Mechanistic insights into the inhibitory activity of FDA approved ivermectin against SARS-CoV-2: old drug with new implications
Urooj Qureshi, Sonia Mir, Sehrish Naz, Mohammad Nur-E-Alam, Sarfaraz Ahmed, Zaheer Ul-Haq
Journal of Biomolecular Structure and Dynamics, doi:10.1080/07391102.2021.1906750
The novel corona virus has become a great challenge worldwide since 2019, as no drug has been reported yet. Different clinical trials are still under way. Among them is Ivermectin (IVM), an FDA approved drug which was recently reported as a successful candidate to reduce SARS-CoV-2 viral load by inhibiting Importin-a1 (IMP-a1) protein which subsequently affects nuclear transport of viral proteins but its basic binding mode and inhibitory mechanism is unknown. Therefore, we aimed to explore the inhibitory mechanism and binding mode of IVM with IMP-a1 via different computational methods. Initially, comparative docking of IVM was performed against two different binding sites (Nuclear Localization Signal (NLS) major and minor sites) of IMP-a1 to predict the probable binding mode of IVM. Then, classical MD simulation was performed (IVM/NLS-Major site and IVM/NLS-Minor site), to predict its comparative stability dynamics and probable inhibitory mechanism. The stability dynamics and biophysical analysis of both sites highlighted the stable binding of IVM within NLS-Minor site by establishing and maintaining more hydrophobic contacts with crucial residues, required for IMP-a1 inhibition which were not observed in NLS-major site. Altogether, these results recommended the worth of IVM as a possible drug to limit the SARS-CoV-2 viral load and consequently reduces its progression.
Disclosure statement The authors declare no competing financial interests.
Author contributions SN and ZU hypothesized and designed the project. SM carried out the benchmarking and docking. UQ set up the MS system and carried out the simulations. SN, SM and UQ drafted the manuscript. ZU, M.N and SA facilitate the research work and reviewed the manuscript. All authors have read and approved the manuscript.
ORCID Zaheer Ul-Haq http://orcid.org/0000-0002-8530-8711
References
Abraham, Murtola, Schulz, Smith, Hess et al., GROMACS: High performance molecular simulations through multi-level parallelism from laptops to supercomputers, SoftwareX,
doi:10.1016/j.softx.2015.06.001
All, Hess, A flexible algorithm for calculating pair interactions on SIMD architectures, Computer Physics Communications,
doi:10.1016/j.cpc.2013.06.003
Berendsen, Van Der Spoel, Van Drunen, GROMACS: A message-passing parallel molecular dynamics implementation, Computer Physics Communications,
doi:10.1016/0010-4655(95)00042-E
Buonfrate, Salas-Coronas, Muñoz, Maruri, Rodari et al., Multiple-dose versus single-dose ivermectin for Strongyloides stercoralis infection (Strong Treat 1 to 4): A multicentre, open-label, phase 3, randomised controlled superiority trial, The Lancet Infectious Diseases,
doi:10.1016/S1473-3099(19)30289-0
Calina, Sarkar, Arsene, Salehi, Docea et al., Recent advances, approaches and challenges in targeting pathways for potential COVID-19 vaccines development, Immunologic Research
Caly, Druce, Catton, Jans, Wagstaff, The FDA-approved drug ivermectin inhibits the replication of SARS-CoV-2 in vitro, Antiviral Research
Canga, Prieto, Li Ebana, Mart Inez, Vega et al., The pharmacokinetics and interactions of ivermectin in humans-A mini-review, The AAPS Journal
Chang, Chen, Grauffel, Pien, Lim et al., Ran pathway-independent regulation of mitotic Golgi disassembly by Importin-a, Nature Communications,
doi:10.1038/s41467-019-12207-4
Chen, Hu, Zhang, Jiang, Han et al., Efficacy of hydroxychloroquine in patients with COVID-19: results of a randomized clinical trial, MedRxiv
Chen, Mao, Nassis, Harmer, Ainsworth et al., Coronavirus disease (COVID-19): The need to maintain regular physical activity while taking precautions, Journal of Sport & Health Science,
doi:10.1016/j.jshs.2020.02.001
Frieman, Yount, Heise, Kopecky-Bromberg, Palese et al., Severe acute respiratory syndrome coronavirus ORF6 antagonizes STAT1 function by sequestering nuclear import factors on the rough endoplasmic reticulum/Golgi membrane, Journal of Virology,
doi:10.1128/JVI.01012-07
Gao, Tian, Yang, Breakthrough: Chloroquine phosphate has shown apparent efficacy in treatment of COVID-19 associated pneumonia in clinical studies, BioScience Trends,
doi:10.5582/bst.2020.01047
Gautret, Lagier, Parola, Meddeb, Mailhe et al., Hydroxychloroquine and azithromycin as a treatment of COVID-19: Results of an open-label non-randomized clinical trial, International Journal of Antimicrobial Agents
G€ Otz, Magar, Dornfeld, Giese, Pohlmann et al., Influenza A viruses escape from MxA restriction at the expense of efficient nuclear vRNP import, Scientific Reports
Hess, Bekker, Berendsen, Fraaije, Hiscox et al., The coronavirus infectious bronchitis virus nucleoprotein localizes to the nucleolus, Journal of Computational Chemistry,
doi:10.1128/JVI.75.1.506-512.2001
Holvey, Valkov, Neal, Stewart, Abell, Selective targeting of the TPX2 site of importin-a using fragment-based ligand design, ChemMedChem,
doi:10.1002/cmdc.201500014
Kosyna, Nagel, Kluxen, Kraushaar, Depping, The importin a/b-specific inhibitor Ivermectin affects HIF-dependent hypoxia response pathways, Biological Chemistry,
doi:10.1515/hsz-2015-0171
Lundberg, Pinkham, Baer, Amaya, Narayanan et al., Nuclear import and export inhibitors alter capsid protein distribution in mammalian cells and reduce Venezuelan Equine Encephalitis Virus replication, Antiviral Research,
doi:10.1016/j.antiviral.2013.10.004
Lv, Liu, Wang, Dang, Qiu et al., Ivermectin inhibits DNA polymerase UL42 of pseudorabies virus entrance into the nucleus and proliferation of the virus in vitro and vivo, Antiviral Research,
doi:10.1016/j.antiviral.2018.09.010
Malde, Zuo, Breeze, Stroet, Poger et al., An automated force field topology builder (ATB) and repository: Version 1.0, Journal of Chemical Theory & Computation,
doi:10.1021/ct200196m
Nakada, Hirano, Matsuura, Structure of importin-a bound to a non-classical nuclear localization signal of the influenza A virus nucleoprotein, Scientific Reports,
doi:10.1038/srep15055
Naz, Baig, Khalil, Ul-Haq, Characterization of cryptic allosteric site at IL-4Ra: New paradigm towards IL-4/IL-4R inhibition, International Journal of Biological Macromolecules,
doi:10.1016/j.ijbiomac.2018.10.204
Parrinello, Rahman, Polymorphic transitions in single crystals: A new molecular dynamics method, Journal of Applied Physics,
doi:10.1063/1.328693
Pubchem, None
Rowland, Chauhan, Fang, Pekosz, Kerrigan et al., Intracellular localization of the severe acute respiratory syndrome coronavirus nucleocapsid protein: absence of nucleolar accumulation during infection and after expression as a recombinant protein in vero cells, Journal of Virology,
doi:10.1128/JVI.79.17.11507-11512.2005
Sohrabi, Alsafi, O'neill, Khan, Kerwan et al., World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19), International Journal of Surgery,
doi:10.1016/j.ijsu.2020.02.034
Tay, Fraser, Chan, Moreland, Rathore et al., Nuclear localization of dengue virus (DENV) 1-4 non-structural protein 5; protection against all 4
Timani, Liao, Ye, Zeng, Liu et al., Nuclear/nucleolar localization properties of C-terminal nucleocapsid protein of SARS coronavirus, Molecular Cancer Therapeutics,
doi:10.1158/1535-7163.MCT-15-0052
Vardhan, Sahoo, Searching inhibitors for three important proteins of COVID-19 through molecular docking studies
Wagstaff, Rawlinson, Hearps, Jans, An AlphaScreenV R -based assay for high-throughput screening for specific inhibitors of nuclear import, Journal of Biomolecular Screening,
doi:10.1177/1087057110390360
Wagstaff, Sivakumaran, Heaton, Harrich, Jans, Ivermectin is a specific inhibitor of importin a/b-mediated nuclear import able to inhibit replication of HIV-1 and dengue virus, Biochemical Journal,
doi:10.1042/BJ20120150
Who ; Wulan, Heydet, Walker, Gahan, Ghildyal, Nucleocytoplasmic transport of nucleocapsid proteins of enveloped RNA viruses, Frontiers in Microbiology,
doi:10.3389/fmicb.2015.00553
Wurm, Chen, Hodgson, Britton, Brooks et al., Localization to the nucleolus is a common feature of coronavirus nucleoproteins, and the protein may disrupt host cell division, Journal of Virology,
doi:10.1128/JVI.75.19.9345-9356.2001
Yang, Xu, Gong, Liu, Cui, Novel somatic alterations underlie Chinese papillary thyroid carcinoma, Cancer Biomarkers
Zhu, Zhang, Wang, Li, Yang et al., A novel coronavirus from patients with pneumonia in China, 2019, New England Journal of Medicine,
doi:10.1056/NEJMoa2001017
{ 'indexed': {'date-parts': [[2023, 10, 9]], 'date-time': '2023-10-09T10:54:10Z', 'timestamp': 1696848850354},
'reference-count': 42,
'publisher': 'Informa UK Limited',
'issue': '17',
'funder': [ { 'DOI': '10.13039/501100002383',
'name': 'King Saud University',
'doi-asserted-by': 'publisher',
'award': ['RGP-1438-043']}],
'content-domain': {'domain': ['www.tandfonline.com'], 'crossmark-restriction': True},
'published-print': {'date-parts': [[2022, 11, 22]]},
'DOI': '10.1080/07391102.2021.1906750',
'type': 'journal-article',
'created': {'date-parts': [[2021, 5, 6]], 'date-time': '2021-05-06T14:48:13Z', 'timestamp': 1620312493000},
'page': '8100-8111',
'update-policy': 'http://dx.doi.org/10.1080/tandf_crossmark_01',
'source': 'Crossref',
'is-referenced-by-count': 2,
'title': 'Mechanistic insights into the inhibitory activity of FDA approved ivermectin against SARS-CoV-2: '
'old drug with new implications',
'prefix': '10.1080',
'volume': '40',
'author': [ { 'given': 'Urooj',
'family': 'Qureshi',
'sequence': 'first',
'affiliation': [ { 'name': 'H.E.J. Research Institute of Chemistry, ICCBS, University of '
'Karachi, Karachi, Pakistan'}]},
{ 'given': 'Sonia',
'family': 'Mir',
'sequence': 'additional',
'affiliation': [ { 'name': 'H.E.J. Research Institute of Chemistry, ICCBS, University of '
'Karachi, Karachi, Pakistan'}]},
{ 'given': 'Sehrish',
'family': 'Naz',
'sequence': 'additional',
'affiliation': [ { 'name': 'Dr. Panjwani Center for Molecular Medicine and Drug Research, '
'ICCBS, University of Karachi, Karachi, Pakistan'}]},
{ 'given': 'Mohammad',
'family': 'Nur-e-Alam',
'sequence': 'additional',
'affiliation': [ { 'name': 'Department of Pharmacognosy, King Saud University College of '
'Pharmacy, Riyadh, Kingdom of Saudi Arabia'}]},
{ 'given': 'Sarfaraz',
'family': 'Ahmed',
'sequence': 'additional',
'affiliation': [ { 'name': 'Department of Pharmacognosy, King Saud University College of '
'Pharmacy, Riyadh, Kingdom of Saudi Arabia'}]},
{ 'ORCID': 'http://orcid.org/0000-0002-8530-8711',
'authenticated-orcid': False,
'given': 'Zaheer',
'family': 'Ul-Haq',
'sequence': 'additional',
'affiliation': [ { 'name': 'H.E.J. Research Institute of Chemistry, ICCBS, University of '
'Karachi, Karachi, Pakistan'},
{ 'name': 'Dr. Panjwani Center for Molecular Medicine and Drug Research, '
'ICCBS, University of Karachi, Karachi, Pakistan'}]}],
'member': '301',
'published-online': {'date-parts': [[2021, 5, 5]]},
'reference': [ {'key': 'CIT0001', 'doi-asserted-by': 'publisher', 'DOI': '10.1016/j.softx.2015.06.001'},
{'key': 'CIT0002', 'doi-asserted-by': 'publisher', 'DOI': '10.1016/0010-4655(95)00042-E'},
{'key': 'CIT0003', 'doi-asserted-by': 'publisher', 'DOI': '10.1016/S1473-3099(19)30289-0'},
{ 'issue': '1',
'key': 'CIT0004',
'doi-asserted-by': 'crossref',
'first-page': '1',
'DOI': '10.1007/s12026-020-09115-x',
'volume': '68',
'author': 'Calina D.',
'year': '2020',
'journal-title': 'Immunologic Research'},
{'key': 'CIT0005', 'doi-asserted-by': 'publisher', 'DOI': '10.1016/j.antiviral.2020.104787'},
{'key': 'CIT0006', 'doi-asserted-by': 'publisher', 'DOI': '10.1016/j.antiviral.2012.06.008'},
{'key': 'CIT0007', 'doi-asserted-by': 'publisher', 'DOI': '10.1208/s12248-007-9000-9'},
{'key': 'CIT0008', 'doi-asserted-by': 'publisher', 'DOI': '10.1038/s41467-019-12207-4'},
{'key': 'CIT0009', 'doi-asserted-by': 'publisher', 'DOI': '10.1016/j.jshs.2020.02.001'},
{'key': 'CIT0010', 'doi-asserted-by': 'publisher', 'DOI': '10.1101/2020.03.22.20040758'},
{'key': 'CIT0011', 'doi-asserted-by': 'publisher', 'DOI': '10.1128/JVI.01012-07'},
{'key': 'CIT0012', 'doi-asserted-by': 'publisher', 'DOI': '10.5582/bst.2020.01047'},
{ 'key': 'CIT0013',
'doi-asserted-by': 'publisher',
'DOI': '10.1016/j.ijantimicag.2020.105949'},
{ 'issue': '1',
'key': 'CIT0014',
'doi-asserted-by': 'crossref',
'first-page': '1',
'DOI': '10.1038/s41598-016-0001-8',
'volume': '6',
'author': 'Götz V.',
'year': '2016',
'journal-title': 'Scientific Reports'},
{ 'key': 'CIT0015',
'doi-asserted-by': 'publisher',
'DOI': '10.1002/(SICI)1096-987X(199709)18:12<1463::AID-JCC4>3.0.CO;2-H'},
{'key': 'CIT0016', 'doi-asserted-by': 'publisher', 'DOI': '10.1128/JVI.75.1.506-512.2001'},
{'key': 'CIT0017', 'doi-asserted-by': 'publisher', 'DOI': '10.1002/cmdc.201500014'},
{'key': 'CIT0018', 'doi-asserted-by': 'publisher', 'DOI': '10.1016/S0140-6736(20)30183-5'},
{'key': 'CIT0019', 'doi-asserted-by': 'publisher', 'DOI': '10.1016/j.ceb.2019.01.001'},
{'key': 'CIT0020', 'doi-asserted-by': 'publisher', 'DOI': '10.1515/hsz-2015-0171'},
{'key': 'CIT0021', 'doi-asserted-by': 'publisher', 'DOI': '10.1016/j.antiviral.2013.10.004'},
{'key': 'CIT0022', 'doi-asserted-by': 'publisher', 'DOI': '10.1016/j.antiviral.2018.09.010'},
{'key': 'CIT0023', 'doi-asserted-by': 'publisher', 'DOI': '10.1021/ct200196m'},
{ 'key': 'CIT0024',
'unstructured': 'Molecular Operating Environment (MOE). (2021). 2019.01; Chemical '
'Computing Group ULC, 1010 Sherbooke St. West, Suite #910, Montreal, QC, '
'Canada, H3A 2R7.'},
{'key': 'CIT0025', 'doi-asserted-by': 'publisher', 'DOI': '10.1038/srep15055'},
{'key': 'CIT0026', 'doi-asserted-by': 'publisher', 'DOI': '10.1016/j.ijbiomac.2018.10.204'},
{'key': 'CIT0027', 'doi-asserted-by': 'publisher', 'DOI': '10.1016/j.cpc.2013.06.003'},
{'key': 'CIT0028', 'doi-asserted-by': 'publisher', 'DOI': '10.1063/1.328693'},
{ 'key': 'CIT0029',
'unstructured': 'Pubchem I. N. Retrieved (accessed July 8) from '
'https://pubchem.ncbi.nlm.nih.gov/compound/Ivermectin'},
{ 'key': 'CIT0030',
'doi-asserted-by': 'publisher',
'DOI': '10.1128/JVI.79.17.11507-11512.2005'},
{'key': 'CIT0031', 'doi-asserted-by': 'publisher', 'DOI': '10.1016/j.ijsu.2020.02.034'},
{'key': 'CIT0032', 'doi-asserted-by': 'publisher', 'DOI': '10.1016/j.antiviral.2013.06.002'},
{'key': 'CIT0033', 'doi-asserted-by': 'publisher', 'DOI': '10.1016/j.virusres.2005.05.007'},
{'key': 'CIT0034', 'doi-asserted-by': 'publisher', 'DOI': '10.1158/1535-7163.MCT-15-0052'},
{ 'key': 'CIT0035',
'unstructured': 'Vardhan, S. & Sahoo, S. K. (2020). Searching inhibitors for three '
'important proteins of COVID-19 through molecular docking studies. [arXiv '
'preprint arXiv:200408095].'},
{'key': 'CIT0036', 'doi-asserted-by': 'publisher', 'DOI': '10.1177/1087057110390360'},
{'key': 'CIT0037', 'doi-asserted-by': 'publisher', 'DOI': '10.1042/BJ20120150'},
{'key': 'CIT0038', 'doi-asserted-by': 'publisher', 'DOI': '10.17265/1537-1506/2020.03.002'},
{'key': 'CIT0039', 'doi-asserted-by': 'publisher', 'DOI': '10.3389/fmicb.2015.00553'},
{ 'key': 'CIT0040',
'doi-asserted-by': 'publisher',
'DOI': '10.1128/JVI.75.19.9345-9356.2001'},
{ 'key': 'CIT0041',
'first-page': '1',
'author': 'Yang C.',
'year': '2020',
'journal-title': 'Cancer Biomarkers'},
{'key': 'CIT0042', 'doi-asserted-by': 'publisher', 'DOI': '10.1056/NEJMoa2001017'}],
'container-title': 'Journal of Biomolecular Structure and Dynamics',
'original-title': [],
'language': 'en',
'link': [ { 'URL': 'https://www.tandfonline.com/doi/pdf/10.1080/07391102.2021.1906750',
'content-type': 'unspecified',
'content-version': 'vor',
'intended-application': 'similarity-checking'}],
'deposited': { 'date-parts': [[2022, 12, 26]],
'date-time': '2022-12-26T10:21:11Z',
'timestamp': 1672050071000},
'score': 1,
'resource': {'primary': {'URL': 'https://www.tandfonline.com/doi/full/10.1080/07391102.2021.1906750'}},
'subtitle': [],
'short-title': [],
'issued': {'date-parts': [[2021, 5, 5]]},
'references-count': 42,
'journal-issue': {'issue': '17', 'published-print': {'date-parts': [[2022, 11, 22]]}},
'alternative-id': ['10.1080/07391102.2021.1906750'],
'URL': 'http://dx.doi.org/10.1080/07391102.2021.1906750',
'relation': {},
'ISSN': ['0739-1102', '1538-0254'],
'subject': [],
'container-title-short': 'Journal of Biomolecular Structure and Dynamics',
'published': {'date-parts': [[2021, 5, 5]]},
'assertion': [ { 'value': 'The publishing and review policy for this title is described in its Aims & '
'Scope.',
'order': 1,
'name': 'peerreview_statement',
'label': 'Peer Review Statement'},
{ 'value': 'http://www.tandfonline.com/action/journalInformation?show=aimsScope&journalCode=tbsd20',
'URL': 'http://www.tandfonline.com/action/journalInformation?show=aimsScope&journalCode=tbsd20',
'order': 2,
'name': 'aims_and_scope_url',
'label': 'Aim & Scope'},
{ 'value': '2020-09-21',
'order': 0,
'name': 'received',
'label': 'Received',
'group': {'name': 'publication_history', 'label': 'Publication History'}},
{ 'value': '2021-03-17',
'order': 2,
'name': 'accepted',
'label': 'Accepted',
'group': {'name': 'publication_history', 'label': 'Publication History'}},
{ 'value': '2021-05-05',
'order': 3,
'name': 'published',
'label': 'Published',
'group': {'name': 'publication_history', 'label': 'Publication History'}}]}