Evidence map›Paper›PMID 40287552›Full record

ArticleCommunications medicine2025

Targeted protein degraders of SARS-CoV-2 Mpro are more active than enzymatic inhibition alone with activity against nirmatrelvir resistant virus.

Baolong Pan, Simon J Mountford, Maki Kiso, Danielle E Anderson, Georgina Papadakis, Kate E Jarman, Danielle R Tilmanis, Belinda Maher, Thomas Tran, Jake Shortt and 5 more

Abstract read
In one paragraph

Article in Communications medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Baolong PanMedicinal Chemistry, Monash Institute of Pharmaceutical Sciences, Monash University, Parkville, Australia.
Simon J MountfordMedicinal Chemistry, Monash Institute of Pharmaceutical Sciences, Monash University, Parkville, Australia.ORCID http://orcid.org/0000-0002-0806-5197
Maki KisoDivision of Virology, Institute of Medical Science, The University of Tokyo, Tokyo, Japan.
Danielle E AndersonVictorian Infectious Diseases Reference Laboratory, Royal Melbourne Hospital at The Peter Doherty Institute for Infection and Immunity, Melbourne, Australia.
Georgina PapadakisVictorian Infectious Diseases Reference Laboratory, Royal Melbourne Hospital at The Peter Doherty Institute for Infection and Immunity, Melbourne, Australia.
Kate E JarmanThe Walter and Eliza Hall Institute, Parkville, Australia.
Danielle R TilmanisThe Walter and Eliza Hall Institute, Parkville, Australia.
Belinda MaherDepartment of Medicine, School of Clinical Sciences, Monash University, Clayton, Australia.ORCID http://orcid.org/0000-0002-8900-6876
Thomas TranVictorian Infectious Diseases Reference Laboratory, Royal Melbourne Hospital at The Peter Doherty Institute for Infection and Immunity, Melbourne, Australia.
Jake ShorttDepartment of Medicine, School of Clinical Sciences, Monash University, Clayton, Australia.ORCID http://orcid.org/0000-0003-3185-6488
Seiya YamayoshiDivision of Virology, Institute of Medical Science, The University of Tokyo, Tokyo, Japan.ORCID http://orcid.org/0000-0001-7768-5157
Yoshihiro KawaokaDivision of Virology, Institute of Medical Science, The University of Tokyo, Tokyo, Japan.ORCID http://orcid.org/0000-0001-5061-8296
Philip E Thompson *Medicinal Chemistry, Monash Institute of Pharmaceutical Sciences, Monash University, Parkville, Australia.ORCID http://orcid.org/0000-0002-5910-7625
Sam A Greenall *Department of Medicine, School of Clinical Sciences, Monash University, Clayton, Australia.
Nadia Warner *Victorian Infectious Diseases Reference Laboratory, Royal Melbourne Hospital at The Peter Doherty Institute for Infection and Immunity, Melbourne, Australia. nadia.warner@mh.org.au.ORCID http://orcid.org/0000-0002-4252-086X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEffective antiviral therapy is lacking for most viral infections, and when available, is frequently compromised by the selection of resistance. Targeted protein degraders could provide an avenue to more effective antivirals, able to overcome the selection of resistance. The aim of this study was to determine whether adaptation of SARS-CoV-2 main protease (Mpro, also described as chymotrypsin-like protease (3CL

methodsWe adapted the clinically approved Mpro inhibitor nirmatrelvir into a panel of degraders. Size-matched non-degrading controls were also synthesised to discriminate degradation activity from inhibition activity. Degrader activity was confirmed using an inducible Mpro-HiBiT tag expressing cell line. Antiviral activity against both wildtype and nirmatrelvir-resistant virus was performed using infection of susceptible cell lines.

resultsHere we show three compounds, derived from nirmatrelvir and utilising VHL or IAP ubiquitin ligase recruiters, capable of degrading Mpro protein in a concentration, time and proteasome dependent fashion. These compounds also degrade nirmatrelvir-resistant mutant Mpro. The most potent of these compounds possesses enhanced antiviral activity against multiple wildtype SARS-CoV-2 strains and nirmatrelvir-resistant strains compared to non-degrading controls.

conclusionsThis work demonstrates the feasibility of generating degraders from viral protein inhibitors, and confirms that degraders possess higher antiviral potency and activity against resistant virus, compared to size matched non-degrading enzymatic inhibitors. These findings further support the development of targeted viral protein degraders as antiviral drugs, which may lead to more effective antiviral therapies for the future.

Identifiers

PMID40287552
PMCPMC12033352

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.