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. 2021 Jan 6:10.2217/fmb-2020-0120. doi: 10.2217/fmb-2020-0120

Table 1. Repurposing antivirals with potential ability to inhibit the SARS-CoV-2 replication via targeting the viral structural and nonstructural proteins.

Existing antivirals Chemical structure Primary use Potential efficacy on other viruses Mechanism of action Study (year) Ref.
Griffithsin Inline graphic
PubChem SID: 163672929
An alga-derived lectin against HIV Broad-spectrum antiviral activity against HIV, SARS and MERS Viral entry inhibition by attachment to the virus surface glycoproteins such as HIV gp120 and SARS-CoV-2 S protein Lee et al. (2019)
Fischer et al. (2019)
Ziółkowska et al. (2006)
Millet et al. (2016)
[22–25]
Nafamostat Inline graphic
PubChem CID: 4413
A drug for acute pancreatitis Inhibition the MERS and SARS-CoV-2 life cycle Inhibiting the host cells protease (TMPRSS2) and virus membrane fusion Yamamoto et al. (2016) [28]
Disulfiram Inline graphic
PubChem CID: 3117
A drug for chronic alcoholism Potential treatment for HIV and inhibition ability for MERS and SARS-CoV-2 Inhibit the viral polyprotein cleavage Lin et al. (2018)
Anand et al. (2003)
Lee et al. (2016)
[36–38]
Lopinavir/ritonavir (Kaletra) Inline graphic
PubChem CID: 92727
PubChem CID: 392622
A drug to treat HIV Inhibit the replication of the SARS, MERS and SARS-CoV-2 Inhibiting the viral replication by high binding affinity to the viral protease Chu et al. (2004)
Yao et al. (2020)
Cao et al. (2020)
[46–48]
Nelfinavir Inline graphic
PubChem CID: 64143
Approved antiretroviral drug against HIV-1 Inhibit the replication of the SARS and SARS-CoV-2 Potential inhibitor against the viral protease such as 3CLpro Xu et al. (2020)
Yamamoto et al. (2004)
Ohashi et al. (2020)
[49,50,54]
Danoprevir Inline graphic
PubChem CID: 11285588
A drug for noncirrhotic genotype 1b HCV Therapeutic potential against SARS-CoV-2 Potential inhibitor against the viral protease such as 3CLpro Chen et al. (2020) [58]
Favipiravir (Avigan) Inline graphic
PubChem CID: 492405
A guanine analog flu drug Activity against many RNA viruses such as influenza virus, yellow fever virus, enterovirus, SARS-CoV-2, … Selectively inhibit the viral RdRp via tightly binding to the RdRp Furuta et al. (2009)
Furuta et al. (2013)
Cai et al. (2020)
[62,63,66]
Ribavirin Inline graphic
PubChem CID: 37542
An approved drug against HCV and RSV Activity against of MERS and SARS-CoV-2 Inhibition the viral RNA synthesis by viral mRNA capping termination via targeting the viral RdRp Stockman et al. (2006)
Arabi et al. (2020)
[67,68]
Remdesivir Inline graphic
PubChem CID: 121304016
An adenosine analog developed in response to the Ebola virus Broad-spectrum antiviral activity against a wide range of ssRNA viruses such as SARS, MERS, Marburg, RSV, SARS-CoV-2, etc. Binds to the viral RdRp and acts as an RNA-chain terminator Wang et al. (2020)
Sheahan et al. (2017)
Holshue et al. (2020)
[65,69,71]
Galidesivir Inline graphic
PubChem CID: 10445549
An adenosine analog developed in response to the HCV Antiviral activity against a wide range of RNA viruses such as SARS-CoV, MER-CoV, Ebola and Marburg Inhibition the viral RNA polymerase and premature termination of RNA transcription Westover et al. (2018) [74]

The chemical structures of existing antivirals provided in Table 1 are derived from ‘PubChem’ database [75]. PubChem CIDs and SID are available in Table 1.

CID: PubChem’s compound identifier; Flu: Influenza; HCV: Hepatitis C virus; RdRp: RNA-dependent RNA polymerase; RSV: Respiratory syncytial virus; SID: PubChem’s substance identifier; TMPRSS2: Transmembrane protease serine 2.