by solvent accessible surface area (SASA) over a period of 100 ns. Fortunately, the levobupivacaine—Mpro complex featured a noticeable decrease in the surface area (lower SASA value) than the starting time (Figure 15(d)). Hydrogen bonding through the Levobupivacaine—Mpro complex was estimated over 100 ns. Favorably, the highest number of the Mpro conformations formed up to two hydrogen bonds with the Levobupivacaine over the examined 100 ns (Figure 15(e)).

2.6. MM-PBSA

The molecular mechanics Poisson–Boltzmann surface area (MM-PBSA) is a computational technique employed in molecular modeling and computational chemistry to estimate the binding free energy between a ligand and a protein. This method combines molecular mechanics (MM) computations, which elucidate interactions within the complex, with Poisson–Boltzmann (PB) computations, which factor in the electrostatic interactions between the solute and its surrounding solvent environment [77].

In the MM-PBSA approach, the binding free energy (ΔG_bind) is approximated by evaluating the energetic components associated with the complex, the ligand, and the receptor in both bound and unbound states. These components encompass contributions from van der Waals interactions, electrostatic interactions, and alterations in solvation-free energy [78]. MM-PBSA is especially valuable for investigating interactions between proteins and ligands, offering insights into the thermodynamics of binding and aiding in the design of potential drug compounds. It is important to acknowledge, however, that while MM-PBSA provides valuable estimates, it relies on several assumptions and may not capture the complete intricacies of binding processes in all systems [79]. We calculated the binding free energy of the last 20 ns of MD production run of the levobupivacaine—Mpro complex with an interval of 100 ps from MD trajectories using the MM/PBSA method. As shown in Figure 16(a), Levobupivacaine displayed an excellent binding free energy of −235 kJ/mol with the Mpro. Furthermore, the participation of each amino acid residue of the Mpro regarding the binding free energy after the binding with levobupivacaine was computed. The total binding free energy of the levobupivacaine—Mpro complex was decomposed into per amino acid residue contribution energy. The output of this study helps to identify the essential amino acid residues in the binding of the levobupivacaine—Mpro complex. It was found that GLU-47, ASP-48, GLU-55, ASP-56, GLU-166 and ASP-187 residues of the Mpro shared higher than −15 kJ/mol binding energy (Figure 16(b)). It is noteworthy to mention that GLU-166, an essential amino acid, was identified in the interactions of both levobupivacaine and the cocrystallized ligand (GWS).

3. Method

3.1. Molecular Similarity Detection

Compound similarity was assessed in Discovery Studio 4.0 using the CHARMM force field and ligand preparation protocol. Compounds were compared to GWS with a 5% output adjustment. Default molecular properties were used, including rotatable bonds, rings, aromatic rings, HBA, HBD, ALog p, M. Wt, and MFPSA. The study was operated by Discovery Studio 4.0 software as represented before [80] (additional details in Supplementary data).

3.2. Fingerprint Studies

Compound fingerprints were evaluated against GWS using Discovery Studio 4.0. CHARMM force field was initially applied, and compounds were prepared using the ligand protocol. They were then compared to GWS. Default molecular properties were used, including various atom parameters. This encompassed charge, hybridization, H-bond features, ionizability, halogenation, aromaticity, or none of the above. Additionally, ALogP category of atoms was considered. The study was operated by Discovery Studio 4.0 software as represented before [81] (additional details in Supplementary data).

3.3. Docking Studies

The crystal structure of Mpro was obtained from Protein Data Bank. The docking investigation was accomplished using MOE2014. The study was operated by MOE and Discovery Studio 4.0 software [82] as represented before (additional details in Supplementary data).

3.4. Pharmacokinetic Profiling

LigandScout software was used to generate a 3D pharmacophore model based on GWS binding against Mpro. The Espresso algorithm was employed. The best model, which includes features such as hydrogen bond acceptors, donors, aromatic rings, and hydrophobic elements while excluding a volume sphere, was selected from the ten generated models. Model validation was performed using ROC Curve and AUC analysis with default parameters in LigandScout. Discovery Studio 4.0 was used (see method part in Supplementary data).

3.5. Molecular Dynamics Simulation

The system was prepared using the web-based CHARMM-GUI [8385] interface utilizing CHARMM36 force field [86] and NAMD 2.13 [87] package. The TIP3P explicit solvation model was used (additional details in Supplementary data).

3.6. MM-PBSA Studies

The g_mmpbsa package of GROMACS was utilized to calculate the MM/PBSA (additional details in Supplementary data).

4. Conclusion

In conclusion, our study identified eight promising compounds (ramelteon, prilocaine, nefiracetam, cyclandelate, mepivacaine, ropivacaine, tasimelteon, and levobupivacaine) as potential inhibitors against SARS-CoV-2 main protease (Mpro). These compounds were selected from a pool of 3009 FDA and clinically approved compounds using a rigorous in silico approach. Further analysis through molecular fingerprints, structure similarity, and molecular docking studies confirmed their potential. Levobupivacaine exhibited the highest docking and pharmacophore scores, leading to extensive molecular dynamics simulations. The results demonstrated stable binding and optimal dynamics of the Mpro-Levobupivacaine complex over 100 ns. MM-PBSA studies reaffirmed the strong interaction with a free energy value of −235 kJ/mol. These findings provide a promising foundation for further in vitro and in vivo research on these compounds in the fight against COVID-19.

Data Availability

The data used to support the findings of this study are included within the article.

Conflicts of Interest

The authors declare that they have no conflicts of interest.

Acknowledgments

The authors acknowledge financial support from the Researchers Supporting Project number (RSP-2024/103), King Saud University, Riyadh, Saudi Arabia.

Supplementary Materials

Detailed methodologies covering fingerprints, molecular similarity, molecular docking, pharmacophore, MD simulations, and MM-PBSA studies. (Supplementary Materials)