As the COVID-19 pandemic enters its third year, public health officials must assess where we are and how we may break the SARS-CoV-2 devastating grip on the world. The rapid discovery of many safe and effective COVID-19 vaccines has been one of the pandemic's biggest scientific achievements. However, vaccines alone will not be enough to stop the pandemic due to more transmissible new variants, and vaccines are designed to guard against severe suffering and death [1]. New variants due to mutation in SARS-CoV-2 are a subject of concern because the emerging mutants have a potential for enhanced infectivity, competitive fitness, and transmission [2]. There occurs an accumulation of mutations, which drives viral evolution and genome variability, and this enables the virus to escape host immunity and develop drug resistance [3]. Important mutations have appeared in the SARS-CoV-2 S protein that interacts with the host immune system [4]. The reported variant, omicron (B.1.1.529) [5], has a 30 mutation in S protein along with K417N, which was earlier recognized to reduce the effectiveness of a cocktail of therapeutic monoclonal antibodies [6].
The SARS-CoV-2 S protein is a heavily glycosylated homotrimeric transmembrane protein; the S1 subunit contains an RBD that facilitates viral attachment to the host receptor angiotensin-converting enzyme-2 (ACE-2), and the S2 subunit mediates viral entry by mediating host-viral membrane fusion [7]. The biomechanical strength of ACE2-S protein manages viral adherence and access to host cells [8]. Hence, the S protein of SARS-CoV-2, which plays a crucial role in viral attachment and fusion, could be a potential therapeutic target.
Several strategies have been used to develop antiviral drugs for SARS-CoV-2; to date, some drugs are effective against this virus, but only some neutralizing antibodies and remdesivir have been approved by the US FDA [9]. The drug development against SARS-CoV-2 is mainly focused on interrupting the virus's life cycle by blocking its interaction with the host [10] [11]. An increasing number of recent studies have used computational methods for identifying new drug targets or drug repurposing candidates. Nowadays, various natural compounds have been repurposed/tested using computer-aided drug discovery programs [12]; [13]. In silico approaches are cost-effective, actionable approaches that can be used to screen several compounds, enabling the discovery of drug combinations and novel drugs.
Flavonoids, an important class of natural products, can affect CoVs at the initial phase of the entrance, replication, and virion release from the host cells [14]. A stable complex between S protein and flavonoids is expected to form due to ortho di-OH hydroxyl groups in the B ring of flavonols [15]. Many flavonoids have been found to block the life cycle of multiple CoV targets (S protein, proteases, TMPRSS2, etc.) through various mechanisms [16] [17]. Flavonoids, therefore, can act as prophylactic, therapeutic, or indirect inhibitors [18]. Flavonoids in this research were chosen based on previously reported in vitro assay data (Table S1) to assemble cyanidin and other flavonoids as promising drug candidates against SARS-CoV-2.
Flavonoids and their antiviral potential on coronavirus
Flavonoids are natural phytochemicals with antiviral properties which have been discovered to inhibit different targets of SARS-CoV[19] such as interfering with S protein and blocking enzymatic activities of viral proteases 3-chymotrypsin like proteases (3CLpro), papain-like proteases (PLpro). Previous research suggests that methylated flavonoids, such as retusin, could be used as an antiviral or adjuvant medication in the treatment of COVID-19[20]. Flavonoids are promising plant-derived chemicals for treating SARS-CoV-2 infection, either through direct antiviral effects or by controlling the host immunological response to viral infection[21]. An in silico technique was used to examine and compare several flavonoids known to have anti-inflammatory and antiviral characteristics in an attempt to suppress the spike glycoprotein of SARS-CoV-2, revealing naringin as a potential therapeutic candidate for COVID-19[22]. Based on molecular docking and ADMET analysis, flavonoids such as cyanidin-3-(p-coumaroyl)-rutinoside-5-glucoside, delphinidin-3-O-beta-D-glucoside 5-O-(6-coumaroyl-beta-D-glucoside), albireodelphin, apigenin 7-(6”-malonylglucoside), and (-) maackiain-3-O-glucosyl-6”-O-malonate were demonstrated as potent inhibitors against S protein, 3CLpro, and RdRP of SARS-CoV-2[23]. Similarly, cyanidin and quercetin were found to inhibit the RNA polymerase function and block interaction sites of S protein[24]. A mixture of 11 flavonol glycosides prepared from S.persica was studied using a 3CL-protease inhibition assay, cytotoxicity study, total flavonoid assay, and molecular docking study which was found to inhibit Mpro, S protein fusion onto host cell[25].