학술논문

SARS-CoV-2 Infection Depends on Cellular Heparan Sulfate and ACE2
Document Type
article
Source
Cell. 183(4)
Subject
Biochemistry and Cell Biology
Biological Sciences
Coronaviruses
Emerging Infectious Diseases
Infectious Diseases
Coronaviruses Therapeutics and Interventions
Infection
Amino Acid Sequence
Angiotensin-Converting Enzyme 2
Betacoronavirus
Binding Sites
COVID-19
Cell Line
Coronavirus Infections
Heparin
Heparitin Sulfate
Humans
Kidney
Lung
Molecular Dynamics Simulation
Pandemics
Peptidyl-Dipeptidase A
Pneumonia
Viral
Protein Binding
Protein Domains
Recombinant Proteins
SARS-CoV-2
Spike Glycoprotein
Coronavirus
Virus Internalization
coronavirus
heparan sulfate
heparan sulfate-binding proteins
heparin
lung epithelial cells
pseudotyped virus
spike proteins
Medical and Health Sciences
Developmental Biology
Biological sciences
Biomedical and clinical sciences
Language
Abstract
We show that SARS-CoV-2 spike protein interacts with both cellular heparan sulfate and angiotensin-converting enzyme 2 (ACE2) through its receptor-binding domain (RBD). Docking studies suggest a heparin/heparan sulfate-binding site adjacent to the ACE2-binding site. Both ACE2 and heparin can bind independently to spike protein in vitro, and a ternary complex can be generated using heparin as a scaffold. Electron micrographs of spike protein suggests that heparin enhances the open conformation of the RBD that binds ACE2. On cells, spike protein binding depends on both heparan sulfate and ACE2. Unfractionated heparin, non-anticoagulant heparin, heparin lyases, and lung heparan sulfate potently block spike protein binding and/or infection by pseudotyped virus and authentic SARS-CoV-2 virus. We suggest a model in which viral attachment and infection involves heparan sulfate-dependent enhancement of binding to ACE2. Manipulation of heparan sulfate or inhibition of viral adhesion by exogenous heparin presents new therapeutic opportunities.