The Substitutions L50F, E166A, and L167F in SARS-CoV-2 3CLpro Are Selected by a Protease Inhibitor In Vitro and Confer Resistance To Nirmatrelvir

Author:

Jochmans Dirk1ORCID,Liu Cheng2,Donckers Kim1,Stoycheva Antitsa2,Boland Sandro3,Stevens Sarah K.2,De Vita Chloe2,Vanmechelen Bert4ORCID,Maes Piet4ORCID,Trüeb Bettina5,Ebert Nadine56,Thiel Volker56,De Jonghe Steven1,Vangeel Laura1,Bardiot Dorothée3,Jekle Andreas2,Blatt Lawrence M.2,Beigelman Leonid2,Symons Julian A.2,Raboisson Pierre7,Chaltin Patrick38,Marchand Arnaud3,Neyts Johan19ORCID,Deval Jerome2,Vandyck Koen7

Affiliation:

1. KU Leuven, Department of Microbiology, Immunology & Transplantation, Rega Institute, Laboratory of Virology & Chemotherapy, Leuven, Belgium

2. Aligos Therapeutics, Inc., South San Francisco, California, USA

3. CISTIM Leuven vzw, Leuven, Belgium

4. KU Leuven, Department of Microbiology, Immunology & Transplantation, Rega Institute, Laboratory of Clinical & Epidemiological Virology, Leuven, Belgium

5. Institute of Virology and Immunology, University of Bern, Bern, Switzerland

6. Department of Infectious Diseases and Pathobiology, Vetsuisse Faculty, University of Bern, Bern, Switzerland

7. Aligos Belgium BV, Leuven, Belgium

8. Centre for Drug Design and Discovery (CD3), KU Leuven, Leuven, Belgium

9. Global Virus Network (GVN), Baltimore, Maryland, USA

Abstract

Paxlovid is the first oral antiviral approved for treatment of SARS-CoV-2 infection. Antiviral treatments are often associated with the development of drug-resistant viruses.

Publisher

American Society for Microbiology

Subject

Virology,Microbiology

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