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Infectious Disorders - Drug Targets

Editor-in-Chief

ISSN (Print): 1871-5265
ISSN (Online): 2212-3989

Research Article

Repurposing Thalidomide, its Analogue and Apremilast for Possible Antiviral in Situation of Severe COVID Cytokine Syndrome

Author(s): Pugazhenthan Thangaraju*, Sree Sudha Tanguturi Yella, Siva Sanker Reddy Lingareddygari and Kota Sesha Brahma Shree Krishna Sasanka

Volume 22, Issue 8, 2022

Published on: 23 August, 2022

Article ID: e110822207406 Pages: 11

DOI: 10.2174/1871526522666220811114816

Price: $65

Abstract

Background: COVID-19, caused by SARS-corona virus-2, is a globally expanded public health risk at a bizarre level. In this current situation, COVID-19 has become a serious emerging pandemic. Drug reusing is a crucial step in identifying the new uses of old established drugs. To achieve a significant and healthy way of treatment in COVID patients within a short duration, drug repurposing is a novel method.

Objective: The present study concentrated on the molecular docking of thalidomide and its analogues and Apremilast against Coronavirus infectious symptoms, and evaluated virus proteins (Spike Protein, 3cl Protease, Nucleocapsids).

Methods: The present study explores the possibility of repurposing thalidomide for the treatment of SARS-COV-2 infection by assessing and confirming with docking affinity scores of thalidomide and its analogues and Apremilast, with spike protein, 3cl protease, and nucleocapsids.

Results: From the study results, thalidomide, pomalidomide, lenalidomide, and Apremilast exhibited better binding affinity to N Protein (4KXJ), Protease (4WY3) and Spike Protein (5WRG). In comparison to targets, N Protein - 4KXJ is the best for the four ligands. It is finalized that all four ligands (Thalidomide -8.6, Pomalidomide -8.8, Lenalidomide, and -8.2,and Apremilast -8.1) have good docking scores with the target N Protein.

Conclusion: The present study confirms that thalidomide and its analogues and apremilast are a better fit for treating high risk patients of COVID-19 viral infection, which are supposed to promote beneficial effects for both respiratory illnesses like COVID-19 symptoms as well as improve the pathological state of condition.

Keywords: Drug repurposing, COVID-19, thalidomide, lenalidomide, pomalidomide, apremilast, molecular docking studies, virus proteins, spike protein, 3CL protease, nucleocapsids.

Graphical Abstract

[1]
Cherian SS, Agrawal M, Abraham P, et al. Perspectives for repurposing drugs for the coronavirus disease 2019. Indian J Med Res 2020; 5: 1e12.
[2]
Christopher J. Coronaviruses, Fenner and White’s Medical Virology. (5th ed.). Academic Press 2017; pp. 437-46.
[3]
Huang F, Zhang C, Liu Q, et al. Identification of amitriptyline HCl, flavin adenine dinucleotide, azacitidine and calcitriol as repurposing drugs for influenza A H5N1 virus-induced lung injury. PLoS Pathog 2020; 16(3): e1008341.
[http://dx.doi.org/10.1371/journal.ppat.1008341] [PMID: 32176725]
[4]
Scherman D, Fetro C. Drug repositioning for rare diseases: Knowledge-based success stories. Therapie 2020; 75(2): 161-7.
[http://dx.doi.org/10.1016/j.therap.2020.02.007] [PMID: 32164975]
[5]
Sertkaya A, Birkenbach A, Berlind A, Eyraud J. Examination of clinical trial costs and barriers for drug development. US Department of Health and Human Services, office of the assistant secretary for planning and evaluation report 2014; 1: 1-92.
[6]
Yeu Y, Yoon Y, Park S. Protein localization vector propagation: A method for improving the accuracy of drug repositioning. Mol Biosyst 2015; 11(7): 2096-102.
[http://dx.doi.org/10.1039/C5MB00306G] [PMID: 25998487]
[7]
Hodos RA, Kidd BA, Shameer K, Readhead BP, Dudley JT. In silico methods for drug repurposing and pharmacology. Wiley Interdiscip Rev Syst Biol Med 2016; 8(3): 186-210.
[http://dx.doi.org/10.1002/wsbm.1337] [PMID: 27080087]
[8]
Pushpakom S, Iorio F, Eyers PA, et al. Drug repurposing: Progress, challenges and recommendations. Nat Rev Drug Discov 2019; 18(1): 41-58.
[http://dx.doi.org/10.1038/nrd.2018.168] [PMID: 30310233]
[9]
Harrison C. Coronavirus puts drug repurposing on the fast track. Nat Biotechnol 2020; 38(4): 379-81.
[http://dx.doi.org/10.1038/d41587-020-00003-1] [PMID: 32205870]
[10]
Morris GM, Huey R, Lindstrom W, et al. Autodock4 and AutoDockTools4: Automated docking with selective receptor flexiblity. J Computational Chemistry 2009; 16: 2785e2791.
[11]
Trott O, Olson AJ. AutoDock Vina: Improving the speed and accuracy of docking with a new scoring function, efficient optimization, and multithreading. J Comput Chem 2010; 31: 455-61.
[12]
L.L.C. Schr€odinger. The PyMOL- molecular graphics system. Version 2015 1: 8.
[13]
Piro RM. Network medicine: Linking disorders. Hum Genet 2012; 131(12): 1811-20.
[http://dx.doi.org/10.1007/s00439-012-1206-y] [PMID: 22825316]
[14]
Eberhardt J, Santos-Martins D, Tillack AF, Forli S. AutoDock Vina 1.2.0: New docking methods, expanded force field, and python bindings. J Chem Inf Model 2021; 61(8): 3891-8.
[http://dx.doi.org/10.1021/acs.jcim.1c00203] [PMID: 34278794]
[15]
Strodel B, Olubiyi O, Olagunju M, Keutmann M, Loschwitz J. High throughput virtual screening to discover inhibitors of the main protease of the coronavirus SARS-CoV-2. Preprints 2020.
[16]
Chen C, Qi F, Shi K, et al. Thalidomide combined with low-dose short-term glucocorticoid in the treatment of critical Coronavirus Disease 2019. Clin Transl Med 2020; 10(2): e35.
[http://dx.doi.org/10.1002/ctm2.35] [PMID: 32508009]
[17]
Vallet S, Palumbo A, Raje N, Boccadoro M, Anderson KC. Thalidomide and lenalidomide: Mechanism-based potential drug combinations. Leuk Lymphoma 2008; 49(7): 1238-45.
[http://dx.doi.org/10.1080/10428190802005191] [PMID: 18452080]
[18]
Torres T, Puig L. Managing cutaneous immune-mediated diseases during the COVID-19 pandemic. Am J Clin Dermatol 2020; 1-5.
[19]
Mohamed AA, Mohamed N, Mohamoud S, et al. SARS-CoV-2: The path of prevention and control. Infect Disord Drug Targets 2020; 21(3): 358-62.
[http://dx.doi.org/10.2174/1871526520666200520112848] [PMID: 32433010]
[20]
Mellin GW, Katzenstein M. The saga of thalidomide. Neuropathy to embryopathy, with case reports of congenital anomalies. N Engl J Med 1962; 267(23): 1184-92.
[http://dx.doi.org/10.1056/NEJM196212062672305] [PMID: 13934699]
[21]
Tseng S, Pak G, Washenik K, Pomeranz MK, Shupack JL. Rediscovering thalidomide: A review of its mechanism of action, side effects, and potential uses. J Am Acad Dermatol 1996; 35(6): 969-79.
[http://dx.doi.org/10.1016/S0190-9622(96)90122-X] [PMID: 8959957]
[22]
Paravar T, Lee DJ. Thalidomide: Mechanisms of action. Int Rev Immunol 2008; 27(3): 111-35.
[http://dx.doi.org/10.1080/08830180801911339] [PMID: 18437602]
[23]
Chen M, Doherty SD, Hsu S. Innovative uses of thalidomide. Dermatol Clin 2010; 28(3): 577-86.
[http://dx.doi.org/10.1016/j.det.2010.03.003] [PMID: 20510766]
[24]
Shim JS, Liu JO. Recent advances in drug repositioning for the discovery of new anticancer drugs. Int J Biol Sci 2014; 10(7): 654-63.
[http://dx.doi.org/10.7150/ijbs.9224] [PMID: 25013375]
[25]
Semeraro M, Vacchelli E, Eggermont A, et al. Trial watch: Lenalidomide-based immunochemotherapy. OncoImmunology 2013; 2(11): e26494.
[http://dx.doi.org/10.4161/onci.26494] [PMID: 24482747]
[26]
Zhang W, Zhao Y, Zhang F, et al. The use of antiinflammatory drugs in the treatment of people with severe coronavirus disease 2019 (COVID-19): The perspectives of clinical immunologists from China. Clin Immunol 2020; 214: 108393.
[27]
Channappanavar R, Perlman S. Pathogenic human coronavirus infections: Causes and consequences of cytokine storm and immunopathology. Semin Immunopathol 2017; 39(5): 529-39.
[http://dx.doi.org/10.1007/s00281-017-0629-x] [PMID: 28466096]
[28]
Zhang R, Wang X, Ni L, et al. COVID-19: Melatonin as a potential adjuvant treatment. Life Sci 2020; 250: 117583.
[http://dx.doi.org/10.1016/j.lfs.2020.117583] [PMID: 32217117]
[29]
Zhu H, Shi X, Ju D, Huang H, Wei W, Dong X. Anti-inflammatory effect of thalidomide on H1N1 influenza virus-induced pulmonary injury in mice. Inflammation 2014; 37(6): 2091-8.
[http://dx.doi.org/10.1007/s10753-014-9943-9] [PMID: 24912813]
[30]
Kumar V, Chhibber S. Anti-inflammatory effect of thalidomide alone or in combination with augmentin in Klebsiella pneumoniae B5055 induced acute lung infection in BALB/c mice. Eur J Pharmacol 2008; 592(1-3): 146-50.
[http://dx.doi.org/10.1016/j.ejphar.2008.07.019] [PMID: 18662682]
[31]
Li Y, Shi K, Qi F, et al. Thalidomide combined with short-term low-dose glucocorticoid therapy for the treatment of severe COVID-19: A case-series study. Int J Infect Dis 2021; 103: 507-13.
[http://dx.doi.org/10.1016/j.ijid.2020.12.023] [PMID: 33333254]
[32]
Horton MR, Santopietro V, Mathew L, et al. Thalidomide for the treatment of cough in idiopathic pulmonary fibrosis: A randomized trial. Ann Intern Med 2012; 157(6): 398-406.
[http://dx.doi.org/10.7326/0003-4819-157-6-201209180-00003] [PMID: 22986377]
[33]
Thangaraju P. B AK, Venkatesan S. Vigilance in selection of low-dose versus high-dose steroids in COVID-19. Int J Infect Dis 2021; 109: 54-5.
[http://dx.doi.org/10.1016/j.ijid.2021.06.020] [PMID: 34139368]

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