Pharmacophore modelling of vanillin derivatives, favipiravir, chloroquine, hydroxychloroquine, monolaurin and tetrodotoxin as MPro inhibitors of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)

Objectives The aim of this study was to use Ligand-based pharmacophore modelling approach for four established antiviral drugs, namely remdesivir, lopinavir, ritonavir and hydroxychloroquine for COVID-19 inhibitors as training sets. In this study Twenty vanillin derivatives together with monolaurin and tetrodotoxin were used as test sets to evaluate as potential SARS-CoV-2 inhibitors. The Structure-based pharmacophore modelling approach was also performed using 5RE6, 5REX and 5RFZ in order to analyse the binding site and ligand–protein complex interactions. Results The pharmacophore modelling mode of 5RE6 displayed two Hydrogen Bond Acceptors (HBA) and one Hydrophobic (HY) interaction. Besides, the pharmacophore model of 5REX showed two HBA and two HY interactions. Finally, the pharmacophore model of 5RFZ showed three HBA and one HY interaction. Based on ligand-based approach, 20 Schiff-based vanillin derivatives, showed strong MPro inhibition activity. This was due to their good alignment and common features to PDB-5RE6. Similarly, monolaurin and tetrodotoxin displayed some significant activity against SARS-CoV-2. From structure-based approach, vanillin derivatives (1) to (12) displayed some potent MPro inhibition against SARS-CoV-2. Favipiravir, chloroquine and hydroxychloroquine also showed some significant MPro inhibition.


Introduction
In the early twenty-first century, an outbreak of coronaviruses has been causing a number of diseases. Coronavirus belong to the family of Coronaviridae. Coronaviruses are enveloped, positive-sense, single stranded RNA viruses, with their size approximately 27 to 34 kilobases [1,2]. Out of numerous coronaviruses, seven types of coronaviruses are known for their ability to cause infections and respiratory illnesses in humans [3]. Four types of coronaviruses: 229E, OC43, NL63, and HKU1 are associated with the symptoms of common cold [4]. Another two types of coronaviruses, which are severe acute respiratory syndrome coronavirus (SARS-CoV) and Middle East respiratory syndrome coronavirus (MERS-CoV) were the causal agents of the outbreak of severe acute respiratory syndrome (SARS) in [2002][2003] and Middle East respiratory syndrome in 2012, respectively [4]. Both coronaviruses had accumulated more than 10,000 cases in the past, with 10% death cases from SARS and 37% death cases from MERS [5,6].
In December 2019, a novel strain of coronavirus was identified at Wuhan, China, which led to a series of pneumonia cases [7]. Formerly named as 2019 novel coronavirus (2019-nCoV) by the World Health Organization (WHO), the coronavirus was later named as severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) due to the genetic resemblance of about 80% with SARS-CoV [7,8]. The disease was named as coronavirus disease 2019 (COVID-19) by WHO [7]. On 30th of January 2020, the outbreak of COVID-19 was declared a Public Health Emergency of International Concern (PHEIC), and consequently on 11th of March 2020, an official pandemic was declared [9,10]. The situation is further aggravated due to the absence of specific medicinal drugs or vaccines that are licensed or approved by the U.S. Food and Drug Administration (FDA) for the treatment of COVID-19 [11].
Coronaviruses are divided into four genera, namely α-CoVs, β-CoVs, γ-CoVs and δ-CoVs [12]. Among these, the α-CoVs and β-CoVs possess ability to infect mammals, whereas the γ-CoVs and δ-CoVs can infect both birds and mammals [13]. The three coronaviruses, namely, SARS-CoV, MERS-CoV and SARS-CoV-2 belong to β-CoVs [14]. There are four types of structural proteins found on the surface of coronaviruses: spike (S) protein, envelope (E) protein, membrane (M) protein, and nucleocapsid (N) protein [15]. The attachment and entry of SARS-CoV-2 into the host cell is facilitated by the S proteins, particularly to the angiotensin converting enzyme 2 (ACE2) receptors of human cells due to great affinity [16]. Therefore, therapies to control the activities of SARS-CoV-2, such as preventing viral RNA synthesis, viral replication or blocking the binding of virus are efforts that researchers are putting on to take care of the issue. In coronaviruses, one of the drug target that is being focused by chemists is the main protease (M Pro ) due to its important role in processing viral polyproteins translated from the viral RNA and controlling replicase complex activity [17,18]. The activity of M Pro should be inhibited to control and prevent the viral action of SARS-CoV-2. In recent times, vanillin derivatives, which are Schiff-based vanillin with primary amines, have been utilised by researchers for different research purposes. From previous reported research, Schiff-based vanillin derivatives have been tested as neuraminidase inhibitors of influenza virus [19]. In addition to this, vanillin and its derivatives had also been tested for their antifungal activity against the human fungal pathogen, Cryptococcus neoformans [20]. Hence in this study, a series of Schiffbased vanillin derivatives will be tested as potent M Pro inhibitors of SARS-CoV-2 by means of ligand-based and structure-based pharmacophore modelling in computeraided drug design (CADD).
As the world is combating with the viral disease, the first antiviral drug named Favilavir has been approved by the National Medical Products Administration of China [21]. Despite the fact that Favilavir is yet to be approved by the U.S. Food and Drug Administration (FDA), the ability of the drug to inhibit the action of the RNAdependent RNA polymerase (RdRp) has been proven [21,22]. The chemical compound, favipiravir, was known as a broad spectrum antiviral drug that showed inhibition against influenza virus [23]. The Ministry of Science and Technology of China reported that patients from Shenzhen which received Favilavir treatment were tested negative for the coronavirus after 4 days being tested positive, as well as 91% improvement in their lung conditions [22]. From this perspective, in silico screening in CADD will be performed as well to test the potent ability of favipiravir as M Pro inhibitors of SARS-CoV-2 (Additional file 1).
Chloroquine is a medicinal drug known for its antimalarial activity used to treat malaria, and used as prophylaxis [24,25]. Recently two research teams have reported the in vitro antiviral study of chloroquine against the growth of SARS-CoV-2, which was also further confirmed by providing medication to about 100 COVID-19 patients [26,27]. The study is further affirmed by reporting the antiviral activity of chloroquine in interfering SARS-CoV from binding ACE2 receptors through decreasing the terminal glycosylation of ACE2 receptors, therefore inhibiting virus replication [28]. Simultaneously, one of the recent study found out that the S protein of SARS-CoV-2 is very identical to that of SARS-CoV, which can bind to the ACE2 receptors [16]. A derivative of chloroquine, namely, hydroxychloroquine, was reported to be more soluble and less toxic than chloroquine [25]. Similar to chloroquine, hydroxychloroquine is also a potential COVID-19 pharmacological agent for its in vitro antiviral activity being tested against SARS-CoV-2 [29]. The Chinese Clinical Trial Registry performed seven clinical trial registries on hydroxychloroquine to determine its efficacy in treating COVID-19 [29]. However up to now, there are still not enough clinical evidence to confirm the effectivity of hydroxychloroquine as anti-SARS-CoV-2 drug.
Coconut oil and its derivatives have been long reported for their antiviral and antibacterial activity, particularly lauric acid and monolaurin were utilised as feed supplements in farm animals [30]. It was also reported that lauric acid and its derivative, monolaurin, exhibit potential in vitro antiviral activity against SARS-CoV-2 [31]. This was reported that by elaborating the potential of coconut oil as antiviral agent against COVID-19 is based on three mechanisms, disintegration of the virus membrane, inhibition of virus maturation and prevention of binding of viral proteins to the host cell membrane [31]. Tetrodotoxin, a potent neurotoxin, is mostly found in pufferfish [32]. Tetrodotoxin was known as sodium channel blocker, preventing messages to be delivered by the nervous system [33]. Despite the fact being 1200 times more toxic than cyanide, the analgesic activity of tetrodoxin was applied by researchers in discovery of drugs for pain relief, for example in severe cancer [34]. Therefore, the potent antiviral activity of chloroquine, hydroxychloroquine, monolaurin and tetrodotoxin will be tested via in silico screening in CADD.

Methodology
The pharmacophore modelling studies were carried out using Ligand Scout 4.3 software, a powerful structure and ligand based pharmacophore model generator by Inte:Ligand. The 3D molecular graphics were generated using ligand-based and structure-based approach. All chemical molecular structures were drawn from minimized function of ChemSpider and MolView 2.4 and were then being converted into MOL file format. All training sets were imported into the ligand-based perspective of LigandScout 4.3.

Ligand-based pharmacophore modelling
Four antiviral drugs (Table 1) used for the treatment of COVID-19 were used as training sets for the generation of pharmacophore model, namely remdesivir, lopinavir, ritonavir and hydroxychloroquine [29,30,32].

Structure-based pharmacophore modelling
Three structures which are crystal structures of SARS-CoV-2 main protease in complex with Z54571979, PCM-0102287 and, coded as 5RE6, 5REX and 5RFZ, are retrieved from Protein Data Bank (Table 3).     Table 3 Crystal structures of SARS-CoV-2 main protease in complex with Z54571979, PCM-0102287 and, coded as 5RE6, 5REX and 5RFZ The pharmacophore models of the ligands in the active site were generated. The pharmacophore models generated and the ligands were copied into the alignment perspective. The vanillin derivative (1) was imported into 5RE6 active site (SDF file format), and subjected to the alignment perspective. The overlapping pharmacophore features were generated, merged and interpolated. Upon reimporting to the structure-based perspective, the alignment score and interactions between the vanillin derivative and active sites of the protein were analysed. The steps were repeated for the entire vanillin derivatives.

Favipiravir, chloroquine and hydroxychloroquine
Favipiravir, chloroquine and hydroxychloroquine were subjected to structure-based pharmacophore modelling approach by docking into the active sites of 5REX and 5RFZ. The alignment scores and interactions of the compounds in the active sites were further analysed.

Ligand-based pharmacophore modelling approach
The pharmacophore model generated from the training sets are composed of four common features, which are two HBA and two HBD. The results of this observation are reported in Table S1 and Table S2. All vanillin derivatives and monolaurin exhibited 3-4 common pharmacophore features, being potentially active compounds against SARS-CoV-2. Based on the alignment score of the vanillin derivatives, (2) exhibited the highest score (47.04), followed by (9) (45.39). The rest of the vanillin derivatives show alignment score of about 38. In all the vanillin derivatives, the nitrogen in the C=N bond is responsible for one of the HBA feature, whereas the hydroxyl group is responsible for the HBA and HBD features aligned in the pharmacophore model generated. Monolaurin displayed four common pharmacophore features, with C=O aligned with the HBA feature of the model, and hydroxyl groups aligned with the HBA and two HBD features, with high alignment score (46.18). Similarly, tetrodotoxin displayed an alignment score of 43.39, with four common pharmacophore features aligned at the hydroxyl groups as well, with four common pharmacophore features as well, showing that both monolaurin and tetrodotoxin are potential M Pro inhibitors of SARS-CoV-2. All vanillin derivatives were subjected to structure-based approach for further affirmation.
In structure based pharmacophore modelling, the evaluations are based on the pharmacophore features generated by the ligand in the active sites of the retrieved protein, as well as the alignment scores of the test sets with the pharmacophore model of the particular ligand generated. Upon generation of pharmacophore model from the ligand, the model is imported to the alignment perspective where the test sets will be aligned with the model. Such alignment is to elucidate matched or shared features, where one feature is from the reference element's feature (from the ligand) and one feature is from the element to be aligned (from the test set). From these alignments, alignment scores are calculated based on their shared features and injection in the active site of the protein.
The ligand-protein complex interaction in the active site of 5RE6 showed three features: two HBA to the active sites HOH671A and HOH741A, and one HY interaction to the active site LEU58A. 12 out of 20 vanillin derivatives, (1) to (12) exhibit the three common features. The alignment scores of the vanillin derivatives with the ligand are very similar, ranging from 36.41 to 38.33, where vanillin associated with pemoline showed the highest alignment score, (38.33).
The ligand in the active site of 5RE6 contain a pyrimidine ring with two nitrogen possessing the HBA features to the HOH671A and HOH741A active sites, as well as a benzene ring to the LEU58A active site. In close observations to the chemical structures of these vanillin derivatives, most of the vanillin derivatives that contain aminopyridines and oxazole derivatives aligned well with the pyrimidine ring in the ligand and exhibited the HBA features to HOH671A and HOH741A, whereas the benzene rings exhibited the HY feature to LEU58A. Therefore, in general, vanillin derivatives with aminopyridines, benzene rings and oxazole derivatives showed better results in both ligand and structure-based pharmacophore modelling. Since these 12 vanillin derivatives are able to align well with the ligand and showed good common pharmacophore features, they are proven in silico as potential inhibitors of the M Pro of SARS-CoV-2 in the active site.

Structure-based pharmacophore modelling approach
The results of this study are presented in Table S3 and  Table S4. The pharmacophore model generated of 5REX in the active site are made up of two HBA to the GLY143A and CYS145A active sites, and two HY interactions to MET149A active site in the ligand-protein complex. The naphthalene ring in the ligand of the active site is responsible for the two HY interactions, whereas the carbonyl group is responsible for the two HBA features. Chloroquine and hydroxychloroquine are able to align well with the ligand, and exhibited all common features as shown in the pharmacophore model but favipiravir was void. In chloroquine, the substituted hexane showed good alignment with the naphthalene ring as HY interaction, and on the other hand, the nitrogen aligned with the carbonyl group and possessed the two HBA features. For the case of hydroxychloroquine, the quinoline ring possess HY interaction to MET149A, and the hydroxyl group is responsible for the two HBA features. Therefore, the results proved their potential antiviral ability as SARS-CoV-2 M Pro inhibitors through in silico approach.
Other than that, favipiravir showed good alignment with the ligand, i.e. the inhibitor, of 5RFZ, and exhibited common features with the pharmacophore model which are composed of three HBA to the GLY143A, CYS145A and and HOH614A active sites, and one HY interaction to LEU27A and THR25A active sites. The chlorine is responsible for the HY interaction, whereas the nitrogen in the ring and oxygen in the carbonyl group are responsible for the three HBA features. In favipiravir, the fluorine aligned well with the chlorine as HY interaction in the complex, whereas the two nitrogens in the ring aligned well with the nitrogen and oxygen in the ligand as HBA features. However, chloroquine and hydroxychloroquine failed to align with the ligand of 5RFZ. Therefore, favipiravir is also another potential compound to inhibit SARS-CoV-2 M Pro .
Despite all the research and reported trials, none of them are conclusive enough to confirm the effectivity of chloroquine and hydroxychloroquine as anti-SARS-CoV-2 drug. A placebo-controlled trial reported on using hydroxychloroquine as postexposure prophylaxis showed that there was no significant difference between patients receiving hydroxychloroquine treatment and patients receiving placebo [35]. The research concluded that hydroxychloroquine did not successfully prevent COVID-19 after high-risk or moderate-risk exposure. Also, chloroquine was reported to be used together with other antiviral drugs in treatment of COVID-19, alone itself is inefficient against SARS-CoV-2. Fourteen (14) Italian tourists that were reported positive for COVID-19 in Medanta Hospital have recovered by treatment using lopinavir, azithromycin and chloroquine, but it was reported that chloroquine did not contributed much [36]. More research on chloroquine and hydroxychloroquine as antiviral drugs for SARS-CoV-2 is necessary.

Conclusion
From the ligand-based pharmacophore modelling approach, it was concluded that the 20 vanillin derivatives, compound (1) to (20), exhibited significant antiviral activity regarded as M Pro inhibitors of SARS-CoV-2. Thus, it means that these potential compounds have some capability to fight COVID-19. Furthermore, monolaurin and tetrodotoxin are also a potent active compounds against SARS-CoV-2 according to ligand-based approach. Further result from structure-based pharmacophore modelling approach suggested that vanillin derivatives (1) to (12) displayed good result as potent COVID-19 antiviral active compounds. Those established marketed drugs such as favipiravir, chloroquine and hydroxychloroquine have proven to possess potent antiviral activity as M Pro inhibitors of SARS-CoV-2 against COVID-19 in silico. Further investigation should be done in order to ensure the safety and lethality of these compounds.

Limitations
The data incorporated in this note is based on only preliminary investigation generated on computer assisted software. Further investigation based on in-vitro and eventually in vivo studies will confirm the applicability of the adopted methodology and also the efficiency of proposed compounds in this study.