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INNOSC Theranostics and
            Pharmacological Sciences                                             Molecular docking against SARS-CoV-2



            entering the host cell, the virus releases its RNA genome,   2. Methods
            which undergoes transcription through protein cleavage
            and assembly of the replicase-transcriptase complex. Viral   An exhaustive search was conducted across scientific
            RNA replication occurs, and structural viral proteins are   databases  and  publications  such  as  PubMed, Google
            synthesized, assembled, and packaged within host cell   Scholar, FEBS Press, Springer Link, and Nature to identify
            membranes before virions release. 5,6              literature pertaining to chemical compounds or drugs
                                                               capable of interacting with the SARS-CoV-2 S-glycoprotein.
              Understanding  the  variability  of  the  S-glycoprotein   The A chain of the S-glycoprotein (6VSB, EM Map
            is  necessary  for developing new  vaccines,  guaranteeing   EMD-21375)  was chosen using the UCSF Chimera
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            specificity, broad reactivity, and persistent immunity   Software v.1.16 developed by the University of California.
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            through  cross-reactive responses.  Any  change in  the   Using the Swiss-Model server provided by Biozentrum,
                                        7
            receptor binding domain (RBD) region of the spike   University of Basel,  homology modeling of the protein
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            protein can impact its binding affinity, necessitating   structures was carried out to predict the missing structures
            close monitoring of mutant strains. Molecular docking   in the protein and complete it. Subsequently, the Protox-II
            studies of the spike virus and the ACE2 receptor junction   server provided by the Charité Universita Medizin Berlin
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            are often utilized to assess potential changes in binding   filtered  out  innocuous  compounds  by  applying  a  score
            affinity.  However, a comprehensive understanding of   greater than four on the toxicity scale. Following this,
                  8
            S-glycoprotein binding does not equate to knowledge of its   the 3D molecular representation of the glycoprotein with
            pharmacological interactions.                      6VSB identification was downloaded in PDB format from
              The pandemic underscores the critical need for   the Protein Data Bank provided by the National Centre
                                                                                        19
            effective medicines to prevent and treat viral infections,   for Biotechnology Information,  and it was subjected to
            driving the urgency for the development of new     cleaning and preparation for further analysis.
            treatments. However, given that the drug development   To prepare and simulate ligand docking, we used the
            process  is  both  lengthy  and  costly,  in silico  evaluation   software PyRx v.0.8 developed by Sargis Dallakyan.  This
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            through molecular simulation docking is employed to   software enabled us to obtain the  binding  free  energy
            expedite this process.                             (∆G) of the compounds and identify the most promising
              At present, therapeutic options for COVID-19 are   drugs. This modeling process involved 10 resampling steps
            limited, primarily comprising antiviral medications such   to obtain the statistical parameters necessary for grouping
            as molnupiravir, nirmatrelvir + ritonavir (Paxlovid), and   medications with the highest affinity. Subsequently, a cluster
            remdesivir. In addition, monoclonal antibody therapies,   analysis based on Euclidean distances was conducted using
            exemplified by bamlanivimab/etesevimab and casirivimab/  Ward’s method. This grouping was achieved through
            imdevimab, along with anti-inflammatory medications   1000  bootstrap–MCMC, facilitated by  the Past  v.4.2
            such  as  dexamethasone  and  immunomodulatory  agents   program developed by Hammer. 21
            such  as baricitinib  and tocilizumab,  constitute  available   3. Results
            treatment options. These treatments have been made
            available following clearance from the Food and Drug   Forty-four drugs with therapeutic potential were identified
            Administration (FDA). The majority have undergone   within the consulted data sets. The binding affinity of
            testing in cell cultures, with a few demonstrating   these drugs ranges between −3.76 and −7.22 kcal mol ,
                                                                                                            −1
            promising results in clinical trials. 9-14  In this context, a drug   as measured by their critical energy cost values (∆G). The
            repositioning study has been carried out using  in  silico   cytotoxicity predicted by the Protox-II assay ranges from 4
            tools targeting the delta spike protein/ACE2 interface,   to 6 toxicity points (Table 1).
            employing a virtually screened library of 4388 approved   Overall, the clustering analysis revealed two groups of
            drugs.  The results suggest that  several  antihistaminic   drugs, with a high-affinity subgroup consisting of estradiol
            drugs form stable complexes against the spike RBD (with   benzoate, itraconazole, maraviroc, indinavir, vicriviroc,
            binding affinities between −32.92 and −53.78 kcal mol ),   dasabuvir, dolutegravir, and telaprevir (Figure 1). Within
                                                        −1
            while practically all currently used antiviral drugs are not   this high-affinity subgroup, estradiol benzoate and
            included in Spike-Antihistamine interaction. 13    indinavir exhibited the lowest toxicity values. Hence, based
              The primary objective of this study is to propose and   on this study, they may be considered as the drugs with the
            evaluate various antiviral drugs with potential therapeutic   most significant therapeutic potential. On the other hand,
            effects, selecting those most promising for treating   docosanol and valaciclovir comprised the lowest affinity
            COVID-19 through serial simulations of molecular   subgroup. It is worth noting that while some low-affinity
            docking and a Markovian approach.                  antiviral drugs were identified, they have proven effective


            Volume 7 Issue 2 (2024)                         2                                doi: 10.36922/itps.1651
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