Abstract
In 2012, a coronavirus was isolated from a patient with severe pneumonia. This betacoronavirus, which appeared in Saudi Arabia, was named Middle East Respiratory Syndrome Coronavirus (MERS-CoV). MERS-CoV is the sixth identified coronavirus that has the ability to infect humans. The Middle East respiratory syndrome-coronavirus (MERS-CoV) is a zoonotic pathogen transmitted between animals and humans. To date, MERS-CoV is responsible for an epidemic that is still ongoing, but limited to the Arabian Peninsula, with a total number of more than 2000 cases identified and a mortality rate of around 35%. The largest outbreaks of human-to-human transmission were reported in Jeddah in 2014 and South Korea in 2015. This infection causes a high mortality rate and no vaccine or medical countermeasures are currently available. Currently, no specific treatment or vaccine is available against this virus. The current challenge is to contain the epidemic and continue research efforts to develop a vaccine and a treatment. Certain flavonoids inhibit the replication of viral RNA and have therapeutic potential against viruses and bacteria. Therefore, it is suggested that flavonoids with these characteristics can be used as models to develop potent inhibitors of MERS-CoV. This work reviews current knowledge and provides an update on MERS-CoV and MERS-CoV 3Clpro virology, epidemiology, clinical features, and the use of flavonoids as potential inhibitors and therapeutic agents for MERS-CoV, and MERS-CoV 3Clpro. This review tries to elucidate the structure-activity relationships (SAR) of varied polyphenols against MERS-CoV 3C-like protease (3Clpro).
Keywords: MERS-CoV, MERS-CoV 3Clpro, flavonoid, inhibitory effect, antiviral activity, structure-activity relationships (SAR).
Graphical Abstract
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