In the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) genome, open
reading frames (ORFs) encode for viral accessory proteins. Among these, Orf7a
structurally resembles the members of the immunoglobulin (Ig) superfamily and
intracellular adhesion molecules (ICAMs), in particular. ICAMs are involved in integrin
binding through lymphocyte function-associated antigen 1 (LFA-1). Based on such
considerations and on previous findings on SARS-CoV, it has been postulated that the
formation of the LFA-1/Orf7a complex could contribute to SARS-CoV-2 infectivity and
pathogenicity. With the current work, we aim at providing insight into this
macromolecular assembly, taking advantage of the recently reported SARS-CoV-2 Orf7a
structure. Protein–protein docking, molecular dynamics (MD) simulations, and a
Molecular Mechanical-Generalized Born Surface Area (MM-GBSA)-based stage were enrolled
to provide refined models.