A Bifunctional SARS-CoV-2 Entry Inhibitor Targeting the Host Protease TMPRSS2 and Viral Spike Protein HR1 Region.

A Bifunctional SARS-CoV-2 Entry Inhibitor Targeting the Host Protease TMPRSS2 and Viral Spike Protein HR1 Region.

Publication date: Aug 26, 2025

SARS-CoV-2 entry into host cells involves multiple steps and is a highly orchestrated process. Both the host protease TMPRSS2 and the HR1/HR2 segment within the spike (S) protein play a crucial role in promoting viral invasion. Herein, we report a series of bifunctional SARS-CoV-2 entry inhibitors formed by covalently linking a TMPRSS2 inhibitor, Camostat (Cm), and an HR1-targeting peptide fusion inhibitor IPB19 via a poly (ethylene glycol) (PEG) linker. Among them, IP4X and IP4Z display potent inhibitory activities against SARS-CoV-2 with similar IC values of 0. 16 μM and 0. 17 μM, respectively. The efficacy surpassed that of their parent inhibitors by approximately 28-fold relative to Camostat and 15-fold relative to IPB19. We confirm that IP4X and IP4Z exhibit a dual-targeting mechanism by binding to both TMPRSS2 and HR1 region of S protein. These findings highlight the potential of the bifunctional inhibitors for further development as a novel multitarget therapy against SARS-CoV-2 infection and enrich the understanding of S-mediated entry of SARS-CoV-2 into host cells.

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Concepts Keywords
Ip4x 6-HB
Potent entry inhibitors
Protease multi-target-directed ligands
Therapy SARS-CoV-2
Viral TMPRSS2

Semantics

Type Source Name
disease IDO host
disease IDO protein
disease IDO entry into host
disease IDO process
disease IDO role
drug DRUGBANK Polyethylene glycol
disease MESH SARS-CoV-2 infection
pathway REACTOME SARS-CoV-2 Infection
drug DRUGBANK (S)-Des-Me-Ampa
disease MESH mutation rate
disease MESH infection
drug DRUGBANK Serine
drug DRUGBANK Spinosad
disease IDO entity
drug DRUGBANK Coenzyme M
disease MESH pancreatitis
drug DRUGBANK Guanidine
drug DRUGBANK Cefmenoxime
disease IDO assay
drug DRUGBANK Albendazole
drug DRUGBANK Silicon dioxide
drug DRUGBANK Tilmicosin
drug DRUGBANK Sodium Chloride
drug DRUGBANK Sodium sulfate
drug DRUGBANK Dimethyl sulfoxide
drug DRUGBANK Nitrogen
drug DRUGBANK Water
drug DRUGBANK N N-dimethylformamide
drug DRUGBANK Naproxen
drug DRUGBANK Amino acids
drug DRUGBANK L-Lysine
disease IDO reagent
drug DRUGBANK Cresol
drug DRUGBANK Sulfate ion
drug DRUGBANK Ascorbic acid
drug DRUGBANK Tromethamine
drug DRUGBANK Glycine
drug DRUGBANK Flunarizine
drug DRUGBANK Alpha-Linolenic Acid
drug DRUGBANK L-Arginine
disease MESH immobilization
disease MESH dissociation
drug DRUGBANK Sulfasalazine
disease MESH Long COVID
drug DRUGBANK Galantamine
drug DRUGBANK Memantine
drug DRUGBANK Nafamostat
disease MESH Alzheimer’s Disease
drug DRUGBANK Carboxyamidotriazole

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