Targeting SARS-CoV-2 RNA – but not specifically

Last week we highlighted work suggesting that small molecule binding sites in RNA are most likely to be found in complex structures. A new open-access paper in Angew. Chem. Int. Ed. by Harald Schwalbe and collaborators at Goethe University Frankfurt and elsewhere provides both a case in point and an illustration of how difficult it is to target RNA.

 

The researchers had previously screened 15 RNAs from the SARS-CoV-2 virus, an effort we highlighted in 2021. In the new paper, the researchers focus on a portion of the frameshift element, which is important for directing viral replication from either of two partially overlapping open reading frames. The core of this RNA element is a roughly 69-nucleotide-long structure called a pseudoknot. Like most RNA sequences, this one can form multiple structures, including dimers, and the researchers used NMR, small-angle X-ray scattering (SAXS), and native gel electrophoresis to confirm that the construct was behaving as a homogenous monomer, consistent with three previously determined structures.

 

Based on some of the initial fragment hits, the researchers selected 50 similar molecules, of which only 14 were sufficiently soluble for screening. One of the more potent compounds, D05, initially showed promising activity in a ligand-detected NMR assay but turned out to be completely inactive when retested from a fresh stock. It turns out that D05 decomposes to compound 2, which was confirmed as active. Further modification led to compound 4, the most potent compound described. (Dissociation constants were determined by NMR, fluorescence, or both, and the two methods were in good agreement.)

Two-dimensional NMR with isotopically labeled RNA was used to try to determine the location of the binding site(s). Even with access to a 1.2 GHz magnet, the NMR peaks were severely overlapped, so the researchers used segmental isotopic labeling, in which just half of the RNA was labeled at a time. This exercise revealed potentially three different binding sites for compound 2.

 

The researchers also used two different computational approaches, Vina and RLdock, to predict binding sites, each of which could find one or two of the binding sites identified by NMR.

 

Several compounds were tested to see if they could block frameshifting in cell-lysates, and compound 2 showed 40% inhibition at 145 µM.

 

So far so good. But consistent with best practices, the researchers tested compounds 2 and 4 against phenylalanine tRNA. Unfortunately, the two ligands exhibited similar affinities to this control RNA as they did to the SARS-CoV-2 pseudoknot, despite the lack of sequence similarity. This suggests that these ligands bind to RNA nonspecifically. Perhaps this is not surprising given the three binding sites observed in a single 69-mer.

 

In the end, this is a thorough but sobering paper. Despite an impressive screening campaign with multiple biophysical methods, the best ligands seem to have modest affinity and low specificity. Drugging RNA still appears much more difficult than drugging proteins. But for either sort of target, this sort of careful work will be essential to find promising leads.