NOVEL MEFENAMIC ACID-ANTIBIOTIC COMBINATIONS AS POTENTIAL INHIBITORS OF SARS-COV-2 MAIN PROTEASE

Authors

  • DIVYA PINGILI Department of Pharmaceutical Chemistry, Sri Venkateshwara College of Pharmacy, Madhapur, Hyderabad-500081, Telangana, India https://orcid.org/0000-0001-5951-8910
  • SOWJANYA V. Department of Pharmaceutical Chemistry, Sri Venkateshwara College of Pharmacy, Madhapur, Hyderabad-500081, Telangana, India
  • ARCHANA AWASTHI Department of Pharmaceutical Chemistry, Sri Venkateshwara College of Pharmacy, Madhapur, Hyderabad-500081, Telangana, India https://orcid.org/0009-0005-1579-9366

DOI:

https://doi.org/10.22159/ijpps.2026v18i2.57105

Keywords:

COVID-19, Mefenamic acid, Antibiotics, Molecular docking, ADME properties, Main protease (Mpro)

Abstract

Objective: The ongoing search for effective COVID-19 treatments has driven interest in drug repurposing and hybrid drug design strategies. This study aimed to develop and evaluate novel mefenamic acid–antibiotic hybrids as potential inhibitors of the SARS-CoV-2 main protease (Mpro).

Methods: Eight hybrid molecules were rationally designed and analyzed using molecular docking and in silico ADME evaluations to predict their binding affinity, stability, pharmacokinetic, and pharmacodynamic behaviour.

Results: Eight mefenamic acid–antibiotic hybrids were evaluated for their potential to inhibit SARS-CoV-2 Mpro. All hybrids demonstrated stronger binding affinity than mefenamic acid (MEF) alone, with the MEF–cephalexin (MEF–CEX) conjugate showing the most favorable binding energy (–7.6 kcal/mol), indicating enhanced complex stability due to the cephalosporin scaffold. ADME predictions revealed moderate pharmacokinetic properties across the series, and the MEF–ciprofloxacin (MEF–CIP) hybrid displayed notable blood–brain barrier permeability despite one Lipinski rule violation.

Conclusion: The findings highlight mefenamic acid–antibiotic hybrids, particularly cephalosporin-based derivatives, as promising multifunctional candidates with combined anti-inflammatory and antiviral potential against SARS-CoV-2. Further preclinical validation is warranted to optimize their pharmacological and safety profiles for potential therapeutic application.

Downloads

Download data is not yet available.

References

1. Talele SG, Ahire ED, Surana KR, Sonawane VN, Talele GS. Corona virus disease (COVID-19): a past and present prospective. Asian J Pharm Res. 2022;12(1):45-53. doi: 10.52711/2231-5691.2022.00008.

2. Chen Y, Liu Q, Guo D. Emerging coronaviruses: genome structure, replication and pathogenesis. J Med Virol. 2020;92(4):418-23. doi: 10.1002/jmv.25681, PMID 31967327.

3. Naresh BV. A review of the 2019 novel coronavirus (COVID-19) pandemic. Asian Jour Pharmac Rese. 2020;10(3):233-8. doi: 10.5958/2231-5691.2020.00040.4.

4. Ullrich S, Nitsche C. The SARS-CoV-2 main protease as drug target. Bioorg Med Chem Lett. 2020;30(17):127377. doi: 10.1016/j.bmcl.2020.127377, PMID 32738988.

5. Goyal B, Goyal D. Targeting the dimerization of the main protease of coronaviruses: a potential broad-spectrum therapeutic strategy. ACS Comb Sci. 2020;22(6):297-305. doi: 10.1021/acscombsci.0c00058, PMID 32402186.

6. Hu X, Zhou Z, Li F, Xiao Y, Wang Z, Xu J. The study of antiviral drugs targeting SARS-CoV-2 nucleocapsid and spike proteins through large-scale compound repurposing. Heliyon. 2021;7(3):e06387. doi: 10.1016/j.heliyon.2021.e06387, PMID 33688584.

7. Mousavizadeh L, Ghasemi S. Genotype and phenotype of COVID-19: their roles in pathogenesis. J Microbiol Immunol Infect. 2020;54(2):159-63. doi: 10.1016/j.jmii.2020.03.022, PMID 32265180.

8. Shin D, Mukherjee R, Grewe D, Bojkova D, Baek K, Bhattacharya A. Papain-like protease regulates SARS-CoV-2 viral spread and innate immunity. Nature. 2020;587(7835):657-62. doi: 10.1038/s41586-020-2601-5, PMID 32726803.

9. Hu Q, Xiong Y, Zhu GH, Zhang YN, Zhang YW, Huang P. The SARS-CoV-2 main protease (Mpro): structure function and emerging therapies for COVID-19. MedComm. 2022;3(3):e151. doi: 10.1002/mco2.151, PMID 35845352.

10. Jin Z, Du X, Xu Y, Deng Y, Liu M, Zhao Y. Structure of Mpro from SARS-CoV-2 and discovery of its inhibitors. Nature. 2020;582(7811):289-93. doi: 10.1038/s41586-020-2223-y, PMID 32272481.

11. Karges J, Kalaj M, Gembicky M, Cohen SM. ReI tricarbonyl complexes as coordinate covalent inhibitors for the SARS-CoV-2 main cysteine protease. Angew Chem Int Ed Engl. 2021;60(19):10716-23. doi: 10.1002/anie.202016768, PMID 33606889.

12. Moshawih S, Jarrar Q, Bahrin AA, Lim AF, Ming L, Goh HP. Evaluating NSAIDs in SARS-CoV-2: immunomodulatory mechanisms and future therapeutic strategies. Heliyon. 2024;10(3):e25734. doi: 10.1016/j.heliyon.2024.e25734, PMID 38356603.

13. Daniels MJ, Rivers Auty J, Schilling T, Spencer NG, Watremez W, Fasolino V. Fenamate NSAIDs inhibit the NLRP3 inflammasome and protect against Alzheimer’s disease in rodent models. Nat Commun. 2016;7:12504. doi: 10.1038/ncomms12504, PMID 27509875.

14. Pareek RP. Use of mefenamic acid as a supportive treatment of COVID-19: a repurposing drug. Int J Sci Res. 2020;9(6):69. doi: 10.21275/SR20530150407.

15. Navacchia ML, Cinti C, Marchesi E, Perrone D. Insights into SARS-CoV-2: small-molecule hybrids for COVID-19 treatment. Molecules. 2024;29(22):5403. doi: 10.3390/molecules29225403, PMID 39598790.

16. Musa A, Abulkhair HS, Aljuhani A, Rezki N, Abdelgawad MA, Shalaby K. Phenylpyrazolone-1,2,3-triazole hybrids as potent antiviral agents with promising SARS-CoV-2 main protease inhibition potential. Pharmaceuticals (Basel). 2023;16(3):463. doi: 10.3390/ph16030463, PMID 36986562.

17. Herrmann L, Hahn F, Wangen C, Marschall M, Tsogoeva SB. Anti-SARS-CoV-2 inhibitory profile of new quinoline compounds in cell culture-based infection models. Chemistry. 2022;28(4):e202103861. doi: 10.1002/chem.202103861, PMID 34859926.

18. Guzman Esquivel J, Galvan Salazar HR, Guzman Solorzano HP, Cuevas Velazquez AC, Guzman Solorzano JA, Mokay Ramirez KA. Efficacy of the use of mefenamic acid combined with standard medical care vs. standard medical care alone for the treatment of COVID-19: a randomized double-blind placebo-controlled trial. Int J Mol Med. 2022;49(3):29. doi: 10.3892/ijmm.2022.5084, PMID 35029292.

19. Fazio S, Bellavite P. Early multi-target treatment of mild-to-moderate COVID-19, particularly in terms of non-steroidal anti-inflammatory drugs and indomethacin. BioMed. 2023 Mar 10;3(1):177-94. doi: 10.3390/biomed3010015.

20. Khan AM, Atia-Tul-Wahab, Farooq S, Ullah A, Choudhary MI. Repurposing of US FDA-approved drugs against SARS-CoV-2 main protease (Mpro) by using STD-NMR spectroscopy, in silico studies and antiviral assays. Int J Biol Macromol. 2023;234:123540. doi: 10.1016/j.ijbiomac.2023.123540, PMID 36740128.

21. Imam SS, Imam ST, Md Wasif Athar K, Ammar MY. Interaction between ACE2 and SARS-CoV-2 and use of EGCG and theaflavin to treat COVID-19 in initial phases. Int J Curr Pharm Res. 2022;14(2):5-10. doi: 10.22159/ijcpr.2022v14i2.1945.

22. Li W, Moore MJ, Vasilieva N, Sui J, Wong SK, Berne MA. Angiotensin-converting enzyme 2 is a functional receptor for the SARS coronavirus. Nature. 2003;426(6965):450-4. doi: 10.1038/nature02145, PMID 14647384.

23. V’kovski P, Kratzel A, Steiner S, Stalder H, Thiel V. Coronavirus biology and replication: implications for SARS-CoV-2. Nat Rev Microbiol. 2021;19(3):155-70. doi: 10.1038/s41579-020-00468-6, PMID 33116300.

24. Malla TR, Tumber A, John T, Brewitz L, Strain Damerell C, Owen CD. Mass spectrometry reveals potential of β-lactams as SARS-CoV-2 Mpro inhibitors. Chem Commun (Camb). 2021;57(12):1430-3. doi: 10.1039/D0CC06870E, PMID 33462575.

25. Malla TR, Brewitz L, Muntean DG, Aslam H, Owen CD, Salah E. Penicillin derivatives inhibit the SARS-CoV-2 main protease by reaction with its nucleophilic cysteine. J Med Chem. 2022;65(11):7682-96. doi: 10.1021/acs.jmedchem.1c02214, PMID 35549342.

26. Khan MA, Mutahir S, Tariq MA, Almehizia AA. Exploration of specific fluoroquinolone interaction with SARS-CoV-2 main protease (Mpro) to battle COVID-19: DFT, molecular docking, ADME and cardiotoxicity studies. Molecules. 2024;29(19):4721. doi: 10.3390/molecules29194721, PMID 39407649.

27. Bansal P, Kumar R, Singh J, Dhanda S. In silico molecular docking of SARS-CoV-2 surface proteins with microbial non-ribosomal peptides: identification of potential drugs. J Proteins Proteom. 2021;12(3):177-84. doi: 10.1007/s42485-021-00072-z, PMID 34456530.

28. Dhanik A, McMurray JS, Kavraki LE. DINC: a new autodock-based protocol for docking large ligands. BMC Struct Biol. 2013;13(Suppl 1):S11. doi: 10.1186/1472-6807-13-S1-S11, PMID 24564952.

29. Daina A, Michielin O, Zoete V. SwissADME: a free web tool to evaluate pharmacokinetics, drug-likeness and medicinal chemistry friendliness of small molecules. Sci Rep. 2017;7:42717. doi: 10.1038/srep42717, PMID 28256516.

30. Delgado C, Nogara PA, Miranda MD, Rosa AS, Ferreira VN, Batista LT. In silico and in vitro studies of the approved antibiotic ceftaroline fosamil and its metabolites as inhibitors of SARS-CoV-2 replication. Viruses. 2025;17(4):491. doi: 10.3390/v17040491, PMID 40284934.

31. Lei S, Chen X, Wu J, Duan X, Men K. Small molecules in the treatment of COVID-19. Signal Transduct Target Ther. 2022;7(1):387. doi: 10.1038/s41392-022-01249-8, PMID 36464706.

32. Sayed AM, Khattab AR, Aboul Magd AM, Hassan HM, Rateb ME, Zaid H. Nature as a treasure trove of potential anti-SARS-CoV drug leads: a structural/mechanistic rationale. RSC Adv. 2020;10(34):19790-802. doi: 10.1039/D0RA04199H, PMID 35685913.

33. Abdel Bar HM, Abdallah IA, Fayed MA, Moatasim Y, Mostafa A, El-Behairy MF. Lipid polymer hybrid nanocarriers as a combinatory platform for different anti-SARS-CoV-2 drugs supported by computational studies. RSC Adv. 2021;11(46):28876-91. doi: 10.1039/D1RA04576H, PMID 35478590.

Published

01-02-2026

How to Cite

PINGILI, DIVYA, et al. “NOVEL MEFENAMIC ACID-ANTIBIOTIC COMBINATIONS AS POTENTIAL INHIBITORS OF SARS-COV-2 MAIN PROTEASE”. International Journal of Pharmacy and Pharmaceutical Sciences, vol. 18, no. 2, Feb. 2026, pp. 5-12, doi:10.22159/ijpps.2026v18i2.57105.

Issue

Section

Original Article(s)

Similar Articles

1 2 3 4 5 > >> 

You may also start an advanced similarity search for this article.