SARS-CoV-2 infection begins with the association of its spike 1 (S1) protein with host
angiotensin-converting enzyme-2 (ACE2). Targeting the interaction between S1 and ACE2 is
a practical strategy against SARS-CoV-2 infection. Herein, we show encouraging results
indicating that human cathelicidin LL37 can simultaneously block viral S1 and cloak
ACE2. LL37 binds to the receptor-binding domain (RBD) of S1 with high affinity (11.2 nM)
and decreases subsequent recruitment of ACE2. Owing to the RBD blockade, LL37 inhibits
SARS-CoV-2 S pseudovirion infection, with a half-maximal inhibitory concentration of
4.74 μg/mL. Interestingly, LL37 also binds to ACE2 with an affinity of 25.5 nM and
cloaks the ligand-binding domain (LBD), thereby decreasing S1 adherence and protecting
cells against pseudovirion infection
in vitro
. Intranasal
administration of LL37 to C57 mice infected with adenovirus expressing human ACE2 either
before or after pseudovirion invasion decreased lung infection. The study identified a
versatile antimicrobial peptide in humans as an inhibitor of SARS-CoV-2 attachment using
dual mechanisms, thus providing a potential candidate for coronavirus disease 2019
(COVID-19) prevention and treatment.
The ongoing COVID-19 pandemic worldwide necessitates the development of therapeutics
against SARS-CoV-2. ACE2 is the main receptor of SARS-CoV-2 S1 and mediates viral entry
into host cells. Herein, membrane nanoparticles (NPs) prepared from ACE2-rich cells were
discovered to have potent capacity to block SARS-CoV-2 infection. The membranes of human
embryonic kidney-239T cells highly expressing ACE2 were applied to prepare NPs using an
extrusion method. The nanomaterials, termed ACE2-NPs, contained 265.1 ng
mg
–1
ACE2 on the surface and acted as baits to trap S1 in a
dose-dependent manner, resulting in reduced recruitment of the viral ligand to HK-2
human renal tubular epithelial cells. Aside from affecting receptor recongnition, S1
translocated to the cytoplasm and induced apoptosis by reducing optic atrophy 1
expression and increasing cytochrome c release, which was also inhibited by ACE2-NPs.
Further investigations revealed that ACE2-NPs efficiently suppressed SARS-CoV-2 S
pseudovirions entry into host cells and blocked viral infection
in
vitro
and
in vivo
. This study characterizes easy-to-produce
memrbane nanoantagonists of SARS-CoV-2 that enrich the existing antiviral arsenal and
provide possibilities for COVID-19 treatment.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.