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Rapid incorporation of Favipiravir by the fast and permissive viral RNA polymerase complex results in SARS-CoV-2 lethal mutagenesis.
Nature Communications ( IF 14.7 ) Pub Date : 2020-09-17 , DOI: 10.1038/s41467-020-18463-z
Ashleigh Shannon 1 , Barbara Selisko 1 , Nhung-Thi-Tuyet Le 1 , Johanna Huchting 2 , Franck Touret 3 , Géraldine Piorkowski 3 , Véronique Fattorini 1 , François Ferron 1 , Etienne Decroly 1 , Chris Meier 2 , Bruno Coutard 3 , Olve Peersen 4 , Bruno Canard 1
Affiliation  

The ongoing Corona Virus Disease 2019 (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), has emphasized the urgent need for antiviral therapeutics. The viral RNA-dependent-RNA-polymerase (RdRp) is a promising target with polymerase inhibitors successfully used for the treatment of several viral diseases. We demonstrate here that Favipiravir predominantly exerts an antiviral effect through lethal mutagenesis. The SARS-CoV RdRp complex is at least 10-fold more active than any other viral RdRp known. It possesses both unusually high nucleotide incorporation rates and high-error rates allowing facile insertion of Favipiravir into viral RNA, provoking C-to-U and G-to-A transitions in the already low cytosine content SARS-CoV-2 genome. The coronavirus RdRp complex represents an Achilles heel for SARS-CoV, supporting nucleoside analogues as promising candidates for the treatment of COVID-19.



中文翻译:

快速且允许的病毒 RNA 聚合酶复合物快速掺入法维匹拉韦会导致 SARS-CoV-2 致死突变。

由严重急性呼吸综合征冠状病毒-2 (SARS-CoV-2) 引起的 2019 年冠状病毒病 (COVID-19) 大流行,凸显了抗病毒治疗的迫切需要。病毒RNA依赖性RNA聚合酶(RdRp)是一个有前途的靶标,聚合酶抑制剂已成功用于治疗多种病毒性疾病。我们在此证明法匹拉韦主要通过致死诱变发挥抗病毒作用。SARS-CoV RdRp 复合物的活性比任何其他已知病毒 RdRp 至少高 10 倍。它具有异常高的核苷酸掺入率和高错误率,使法维匹拉韦能够轻松插入病毒 RNA,从而在胞嘧啶含量已经很低的 SARS-CoV-2 基因组中引发 C 到 U 和 G 到 A 的转变。冠状病毒 RdRp 复合物是 SARS-CoV 的致命弱点,支持核苷类似物作为治疗 COVID-19 的有希望的候选药物。

更新日期:2020-09-18
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