Article
SARS-CoV-2 3CLpro mutations T21I and E166A confer differential resistance to simnotrelvir, bofutrelvir, and ensitrelvir.
Journal of virology - 19 May 2026
Chen Lu, Su Haixia, Shang Weijuan, Nie Tianqing, Kuang Wenhua, Wang Chenchen, Shao Qiang, Zhang Leike, Liu Wen, Xu Yechun, Zhang Yumin
Abstract excerpt
Inhibiting the catalytic activity of 3CLpro is a mainstream strategy to block coronavirus replication. However, the appearance of SARS-CoV-2 3CLpro resistance to protease inhibitors raises concerns for effective therapies. In this work, we first investigated the resistance profile of simnotrelvir, an approved anti-SARS-CoV-2 drug that targets 3CLpro. We found that the T21I/E166A mutations in 3CLpro equally...
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