Carbohydrate–receptor interactions
are often involved in the docking of viruses to host cells, and this
docking is a necessary step in the virus life cycle that precedes
infection and, ultimately, replication. Despite the conserved structures
of the glycans involved in docking, they are still considered “undruggable”,
meaning these glycans are beyond the scope of conventional pharmacological
strategies. Recent advances in the development of synthetic carbohydrate
receptors (SCRs), small molecules that bind carbohydrates, could bring
carbohydrate–receptor interactions within the purview of druggable
targets. Here we discuss the role of carbohydrate–receptor
interactions in viral infection, the evolution of SCRs, and recent
results demonstrating their ability to prevent viral infections in vitro. Common SCR design strategies based on boronic
ester formation, metal chelation, and noncovalent interactions are
discussed. The benefits of incorporating the idiosyncrasies of natural
glycan-binding proteinsincluding flexibility, cooperativity,
and multivalencyinto SCR design to achieve nonglucosidic specificity
are shown. These studies into SCR design and binding could lead to
new strategies for mitigating the grave threat to human health posed
by enveloped viruses, which are heavily glycosylated viroids that
are the cause of some of the most pressing and untreatable diseases,
including HIV, Dengue, Zika, influenza, and SARS-CoV-2.