Development of a Targeted Nitric Oxide-Related Drug to treat SARS-CoV-2

NIH Pandemic-Era Grants

Pandemic Era Grants

2020

Document text

Principal Investigator: STUART A LIPTON
Organization: SCRIPPS RESEARCH INSTITUTE, THE
Fiscal Year: 2020
Award: $177,500
Funding agency: National Institute on Drug Abuse

COVID-19-Related Administrative Supplement to DP1 DA041722 under PA-18-591 and NOT-DA-20-047
PROJECT SUMMARY
The worldwide pandemic of the 2019 novel coronavirus, or COVID-19, has led the research community to
believe the possibility that it could affect some populations with substance use disorders or HIV particularly
hard. Therefore, we propose new work here that is “in scope” with our parent NIDA DP1 grant (DP1
DA041722) that would potentially address the pandemic, at least in part, by developing an anti-viral drug to
fight the infection. We propose, as listed in NOT-DA-20-047, to perform “research to develop therapeutic
approaches for comorbid SARS-CoV-2 infection.” In the parent DP1 grant, we are studying the nitric oxide
(NO)-related posttranslational modification of proteins, which we previously named S-nitrosylation, in patients
with HIV-associated neurocognitive disorder (HAND) and drug use, particularly methamphetamine. During the
course of these studies, we developed a novel series of therapeutic agents in the class of compounds called
aminoadamantane nitrates, with the lead drug designated NitroSynapsin, that have shown activity in protecting
neurons in the context of HIV/methamphetamine abuse as well as in the context of Alzheimer’s disease and
other neurologic disorder. Our novel approach concerns the fact that this family of agents that we developed
may also show activity at the ion channel in the envelope of the SARS-CoV-2 virus, the causative agent of the
COVID-19 pandemic. The mechanism of action (MOA) that we propose against SARS-CoV-2 is best
summarized as follows:
Compounds in the aminoadamantane family are generally known to block ion channels in envelope viruses,
including SARS-CoV-2, which causes COVID-19 respiratory disease. Moreover, nitric oxide (NO) and related
compounds have been reported to inhibit this class of viruses. We reasoned in a novel fashion that the
targeted delivery of NO-related species to the virus would avoid systemic side effects of NO-like drugs. For this
purpose (but originally for use in the brain), we had devised a series of aminoadamantane nitrates, with the
aminoadamantane moiety acting as a “guided missile” to enter the viral envelope channel and then deliver a
“warhead” of a nitro group directly to the virus to disrupt viral activity. Accordingly, we propose to rapidly test
our drugs in an ongoing screen against SARS-CoV-2 viral activity in our Calibr Drug Development Core Facility
at The Scripps Research Institute in La Jolla, California.

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