It is the overarching goal of this project to spearhead novel therapeutic strategies that are designed to transform the traditional one-drug, one-bug approach of antiviral therapy to a one-drug class, multiple-bugs paradigm. This is driven by the realization that high cost and lack of flexibility of current pharmaceutical manufacturing technologies, continuous viral evolution and the emergence of novel viral pathogens demand heightened flexibility of the drug discovery and development process. Pathogens of the myxovirus families have been chosen for this program because myxoviruses such as influenza virus, parainfluenza viruses, respiratory syncytial virus and measles virus are a major threat to human health, and many fundamentals of pathogen biology are conserved between different myxovirus family members. To meet future clinical challenges of antiviral therapy, this project will build on the solid foundation provided by our established anti- myxovirus program and pursue the development of innovative small-molecule antivirals with broadened anti- myxovirus target spectrum in two complementary, but independent avenues. A novel class of measles virus RNA-dependent RNA-polymerase (RdRp) inhibitors will be transformed into a flexible anti-paramyxovirus platform through pharmacophore extraction and structure-based scaffold engineering or design. In parallel, a host directed anti-myxovirus approach will be pursued that blocks host pathways required for virus replication. The first approach originates from a therapeutic candidate blocker of the measles virus polymerase (L) protein that was developed by our team. Driven by the hypothesis that the spatial organization of the inhibitor target site is largely conserved among related paramyxovirus L proteins, photoreactive analogs will be employed as innovative molecular probes to optimize a folding-competent L fragment identified in pilot studies for co- crystallization. Extraction of a molecular pharmacophore will enable the transformation of this virus-specific scaffold to a versatile anti-paramyxovirus platform through i silico design against related L targets in conjunction with chemical synthesis and biotesting (aim 1). The parallel approach rests on the hypothesis that host-directed antivirals show a broadened pathogen target spectrum due to dependence of related viral families on a similar set of host factors. Our program has identified a nanomolar influenza and paramyxovirus blocker class with host-directed profile, low toxicity and good pharmacokinetics. This scaffold will be fully mechanistically characterized and its host target determined. In addition, a novel, innovative high-throughput screening protocol and data-mining of system-wide host-influenza interaction screens will be implemented to identify independent host targets and diversify the host-directed hit portfolio (aim 2). Commencing immediately with the leads already identified in pilot studies and supplemented with newly discovered promising hits as the project progresses, drug-like properties of lead candidates will be synthetically advanced, select ADME properties determined and pharmacokinetics, small-animal efficacy, and biotoxicity determined (aim 3).

Public Health Relevance

Myxoviruses comprise groups of viral pathogens that cause major human diseases, including influenza and flu- like illness, measles and mumps, and several important animal diseases. Emerging resistance against licensed influenza drugs, the threat of a pandemic of highly pathogenic influenza strains, lack of vaccines against parainfluenza viruses and respiratory syncytial virus, and re-emergence of mumps and measles virus mandate the development of innovative therapeutics. This project will improve public health by exploring innovative anti-myxovirus strategies and developing therapeutic lead classes with broadened myxovirus target spectrum.

Agency
National Institute of Health (NIH)
Institute
National Institute of Allergy and Infectious Diseases (NIAID)
Type
Research Project (R01)
Project #
2R01AI071002-06A1
Application #
8372090
Study Section
Drug Discovery and Mechanisms of Antimicrobial Resistance Study Section (DDR)
Program Officer
Krafft, Amy
Project Start
2006-07-01
Project End
2013-04-15
Budget Start
2012-07-01
Budget End
2013-04-15
Support Year
6
Fiscal Year
2012
Total Cost
$307,824
Indirect Cost
$109,228
Name
Emory University
Department
Pediatrics
Type
Schools of Medicine
DUNS #
066469933
City
Atlanta
State
GA
Country
United States
Zip Code
30322
Thakkar, Vidhi D; Cox, Robert M; Sawatsky, Bevan et al. (2018) The Unstructured Paramyxovirus Nucleocapsid Protein Tail Domain Modulates Viral Pathogenesis through Regulation of Transcriptase Activity. J Virol 92:
Hashiguchi, Takao; Fukuda, Yoshinari; Matsuoka, Rei et al. (2018) Structures of the prefusion form of measles virus fusion protein in complex with inhibitors. Proc Natl Acad Sci U S A 115:2496-2501
Yoon, Jeong-Joong; Toots, Mart; Lee, Sujin et al. (2018) Orally Efficacious Broad-Spectrum Ribonucleoside Analog Inhibitor of Influenza and Respiratory Syncytial Viruses. Antimicrob Agents Chemother 62:
Cox, Robert M; Toots, Mart; Yoon, Jeong-Joong et al. (2018) Development of an allosteric inhibitor class blocking RNA elongation by the respiratory syncytial virus polymerase complex. J Biol Chem 293:16761-16777
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Ha, Michael N; Delpeut, Sébastien; Noyce, Ryan S et al. (2017) Mutations in the Fusion Protein of Measles Virus That Confer Resistance to the Membrane Fusion Inhibitors Carbobenzoxy-d-Phe-l-Phe-Gly and 4-Nitro-2-Phenylacetyl Amino-Benzamide. J Virol 91:
Cox, Robert M; Krumm, Stefanie A; Thakkar, Vidhi D et al. (2017) The structurally disordered paramyxovirus nucleocapsid protein tail domain is a regulator of the mRNA transcription gradient. Sci Adv 3:e1602350
Cox, Robert M; Plemper, Richard K (2017) Structure and organization of paramyxovirus particles. Curr Opin Virol 24:105-114
Jiménez-Somarribas, Alberto; Mao, Shuli; Yoon, Jeong-Joong et al. (2017) Identification of Non-Nucleoside Inhibitors of the Respiratory Syncytial Virus Polymerase Complex. J Med Chem 60:2305-2325
Cox, Robert; Plemper, Richard K (2016) Structure-guided design of small-molecule therapeutics against RSV disease. Expert Opin Drug Discov :1-14

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