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Title: A yeast-based system to study SARS-CoV-2 Mpro structure and to identify nirmatrelvir resistant mutations
The SARS-CoV-2 main protease (Mpro) is a major therapeutic target. The Mproinhibitor, nirmatrelvir, is the antiviral component of Paxlovid, an orally available treatment for COVID-19. As Mproinhibitor use increases, drug resistant mutations will likely emerge. We have established a non-pathogenic system, in which yeast growth serves as an approximation for Mproactivity, enabling rapid identification of mutants with altered enzymatic activity and drug sensitivity. The E166 residue is known to be a potential hot spot for drug resistance and yeast assays identified substitutions which conferred strong nirmatrelvir resistance and others that compromised activity. On the other hand, N142A and the P132H mutation, carried by the Omicron variant, caused little to no change in drug response and activity. Standard enzymatic assays confirmed the yeast results. In turn, we solved the structures of MproE166R, and MproE166N, providing insights into how arginine may drive drug resistance while asparagine leads to reduced activity. The work presented here will help characterize novel resistant variants of Mprothat may arise as Mproantivirals become more widely used.  more » « less
Award ID(s):
2200138
PAR ID:
10477872
Author(s) / Creator(s):
; ; ; ; ; ; ; ; ; ; ; ; ; ;
Editor(s):
Liu, Wenshe
Publisher / Repository:
PLOS
Date Published:
Journal Name:
PLOS Pathogens
Volume:
19
Issue:
8
ISSN:
1553-7374
Page Range / eLocation ID:
e1011592
Format(s):
Medium: X
Sponsoring Org:
National Science Foundation
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