User talk:Daniel Hausaman
From Proteopedia
| m  (added references) | |||
| (36 intermediate revisions not shown.) | |||
| Line 1: | Line 1: | ||
| - | + | ==Use of Remdesivir as a treatment for COVID-19== | |
| - | + | ||
| - | + | ||
| - | + | ||
| - | + | ||
| - | + | ||
| - | + | == Introduction to the SARS-CoV-2 genome and proteins == | |
| + | The virus contains an unsegmented, single strand positive sense RNA genome. The genome is 29,981 base pairs long (Sanche et al 2020). The virus is surrounded by a lipid envelope containing the nucleocapsid. The RNA genome of SARS-CoV-2 is made up of of 14 open reading frames (ORF), which can encode a range of structural and non-structural proteins, these proteins directly and indirectly affect the virulence and replication of the virus (Astuti and Ysrafil, 2020). The genes that code for the non-structural proteins are translated firstly into Open reading frame 1a and Open reading frame 1b this forms two proteins known as pp1a and pp1ab. Due to a ribosomal frame shift the proteins are supplemented by protease enzymes known as papain-like proteases (PLpro) and a serine type Mpro protease. Cleavage takes place between pp1a and pp1ab to form non-structural proteins (nsps) 1–11 and 1–16 (Astuti and Ysrafil, 2020). Majority of the nsps form a Replicase-transcriptase complex (RTC). In addition to this RTC transcribes a genomic template of viral entry to negative-sense genes of both the viral genome and subgenomic RNA as intermediate products, this is followed by transcription to positive-sense mRNAs that can be mediated by RNA dependent RNA polymerase. The next step is translation, subgenomic proteins are translated into structural and accessories proteins such as M, S, and E proteins these are insulated in the endoplasmic reticulum and then moved to the endoplasmic reticulum-Golgi intermediate compartment (ERGIC) (Chen, et al 2020). | ||
| - | '''[[RNA polymerase]]''' (RNAP) is a molecular machine that copies DNA into RNA and is found in every living organism. The bacterial RNAP complex consists of six subunits (ββ’α2ωσ) and three channels. RNAP initially binds to DNA at the promoter, forming the closed complex<ref name='genetics'>Snyder, L. & Champness, W. (2007). Molecular genetics of bacteria (3rd ed.). Washington, D.C.: ASM Press.</ref>. The DNA surrounding the promoter sequence unwinds and forms the open complex (http://www.pingrysmartteam.com/RPo/RPo.htm - please note that different nomenclature is used)<ref>2006 Pingry SMART Team: RNA Polymerase Holoenzyme Open Promoter Complex (Rpo) Jmol Tutorial</ref>. RNAP releases from the promoter and transitions into the elongation complex (EC). The EC moves along the template strand, adding ribonucleotides to the 3’ hydroxyl of the growing RNA transcript.  | ||
| - | + | == Introduction to Remdesivir as an antiviral drug == | |
| + | Remdesivir is a drug that was initially developed for use against Ebola and has shown to be effective against coronaviruses such as SARS-CoV, MERS-CoV, SARS-CoV-2, and other coronaviruses. | ||
| + | SARS-CoV-2 is the virus that is responsible for the disease COVID-19 which is a respiratory disease that can inflict severe damage to multiple major organs including the heart, brain, and lungs. SARS-Cov2 relies upon RNA-dependent RNA polymerase (RdRp) to replicate the viral genetic material. Drugs such as nucleoside analogues can be used to inhibit this RNA dependant RNA polymerase enzyme and stop viral replication.  | ||
| + | Remdesivir initially labeled GS-5734 is an adenosine triphosphate analogue, used as a broad-spectrum antiviral drug meaning it can be used to inhibit a wide range of viruses that rely upon RNA-dependent RNA polymerase for genomic replication. | ||
| - | + | ---- | |
| - | + | '''Q1. How does Remdesivir stop viral replication in COVID-19?''' | |
| + | ---- | ||
| + | '''Q2. How can Remdesivir be used on other RNA viruses?''' | ||
| + | ---- | ||
| - | === | + | <Structure load='7BV2' size='350' frame='true' align='right' caption='Non-structural protein complex bound to the active form of Remdesivir' scene='Insert optional scene name here' /> | 
| - | + | ==Structure== | |
| - | + | Remdesivir triphosphate has the molecular formula C12H16N5O13P3 the compound is made up of a C-nucleoside, an aromatic amine, a nitrile, a pyrrolotriazine and an organic triphosphate. | |
| - | + | RNA dependant RNA Polymerase complex is an enzyme used in the replication and transcription of viral RNA.  the structure of the protein is made up of an nsp12 core catalytic unit, an nsp7-nsp8  heterodimer, and an additional nsp8 subunit | |
| - | + | On the right-hand side shows the three-dimensional interactive structure of the nsp12-nsp7-nsp8 complex also known as the RdRp bound to the template-primer RNA and the triphosphate form of remdesivir which is highlighted in blue to view remdesivir bound to the protein complex <scene name='86/867374/2/1'>Click here</scene>  | |
| - | + | ||
| - | + | ||
| - | == | + | == Mechanism == | 
| - | + | ||
| - | + | ||
| - | <scene name='Beta-Prime_Subunit_of_Bacterial_RNA_Polymerase/2o5j_dna_1/1'>DNA</scene> in the active site channel provides the genetic information for RNA transcription. The active site channel is 27 Å wide and accommodates both <scene name='Beta-Prime_Subunit_of_Bacterial_RNA_Polymerase/2o5j_dwdna_1/1'>downstream DNA</scene> (dwDNA) and an <scene name='Beta-Prime_Subunit_of_Bacterial_RNA_Polymerase/2o5j_hybrid_1/1'>RNA/DNA hybrid</scene><ref>PMID: 10499798</ref>. The <scene name='Beta-Prime_Subunit_of_Bacterial_RNA_Polymerase/2o5j_template_1/3'>DNA template strand</scene> (blue) provides the complementary sequence for the RNA transcript and threads through the active site channel adjacent to the active site. The <scene name='Beta-Prime_Subunit_of_Bacterial_RNA_Polymerase/2o5j_nontemplate_1/2'>non-template strand</scene> (dark blue), or coding strand, is held away from the active site by the clamp helices and rudder.  | ||
| - | + | Once administered remdesivir requires metabolic activation, this takes place after the drug diffuses into a cell. Phosphoamidase (HINT1) and esterases CES1 and CTSA transform remdesivir into GS-441524 mono-phosphate. This is then phosphorylated again to produce the active triphosphate analog. | |
| - | + | Remdesivir is a polymerase inhibitor, there are 2 main categories for polymerase inhibitors these are known as nucleoside analogues and allosteric inhibitors. Nucleoside analogues resemble viral building blocks such as Adenosine triphosphate. One of the ways this inhibits viral replication is because of competitive inhibition between the nucleoside analogue and the viral RNA. To view the RNA highlighted in red <scene name='86/867374/2/1'>Click here</scene>  | |
| + | Viral replication can also be reduced by the incorporation of incorrect nucleotides into the viral genome this can result in delayed chain termination. This is initiated by the formation of a phosphodiester bond, between the 3′ hydroxyl group of Remdesivir triphosphate and the next nucleotide resulting in the termination of the viral RNA synthesis at the position of 3 nucleotides. | ||
| - | The upstream internal chamber can accommodate a 9-bp RNA/DNA hybrid<ref name='elongation' />. The RNA/DNA hybrid encounters the <scene name='Beta-Prime_Subunit_of_Bacterial_RNA_Polymerase/2o5j_lid_1/2'>lid</scene> (light green) that sterically blocks continued elongation<ref name='elongation' />. The lid facilitates <scene name='Beta-Prime_Subunit_of_Bacterial_RNA_Polymerase/2o5j_lidcleavage_1/1'>cleavage of the hydrogen bond</scene>, releasing the growing RNA transcript into the exit channel. As the bond is cleaved, the template strand moves one position upstream through the active site channel. This process is called translocation. This allows the lone <scene name='Beta-Prime_Subunit_of_Bacterial_RNA_Polymerase/2o5j_acceptor_1/4'>unpaired template nucleotide</scene> to move into the +1 site adjacent to the active site where nucleotide addition occurs<ref name='elongation' />. | ||
| - | + | ---- | |
| + | '''Q3. What type of polymerase inhibitor is Remdesivir categorised as?'''  | ||
| + | ---- | ||
| + | '''Q4. Why does Remdesivir require metabolic activation?''' | ||
| + | ---- | ||
| + | '''Q5. How many phosphate groups does the activated form of Remdesivir contain?''' | ||
| + | ---- | ||
| + | '''Q6. What bond is formed that initiates the chain termination?''' | ||
| + | ---- | ||
| - | The <scene name='Beta-Prime_Subunit_of_Bacterial_RNA_Polymerase/2o5j_secondary_1/1'>secondary channel</scene>, which is bordered by the <scene name='Beta-Prime_Subunit_of_Bacterial_RNA_Polymerase/2o5j_rim_1/2'>rim helices</scene> (very dark blue), forms the entrance for both ribonucleotides (NTPs) and deoxyribonucleotides (dNTPs) into RNAP. The secondary channel's dimensions are 15 x 20 Å, preventing the entrance of dsDNA<ref name='loading'>PMID: 17581591</ref>. Nucleotides are coupled to a magnesium ion (MgII) as they enter. <scene name='Beta-Prime_Subunit_of_Bacterial_RNA_Polymerase/2o5j_asn737_1/2'>Asn737</scene> (indigo) evaluates ribose hydroxyl groups in order to discriminate between NTPs and dNTPs<ref name='loading' />. The hydrogen bonds on the incoming NTP must complement those of the acceptor template base. As the NTPs enter, it is proposed that <scene name='Beta-Prime_Subunit_of_Bacterial_RNA_Polymerase/2o5j_metthr_1/3'>Met1238 and Thr1088</scene> (cyan and magenta) aid in selection and orientation of the cognate NTP<ref name='loading' />. Once the cognate NTP is selected, its alpha and gamma phosphates form temporary phosphate contacts with RNAP near the active site<ref name='loading' />. The nucleotide adopts a relaxed conformation and resists loading into the catalytic position<ref  name='loading' />. This conformation is influenced by the "basic rim gate" consisting of four residues that surround the NTP phosphates<ref  name='loading' />. Two basic rim gate residues, <scene name='Beta-Prime_Subunit_of_Bacterial_RNA_Polymerase/2o5j_basicgate_1/2'>Arg783 and Arg1029</scene>, are shown (light purple).  | ||
| - | The <scene name='Beta-Prime_Subunit_of_Bacterial_RNA_Polymerase/2o5j_bridge_1/3'>bridge helix</scene> (magenta) separates the active and secondary channels while interacting with the <scene name='Beta-Prime_Subunit_of_Bacterial_RNA_Polymerase/2o5j_trigger_1/2'>trigger helix</scene> (cyan). In the pre-insertion state, the trigger loop has an unstructured conformation<ref  name='loading' />. Loading of the NTP near the active site induces a conformational change in the trigger loop, and it becomes the two-helical trigger helix<ref  name='loading' />. The <scene name='Beta-Prime_Subunit_of_Bacterial_RNA_Polymerase/2o5j_trigger2_1/1'>trigger helix</scene> "swings" into the secondary channel and changes the dimensions of the channel to 11 x 11 Å<ref  name='loading' />. This reduction in size prevents diffusion of NTP away from the active site while simultaneously preventing interference from other nucleotides<ref  name='loading' />. The presence of the trigger helix causes the NTP phosphate contacts to change<ref  name='loading' />. All three phosphates contact RNAP and adopt a more rigid conformation<ref  name='loading' />. The <scene name='Beta-Prime_Subunit_of_Bacterial_RNA_Polymerase/2o5j_ntp_1/2'>NTP</scene> is now ready for catalysis.  | ||
| - | <font size='3'>'''Catalysis'''</font> | ||
| - | + | == References == | |
| - | + | ||
| - | + | ||
| - | + | Hanna R, Dalvi S. (2021). Understanding COVID-19 Pandemic: Molecular Mechanisms and Potential Therapeutic Strategies. An Evidence-Based Review. Journal of Inflammation Research » Volume 14. https://doi.org/10.2147/JIR.S282213.  | |
| - | + | Masters P. (2006) The molecular biology of coronaviruses. Adv Virus Res; 66:193-292. doi: 10.1016/S0065-3527(06)66005-3. | |
| - | + | Chen Y et al. (2020). Emerging coronaviruses: Genome structure, replication, and pathogenesis. J Med Virol; 92(4):418-423. doi: 10.1002/jmv.25681 | |
| - | + | Greenwood M. (2021). Screening for SARS-CoV-2 non-structural protein 14 inhibitors. Available at: https://www.news-medical.net/news/20210412/Screening-for-SARS-CoV-2-non-structural-protein-14-inhibitors.aspx (Accessed 8th May 2021) | |
| - | An  | + | Jinsung Y et al. (2020). Molecular interaction and inhibition of SARS-CoV-2 binding to the ACE2 receptor Nature Communications volume 11, Article number: 4541. https://doi.org/10.1038/s41467-020-18319-6  | 
| - | + | Protein Database Bank in Europe 7bv2 › F86. Available at: https://www.ebi.ac.uk/pdbe/entry/pdb/7bv2/bound/F86 (Accessed: 12th June 2021) | |
| - | + | Uzunova K et al. (2020). Insights into antiviral mechanisms of remdesivir, lopinavir/ritonavir and chloroquine/hydroxychloroquine affecting the new SARS-CoV-2. Biomed Pharmacother. 2020 Nov; 131: 110668. doi: 10.1016/j.biopha.2020.110668 | |
| - | + | Yu-chen et al. (2020).Remdesivir for severe acute respiratory syndrome coronavirus2 causing COVID-19: An evaluation of the evidence. Travel Medicine and Infectious Disease. Volume 35, https://doi.org/10.1016/j.tmaid.2020.101647 | |
| - | + | Olena A. (2020). Remdesivir Works Against Coronaviruses in the Lab. Available at: https://www.the-scientist.com/news-opinion/remdesivir-works-great-against-coronaviruses-in-the-lab-67298 (Accessed: 6th July 2021)  | |
| - | + | PubChem. Remdesivir. Available at: https://pubchem.ncbi.nlm.nih.gov/compound/Remdesivir (Accessed: 12 April 2021)  | |
| - | + | Ghandi Z et al. (2020). Potential Interactions of Remdesivir with Pulmonary Drugs: a Covid-19 Perspective. SN Compr Clin Med: 1–2. doi: 10.1007/s42399-020-00462-2 | |
| - | + | PubChem. Adenosine-5'-triphosphate Available at: https://pubchem.ncbi.nlm.nih.gov/compound/Adenosine-5_-triphosphate (Accessed 2nd March | |
| - | + | ||
| - | + | ||
| - | + | ||
| - | + | ||
| - | + | ||
| - | + | ||
| - | + | ||
| - | + | ||
| - | + | ||
| - | + | ||
| - | + | ||
| - | + | ||
| - | + | ||
| - | + | ||
| - | + | ||
| - | + | ||
| - | + | ||
| - | + | ||
| - | + | ||
| - | + | ||
| - | + | ||
| - | + | ||
| - | + | ||
Current revision
| Contents | 
Use of Remdesivir as a treatment for COVID-19
Introduction to the SARS-CoV-2 genome and proteins
The virus contains an unsegmented, single strand positive sense RNA genome. The genome is 29,981 base pairs long (Sanche et al 2020). The virus is surrounded by a lipid envelope containing the nucleocapsid. The RNA genome of SARS-CoV-2 is made up of of 14 open reading frames (ORF), which can encode a range of structural and non-structural proteins, these proteins directly and indirectly affect the virulence and replication of the virus (Astuti and Ysrafil, 2020). The genes that code for the non-structural proteins are translated firstly into Open reading frame 1a and Open reading frame 1b this forms two proteins known as pp1a and pp1ab. Due to a ribosomal frame shift the proteins are supplemented by protease enzymes known as papain-like proteases (PLpro) and a serine type Mpro protease. Cleavage takes place between pp1a and pp1ab to form non-structural proteins (nsps) 1–11 and 1–16 (Astuti and Ysrafil, 2020). Majority of the nsps form a Replicase-transcriptase complex (RTC). In addition to this RTC transcribes a genomic template of viral entry to negative-sense genes of both the viral genome and subgenomic RNA as intermediate products, this is followed by transcription to positive-sense mRNAs that can be mediated by RNA dependent RNA polymerase. The next step is translation, subgenomic proteins are translated into structural and accessories proteins such as M, S, and E proteins these are insulated in the endoplasmic reticulum and then moved to the endoplasmic reticulum-Golgi intermediate compartment (ERGIC) (Chen, et al 2020).
Introduction to Remdesivir as an antiviral drug
Remdesivir is a drug that was initially developed for use against Ebola and has shown to be effective against coronaviruses such as SARS-CoV, MERS-CoV, SARS-CoV-2, and other coronaviruses. SARS-CoV-2 is the virus that is responsible for the disease COVID-19 which is a respiratory disease that can inflict severe damage to multiple major organs including the heart, brain, and lungs. SARS-Cov2 relies upon RNA-dependent RNA polymerase (RdRp) to replicate the viral genetic material. Drugs such as nucleoside analogues can be used to inhibit this RNA dependant RNA polymerase enzyme and stop viral replication. Remdesivir initially labeled GS-5734 is an adenosine triphosphate analogue, used as a broad-spectrum antiviral drug meaning it can be used to inhibit a wide range of viruses that rely upon RNA-dependent RNA polymerase for genomic replication.
Q1. How does Remdesivir stop viral replication in COVID-19?
Q2. How can Remdesivir be used on other RNA viruses?
| 
 | 
Structure
Remdesivir triphosphate has the molecular formula C12H16N5O13P3 the compound is made up of a C-nucleoside, an aromatic amine, a nitrile, a pyrrolotriazine and an organic triphosphate. RNA dependant RNA Polymerase complex is an enzyme used in the replication and transcription of viral RNA. the structure of the protein is made up of an nsp12 core catalytic unit, an nsp7-nsp8 heterodimer, and an additional nsp8 subunit On the right-hand side shows the three-dimensional interactive structure of the nsp12-nsp7-nsp8 complex also known as the RdRp bound to the template-primer RNA and the triphosphate form of remdesivir which is highlighted in blue to view remdesivir bound to the protein complex
Mechanism
Once administered remdesivir requires metabolic activation, this takes place after the drug diffuses into a cell. Phosphoamidase (HINT1) and esterases CES1 and CTSA transform remdesivir into GS-441524 mono-phosphate. This is then phosphorylated again to produce the active triphosphate analog.
Remdesivir is a polymerase inhibitor, there are 2 main categories for polymerase inhibitors these are known as nucleoside analogues and allosteric inhibitors. Nucleoside analogues resemble viral building blocks such as Adenosine triphosphate. One of the ways this inhibits viral replication is because of competitive inhibition between the nucleoside analogue and the viral RNA. To view the RNA highlighted in red Viral replication can also be reduced by the incorporation of incorrect nucleotides into the viral genome this can result in delayed chain termination. This is initiated by the formation of a phosphodiester bond, between the 3′ hydroxyl group of Remdesivir triphosphate and the next nucleotide resulting in the termination of the viral RNA synthesis at the position of 3 nucleotides.
Q3. What type of polymerase inhibitor is Remdesivir categorised as?
Q4. Why does Remdesivir require metabolic activation?
Q5. How many phosphate groups does the activated form of Remdesivir contain?
Q6. What bond is formed that initiates the chain termination?
References
Hanna R, Dalvi S. (2021). Understanding COVID-19 Pandemic: Molecular Mechanisms and Potential Therapeutic Strategies. An Evidence-Based Review. Journal of Inflammation Research » Volume 14. https://doi.org/10.2147/JIR.S282213. Masters P. (2006) The molecular biology of coronaviruses. Adv Virus Res; 66:193-292. doi: 10.1016/S0065-3527(06)66005-3. Chen Y et al. (2020). Emerging coronaviruses: Genome structure, replication, and pathogenesis. J Med Virol; 92(4):418-423. doi: 10.1002/jmv.25681 Greenwood M. (2021). Screening for SARS-CoV-2 non-structural protein 14 inhibitors. Available at: https://www.news-medical.net/news/20210412/Screening-for-SARS-CoV-2-non-structural-protein-14-inhibitors.aspx (Accessed 8th May 2021) Jinsung Y et al. (2020). Molecular interaction and inhibition of SARS-CoV-2 binding to the ACE2 receptor Nature Communications volume 11, Article number: 4541. https://doi.org/10.1038/s41467-020-18319-6 Protein Database Bank in Europe 7bv2 › F86. Available at: https://www.ebi.ac.uk/pdbe/entry/pdb/7bv2/bound/F86 (Accessed: 12th June 2021) Uzunova K et al. (2020). Insights into antiviral mechanisms of remdesivir, lopinavir/ritonavir and chloroquine/hydroxychloroquine affecting the new SARS-CoV-2. Biomed Pharmacother. 2020 Nov; 131: 110668. doi: 10.1016/j.biopha.2020.110668 Yu-chen et al. (2020).Remdesivir for severe acute respiratory syndrome coronavirus2 causing COVID-19: An evaluation of the evidence. Travel Medicine and Infectious Disease. Volume 35, https://doi.org/10.1016/j.tmaid.2020.101647 Olena A. (2020). Remdesivir Works Against Coronaviruses in the Lab. Available at: https://www.the-scientist.com/news-opinion/remdesivir-works-great-against-coronaviruses-in-the-lab-67298 (Accessed: 6th July 2021) PubChem. Remdesivir. Available at: https://pubchem.ncbi.nlm.nih.gov/compound/Remdesivir (Accessed: 12 April 2021) Ghandi Z et al. (2020). Potential Interactions of Remdesivir with Pulmonary Drugs: a Covid-19 Perspective. SN Compr Clin Med: 1–2. doi: 10.1007/s42399-020-00462-2 PubChem. Adenosine-5'-triphosphate Available at: https://pubchem.ncbi.nlm.nih.gov/compound/Adenosine-5_-triphosphate (Accessed 2nd March
