Design, synthesis, and X-ray structural studies of potent SARS-CoV-2 Mpro inhibitors containing tetrahydroisoquinoline-3-carboxamides as P2 ligands.

Publication date: Jun 29, 2026

Structure based design, synthesis and evaluation of a series of potent SARS-CoV-2 main protease inhibitors are described. We designed conformationally constrained tetrahydroisoquinoline-3-carboxamides as P2 ligands. The studies involved structure-activity relationship studies by varying P1, P2, P3, and P4 ligands, including five- and six-membered lactam rings as P1 ligands as well as nitrile and thiazole heterocycles as P1′ ligands. These new inhibitors exhibited potent SARS-CoV-2 Mpro inhibitory activity. Several inhibitors also blocked the replication of SARS-CoV-2 in VeroE6 cells with low nanomolar EC values, more potent than the approved drug, nirmatrelvir. Inhibitor 5j displayed an Mpro inhibitory K of 1. 2 nM and antiviral EC value of 360 nM. We determined several high-resolution X-ray structures of inhibitor-SARS-CoV-2 Mpro complexes which provided important insights into the ligand-binding site interactions in the active site.

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Concepts Keywords
Drug Activity
Low Carboxamides
Nanomolar Cov
Protease Design
Tetrahydroisoquinoline Inhibitor
Inhibitors
Inhibitory
Ligands
Mpro
P1
Potent
Ray
Sars
Synthesis
Tetrahydroisoquinoline

Semantics

Type Source Name
disease MESH acd
disease MESH COVID 19 pandemic
disease MESH influenza
disease MESH death
disease MESH infection
drug DRUGBANK Angiotensin II
pathway KEGG Ribosome
drug DRUGBANK Papain
pathway KEGG Viral replication
drug DRUGBANK L-Cysteine
disease MESH Viral Diseases
disease MESH Infectious Diseases
disease MESH AIDS
disease MESH Malignancy
drug DRUGBANK Acetamide
drug DRUGBANK Acetazolamide
drug DRUGBANK Proline
drug DRUGBANK Boceprevir
drug DRUGBANK Ritonavir
disease MESH long COVID
disease MESH syndrome
drug DRUGBANK Oxygen
disease MESH plan
drug DRUGBANK Amino acids
drug DRUGBANK Chloride ion
drug DRUGBANK BENZOTHIAZOLE
drug DRUGBANK L-Leucine
drug DRUGBANK Indole
drug DRUGBANK Urea
drug DRUGBANK Human Serum Albumin
pathway REACTOME Metabolism
disease MESH strains
drug DRUGBANK Imidazole
drug DRUGBANK Nitrogen
drug DRUGBANK L-Tyrosine
drug DRUGBANK Activated charcoal
drug DRUGBANK Water
disease MESH glass
drug DRUGBANK Silicon dioxide
disease MESH ddd
disease MESH TOF
drug DRUGBANK Dimethyl sulfoxide
disease MESH MES
drug DRUGBANK Polyethylene glycol
drug DRUGBANK Potassium Chloride
drug DRUGBANK Methylergometrine
drug DRUGBANK Streptomycin
disease MESH Severe acute respiratory syndrome
disease MESH Allergy
drug DRUGBANK Adenosine 5′-phosphosulfate
drug DRUGBANK Ribostamycin
disease MESH Lam
disease MESH Dis

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