Evidence map›Paper›PMID 38933182›Full record

ArticleNpj viruses2024

Study of key residues in MERS-CoV and SARS-CoV-2 main proteases for resistance against clinically applied inhibitors nirmatrelvir and ensitrelvir.

Laura Krismer, Helge Schöppe, Stefanie Rauch, David Bante, Bernhard Sprenger, Andreas Naschberger, Francesco Costacurta, Anna Fürst, Anna Sauerwein, Bernhard Rupp and 3 more

Erratum issuedAbstract read
In one paragraph

Article in Npj viruses, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. A Novel Fluorescence Polarization Binding Assay for the Main Protease (MACS pharmacology & translational science · 2025
    Article
  5. Polaris Challenge: Data-Driven Priors to Improve Docking for Pose Prediction.Journal of chemical information and modeling · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Laura KrismerInstitute of Virology, Medical University of Innsbruck, Innsbruck, 6020 Austria.
Helge Schöppe *Institute of Pharmacy/Pharmaceutical Chemistry and Center for Molecular Biosciences Innsbruck (CMBI), University of Innsbruck, Innsbruck, 6020 Austria.
Stefanie Rauch *Institute of Virology, Medical University of Innsbruck, Innsbruck, 6020 Austria.
David BanteInstitute of Virology, Medical University of Innsbruck, Innsbruck, 6020 Austria.
Bernhard SprengerInstitute of Biochemistry, University of Innsbruck, CMBI - Center for Molecular Biosciences Innsbruck, Innsbruck, 6020 Austria.
Andreas NaschbergerBiological and Environmental Science and Engineering (BESE) Division, King Abdullah University of Science and Technology KAUST, Thuwal, Saudi Arabia.
Francesco CostacurtaInstitute of Virology, Medical University of Innsbruck, Innsbruck, 6020 Austria.
Anna FürstInstitute of Molecular Immunology, Technical University of Munich, Munich, 81675 Germany.
Anna SauerweinInstitute of Virology, Medical University of Innsbruck, Innsbruck, 6020 Austria.
Bernhard RuppDivision of Genetic Epidemiology, Medical University of Innsbruck, Innsbruck, 6020 Austria.
Teresa KasererInstitute of Pharmacy/Pharmaceutical Chemistry and Center for Molecular Biosciences Innsbruck (CMBI), University of Innsbruck, Innsbruck, 6020 Austria.
Dorothee von LaerInstitute of Virology, Medical University of Innsbruck, Innsbruck, 6020 Austria.
Emmanuel HeilmannInstitute of Virology, Medical University of Innsbruck, Innsbruck, 6020 Austria.

Funding

Austrian Science Fund P34376Austrian Science Fund P35148
6 · The paper itself

Abstract

The Middle East Respiratory Syndrome Coronavirus (MERS-CoV) is an epidemic, zoonotically emerging pathogen initially reported in Saudi Arabia in 2012. MERS-CoV has the potential to mutate or recombine with other coronaviruses, thus acquiring the ability to efficiently spread among humans and become pandemic. Its high mortality rate of up to 35% and the absence of effective targeted therapies call for the development of antiviral drugs for this pathogen. Since the beginning of the SARS-CoV-2 pandemic, extensive research has focused on identifying protease inhibitors for the treatment of SARS-CoV-2. Our intention was therefore to assess whether these protease inhibitors are viable options for combating MERS-CoV. To that end, we used previously established protease assays to quantify inhibition of SARS-CoV-2, MERS-CoV and other main proteases. Nirmatrelvir inhibited several of these proteases, whereas ensitrelvir was less broadly active. To simulate nirmatrelvir's clinical use against MERS-CoV and subsequent resistance development, we applied a safe, surrogate virus-based system. Using the surrogate virus, we previously selected hallmark mutations of SARS-CoV-2-M

Indexed as

Medical researchMicrobiology

Identifiers

PMID38933182
PMCPMC11196219

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.