Norovirus
is the leading cause of acute gastroenteritis worldwide
with a yearly reported 700 million cases driving a $60 billion global
socioeconomic burden. With no United States Food and Drug Administration
approved therapeutics and the chance for severe chronic infection
and life-threatening complications, researchers have identified the
protease as a potential target. However, drug development has focused
on the norovirus GI.1 strain despite its accounting for less than
5% of all outbreaks. Our lab aims to change focus for norovirus drug
design from GI.1 to the highly infective GII.4, responsible for more
than 50% of all outbreaks worldwide. With the first published crystal
structure of the norovirus GII.4 protease, we have identified several
significant differences in the structure and active site that have
hindered development of a potent inhibitor targeting the norovirus
GII.4 protease. With these new insights, we have begun designing compounds
that demonstrate increased inhibition of the clinically most relevant
norovirus GII.4 strain.