Coronaviruses (CoV), are non-segmented single-stranded positive-sense RNA viruses of subfamily Coronavirinae in the family of Coronaviridae and the order Nidovirales. Members of the Nidovirales order shares some common features which include: i) a highly conserved genomic organization, with a large replicase gene preceding structural and accessory genes; ii) expression of many nonstructural genes by ribosomal frame shifting; iii) expression of downstream genes by synthesis of 3′ nested sub-genomic mRNAs and iv) several unique or unusual enzymatic activities encoded within the large replicase-transcriptase polyprotein1. All viruses of Nidovirales order are enveloped and contain very large genomes for RNA viruses, with Coronavirinae having the largest identified RNA genome of approximately 30 kilo base (kb)2 . Based on phylogenetic relationships and genomic structures, Coronavirinae are further comprised of four groups, the alpha, beta, gamma and delta coronaviruses, which have been detected in a wide range of animal species such as birds, rabbits, reptiles, cats, dogs, pigs, monkeys, and bats3. Alpha coronaviruses (229E and NL63), and beta coronaviruses (OC43 and HKU1), usually cause mild upper respiratory diseases in human4. In the last two decades two large-scale pandemic such as Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS) have been caused by coronavirus5. It has been reported that SARS-CoV and MERS-CoV were first discovered in bats and might cause future disease outbreak6. In 2002–2003, SARS-CoV outbreak in China resulted over 8,000 confirmed cases and 800 deaths. Similarly, Middle East Respiratory Syndrome (MERS-CoV) was first identified in the Middle East (Saudi Arabia and Jordan) in 20127. Estimated death rates of SARS-CoV and MERS-CoV were about 10% and 35%, respectively8. World Health Organization recorded 2494 laboratory confirmed cases of MERS-CoV, including 858 associated deaths worldwide among these 1896 cases, including 732 related deaths were recorded only from Saudi Arabia9.
But the year 2020, started with the profound concern associated with onset of a novel coronavirus (2019-nCov) outbreak in Wuhan, China. This emerging pathogen was rapidly characterized as a novel member of the beta coronavirus10. In early cases, 2019-nCov appeared due to the contact of infected individuals with original seafood market, but now it is incessantly spreading through human-to-human transmission and triggering respiratory, enteric, hepatic, and neurological diseases of variable severity to humans11. Typical clinical symptoms shown by patients are fever, dry cough, dyspnea, headache, pneumonia and disease onset may results in progressive respiratory failure due to alveolar damage and even death12. On February 16, 2020, WHO confirmed over 51,000 cases globally, along with 1,600 associated deaths worldwide. According to recent record of European Union, since December 31, 2019 to March 20, 2020 about 209,839 cases of COVID–19 (in accordance with the applied case definitions in the affected countries) have been reported, including 8778 5deaths13.
Complete protein structure of 2019-nCoV depicted high resemblance with that of SARS- CoV, with a root mean square deviation (RMSD) of 3.8 Å14. A glycosylated spike (S) protein having two structurally distinct conformations, the pre-fusion (S1) and post-fusion (S2) is considered as the key facilitator of coronaviruses infections in human. Receptor binding and membrane fusion are initial and critical steps, which are facilitated by S1 and S2 subunits15. This process is triggered due to the binding of pre-fusion (S1) subunit to a host-cell receptor resulting destabilization of S1 trimer and transition of the S2 subunit to a stable post-fusion conformation16. It is expected that pre-fusion core (S1) facilitates 2019-nCov binding with host cells’ receptors, while post-fusion core (S2) is a key factor in fusion of 2019-nCov with host cell membrane and subsequent inoculation of its DNA in to the host cell.
Identification of novel uses of drug-target interactions is an important parameter in improving clinical care. Therefore, in coronavirus infection, membrane fusion and receptor binding are critical. And if active sites of 2019-nCov spike protein S2 (post fusion core of 2019- nCov) are blocked, this may reduce COVID–19 infections in human. Therefore, Insilco elucidation of effective SARS-CoV and MERS-CoV drugs compounds using clustering based drug-drug interaction (DDI) networks and drug repositioning was focused to inhibit the membrane fusion and receptor binding capacity of 2019-nCov, that could subsequently reduce COVID–19 infections in human.