<?xml version="1.0" encoding="UTF-8" standalone="no"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<?covid-19-tdm?>
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Microbiol.</journal-id>
<journal-title>Frontiers in Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">1664-302X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fmicb.2021.647693</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Microbiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Combining SARS-CoV-2 Proofreading Exonuclease and RNA-Dependent RNA Polymerase Inhibitors as a Strategy to Combat COVID-19: A High-Throughput <italic>in silico</italic> Screening</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name><surname>Khater</surname> <given-names>Shradha</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
<xref ref-type="author-notes" rid="fn002"><sup>&#x2020;</sup></xref>
<xref ref-type="author-notes" rid="fn003"><sup>&#x2021;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1080591/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Kumar</surname> <given-names>Pawan</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="author-notes" rid="fn003"><sup>&#x2021;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1188160/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Dasgupta</surname> <given-names>Nandini</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1393544/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Das</surname> <given-names>Gautam</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1325670/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Ray</surname> <given-names>Shashikant</given-names></name>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<xref ref-type="author-notes" rid="fn002"><sup>&#x2020;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1198161/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Prakash</surname> <given-names>Amresh</given-names></name>
<xref ref-type="aff" rid="aff5"><sup>5</sup></xref>
<xref ref-type="corresp" rid="c002"><sup>&#x002A;</sup></xref>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Department of Biosciences and Bioengineering, Indian Institute of Technology Bombay</institution>, <addr-line>Mumbai</addr-line>, <country>India</country></aff>
<aff id="aff2"><sup>2</sup><institution>miBiome Therapeutics LLP</institution>, <addr-line>Mumbai</addr-line>, <country>India</country></aff>
<aff id="aff3"><sup>3</sup><institution>National Institute of Immunology</institution>, <addr-line>New Delhi</addr-line>, <country>India</country></aff>
<aff id="aff4"><sup>4</sup><institution>Department of Biotechnology, Mahatma Gandhi Central University</institution>, <addr-line>Motihari</addr-line>, <country>India</country></aff>
<aff id="aff5"><sup>5</sup><institution>Amity Institute of Integrative Sciences and Health, Amity University Haryana</institution>, <addr-line>Gurgaon</addr-line>, <country>India</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Helene Dutartre, UMR 5308 Centre International de Recherche en Infectiologie (CIRI), France</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Francois Ferron, UMR 7257 Architecture et Fonction des Macromol&#x00E9;cules Biologiques (AFMB), France; Christian Albert Devaux, Centre National de la Recherche Scientifique (CNRS), France</p></fn>
<corresp id="c001">&#x002A;Correspondence: Shradha Khater, <email>shradha@microbiome.in</email></corresp>
<corresp id="c002">Amresh Prakash, <email>aprakash@ggn.amity.edu</email></corresp>
<fn fn-type="other" id="fn002"><p><sup>&#x2020;</sup>ORCID: Shradha Khater, <ext-link ext-link-type="uri" xlink:href="http://orcid.org/0000-0003-1400-7572">orcid.org/0000-0003-1400-7572</ext-link>; Shashikant Ray, <ext-link ext-link-type="uri" xlink:href="http://orcid.org/0000-0001-8838-398X">orcid.org/0000-0001-8838-398X</ext-link></p></fn>
<fn fn-type="other" id="fn003"><p><sup>&#x2021;</sup>These authors have contributed equally to this work and share first authorship</p></fn>
<fn fn-type="other" id="fn004"><p>This article was submitted to Virology, a section of the journal Frontiers in Microbiology</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>20</day>
<month>07</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="collection">
<year>2021</year>
</pub-date>
<volume>12</volume>
<elocation-id>647693</elocation-id>
<history>
<date date-type="received">
<day>12</day>
<month>01</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>21</day>
<month>06</month>
<year>2021</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2021 Khater, Kumar, Dasgupta, Das, Ray and Prakash.</copyright-statement>
<copyright-year>2021</copyright-year>
<copyright-holder>Khater, Kumar, Dasgupta, Das, Ray and Prakash</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p>Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has infected millions of people worldwide. Currently, many clinical trials in search of effective COVID-19 drugs are underway. Viral RNA-dependent RNA polymerase (RdRp) remains the target of choice for prophylactic or curative treatment of COVID-19. Nucleoside analogs are the most promising RdRp inhibitors and have shown effectiveness <italic>in vitro</italic>, as well as in clinical settings. One limitation of such RdRp inhibitors is the removal of incorporated nucleoside analogs by SARS-CoV-2 exonuclease (ExoN). Thus, ExoN proofreading activity accomplishes resistance to many of the RdRp inhibitors. We hypothesize that in the absence of highly efficient antivirals to treat COVID-19, combinatorial drug therapy with RdRp and ExoN inhibitors will be a promising strategy to combat the disease. To repurpose drugs for COVID-19 treatment, 10,397 conformers of 2,240 approved drugs were screened against the ExoN domain of nsp14 using AutoDock VINA. The molecular docking approach and detailed study of interactions helped us to identify dexamethasone metasulfobenzoate, conivaptan, hesperidin, and glycyrrhizic acid as potential inhibitors of ExoN activity. The results were further confirmed using molecular dynamics (MD) simulations and molecular mechanics combined with generalized Born model and solvent accessibility method (MM-GBSA) calculations. Furthermore, the binding free energy of conivaptan and hesperidin, estimated using MM-GBSA, was &#x2212;85.86 &#x00B1; 0.68 and 119.07 &#x00B1; 0.69 kcal/mol, respectively. Based on docking, MD simulations and known antiviral activities, and conivaptan and hesperidin were identified as potential SARS-CoV-2 ExoN inhibitors. We recommend further investigation of this combinational therapy using RdRp inhibitors with a repurposed ExoN inhibitor as a potential COVID-19 treatment.</p>
</abstract>
<kwd-group>
<kwd>SARS-CoV-2</kwd>
<kwd>drug repurposing</kwd>
<kwd>exonuclease inhibitor</kwd>
<kwd>nucleoside analog</kwd>
<kwd>molecular docking and MD simulation</kwd>
<kwd>combinatorial therapy</kwd>
</kwd-group>
<contract-num rid="cn001">SR/WOS-A/LS-141/2018 (G)</contract-num>
<contract-sponsor id="cn001">Department of Science and Technology, Ministry of Science and Technology, India<named-content content-type="fundref-id">10.13039/501100001409</named-content></contract-sponsor>
<counts>
<fig-count count="6"/>
<table-count count="3"/>
<equation-count count="4"/>
<ref-count count="49"/>
<page-count count="10"/>
<word-count count="0"/>
</counts>
</article-meta>
</front>
<body>
<sec id="S1">
<title>Introduction</title>
<p>On December 31, 2019, the World Health Organization (WHO) office in China was informed that cases of pneumonia of an unknown cause were detected in Wuhan City, in the Hubei Province of China. The Chinese authorities identified this to be a previously unknown type of coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), and causing the disease COVID-19. Since the outbreak, the number of confirmed cases of COVID-19 increased rapidly, resulting in WHO declaring the disease a pandemic on March 11, 2020 (<xref ref-type="bibr" rid="B6">Cucinotta and Vanelli, 2020</xref>). Almost all countries are affected by this pandemic with millions of confirmed cases and more than a million deaths worldwide. Currently, there are no approved drugs. However, there is an urgent need to have a repertoire of repurposed drugs to improve the efficacy and in addition be prepared for drug resistance. Synergistic action of a combination of drugs against SARS-CoV-2 can enhance the effectiveness of existing drugs that have shown partial success in clinical trials. The class of antivirals that are RNA-dependent RNA polymerase (RdRp) inhibitors, such as favipiravir, remdesivir, ribavirin, and galidesivir, has been on high priority since the beginning of COVID-19 trials. Trials have been completed or are in progress in many countries. Among these, remdesivir and favipiravir have shown promise in different countries. These drugs being nucleoside analogs act either by introducing mutations in the viral RNA or by chain termination during replication. The action of these drugs on viruses that do not have proofreading enzymes is good (<xref ref-type="bibr" rid="B45">Warren et al., 2016</xref>). However, SARS-CoV-2 possesses a nonstructural protein nsp14, with amino-terminal domain coding for a proofreading exonuclease (ExoN) (<xref ref-type="bibr" rid="B2">Bouvet et al., 2012</xref>). ExoN is capable of excising incorporated nucleoside analogs by virtue of its 3&#x2032;&#x2013;5&#x2032; exonuclease proofreading activity. This results in negating the action of these drugs, to varying extents, and depending on the type of nucleoside analog chemistry [ribavirin, 5-fluorouracil (5FU), and remdesivir] (<xref ref-type="fig" rid="F1">Figure 1</xref>; <xref ref-type="bibr" rid="B40">Smith et al., 2013</xref>; <xref ref-type="bibr" rid="B12">Ferron et al., 2018</xref>). Hence, in the case of repurposed drugs for COVID-19, a limitation of efficacy exists. The new-generation RdRp inhibitors, such as remdesivir, are more effective than ribavirin and 5FU, and as excision of these nucleosides by viruses harboring exoribonuclease is weaker than ribavirin and 5FU (<xref ref-type="bibr" rid="B30">Ogando et al., 2019</xref>). The delicate balance between incorporation and excision properties of nucleoside analogs by RdRp and ExoN respectively, decides the fate of the action of RdRp-based antivirals.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption><p>Schematic describing ExoN proofreading activity and mode of action of inhibitors. (Left) Replication in viruses such as hepatitis C virus (HCV), with no proofreading mechanism. Replication by low fidelity RNA-dependent RNA polymerase (RdRp) in absence of ExoN is error-prone. Incorporated nucleoside analogs (NAs) are not excised, resulting in either premature replication termination or incorporation of mutation. (Middle) Replication in viruses such as SARS-CoV with proofreading exonuclease (ExoN). Like HCV, in SARS-CoV-2 too, replication is by low-fidelity RdRp, but errors and NA are excised by proofreading ExoN, and decreasing the efficacy of antivirals. (Right) Same as middle panel but in presence of ExoN inhibitor. In presence of ExoN inhibitor, NA might not be excised, and resulting in premature replication termination.</p></caption>
<graphic xlink:href="fmicb-12-647693-g001.tif"/>
</fig>
<p>Exonuclease inactivation was found to confer a &#x201C;mutator phenotype,&#x201D; as was evident from a 15- to 21-fold increase in mutation frequency&#x2014;relative to the wild-type control&#x2014;during replication and passaging in cell culture (<xref ref-type="bibr" rid="B10">Eckerle et al., 2007</xref>, <xref ref-type="bibr" rid="B9">2010</xref>). In ExoN mutant background, remdesivir has 4.5-fold (<xref ref-type="bibr" rid="B39">Shannon et al., 2020</xref>), and ribavirin has 200-fold higher efficacy (<xref ref-type="bibr" rid="B12">Ferron et al., 2018</xref>), compared to a wild-type ExoN viral genome. The mutagenesis results are supported by sequencing analyses too (<xref ref-type="bibr" rid="B9">Eckerle et al., 2010</xref>). This provides a clear rationale to use a combination of antivirals favipiravir/remdesivir/ribavirin/galidesivir and SARS-CoV-2 ExoN inhibitors. Currently, there is no drug available to inhibit ExoN. Detailed molecular docking studies to find small molecules/peptides/natural molecules that have the potential to inhibit ExoN are urgently required (<xref ref-type="bibr" rid="B38">Senanayake, 2020</xref>). It is interesting to note that coronaviruses lacking ExoN are susceptible to lethal mutagenesis (<xref ref-type="bibr" rid="B40">Smith et al., 2013</xref>). The crystal structure of SARS-CoV nsp14-nsp10 (<xref ref-type="bibr" rid="B23">Ma et al., 2015</xref>) provides opportunities for molecular docking of the ExoN domain of nsp14 to different available drugs.</p>
<p>In this study, we propose that combinatorial therapy with one drug from favipiravir/remdesivir/ribavirin/galidesivir and an inhibitor of ExoN would be effective in increasing the efficacy of the RdRp inhibitors (<xref ref-type="fig" rid="F1">Figure 1</xref>). To repurpose drugs for COVID-19 treatments, we performed molecular docking of 10,397 approved drug conformers on the ExoN domain of SARS-CoV-2 nsp14. Three known antivirals conivaptan, hesperidin, and glycyrrhizic acid show promise based on the docking results and their known inhibitory effects on &#x03B2;-coronaviruses <italic>in vitro</italic> (<xref ref-type="bibr" rid="B7">De Clercq, 2006</xref>) and in patients (<xref ref-type="bibr" rid="B16">Hoever et al., 2005</xref>; <xref ref-type="bibr" rid="B19">Ledford, 2020</xref>). Further docked complexes of conivaptan, hesperidin, glycyrrhizic acid, and astemizole were refined using 200-ns-long MD simulations. Binding energy estimation using molecular mechanics combined with generalized Born model and solvent accessibility method (MM-GBSA) studies estimated binding free energies of conivaptan and hesperidin as &#x2212;85.86 &#x00B1; 0.68 and 119.07 &#x00B1; 0.69 kcal/mol, respectively. Therefore, repurposing hesperidin and conivaptan as potential inhibitors of proofreading ExoN and using them in conjunction with RdRp inhibitors could lead to a potentially high level of antiviral activity and promising therapy for COVID-19.</p>
</sec>
<sec id="S2">
<title>Results</title>
<sec id="S2.SS1">
<title>SARS-CoV-2 ExoN Domain</title>
<p>SARS-CoV-2 nsp14 is a multidomain protein. The N-terminal domain functions as proofreading exoribonuclease, and the C-terminal is a methyltransferase. SARS-CoV-2 nsp14 shares 95.07% amino acid sequence identity (over complete protein length) with SARS-CoV nsp14 (<xref ref-type="supplementary-material" rid="FS1">Supplementary Figure 1</xref>). ExoN domain of SARS-CoV nsp14 resembles DEDD-type ExoNs (<xref ref-type="bibr" rid="B23">Ma et al., 2015</xref>). The DEDD superfamily members are defined by the presence of three canonical motifs&#x2014;DXE (motif I), W(X)4EL (motif II), and DAIMTR (motif III) (<xref ref-type="bibr" rid="B39">Shannon et al., 2020</xref>). The presence of DEED instead of DEDD and an additional H makes the SARS-CoV ExoN a DEEDh-type ExoN (<xref ref-type="bibr" rid="B30">Ogando et al., 2019</xref>). In SARS-CoV-2, the catalytic residues&#x2014;Asp90, Glu92, Glu191, His268, and Asp273, and the canonical motifs are conserved (<xref ref-type="supplementary-material" rid="FS1">Supplementary Figure 1</xref>). A 3-dimensional (3D) model of SARS-CoV-2 nsp14 was built using SARS-CoV nsp14 (PDB ID: 5C8S) as a template. A grid comprising the three conserved motifs was used for docking.</p>
</sec>
<sec id="S2.SS2">
<title>Molecular Docking</title>
<p>Ten thousand three hundred ninety-seven conformers generated from 2,240 approved small molecule drugs were screened using AutoDock VINA. Based on binding free energy, the top 20 binding poses were selected for further analysis (<xref ref-type="fig" rid="F2">Figure 2</xref> and <xref ref-type="table" rid="T1">Table 1</xref>). All 20 poses interact with catalytic residues. Dexamethasone metasulfobenzoate binds to the catalytic site of ExoN with the binding energy of &#x2212;8.7 kcal/mol. Conivaptan, dutasteride, hesperidin, lumacaftor, and glycyrrhizic acid bind ExoN active site with the slightly higher energy of &#x2212;8.6 kcal/mol. Interaction of ExoN domain with 12 unique drug molecules, corresponding to top 20 poses, was studied and is depicted in <xref ref-type="table" rid="T2">Table 2</xref>. Most of the analyzed poses interact with at least three of the five catalytic residues (<xref ref-type="fig" rid="F3">Figures 3</xref>, <xref ref-type="fig" rid="F4">4</xref>).</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption><p>Twenty lowest-binding energy conformations from the molecular screen. <bold>(A)</bold> SARS-CoV-2 nsp14 is depicted as surface representation and the 20 lowest-binding energy poses are depicted as sticks. The ExoN domain is in green, and MTase domain is in blue. <bold>(B)</bold> Zoomed-in version depicting bound conformers of drug molecules.</p></caption>
<graphic xlink:href="fmicb-12-647693-g002.tif"/>
</fig>
<table-wrap position="float" id="T1">
<label>TABLE 1</label>
<caption><p>Screening results of top twenty conformers with lowest-binding energies.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<td valign="top" align="left">Drug bank ID</td>
<td valign="top" align="center">Conf ID</td>
<td valign="top" align="left">Name</td>
<td valign="top" align="center">Binding free energy (kcal/mol)</td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">DB14703</td>
<td valign="top" align="center">1</td>
<td valign="top" align="left">Dexamethasone metasulfobenzoate</td>
<td valign="top" align="center">&#x2212;8.7</td>
</tr>
<tr>
<td valign="top" align="left">DB00872</td>
<td valign="top" align="center">3</td>
<td valign="top" align="left">Conivaptan</td>
<td valign="top" align="center">&#x2212;8.6</td>
</tr>
<tr>
<td valign="top" align="left">DB01126</td>
<td valign="top" align="center">1</td>
<td valign="top" align="left">Dutasteride</td>
<td valign="top" align="center">&#x2212;8.6</td>
</tr>
<tr>
<td valign="top" align="left">DB01126</td>
<td valign="top" align="center">3</td>
<td valign="top" align="left">Dutasteride</td>
<td valign="top" align="center">&#x2212;8.6</td>
</tr>
<tr>
<td valign="top" align="left">DB04703</td>
<td valign="top" align="center">1</td>
<td valign="top" align="left">Hesperidin</td>
<td valign="top" align="center">&#x2212;8.6</td>
</tr>
<tr>
<td valign="top" align="left">DB09280</td>
<td valign="top" align="center">1</td>
<td valign="top" align="left">Lumacaftor</td>
<td valign="top" align="center">&#x2212;8.6</td>
</tr>
<tr>
<td valign="top" align="left">DB13751</td>
<td valign="top" align="center">3</td>
<td valign="top" align="left">Glycyrrhizic acid</td>
<td valign="top" align="center">&#x2212;8.6</td>
</tr>
<tr>
<td valign="top" align="left">DB14703</td>
<td valign="top" align="center">0</td>
<td valign="top" align="left">Dexamethasone metasulfobenzoate</td>
<td valign="top" align="center">&#x2212;8.6</td>
</tr>
<tr>
<td valign="top" align="left">DB14703</td>
<td valign="top" align="center">2</td>
<td valign="top" align="left">Dexamethasone metasulfobenzoate</td>
<td valign="top" align="center">&#x2212;8.6</td>
</tr>
<tr>
<td valign="top" align="left">DB14703</td>
<td valign="top" align="center">3</td>
<td valign="top" align="left">Dexamethasone metasulfobenzoate</td>
<td valign="top" align="center">&#x2212;8.6</td>
</tr>
<tr>
<td valign="top" align="left">DB14703</td>
<td valign="top" align="center">4</td>
<td valign="top" align="left">Dexamethasone metasulfobenzoate</td>
<td valign="top" align="center">&#x2212;8.6</td>
</tr>
<tr>
<td valign="top" align="left">DB00696</td>
<td valign="top" align="center">2</td>
<td valign="top" align="left">Ergotamine</td>
<td valign="top" align="center">&#x2212;8.5</td>
</tr>
<tr>
<td valign="top" align="left">DB01126</td>
<td valign="top" align="center">0</td>
<td valign="top" align="left">Dutasteride</td>
<td valign="top" align="center">&#x2212;8.5</td>
</tr>
<tr>
<td valign="top" align="left">DB03147</td>
<td valign="top" align="center">3</td>
<td valign="top" align="left">Flavin adenine dinucleotide (FAD)</td>
<td valign="top" align="center">&#x2212;8.5</td>
</tr>
<tr>
<td valign="top" align="left">DB06210</td>
<td valign="top" align="center">1</td>
<td valign="top" align="left">Eltrombopag</td>
<td valign="top" align="center">&#x2212;8.5</td>
</tr>
<tr>
<td valign="top" align="left">DB00637</td>
<td valign="top" align="center">3</td>
<td valign="top" align="left">Astemizole</td>
<td valign="top" align="center">&#x2212;8.4</td>
</tr>
<tr>
<td valign="top" align="left">DB00696</td>
<td valign="top" align="center">1</td>
<td valign="top" align="left">Ergotamine</td>
<td valign="top" align="center">&#x2212;8.4</td>
</tr>
<tr>
<td valign="top" align="left">DB00696</td>
<td valign="top" align="center">3</td>
<td valign="top" align="left">Ergotamine</td>
<td valign="top" align="center">&#x2212;8.4</td>
</tr>
<tr>
<td valign="top" align="left">DB00878</td>
<td valign="top" align="center">0</td>
<td valign="top" align="left">Chlorhexidine</td>
<td valign="top" align="center">&#x2212;8.4</td>
</tr>
<tr>
<td valign="top" align="left">DB01251</td>
<td valign="top" align="center">1</td>
<td valign="top" align="left">Gliquidone</td>
<td valign="top" align="center">&#x2212;8.4</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap position="float" id="T2">
<label>TABLE 2</label>
<caption><p>Residues involved in hydrogen bond and hydrophobic interaction.</p></caption>
<graphic xlink:href="fmicb-12-647693-t002.jpg"/>
<table-wrap-foot>
<attrib><italic>Blue and bold font indicates catalytic residues. &#x002A;Numbers in parentheses indicate the number of hydrogen bonds formed with the particular amino acid. <sup>#</sup>LigPlus did not work, manually done.</italic></attrib>
</table-wrap-foot>
</table-wrap>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption><p>Putative binding pockets of docked compounds. Interaction of ExoN residues (gray) with docked conformer of dexamethasone metasulfobenzoate (yellow sticks) <bold>(A)</bold> and conivaptan (pink sticks) <bold>(B)</bold>. H-bonded residues are depicted as sticks. Yellow dotted lines represent hydrogen bond, and the distance is in angstroms (&#x00C5;). Residues in hydrophobic contact are depicted as surface representation.</p></caption>
<graphic xlink:href="fmicb-12-647693-g003.tif"/>
</fig>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption><p>Putative binding pockets of docked compounds. Interaction of ExoN residues (gray) with docked conformer of hesperidin (green sticks) <bold>(A)</bold> and glycyrrhizic acid (purple sticks) <bold>(B)</bold>. H-bonded residues are depicted as sticks. Yellow dotted lines represent hydrogen bond, and the distance is in angstroms (&#x00C5;). Residues in hydrophobic contact are depicted as surface representation.</p></caption>
<graphic xlink:href="fmicb-12-647693-g004.tif"/>
</fig>
<p>Hesperidin is the only drug that interacts with all five catalytic residues. Hesperidin and glycyrrhizic acid have four and three ExoN catalytic residues, respectively, within hydrogen-bonding distance (<xref ref-type="fig" rid="F4">Figure 4</xref>). The binding of these drugs to ExoN catalytic residues might potentially cause obstruction of substrate binding and catalysis.</p>
<p>Remdesivir, an investigational drug for the treatment of Ebola, was shown to inhibit SARS-CoV-2 RdRp, and inhibiting RNA synthesis (<xref ref-type="bibr" rid="B14">Gordon et al., 2020</xref>). As remdesivir is a drug without anti-ExoN activity, it was used here as a negative control. Remdesivir displayed a low binding affinity toward ExoN (&#x2212;6.0 kcal/mol) than the top 20 poses (&#x003C;&#x2212;8.4 kcal/mol). The estimated binding energy of remdesivir with ExoN is -6.0 kcal/mol, higher than the top 20 poses from the approved drug category (<xref ref-type="table" rid="T1">Table 1</xref>).</p>
</sec>
<sec id="S2.SS3">
<title>Structural Stability of ExoN and ExoN&#x2013;Drug&#x2013;Bound Complexes</title>
<p>Molecular dynamics simulation can provide atomistic insights on structural stability and the dynamic of protein&#x2013;ligand interactions (<xref ref-type="bibr" rid="B22">Luthra et al., 2009</xref>; <xref ref-type="bibr" rid="B32">Prakash and Luthra, 2012</xref>; <xref ref-type="bibr" rid="B42">Wang et al., 2013</xref>; <xref ref-type="bibr" rid="B31">Panda et al., 2020</xref>). Based on molecular docking, interactions with active site ExoN residues and their antiviral properties, conivaptan, hesperidin, and glycyrrhizic acid were chosen for MD studies. As astemizole was shown to inhibit SARS-CoV-2 in <italic>in vitro</italic> assays, it was included in the MD studies (<xref ref-type="bibr" rid="B34">Riva et al., 2020</xref>).</p>
<p>The structural dynamics of glycyrrhizic acid, astemizole, conivaptan, and hesperidin in complex with ExoN displays maximum population density of stable conformation at &#x223C;6.0, 6.5, 8, and 6 &#x00C5;, respectively, relative to ExoN, which equilibrated at around 9.75 &#x00C5;. Hence, drug molecules induced substantial rigidification in ExoN structure (<xref ref-type="fig" rid="F5">Figure 5A</xref>). ExoN&#x2013;glycyrrhizic acid exhibited the least structural fluctuations, suggesting the most stable protein&#x2013;ligand complex. Although the complex of ExoN&#x2013;conivaptan achieved a maximum population density of around 8 &#x00C5;, the population density of conformational dynamics ranges from &#x223C;4.0 to 9 &#x00C5;. The ExoN&#x2013;conivaptan complex shows a slightly smaller peak at &#x223C;6.0 &#x00C5; too. It suggests conivaptan might move between two conformations. The structure of ExoN and ExoN&#x2013;glycyrrhizic acid, astemizole, conivaptan, and hesperidin had a maximum population density of radius of gyration (RoG) around 33, 33.5, 31.5, 32.2, and 32.2 &#x00C5;, respectively (<xref ref-type="fig" rid="F5">Figure 5B</xref>). During the simulation period of 200 ns, all five systems were stable around the solvent-accessible surface area (SASA) values of 2,700 to 2,900 &#x00C5;<sup>2</sup>. RoG and SASA results suggest marginal or no structural compactness change of ExoN and ExoN&#x2013;drug complexes (<xref ref-type="fig" rid="F5">Figure 5C</xref>).</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption><p>Probability distribution plots of structural order parameters. <bold>(A)</bold> C<sup>&#x03B1;</sup> -backbone RMSD, <bold>(B)</bold> RoG, <bold>(C)</bold> SASA of ExoN, the docked complexes, ExoN&#x2013;astemizole and ExoN&#x2013;conivaptan, ExoN&#x2013;hesperidin, and ExoN&#x2013;glycyrrhizic acid.</p></caption>
<graphic xlink:href="fmicb-12-647693-g005.tif"/>
</fig>
<p>To understand the drifts in root mean square deviation (RMSD) plots (<xref ref-type="fig" rid="F5">Figure 5</xref> and <xref ref-type="supplementary-material" rid="FS1">Supplementary Figure 2A</xref>), the average distance of the four drug molecules from the center of the ExoN active site was measured. The time evolution distance plots show that the average distance of hesperidin and conivaptan remained consistent between 3.5 and 4.5 &#x00C5; from the active site of ExoN (<xref ref-type="supplementary-material" rid="FS1">Supplementary Figure 3</xref>). Glycyrrhizic acid and astemizole move out from the binding pocket around &#x223C;50 and &#x223C;100 ns of simulation, respectively. The conformational adaptability of hesperidin and conivaptan during the simulation was explored by performing root mean square fluctuation (RMSF) analyses. The average RMSF peaks of all the amino acids of ExoN-hesperidin and ExoN&#x2013;conivaptan complex are less than ExoN (<xref ref-type="supplementary-material" rid="FS1">Supplementary Figure 2</xref> and <xref ref-type="supplementary-material" rid="FS1">Supplementary Methods</xref>). The RMSF values provide structural evidence of stable molecular interaction of hesperidin and conivaptan with ExoN. The average distances between metal ions (Mg<sup>2+</sup>) remain around 3.6 &#x00C5; (<xref ref-type="supplementary-material" rid="FS1">Supplementary Figures 3</xref>, <xref ref-type="supplementary-material" rid="FS1">4</xref>).</p>
</sec>
<sec id="S2.SS4">
<title>Hydrogen Bond Analysis</title>
<p>The efficacy of a drug molecule is largely dependent on molecular interactions at the active site (<xref ref-type="bibr" rid="B36">Schiebel et al., 2018</xref>; <xref ref-type="bibr" rid="B26">Mishra et al., 2021</xref>), and the network of H-bonds plays a crucial role in this interaction. Thus, H-bond interactions between ExoN and drug molecules were calculated (<xref ref-type="bibr" rid="B4">Chen et al., 2016</xref>). Distance cutoff of 3.5 &#x00C5;, and angle cutoff of 135&#x00B0; were used for the calculation of H-bonds. Maximum occupancy of seven H-bonds between ExoN and hesperidin was observed, of which five to six H-bonds were observed consistently during the simulation (<xref ref-type="supplementary-material" rid="FS1">Supplementary Figure 6</xref>). The molecular interaction of conivaptan with ExoN shows the maximum possibility of two H-bonds. Out of that, only one H-bond remains consistent throughout the simulation time (0&#x2013;200 ns).</p>
</sec>
<sec id="S2.SS5">
<title>Binding Free Energy Analysis MM-GBSA</title>
<p>To ascertain the molecular binding interaction of hesperidin and conivaptan with ExoN, a quantitative assessment of binding free energy (&#x0394;<italic>G</italic><sub><italic>binding</italic></sub>) was carried out using MM-GBSA (<xref ref-type="bibr" rid="B13">Genheden and Ryde, 2015</xref>) on the conformational ensemble of protein&#x2013;ligand complexes. Hesperidin shows more favorable binding free energy, &#x0394;<italic>G</italic><sub><italic>binding</italic></sub> = &#x2212;119.07 &#x00B1; 0.69 kcal/mol, as compared to conivaptan (&#x0394;<italic>G</italic><sub><italic>binding</italic></sub> = &#x2212;85.86 &#x00B1; 0.68 kcal/mol) (<xref ref-type="table" rid="T3">Table 3</xref>).</p>
<table-wrap position="float" id="T3">
<label>TABLE 3</label>
<caption><p>Binding free energy (kcal/mol) calculation of drug molecules against ExoN.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<td valign="top" align="left">Compound</td>
<td valign="top" align="center">&#x0394;<italic>G</italic><sub><italic>binding</italic></sub></td>
<td valign="top" align="center">&#x0394;<italic>E</italic><sub><italic>vdW</italic></sub></td>
<td valign="top" align="center">&#x0394;<italic>E</italic><sub><italic>electrostatic</italic></sub></td>
<td valign="top" align="center">&#x0394;<italic>E</italic><sub><italic>GB</italic></sub></td>
<td valign="top" align="center">&#x0394;<italic>E</italic><sub><italic>SURF</italic></sub></td>
<td valign="top" align="center">&#x0394;<italic>G</italic><sub><italic>gas</italic></sub></td>
<td valign="top" align="center">&#x0394;<italic>G</italic><sub><italic>solv</italic></sub></td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Conivaptan</td>
<td valign="top" align="center">&#x2212;85.86 &#x00B1; 0.68</td>
<td valign="top" align="center">&#x2212;27.59 &#x00B1; 0.31</td>
<td valign="top" align="center">&#x2212;54.58 &#x00B1; 0.67</td>
<td valign="top" align="center">0.56 &#x00B1; 0.45</td>
<td valign="top" align="center">&#x2212;4.25 &#x00B1; 0.02</td>
<td valign="top" align="center">&#x2212;82.17 &#x00B1; 0.70</td>
<td valign="top" align="center">&#x2212;3.69 &#x00B1; 0.43</td>
</tr>
<tr>
<td valign="top" align="left">Hesperidin</td>
<td valign="top" align="center">&#x2212;119.07 &#x00B1; 0.69</td>
<td valign="top" align="center">&#x2212;48.21 &#x00B1; 0.49</td>
<td valign="top" align="center">&#x2212;102.29 &#x00B1; 0.84</td>
<td valign="top" align="center">38.49 &#x00B1; 0.59</td>
<td valign="top" align="center">&#x2212;7.05 &#x00B1; 0.02</td>
<td valign="top" align="center">&#x2212;150.51 &#x00B1; 0.83</td>
<td valign="top" align="center">31.43 &#x00B1; 0.58</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>Free energy decomposition per residue at ExoN active site indicates energetically favorable molecular binding of hesperidin and conivaptan, largely contributed by the residues involved in van der Waals and electrostatic interactions (<xref ref-type="fig" rid="F6">Figure 6</xref>). Hesperidin shows energetically favorable binding to catalytic residues Val91 and Hie268 and other active site residues Trp186, Ala187, Asn252, Leu253, Gln254, and Asn266. Interactions of these residues with hesperidin were observed in the molecular docking studies too (<xref ref-type="fig" rid="F4">Figure 4A</xref>). Conivaptan interacts with catalytic residues Phe146, Phe190, and Glu191 and active site residues Val91, Gln145, Phe146, Trp186, Ala187, and Phe190. Like hesperidin, the interaction of the aforementioned residues with conivaptan was observed in molecular docking (<xref ref-type="fig" rid="F4">Figure 4B</xref>).</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption><p>Binding free energy decomposition plot. Decomposition plot of binding free energy over the interacting residues at the active site of ExoN.</p></caption>
<graphic xlink:href="fmicb-12-647693-g006.tif"/>
</fig>
</sec>
</sec>
<sec id="S3">
<title>Discussion</title>
<p>COVID-19, an infectious respiratory illness, is caused by a novel strain of coronavirus SARS-CoV-2. Currently, there are no approved drugs. Drugs targeting RdRp such as favipiravir, remdesivir, ribavirin, and galidesivir have shown promise in SARS-CoV-2 and few other strains of coronavirus. Nucleoside analogs&#x2014;remdesivir and favipiravir&#x2014;have been authorized for emergency use in the treatment of COVID-19 in different countries. These RdRp inhibitors act by competing with host nucleoside substrates for incorporation in nascent RNA being synthesized (<xref ref-type="bibr" rid="B47">Xu et al., 2003</xref>). The misincorporated analogs cause either a premature chain termination or mutation in RNA (<xref ref-type="fig" rid="F1">Figure 1</xref>). ExoN domain of nsp14 in CoVs is known to excise misincorporated analogs (<xref ref-type="bibr" rid="B12">Ferron et al., 2018</xref>). The excision action of ExoN decreases the efficacy of nucleoside analog, such as ribavirin, <italic>in vivo</italic> (<xref ref-type="bibr" rid="B12">Ferron et al., 2018</xref>). A decrease in efficacy of remdesivir was speculated because of ExoN activity (<xref ref-type="bibr" rid="B14">Gordon et al., 2020</xref>). A 100-fold increase in remdesivir efficacy was seen in ExoN mutant of murine hepatitis virus (MHV), a beta-coronavirus (<xref ref-type="bibr" rid="B1">Agostini et al., 2018</xref>). It has been hypothesized that simultaneous inhibition of RdRp and ExoN in CoVs could be an effective therapeutic strategy (<xref ref-type="bibr" rid="B33">Pruijssers and Denison, 2019</xref>).</p>
<p>Hence, <italic>in silico</italic> drug screening method was used to search for potential inhibitors of ExoN. Ten thousand three hundred ninety-seven conformers from 2,240 approved drugs were screened against SARS-CoV-2 nsp14 containing the ExoN domain. AutoDock VINA screening results indicated dexamethasone metasulfobenzoate to be the top binder and conivaptan, dutasteride, hesperidin, lumacaftor, and glycyrrhizic acid to be a close second. All six compounds showed extensive interaction with nsp14 residues, especially the catalytic residues of the ExoN domain (<xref ref-type="table" rid="T2">Table 2</xref>).</p>
<p>Interestingly, few of the approved drugs that bind with ExoN catalytic site <italic>in silico</italic>&#x2013; conivaptan, hesperidin, and glycyrrhizic acid&#x2014;have shown antiviral activity in earlier studies. Conivaptan, a nonpeptide inhibitor of vasopressin, has shown <italic>in vitro</italic> efficacy against feline infectious peritonitis coronavirus, human coronavirus OC43 (HCoV-OC43), dengue, and Zika virus (<xref ref-type="bibr" rid="B48">Yang et al., 2020</xref>). Inhibitory activity of hesperidin against influenza a virus was reported by <xref ref-type="bibr" rid="B8">Dong et al. (2014)</xref>. Its antivirus response was linked to increases in cell-autonomous immune responses (enhanced expression of primary and secondary genes). In addition, hesperidin inhibited the export of viral ribonucleoproteins. Hesperitin, an aglycone form of hesperidin, was shown to inhibit the cleavage activity of SARS-CoV 3C&#x2013;like protease (<xref ref-type="bibr" rid="B20">Lin et al., 2005</xref>). Glycyrrhizic acid, an antitumoral, anti-inflammatory drug, has <italic>in vitro</italic> inhibitory effects on a broad range of viruses like flaviviruses (<xref ref-type="bibr" rid="B5">Crance et al., 2003</xref>), herpesviruses, and human immunodeficiency virus (<xref ref-type="bibr" rid="B21">Lin, 2003</xref>). Glycyrrhizic acid was used for the treatment of SARS-CoV (<xref ref-type="bibr" rid="B16">Hoever et al., 2005</xref>) and chronic hepatitis virus in patients (<xref ref-type="bibr" rid="B27">Miyake et al., 2002</xref>). Astemizole was reported to inhibit SARS-CoV-2 <italic>in vitro</italic> assays (<xref ref-type="bibr" rid="B34">Riva et al., 2020</xref>). Based on molecular docking results and varying degrees of evidence in support of their antiviral use, conivaptan, hesperidin, glycyrrhizic acid, and astemizole were selected for MD studies.</p>
<p>Dexamethasone, our top hit in docking screen, is a glucocorticoid shown to reduce fatality by a third in critically ill COVID-19 patients requiring ventilator support (<xref ref-type="bibr" rid="B19">Ledford, 2020</xref>). Glucocorticoids are known to cause adverse effects and are not recommended for use in mild COVID-19 cases. Hence, the use of dexamethasone as a potential ExoN inhibitor was not pursued further.</p>
<p>In-depth MD studies revealed that spatial orientation of hesperidin and conivaptan favors stable molecular interaction, and they remain well occupied at the ExoN active site for the entire duration of the simulation (<xref ref-type="fig" rid="F5">Figure 5</xref> and <xref ref-type="supplementary-material" rid="FS1">Supplementary Figure 3</xref>). Binding free energy calculations using MM-GBSA indicated a higher binding affinity of hesperidin compared to conivaptan. Although the binding affinity of conivaptan was lower than hesperidin, both the drugs are involved in energetically favorable molecular interactions with catalytic and active site residues (<xref ref-type="fig" rid="F6">Figure 6</xref> and <xref ref-type="table" rid="T3">Table 3</xref>). Hence, we hypothesize that glycyrrhizic acid and conivaptan might occlude ExoN catalytic site, thereby inhibiting the proofreading activity.</p>
<p>Our docking result, MD simulations combined with evidence in support of antiviral use of glycyrrhizic acid and conivaptan, and underscores their potential as SARS-CoV-2 ExoN inhibitor. When used in combination with RdRp inhibitors, the higher concentrations reported for the repurposed ExoN inhibitors to exert antiviral activity could be minimized. In addition, the higher concentrations required for RdRp inhibitors to exert their action in the presence of ExoN activity such as in SARS-CoV-2 can also be reduced, as dual action of RdRp and ExoN inhibition in parallel should require lower concentrations of the respective drugs. A combination of RdRp and ExoN inhibitors, in addition to the increased efficacy, would also possibly avert drug resistance generated from mutations in ExoN to enhance the proofreading of nucleoside analogs in RdRp inhibition.</p>
</sec>
<sec id="S4" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec id="S4.SS1">
<title>Homology Modeling of ExoN</title>
<p>The amino acid sequence of SARS-CoV-2 ExoN/nsp14 (P0DTD1) was used as a target sequence to build a 3D model using the SWISS-MODEL web server (<xref ref-type="bibr" rid="B37">Schwede et al., 2003</xref>). Nsp14 from SARS-CoV (PDB ID: 5C8S, chain B) had a high sequence identity to target sequence&#x2014;95.07%. This 3D structure was used as a template for building the SARS-CoV-2 nsp14 model. The model quality was assessed using the QMEAN score. The QMEAN score for the generated model was &#x2212;3.14. Scores greater than &#x2212;4 indicate a good model.</p>
</sec>
<sec id="S4.SS2">
<title>Virtual Screening Using AutoDock VINA</title>
<p>Two-dImensional structures of approved small molecule drugs were downloaded from DrugBank in sdf format (2,454 structures) (<xref ref-type="bibr" rid="B46">Wishart et al., 2006</xref>). The structures were converted to 3D format using the OpenBabel &#x2013;gen3d option (<xref ref-type="bibr" rid="B29">O&#x2019;Boyle et al., 2011</xref>; <xref ref-type="bibr" rid="B49">Yoshikawa and Hutchison, 2019</xref>). Few of the drug molecule structures showed error at this stage. 3D structures of these molecules were downloaded from other sources (<xref ref-type="supplementary-material" rid="TS1">Supplementary Table 1</xref>). Multiple conformers for each 3D structure were generated using OpenBabel to increase the conformational space sampling.</p>
<p>The docking grid was defined to encompass the conserved motives of the ExoN domain (see section &#x201C;SARS-CoV-2 ExoN Domain&#x201D;). A total of 10,397 conformers from 2,240 compounds were subjected to virtual screening using the AutoDock VINA tool on SARS-CoV-2 nsp14 (<xref ref-type="bibr" rid="B41">Trott and Olson, 2010</xref>). Twenty poses were generated for each compound. Compound-nsp14 interactions were visualized using LigPlot<sup>+</sup> v2.1 (<xref ref-type="bibr" rid="B18">Laskowski and Swindells, 2011</xref>).</p>
</sec>
<sec id="S4.SS3">
<title>Modeling of Mg<sup>2+</sup> Ion in the Active Site</title>
<p>SARS-CoV-2 ExoN crystal structure (PDB ID: 7MC6, length 291 amino acids) became available after the completion of our work. Pairwise structure comparison of SARS-CoV-2 ExoN crystal structure and homology model (this study) was done using the Dali web server (<xref ref-type="bibr" rid="B17">Holm, 2020</xref>). The comparison revealed the two structures to be highly similar (DALI <italic>Z</italic> score 39.7; RMSD 0.8 over 285 aligned residues).</p>
<p>The SARS-CoV-2 structure contains one Mg<sup>2+</sup> ion in the catalytic site (<xref ref-type="bibr" rid="B28">Moeller et al., 2021</xref>). ExoN uses two metal ions to remove misincorporated nucleotides. In the structures of SARS-CoV-2 and SARS-CoV, ExoN coordinates of only one Mg<sup>2+</sup> ion are observed. Lassa virus NP ExoN, an ExoN of DEDDh-family, contains two Mn<sup>2+</sup> ions in its catalytic site. The two Mg<sup>2+</sup> ions were modeled in the docked complexes based on the Mn2+ ion position in the Lassa NP ExoN-RNA complex (PDB ID: 4GV9). Simulations were performed using the Mg<sup>2+</sup> ions containing docked structures.</p>
</sec>
<sec id="S4.SS4">
<title>MD Simulation</title>
<p>All-atoms MD simulation was performed using the Amber16 with force field ff14SB (<xref ref-type="bibr" rid="B3">Case et al., 2005</xref>; <xref ref-type="bibr" rid="B24">Maier et al., 2015</xref>) for the metal ion&#x2013;containing protein, ExoN, and the docked complexes with drug molecules, astemizole, conivaptan, hesperidin, and glycyrrhizic acid. Antechamber (<xref ref-type="bibr" rid="B44">Wang et al., 2006</xref>) is used to parameterize all selected ligands using the GAFFs force field (<xref ref-type="bibr" rid="B43">Wang et al., 2004</xref>). Divalent Mg<sup>++</sup> interactions are modeled using the 12-6-4 model compatible with the TIP3P water model. For the ligand preparation, topology, and parameter files were generated using the leap module of Amber (<xref ref-type="bibr" rid="B24">Maier et al., 2015</xref>). Keeping the protein at the center, a cubic box is prepared with 10 &#x00C5;, padding the explicit TIP3P water molecules in all directions (<xref ref-type="bibr" rid="B15">Jorgensen et al., 1983</xref>), and the counter-ions (Na<sup>+</sup>Cl<sup>&#x2013;</sup>) added to neutralize the simulation box. Particle mesh Ewald approach (<xref ref-type="bibr" rid="B11">Essmann et al., 1995</xref>) was used for electrostatic interaction calculation and the SHAKE algorithm (<xref ref-type="bibr" rid="B35">Ryckaert et al., 1977</xref>) was used to constrain H-bonds. Energy minimization of prepared systems was performed in three stages, each of 10,000 steps of steepest descent (SD) and conjugate gradient (CG) to relax the system. Furthermore, each simulation system was gradually heated from 50 to 300 K in six steps, followed by 10,000 steps of SD and CG minimization, respectively. Under the NVT ensemble condition, each system is equilibrated for 1 ns. Finally, all five systems were submitted for the production run under NPT ensemble condition for 200 ns with a time step of 2 fs.</p>
</sec>
<sec id="S4.SS5">
<title>MD Trajectory Analysis and MM-GBSA Assay</title>
<p>The obtained MD trajectories were analyzed for the structural stability of ExoN and binding with drug molecules through the RMSD, RMSF, RoG, SASA, and H-bond interactions between protein and ligands during the simulation. The C&#x03B1;-backbone RMSD is calculated with reference to the starting structure of the protein. RMSF defines the average positional fluctuations of the protein residues from their initial position, which is important to determine the local dynamics of a protein. The binding free energy for each complex drug molecule was estimated using the molecular mechanics combined with the generalized Born MM-GBSA along with the weighted interactions active-site residues (<xref ref-type="bibr" rid="B25">Miller et al., 2012</xref>). The binding free energy components can be represented according to the equations;</p>
<disp-formula id="S4.E1"><label>(1)</label><mml:math id="M1"><mml:mrow><mml:mrow><mml:mi mathvariant="normal">&#x25B3;</mml:mi><mml:mpadded width="+3.3pt"><mml:msub><mml:mtext>G</mml:mtext><mml:mrow><mml:mtext>bind</mml:mtext></mml:mrow></mml:msub></mml:mpadded></mml:mrow><mml:mo rspace="5.8pt">=</mml:mo><mml:mrow><mml:msub><mml:mtext>G</mml:mtext><mml:mrow><mml:mtext>complex</mml:mtext></mml:mrow></mml:msub><mml:mo>-</mml:mo><mml:mrow><mml:mo stretchy="false">(</mml:mo><mml:mrow><mml:msub><mml:mi mathvariant="normal">G</mml:mi><mml:mrow><mml:mtext>receptor</mml:mtext></mml:mrow></mml:msub><mml:mo>+</mml:mo><mml:msub><mml:mtext>G</mml:mtext><mml:mrow><mml:mtext>ligand</mml:mtext></mml:mrow></mml:msub></mml:mrow><mml:mo rspace="7.5pt" stretchy="false">)</mml:mo></mml:mrow></mml:mrow></mml:mrow></mml:math></disp-formula>
<disp-formula id="S4.E2"><label>(2)</label><mml:math id="M2"><mml:mrow><mml:mrow><mml:mi mathvariant="normal">&#x25B3;</mml:mi><mml:mpadded width="+3.3pt"><mml:msub><mml:mtext>G</mml:mtext><mml:mrow><mml:mtext>bind</mml:mtext></mml:mrow></mml:msub></mml:mpadded></mml:mrow><mml:mo rspace="5.8pt">=</mml:mo><mml:mrow><mml:mrow><mml:mrow><mml:mrow><mml:mi mathvariant="normal">&#x25B3;</mml:mi><mml:mtext>H</mml:mtext></mml:mrow><mml:mo>-</mml:mo><mml:mrow><mml:mtext>T</mml:mtext><mml:mi mathvariant="normal">&#x25B3;</mml:mi><mml:mpadded width="+3.3pt"><mml:mtext>S</mml:mtext></mml:mpadded><mml:mpadded width="+3.3pt"><mml:mi mathvariant="normal">~</mml:mi></mml:mpadded><mml:mi mathvariant="normal">&#x25B3;</mml:mi><mml:msub><mml:mtext>E</mml:mtext><mml:mrow><mml:mtext>MM</mml:mtext></mml:mrow></mml:msub></mml:mrow></mml:mrow><mml:mo>+</mml:mo><mml:mrow><mml:mi mathvariant="normal">&#x25B3;</mml:mi><mml:msub><mml:mtext>G</mml:mtext><mml:mrow><mml:mtext>sol</mml:mtext></mml:mrow></mml:msub></mml:mrow></mml:mrow><mml:mo>-</mml:mo><mml:mrow><mml:mtext>T</mml:mtext><mml:mi mathvariant="normal">&#x25B3;</mml:mi><mml:mtext>S</mml:mtext></mml:mrow></mml:mrow></mml:mrow></mml:math></disp-formula>
<disp-formula id="S4.E3"><label>(3)</label><mml:math id="M3"><mml:mrow><mml:mrow><mml:mi mathvariant="normal">&#x25B3;</mml:mi><mml:mpadded width="+3.3pt"><mml:msub><mml:mtext>E</mml:mtext><mml:mrow><mml:mtext>MM</mml:mtext></mml:mrow></mml:msub></mml:mpadded></mml:mrow><mml:mo rspace="5.8pt">=</mml:mo><mml:mrow><mml:mrow><mml:mi mathvariant="normal">&#x25B3;</mml:mi><mml:msub><mml:mtext>E</mml:mtext><mml:mrow><mml:mtext>inter</mml:mtext></mml:mrow></mml:msub></mml:mrow><mml:mo>+</mml:mo><mml:mrow><mml:mi mathvariant="normal">&#x25B3;</mml:mi><mml:msub><mml:mtext>E</mml:mtext><mml:mrow><mml:mtext>electostatic</mml:mtext></mml:mrow></mml:msub></mml:mrow><mml:mo>+</mml:mo><mml:mrow><mml:mi mathvariant="normal">&#x25B3;</mml:mi><mml:mpadded width="+5pt"><mml:msub><mml:mtext>E</mml:mtext><mml:mrow><mml:mtext>vdw</mml:mtext></mml:mrow></mml:msub></mml:mpadded></mml:mrow></mml:mrow></mml:mrow></mml:math></disp-formula>
<disp-formula id="S4.E4"><label>(4)</label><mml:math id="M4"><mml:mrow><mml:mrow><mml:mi mathvariant="normal">&#x25B3;</mml:mi><mml:mpadded width="+3.3pt"><mml:msub><mml:mtext>E</mml:mtext><mml:mrow><mml:mtext>sol</mml:mtext></mml:mrow></mml:msub></mml:mpadded></mml:mrow><mml:mo rspace="5.8pt">=</mml:mo><mml:mrow><mml:mrow><mml:mi mathvariant="normal">&#x25B3;</mml:mi><mml:msub><mml:mtext>G</mml:mtext><mml:mrow><mml:mtext>GB</mml:mtext></mml:mrow></mml:msub></mml:mrow><mml:mo>+</mml:mo><mml:mrow><mml:mi mathvariant="normal">&#x25B3;</mml:mi><mml:mpadded width="+5pt"><mml:msub><mml:mtext>G</mml:mtext><mml:mrow><mml:mtext>SA</mml:mtext></mml:mrow></mml:msub></mml:mpadded></mml:mrow></mml:mrow></mml:mrow></mml:math></disp-formula>
<p>where, &#x0394;<italic>E</italic><sub><italic>MM</italic></sub> represents the enthalpic components, whereas &#x0394;<italic>E</italic><sub><italic>sol</italic></sub> represents the polar and nonpolar electrostatic components from solvation. Here, the polar electrostatic component is calculated using the GB model, whereas the nonpolar electrostatic contribution is calculated by SASA. The last 50-ns simulation trajectory is used, which was sampled per 10-ps interval.</p>
</sec>
</sec>
<sec id="S5">
<title>Data Availability Statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="supplementary-material" rid="FS1">Supplementary Material</xref>, further inquiries can be directed to the corresponding authors.</p>
</sec>
<sec id="S6">
<title>Author Contributions</title>
<p>SK, PK, ND, GD, SR, and AP contributed to the conception, design of the study, and drafting of the article. SK and PK contributed to data generation and data analysis. All authors approved the final version of the article.</p>
</sec>
<sec sec-type="COI-statement" id="conf1">
<title>Conflict of Interest</title>
<p>SK, GD, and ND were employed by the company miBiome Therapeutics LLP. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
</body>
<back>
<fn-group>
<fn fn-type="financial-disclosure">
<p><bold>Funding.</bold> This work was supported by DST for DST-WOSA funding [SR/WOS-A/LS-141/2018 (G)]. miBiome Therapeutics LLP, Mumbai, India provided funding to cover the publication charges.</p>
</fn>
</fn-group>
<ack>
<p>The authors would like to acknowledge Sandeep Chakraborty and Petety V. Balaji for reviewing and proofreading the manuscript. The authors would also like to acknowledge SpaceTime-2 supercomputing facility at IIT Bombay, and the computational facility provided by the Bioinformatics Center, National Institute of Immunology (NII), which was used for carrying out simulation studies.</p>
</ack>
<sec id="S9" sec-type="supplementary material">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fmicb.2021.647693/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fmicb.2021.647693/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Data_Sheet_1.CSV" id="TS1" mimetype="text/csv" xmlns:xlink="http://www.w3.org/1999/xlink"/>
<supplementary-material xlink:href="Data_Sheet_2.PDF" id="FS1" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
<ref-list>
<title>References</title>
<ref id="B1"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Agostini</surname> <given-names>M. L.</given-names></name> <name><surname>Andres</surname> <given-names>E. L.</given-names></name> <name><surname>Sims</surname> <given-names>A. C.</given-names></name> <name><surname>Graham</surname> <given-names>R. L.</given-names></name> <name><surname>Sheahan</surname> <given-names>T. P.</given-names></name> <name><surname>Lu</surname> <given-names>X.</given-names></name><etal/></person-group> (<year>2018</year>). <article-title>Coronavirus susceptibility to the antiviral remdesivir (GS-5734) is mediated by the viral polymerase and the proofreading exoribonuclease.</article-title> <source><italic>mBio</italic></source> <volume>9</volume>:<issue>e00221-18</issue>.</citation></ref>
<ref id="B2"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bouvet</surname> <given-names>M.</given-names></name> <name><surname>Imbert</surname> <given-names>I.</given-names></name> <name><surname>Subissi</surname> <given-names>L.</given-names></name> <name><surname>Gluais</surname> <given-names>L.</given-names></name> <name><surname>Canard</surname> <given-names>B.</given-names></name> <name><surname>Decroly</surname> <given-names>E.</given-names></name></person-group> (<year>2012</year>). <article-title>RNA 3&#x2032;-end mismatch excision by the severe acute respiratory syndrome coronavirus nonstructural protein nsp10/nsp14 exoribonuclease complex.</article-title> <source><italic>Proc. Natl. Acad. Sci. U.S.A.</italic></source> <volume>109</volume> <fpage>9372</fpage>&#x2013;<lpage>9377</lpage>. <pub-id pub-id-type="doi">10.1073/pnas.1201130109</pub-id> <pub-id pub-id-type="pmid">22635272</pub-id></citation></ref>
<ref id="B3"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Case</surname> <given-names>D. A.</given-names></name> <name><surname>Cheatham</surname> <given-names>T. E.</given-names> <suffix>III</suffix></name> <name><surname>Darden</surname> <given-names>T.</given-names></name> <name><surname>Gohlke</surname> <given-names>H.</given-names></name> <name><surname>Luo</surname> <given-names>R.</given-names></name> <name><surname>Merz</surname> <given-names>K. M.</given-names></name><etal/></person-group> (<year>2005</year>). <article-title>The amber biomolecular simulation programs.</article-title> <source><italic>J. Computat. Chem.</italic></source> <volume>26</volume>, <fpage>1668</fpage>&#x2013;<lpage>1688</lpage>. <pub-id pub-id-type="doi">10.1002/jcc.20290</pub-id> <pub-id pub-id-type="pmid">16200636</pub-id></citation></ref>
<ref id="B4"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname> <given-names>D.</given-names></name> <name><surname>Oezguen</surname> <given-names>N.</given-names></name> <name><surname>Urvil</surname> <given-names>P.</given-names></name> <name><surname>Ferguson</surname> <given-names>C.</given-names></name> <name><surname>Dann</surname> <given-names>S. M.</given-names></name> <name><surname>Savidge</surname> <given-names>T. C.</given-names></name></person-group> (<year>2016</year>). <article-title>Regulation of protein-ligand binding affinity by hydrogen bond pairing.</article-title> <source><italic>Sci. Adv.</italic></source> <volume>2</volume>:<issue>e1501240</issue>. <pub-id pub-id-type="doi">10.1126/sciadv.1501240</pub-id> <pub-id pub-id-type="pmid">27051863</pub-id></citation></ref>
<ref id="B5"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Crance</surname> <given-names>J. M.</given-names></name> <name><surname>Scaramozzino</surname> <given-names>N.</given-names></name> <name><surname>Jouan</surname> <given-names>A.</given-names></name> <name><surname>Garin</surname> <given-names>D.</given-names></name></person-group> (<year>2003</year>). <article-title>Interferon, ribavirin, 6-azauridine and glycyrrhizin: antiviral compounds active against pathogenic flaviviruses.</article-title> <source><italic>Antiv. Res.</italic></source> <volume>58</volume> <fpage>73</fpage>&#x2013;<lpage>79</lpage>. <pub-id pub-id-type="doi">10.1016/s0166-3542(02)00185-7</pub-id></citation></ref>
<ref id="B6"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cucinotta</surname> <given-names>D.</given-names></name> <name><surname>Vanelli</surname> <given-names>M.</given-names></name></person-group> (<year>2020</year>). <article-title>WHO declares COVID-19 a pandemic.</article-title> <source><italic>Acta Biomed.</italic></source> <volume>91</volume> <fpage>157</fpage>&#x2013;<lpage>160</lpage>.</citation></ref>
<ref id="B7"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>De Clercq</surname> <given-names>E.</given-names></name></person-group> (<year>2006</year>). <article-title>Potential antivirals and antiviral strategies against SARS coronavirus infections.</article-title> <source><italic>Exp. Rev. Anti Infect. Therapy</italic></source> <volume>4</volume> <fpage>291</fpage>&#x2013;<lpage>302</lpage>. <pub-id pub-id-type="doi">10.1586/14787210.4.2.291</pub-id> <pub-id pub-id-type="pmid">16597209</pub-id></citation></ref>
<ref id="B8"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dong</surname> <given-names>W.</given-names></name> <name><surname>Wei</surname> <given-names>X.</given-names></name> <name><surname>Zhang</surname> <given-names>F.</given-names></name> <name><surname>Hao</surname> <given-names>J.</given-names></name> <name><surname>Huang</surname> <given-names>F.</given-names></name> <name><surname>Zhang</surname> <given-names>C.</given-names></name><etal/></person-group> (<year>2014</year>). <article-title>A dual character of flavonoids in influenza A virus replication and spread through modulating cell-autonomous immunity by MAPK signaling pathways.</article-title> <source><italic>Sci. Rep.</italic></source> <volume>4</volume>:<issue>7237</issue>.</citation></ref>
<ref id="B9"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Eckerle</surname> <given-names>L. D.</given-names></name> <name><surname>Becker</surname> <given-names>M. M.</given-names></name> <name><surname>Halpin</surname> <given-names>R. A.</given-names></name> <name><surname>Li</surname> <given-names>K.</given-names></name> <name><surname>Venter</surname> <given-names>E.</given-names></name> <name><surname>Lu</surname> <given-names>X.</given-names></name><etal/></person-group> (<year>2010</year>). <article-title>Infidelity of SARS-CoV Nsp14-exonuclease mutant virus replication is revealed by complete genome sequencing.</article-title> <source><italic>PLoS Pathog.</italic></source> <volume>6</volume>:<issue>e1000896</issue>. <pub-id pub-id-type="doi">10.1371/journal.ppat.1000896</pub-id> <pub-id pub-id-type="pmid">20463816</pub-id></citation></ref>
<ref id="B10"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Eckerle</surname> <given-names>L. D.</given-names></name> <name><surname>Lu</surname> <given-names>X.</given-names></name> <name><surname>Sperry</surname> <given-names>S. M.</given-names></name> <name><surname>Choi</surname> <given-names>L.</given-names></name> <name><surname>Denison</surname> <given-names>M. R.</given-names></name></person-group> (<year>2007</year>). <article-title>High fidelity of murine hepatitis virus replication is decreased in nsp14 exoribonuclease mutants.</article-title> <source><italic>J. Virol.</italic></source> <volume>81</volume> <fpage>12135</fpage>&#x2013;<lpage>12144</lpage>. <pub-id pub-id-type="doi">10.1128/jvi.01296-07</pub-id> <pub-id pub-id-type="pmid">17804504</pub-id></citation></ref>
<ref id="B11"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Essmann</surname> <given-names>U.</given-names></name> <name><surname>Perera</surname> <given-names>L.</given-names></name> <name><surname>Berkowitz</surname> <given-names>M. L.</given-names></name></person-group> (<year>1995</year>). <article-title>A smooth particle mesh Ewald method.</article-title> <source><italic>J. Chem. Phys.</italic></source> <volume>103</volume>:<issue>8577</issue>. <pub-id pub-id-type="doi">10.1063/1.470117</pub-id></citation></ref>
<ref id="B12"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ferron</surname> <given-names>F.</given-names></name> <name><surname>Subissi</surname> <given-names>L.</given-names></name> <name><surname>Silveira De Morais</surname> <given-names>A. T.</given-names></name> <name><surname>Le</surname> <given-names>N. T. T.</given-names></name> <name><surname>Sevajol</surname> <given-names>M.</given-names></name> <name><surname>Gluais</surname> <given-names>L.</given-names></name><etal/></person-group> (<year>2018</year>). <article-title>Structural and molecular basis of mismatch correction and ribavirin excision from coronavirus RNA.</article-title> <source><italic>Proc. Natl. Acad. Sci. U.S.A.</italic></source> <volume>115</volume> <fpage>E162</fpage>&#x2013;<lpage>E171</lpage>.</citation></ref>
<ref id="B13"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Genheden</surname> <given-names>S.</given-names></name> <name><surname>Ryde</surname> <given-names>U.</given-names></name></person-group> (<year>2015</year>). <article-title>The MM/PBSA and MM/GBSA methods to estimate ligand-binding affinities.</article-title> <source><italic>Exp. Opin Drug Discov.</italic></source> <volume>10</volume> <fpage>449</fpage>&#x2013;<lpage>461</lpage>. <pub-id pub-id-type="doi">10.1517/17460441.2015.1032936</pub-id> <pub-id pub-id-type="pmid">25835573</pub-id></citation></ref>
<ref id="B14"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gordon</surname> <given-names>C. J.</given-names></name> <name><surname>Tchesnokov</surname> <given-names>E. P.</given-names></name> <name><surname>Feng</surname> <given-names>J. Y.</given-names></name> <name><surname>Porter</surname> <given-names>D. P.</given-names></name> <name><surname>Gotte</surname> <given-names>M.</given-names></name></person-group> (<year>2020</year>). <article-title>The antiviral compound remdesivir potently inhibits RNA-dependent RNA polymerase from Middle East respiratory syndrome coronavirus.</article-title> <source><italic>J. Biol. Chem.</italic></source> <volume>295</volume> <fpage>4773</fpage>&#x2013;<lpage>4779</lpage>. <pub-id pub-id-type="doi">10.1074/jbc.ac120.013056</pub-id> <pub-id pub-id-type="pmid">32094225</pub-id></citation></ref>
<ref id="B15"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Jorgensen</surname> <given-names>W. L.</given-names></name> <name><surname>Chandrasekhar</surname> <given-names>J.</given-names></name> <name><surname>Madura</surname> <given-names>J. D.</given-names></name> <name><surname>Impey</surname> <given-names>R. W.</given-names></name> <name><surname>Klein</surname> <given-names>M. L.</given-names></name></person-group> (<year>1983</year>). <article-title>Comparison of simple potential functions for simulating liquid water.</article-title> <source><italic>J. Chem. Phys.</italic></source> <volume>79</volume>:<issue>926</issue>. <pub-id pub-id-type="doi">10.1063/1.445869</pub-id></citation></ref>
<ref id="B16"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hoever</surname> <given-names>G.</given-names></name> <name><surname>Baltina</surname> <given-names>L.</given-names></name> <name><surname>Michaelis</surname> <given-names>M.</given-names></name> <name><surname>Kondratenko</surname> <given-names>R.</given-names></name> <name><surname>Baltina</surname> <given-names>L.</given-names></name> <name><surname>Tolstikov</surname> <given-names>G. A.</given-names></name><etal/></person-group> (<year>2005</year>). <article-title>Antiviral activity of glycyrrhizic acid derivatives against SARS-coronavirus.</article-title> <source><italic>J. Med. Chem.</italic></source> <volume>48</volume> <fpage>1256</fpage>&#x2013;<lpage>1259</lpage>. <pub-id pub-id-type="doi">10.1021/jm0493008</pub-id> <pub-id pub-id-type="pmid">15715493</pub-id></citation></ref>
<ref id="B17"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Holm</surname> <given-names>L.</given-names></name></person-group> (<year>2020</year>). <article-title>DALI and the persistence of protein shape.</article-title> <source><italic>Protein Sci.</italic></source> <volume>1</volume>, <fpage>128</fpage>&#x2013;<lpage>140</lpage>. <pub-id pub-id-type="doi">10.1002/pro.3749</pub-id> <pub-id pub-id-type="pmid">31606894</pub-id></citation></ref>
<ref id="B18"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Laskowski</surname> <given-names>R. A.</given-names></name> <name><surname>Swindells</surname> <given-names>M. B.</given-names></name></person-group> (<year>2011</year>). <article-title>LigPlot+: multiple ligand-protein interaction diagrams for drug discovery.</article-title> <source><italic>J. Chem. Inform. Model.</italic></source> <volume>51</volume> <fpage>2778</fpage>&#x2013;<lpage>2786</lpage>. <pub-id pub-id-type="doi">10.1021/ci200227u</pub-id> <pub-id pub-id-type="pmid">21919503</pub-id></citation></ref>
<ref id="B19"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ledford</surname> <given-names>H.</given-names></name></person-group> (<year>2020</year>). <article-title>Coronavirus breakthrough: dexamethasone is first drug shown to save lives.</article-title> <source><italic>Nat. Brief.</italic></source> <volume>582</volume>:<issue>469</issue>. <pub-id pub-id-type="doi">10.1038/d41586-020-01824-5</pub-id> <pub-id pub-id-type="pmid">32546811</pub-id></citation></ref>
<ref id="B20"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lin</surname> <given-names>C. W.</given-names></name> <name><surname>Tsai</surname> <given-names>F. J.</given-names></name> <name><surname>Tsai</surname> <given-names>C. H.</given-names></name> <name><surname>Lai</surname> <given-names>C. C.</given-names></name> <name><surname>Wan</surname> <given-names>L.</given-names></name> <name><surname>Ho</surname> <given-names>T. Y.</given-names></name><etal/></person-group> (<year>2005</year>). <article-title>Anti-SARS coronavirus 3C-like protease effects of Isatis indigotica root and plant-derived phenolic compounds.</article-title> <source><italic>Antiv. Res.</italic></source> <volume>68</volume> <fpage>36</fpage>&#x2013;<lpage>42</lpage>. <pub-id pub-id-type="doi">10.1016/j.antiviral.2005.07.002</pub-id> <pub-id pub-id-type="pmid">16115693</pub-id></citation></ref>
<ref id="B21"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lin</surname> <given-names>J. C.</given-names></name></person-group> (<year>2003</year>). <article-title>Mechanism of action of glycyrrhizic acid in inhibition of Epstein-Barr virus replication in vitro.</article-title> <source><italic>Antiv. Res.</italic></source> <volume>59</volume> <fpage>41</fpage>&#x2013;<lpage>47</lpage>. <pub-id pub-id-type="doi">10.1016/s0166-3542(03)00030-5</pub-id></citation></ref>
<ref id="B22"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Luthra</surname> <given-names>P. M.</given-names></name> <name><surname>Kumar</surname> <given-names>R.</given-names></name> <name><surname>Prakash</surname> <given-names>A.</given-names></name></person-group> (<year>2009</year>). <article-title>Demethoxycurcumin induces Bcl-2 mediated G2/M arrest and apoptosis in human glioma U87 cells.</article-title> <source><italic>Biochem. Biophys. Res. Commun.</italic></source> <volume>384</volume> <fpage>420</fpage>&#x2013;<lpage>425</lpage>. <pub-id pub-id-type="doi">10.1016/j.bbrc.2009.04.149</pub-id> <pub-id pub-id-type="pmid">19422808</pub-id></citation></ref>
<ref id="B23"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ma</surname> <given-names>Y.</given-names></name> <name><surname>Wu</surname> <given-names>L.</given-names></name> <name><surname>Shaw</surname> <given-names>N.</given-names></name> <name><surname>Gao</surname> <given-names>Y.</given-names></name> <name><surname>Wang</surname> <given-names>J.</given-names></name> <name><surname>Sun</surname> <given-names>Y.</given-names></name><etal/></person-group> (<year>2015</year>). <article-title>Structural basis and functional analysis of the SARS coronavirus nsp14-nsp10 complex.</article-title> <source><italic>Proc. Nal. Acad. Sci. U.S.A.</italic></source> <volume>112</volume> <fpage>9436</fpage>&#x2013;<lpage>9441</lpage>. <pub-id pub-id-type="doi">10.1073/pnas.1508686112</pub-id> <pub-id pub-id-type="pmid">26159422</pub-id></citation></ref>
<ref id="B24"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Maier</surname> <given-names>J. A.</given-names></name> <name><surname>Martinez</surname> <given-names>C.</given-names></name> <name><surname>Kasavajhala</surname> <given-names>K.</given-names></name> <name><surname>Wickstrom</surname> <given-names>L.</given-names></name> <name><surname>Hauser</surname> <given-names>K. E.</given-names></name> <name><surname>Simmerling</surname> <given-names>C.</given-names></name></person-group> (<year>2015</year>). <article-title>ff14SB: improving the accuracy of protein side chain and backbone parameters from ff99SB.</article-title> <source><italic>J. Chem. Theory Comput.</italic></source> <volume>11</volume>, <fpage>3696</fpage>&#x2013;<lpage>3713</lpage>. <pub-id pub-id-type="doi">10.1021/acs.jctc.5b00255</pub-id> <pub-id pub-id-type="pmid">26574453</pub-id></citation></ref>
<ref id="B25"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Miller</surname> <given-names>B. R.</given-names> <suffix>III</suffix></name> <name><surname>McGee</surname> <given-names>T. D.</given-names> <suffix>Jr.</suffix></name> <name><surname>Swails</surname> <given-names>J. M.</given-names></name> <name><surname>Homeyer</surname> <given-names>N.</given-names></name> <name><surname>Gohlke</surname> <given-names>H.</given-names></name> <name><surname>Roitberg</surname> <given-names>A. E.</given-names></name></person-group> (<year>2012</year>). <article-title>MMPBSA.py: an efficient program for end-state free energy calculations.</article-title> <source><italic>J. Chem. Theory Comput.</italic></source> <volume>8</volume>, <fpage>3314</fpage>&#x2013;<lpage>3321</lpage>. <pub-id pub-id-type="doi">10.1021/ct300418h</pub-id> <pub-id pub-id-type="pmid">26605738</pub-id></citation></ref>
<ref id="B26"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mishra</surname> <given-names>C. B.</given-names></name> <name><surname>Pandey</surname> <given-names>P.</given-names></name> <name><surname>Sharma</surname> <given-names>R. D.</given-names></name> <name><surname>Malik</surname> <given-names>M. Z.</given-names></name> <name><surname>Mongre</surname> <given-names>R. K.</given-names></name> <name><surname>Lynn</surname> <given-names>A. M.</given-names></name><etal/></person-group> (<year>2021</year>). <article-title>Identifying the natural polyphenol catechin as a multi-targeted agent against SARS-CoV-2 for the plausible therapy of COVID-19: an integrated computational approach.</article-title> <source><italic>Brief. Bioinform.</italic></source> <volume>2</volume>, <fpage>1346</fpage>&#x2013;<lpage>1360</lpage>. <pub-id pub-id-type="doi">10.1093/bib/bbaa378</pub-id> <pub-id pub-id-type="pmid">33386025</pub-id></citation></ref>
<ref id="B27"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Miyake</surname> <given-names>K.</given-names></name> <name><surname>Tango</surname> <given-names>T.</given-names></name> <name><surname>Ota</surname> <given-names>Y.</given-names></name> <name><surname>Mitamura</surname> <given-names>K.</given-names></name> <name><surname>Yoshiba</surname> <given-names>M.</given-names></name> <name><surname>Kako</surname> <given-names>M.</given-names></name><etal/></person-group> (<year>2002</year>). <article-title>Efficacy of Stronger neo-minophagen C compared between two doses administered three times a week on patients with chronic viral hepatitis.</article-title> <source><italic>J. Gastroenterol. Hepatol.</italic></source> <volume>17</volume> <fpage>1198</fpage>&#x2013;<lpage>1204</lpage>. <pub-id pub-id-type="doi">10.1046/j.1440-1746.2002.02876.x</pub-id> <pub-id pub-id-type="pmid">12453280</pub-id></citation></ref>
<ref id="B28"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Moeller</surname> <given-names>N. H.</given-names></name> <name><surname>Shi</surname> <given-names>K.</given-names></name> <name><surname>Demir</surname> <given-names>&#x00D6;</given-names></name> <name><surname>Banerjee</surname> <given-names>S.</given-names></name> <name><surname>Yin</surname> <given-names>L.</given-names></name> <name><surname>Belica</surname> <given-names>C.</given-names></name><etal/></person-group> (<year>2021</year>). <article-title>Structure and dynamics of SARS-CoV-2 proofreading exoribonuclease ExoN.</article-title> <source><italic>bioRxiv</italic> [Preprint]</source>. <pub-id pub-id-type="doi">10.1101/2021.04.02.438274</pub-id> <pub-id pub-id-type="pmid">33821277</pub-id></citation></ref>
<ref id="B29"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>O&#x2019;Boyle</surname> <given-names>N. M.</given-names></name> <name><surname>Banck</surname> <given-names>M.</given-names></name> <name><surname>James</surname> <given-names>C. A.</given-names></name> <name><surname>Morley</surname> <given-names>C.</given-names></name> <name><surname>Vandermeersch</surname> <given-names>T.</given-names></name> <name><surname>Hutchison</surname> <given-names>G. R.</given-names></name></person-group> (<year>2011</year>). <article-title>Open babel: an open chemical toolbox.</article-title> <source><italic>J. Cheminform.</italic></source> <volume>3</volume>:<issue>33</issue>.</citation></ref>
<ref id="B30"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ogando</surname> <given-names>N. S.</given-names></name> <name><surname>Ferron</surname> <given-names>F.</given-names></name> <name><surname>Decroly</surname> <given-names>E.</given-names></name> <name><surname>Canard</surname> <given-names>B.</given-names></name> <name><surname>Posthuma</surname> <given-names>C. C.</given-names></name> <name><surname>Snijder</surname> <given-names>E. J.</given-names></name></person-group> (<year>2019</year>). <article-title>The curious case of the nidovirus exoribonuclease: its role in RNA synthesis and replication fidelity.</article-title> <source><italic>Front. Microbiol.</italic></source> <volume>10</volume>:<issue>1813</issue>.</citation></ref>
<ref id="B31"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Panda</surname> <given-names>P. K.</given-names></name> <name><surname>Arul</surname> <given-names>M. N.</given-names></name> <name><surname>Patel</surname> <given-names>P.</given-names></name> <name><surname>Verma</surname> <given-names>S. K.</given-names></name> <name><surname>Luo</surname> <given-names>W.</given-names></name> <name><surname>Rubahn</surname> <given-names>H.-G.</given-names></name><etal/></person-group> (<year>2020</year>). <article-title>Structure-based drug designing and immunoinformatics approach for SARS-CoV-2.</article-title> <source><italic>Sci. Adv.</italic></source> <volume>6</volume>:<issue>eabb8097</issue>. <pub-id pub-id-type="doi">10.1126/sciadv.abb8097</pub-id> <pub-id pub-id-type="pmid">32691011</pub-id></citation></ref>
<ref id="B32"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Prakash</surname> <given-names>A.</given-names></name> <name><surname>Luthra</surname> <given-names>P. M.</given-names></name></person-group> (<year>2012</year>). <article-title>Insilico study of the A(2A)R-D (2)R kinetics and interfacial contact surface for heteromerization.</article-title> <source><italic>Amino Acids</italic></source> <volume>43</volume> <fpage>1451</fpage>&#x2013;<lpage>1464</lpage>. <pub-id pub-id-type="doi">10.1007/s00726-012-1218-x</pub-id> <pub-id pub-id-type="pmid">22278740</pub-id></citation></ref>
<ref id="B33"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Pruijssers</surname> <given-names>A. J.</given-names></name> <name><surname>Denison</surname> <given-names>M. R.</given-names></name></person-group> (<year>2019</year>). <article-title>Nucleoside analogues for the treatment of coronavirus infections.</article-title> <source><italic>Curr. Opin. Virol.</italic></source> <volume>35</volume> <fpage>57</fpage>&#x2013;<lpage>62</lpage>. <pub-id pub-id-type="doi">10.1016/j.coviro.2019.04.002</pub-id> <pub-id pub-id-type="pmid">31125806</pub-id></citation></ref>
<ref id="B34"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Riva</surname> <given-names>L.</given-names></name> <name><surname>Yuan</surname> <given-names>S.</given-names></name> <name><surname>Yin</surname> <given-names>X.</given-names></name> <name><surname>Martin-Sancho</surname> <given-names>L.</given-names></name> <name><surname>Matsunaga</surname> <given-names>N.</given-names></name> <name><surname>Pache</surname> <given-names>L.</given-names></name><etal/></person-group> (<year>2020</year>). <article-title>Discovery of SARS-CoV-2 antiviral drugs through large-scale compound repurposing.</article-title> <source><italic>Nature</italic></source> <volume>586</volume> <fpage>113</fpage>&#x2013;<lpage>119</lpage>.</citation></ref>
<ref id="B35"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ryckaert</surname> <given-names>J. P.</given-names></name> <name><surname>Ciccotti</surname> <given-names>G.</given-names></name> <name><surname>Berendsen</surname> <given-names>H. J. C.</given-names></name></person-group> (<year>1977</year>). <article-title>Numerical integration of the cartesian equations of motion of a system with constraints: molecular dynamics of n-alkanes.</article-title> <source><italic>J. Comput. Phys.</italic></source> <volume>23</volume>, <fpage>327</fpage>&#x2013;<lpage>341</lpage>. <pub-id pub-id-type="doi">10.1016/0021-9991(77)90098-5</pub-id></citation></ref>
<ref id="B36"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Schiebel</surname> <given-names>J.</given-names></name> <name><surname>Gaspari</surname> <given-names>R.</given-names></name> <name><surname>Wulsdorf</surname> <given-names>T.</given-names></name> <name><surname>Ngo</surname> <given-names>K.</given-names></name> <name><surname>Sohn</surname> <given-names>C.</given-names></name> <name><surname>Schrader</surname> <given-names>T. E.</given-names></name><etal/></person-group> (<year>2018</year>). <article-title>Intriguing role of water in protein-ligand binding studied by neutron crystallography on trypsin complexes.</article-title> <source><italic>Nat. Commun.</italic></source> <volume>9</volume>:<issue>3559</issue>.</citation></ref>
<ref id="B37"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Schwede</surname> <given-names>T.</given-names></name> <name><surname>Kopp</surname> <given-names>J.</given-names></name> <name><surname>Guex</surname> <given-names>N.</given-names></name> <name><surname>Peitsch</surname> <given-names>M. C.</given-names></name></person-group> (<year>2003</year>). <article-title>SWISS-MODEL: an automated protein homology-modeling server.</article-title> <source><italic>Nucleic Acids Res.</italic></source> <volume>31</volume> <fpage>3381</fpage>&#x2013;<lpage>3385</lpage>. <pub-id pub-id-type="doi">10.1093/nar/gkg520</pub-id> <pub-id pub-id-type="pmid">12824332</pub-id></citation></ref>
<ref id="B38"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Senanayake</surname> <given-names>S. L.</given-names></name></person-group> (<year>2020</year>). <article-title>Drug repurposing strategies for COVID-19.</article-title> <source><italic>Fut. Drug Discov.</italic></source> <volume>2</volume>:<issue>fdd-2020-0010</issue>.</citation></ref>
<ref id="B39"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Shannon</surname> <given-names>A.</given-names></name> <name><surname>Le</surname> <given-names>N. T.</given-names></name> <name><surname>Selisko</surname> <given-names>B.</given-names></name> <name><surname>Eydoux</surname> <given-names>C.</given-names></name> <name><surname>Alvarez</surname> <given-names>K.</given-names></name> <name><surname>Guillemot</surname> <given-names>J. C.</given-names></name><etal/></person-group> (<year>2020</year>). <article-title>Remdesivir and SARS-CoV-2: structural requirements at both nsp12 RdRp and nsp14 exonuclease active-sites.</article-title> <source><italic>Antiv. Res.</italic></source> <volume>178</volume>:<issue>104793</issue>. <pub-id pub-id-type="doi">10.1016/j.antiviral.2020.104793</pub-id> <pub-id pub-id-type="pmid">32283108</pub-id></citation></ref>
<ref id="B40"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Smith</surname> <given-names>E. C.</given-names></name> <name><surname>Blanc</surname> <given-names>H.</given-names></name> <name><surname>Surdel</surname> <given-names>M. C.</given-names></name> <name><surname>Vignuzzi</surname> <given-names>M.</given-names></name> <name><surname>Denison</surname> <given-names>M. R.</given-names></name></person-group> (<year>2013</year>). <article-title>Coronaviruses lacking exoribonuclease activity are susceptible to lethal mutagenesis: evidence for proofreading and potential therapeutics.</article-title> <source><italic>PLoS Pathog.</italic></source> <volume>9</volume>:<issue>e1003565</issue>. <pub-id pub-id-type="doi">10.1371/journal.ppat.1003565</pub-id> <pub-id pub-id-type="pmid">23966862</pub-id></citation></ref>
<ref id="B41"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Trott</surname> <given-names>O.</given-names></name> <name><surname>Olson</surname> <given-names>A. J.</given-names></name></person-group> (<year>2010</year>). <article-title>AutoDock Vina: improving the speed and accuracy of docking with a new scoring function, efficient optimization, and multithreading.</article-title> <source><italic>J. Comput. Chem.</italic></source> <volume>31</volume> <fpage>455</fpage>&#x2013;<lpage>461</lpage>.</citation></ref>
<ref id="B42"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>F.</given-names></name> <name><surname>Sambandan</surname> <given-names>D.</given-names></name> <name><surname>Halder</surname> <given-names>R.</given-names></name> <name><surname>Wang</surname> <given-names>J.</given-names></name> <name><surname>Batt</surname> <given-names>S. M.</given-names></name> <name><surname>Weinrick</surname> <given-names>B.</given-names></name><etal/></person-group> (<year>2013</year>). <article-title>Identification of a small molecule with activity against drug-resistant and persistent tuberculosis.</article-title> <source><italic>Proc. Natl. Acad. Sci. U.S.A.</italic></source> <volume>110</volume> <fpage>E2510</fpage>&#x2013;<lpage> E2517</lpage>.</citation></ref>
<ref id="B43"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>J.</given-names></name> <name><surname>Wolf</surname> <given-names>R. M.</given-names></name> <name><surname>Caldwell</surname> <given-names>J. W.</given-names></name> <name><surname>Kollman</surname> <given-names>P. A.</given-names></name> <name><surname>Case</surname> <given-names>D. A.</given-names></name></person-group> (<year>2004</year>). <article-title>Development and testing of a general AMBER force field.</article-title> <source><italic>J. Comput. Chem.</italic></source> <volume>25</volume>, <fpage>1157</fpage>&#x2013;<lpage>1174</lpage>. <pub-id pub-id-type="doi">10.1002/jcc.20035</pub-id> <pub-id pub-id-type="pmid">15116359</pub-id></citation></ref>
<ref id="B44"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>J.</given-names></name> <name><surname>Wang</surname> <given-names>W.</given-names></name> <name><surname>Kollman</surname> <given-names>P. A.</given-names></name> <name><surname>Case</surname> <given-names>D. A.</given-names></name></person-group> (<year>2006</year>). <article-title>Automatic atom type and bond type perception in molecular mechanical calculations.</article-title> <source><italic>J. Mol. Graph. Model</italic>.</source> <volume>2</volume>, <fpage>247</fpage>&#x2013;<lpage>260</lpage>. <pub-id pub-id-type="doi">10.1016/j.jmgm.2005.12.005</pub-id> <pub-id pub-id-type="pmid">16458552</pub-id></citation></ref>
<ref id="B45"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Warren</surname> <given-names>T. K.</given-names></name> <name><surname>Jordan</surname> <given-names>R.</given-names></name> <name><surname>Lo</surname> <given-names>M. K.</given-names></name> <name><surname>Ray</surname> <given-names>A. S.</given-names></name> <name><surname>Mackman</surname> <given-names>R. L.</given-names></name> <name><surname>Soloveva</surname> <given-names>V.</given-names></name><etal/></person-group> (<year>2016</year>). <article-title>Therapeutic efficacy of the small molecule GS-5734 against Ebola virus in rhesus monkeys.</article-title> <source><italic>Nature</italic></source> <volume>531</volume> <fpage>381</fpage>&#x2013;<lpage>385</lpage>.</citation></ref>
<ref id="B46"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wishart</surname> <given-names>D. S.</given-names></name> <name><surname>Knox</surname> <given-names>C.</given-names></name> <name><surname>Guo</surname> <given-names>A. C.</given-names></name> <name><surname>Shrivastava</surname> <given-names>S.</given-names></name> <name><surname>Hassanali</surname> <given-names>M.</given-names></name> <name><surname>Stothard</surname> <given-names>P.</given-names></name><etal/></person-group> (<year>2006</year>). <article-title>DrugBank: a comprehensive resource for in silico drug discovery and exploration.</article-title> <source><italic>Nucleic Acids Res.</italic></source> <volume>34</volume> <fpage>D668</fpage>&#x2013;<lpage>D672</lpage>.</citation></ref>
<ref id="B47"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Xu</surname> <given-names>X.</given-names></name> <name><surname>Liu</surname> <given-names>Y.</given-names></name> <name><surname>Weiss</surname> <given-names>S.</given-names></name> <name><surname>Arnold</surname> <given-names>E.</given-names></name> <name><surname>Sarafianos</surname> <given-names>S. G.</given-names></name> <name><surname>Ding</surname> <given-names>J.</given-names></name></person-group> (<year>2003</year>). <article-title>Molecular model of SARS coronavirus polymerase: implications for biochemical functions and drug design.</article-title> <source><italic>Nucleic acids Res.</italic></source> <volume>31</volume> <fpage>7117</fpage>&#x2013;<lpage>7130</lpage>. <pub-id pub-id-type="doi">10.1093/nar/gkg916</pub-id> <pub-id pub-id-type="pmid">14654687</pub-id></citation></ref>
<ref id="B48"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Yang</surname> <given-names>C. W.</given-names></name> <name><surname>Peng</surname> <given-names>T. T.</given-names></name> <name><surname>Hsu</surname> <given-names>H. Y.</given-names></name> <name><surname>Lee</surname> <given-names>Y. Z.</given-names></name> <name><surname>Wu</surname> <given-names>S. H.</given-names></name> <name><surname>Lin</surname> <given-names>W. H.</given-names></name><etal/></person-group> (<year>2020</year>). <article-title>Repurposing old drugs as antiviral agents for coronaviruses.</article-title> <source><italic>Biomed. J.</italic></source> <volume>43</volume> <fpage>368</fpage>&#x2013;<lpage>374</lpage>. <pub-id pub-id-type="doi">10.1016/j.bj.2020.05.003</pub-id> <pub-id pub-id-type="pmid">32563698</pub-id></citation></ref>
<ref id="B49"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Yoshikawa</surname> <given-names>N.</given-names></name> <name><surname>Hutchison</surname> <given-names>G. R.</given-names></name></person-group> (<year>2019</year>). <article-title>Fast, efficient fragment-based coordinate generation for Open Babel.</article-title> <source><italic>J. Cheminform.</italic></source> <volume>11</volume>:<issue>49</issue>.</citation></ref>
</ref-list>
</back>
</article>
