The antiviral component of Paxlovid, nirmatrelvir (NIR), forms a covalent bond with Cys145 of SARS-CoV-2 nsp5. To explore NIR resistance we designed mutations to impair binding of NIR over substrate. Using 12 Omicron (BA.1) and WA.1 SARS-CoV-2 replicons, cell-based complementation and enzymatic assays, we showed that in both strains, E166V imparted high NIR resistance (~55-fold), with major decrease in WA1 replicon fitness (~20-fold), but not BA.1 (~2-fold). WA1 replicon fitness was restored by L50F. These differences may contribute to a potentially lower barrier to resistance in Omicron than WA1. E166V is rare in untreated patients, albeit more prevalent in paxlovid-treated EPIC-HR clinical trial patients. Importantly, NIR-resistant replicons with E166V or E166V/L50F remained susceptible to a) the flexible GC376, and b) PF-00835231, which forms additional interactions. Molecular dynamics simulations show steric clashes between the rigid and bulky NIR t-butyl and β-branched V166 distancing the NIR warhead from its Cys145 target. In contrast, GC376, through-wiggling and jiggling- accommodates V166 and still covalently binds Cys145. PF-00835231 uses its strategically positioned methoxy-indole to form a beta-sheet and overcome E166V. Drug design based on strategic flexibility and main chain-targeting may help develop second-generation nsp5-targeting antivirals efficient against NIR-resistant viruses.
Room-temperature acid solution calorimetry, high-temperature
oxide
melt solution calorimetry, and low-temperature heat capacity measurements
were employed to calculate the thermodynamic stabilities of the [Zn–Al–X]
layered double hydroxides (LDH) containing different anions (X = Cl–, CO3
2–, and SO4
2–). Cryogenic heat capacity measurements demonstrated
a Schottky-type anomaly in the heat capacity of all three LDHs below
11 K. This anomaly is attributed to the tunneling of protons between
adjacent oxygen atoms in the LDH interlayer as this creates an energy
system similar to a two-level system modeled with a Schottky term.
These heat capacity measurements were also used to determine vibrational
entropies which, when combined with configurational entropies, provide
standard entropies of these LDHs. Enthalpies of formation of LDHs
from binary components were determined and combined with the entropies
of formation to calculate Gibbs free energies. Based on these values,
the order of stability is [Zn–Al–SO4] >
[Zn–Al–CO3] > [Zn–Al–Cl].
This trend results from a combination
of the interlayer spacing, amount of water in the interlayer, interactions
among the interlayer species, and interactions between the metal hydroxide
layer and the interlayer.
This is the peer-reviewed, final accepted version for American Mineralogist, published by the Mineralogical Society of America.The published version is subject to change. Cite as Authors (Year) Title. American Mineralogist, in press.
This is the peer-reviewed, final accepted version for American Mineralogist, published by the Mineralogical Society of America.The published version is subject to change. Cite as Authors (Year) Title. American Mineralogist, in press.
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