On the molecular mechanism of SARS-CoV-2 retention in the upper respiratory tract

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Abstract

Cell surface receptor engagement is a critical aspect of viral infection. At low pH, binding of SARS-CoV and its ACE2 receptor has a tight interaction that catalyzes the fusion of the spike and endosomal membranes followed by genome release. Largely overlooked has been the role of neutral pH in the respiratory tract, where we find that SARS-CoV stabilizes a transition state that enhances the off-rate from its receptor. An alternative pH-switch is found in CoV-2-like coronaviruses of tropical pangolins, but with a reversed phenotype where the tight interaction with ACE2 is at neutral pH. We show that a single point mutation in pangolin-CoV, unique to CoV-2, that deletes the last His residue in their receptor binding domain perpetuates this tight interaction independent of pH. This tight bond, not present in previous respiratory syndromes, implies that CoV-2 stays bound to the highly expressed ACE2 receptors in the nasal cavity about 100 times longer than CoV. This finding supports the unfamiliar pathology of CoV-2, observed virus retention in upper respiratory tract 1 , longer incubation times and extended periods of shedding. Implications to combat pandemics that, like SARS-CoV-2, export evolutionarily successful strains via higher transmission rates due to retention in nasal epithelium and their evolutionary origin are discussed.

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  1. SciScore for 10.1101/2020.07.29.227389: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    NIH rigor criteria are not applicable to paper type.

    Table 2: Resources

    Antibodies
    SentencesResources
    The RBD from 2DD8 (bound to neutralizing antibody) was chosen instead of that in PDB ID 2AJF (bound to ACE2) as a starting structure as it includes otherwise missing portions of the domain.
    ACE2
    suggested: None
    Software and Algorithms
    SentencesResources
    2 Molecular dynamics simulations (MDs) were carried out with pmemd.cuda from AMBER183–5 using AMBER ff14SB force field6 and Generalized Amber Force Field (GAFF).
    AMBER
    suggested: (AMBER, RRID:SCR_016151)
    9 Homology models of RBD of pangolin-CoV were done making point mutations using PyMOL in CoV2 RBD from PDB 6LZG.
    PyMOL
    suggested: (PyMOL, RRID:SCR_000305)

    Results from OddPub: Thank you for sharing your data.


    Results from LimitationRecognizer: An explicit section about the limitations of the techniques employed in this study was not found. We encourage authors to address study limitations.

    Results from TrialIdentifier: No clinical trial numbers were referenced.


    Results from Barzooka: We did not find any issues relating to the usage of bar graphs.


    Results from JetFighter: We did not find any issues relating to colormaps.


    Results from rtransparent:
    • Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
    • Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
    • No protocol registration statement was detected.

    About SciScore

    SciScore is an automated tool that is designed to assist expert reviewers by finding and presenting formulaic information scattered throughout a paper in a standard, easy to digest format. SciScore checks for the presence and correctness of RRIDs (research resource identifiers), and for rigor criteria such as sex and investigator blinding. For details on the theoretical underpinning of rigor criteria and the tools shown here, including references cited, please follow this link.

  2. SciScore for 10.1101/2020.07.29.227389: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    NIH rigor criteria are not applicable to paper type.

    Table 2: Resources

    Antibodies
    SentencesResources
    The RBD from 2DD8 (bound to neutralizing antibody) was chosen instead of that in PDB ID 2AJF (bound to ACE2) as a starting structure as it includes otherwise missing portions of the domain.
    ACE2
    suggested: None
    Software and Algorithms
    SentencesResources
    Hence, one would expect that both CoV1 and CoV2 interaction with ACE2 to be similar.
    CoV1
    suggested: None
    2 Molecular dynamics simulations (MDs) were carried out with pmemd.cuda from AMBER183-5 using AMBER ff14SB force field6 and Generalized Amber Force Field (GAFF).
    AMBER
    suggested: (AMBER, SCR_016151)
    9 Homology models of RBD of pangolin-CoV were done making point mutations using PyMOL in CoV2 RBD from PDB 6LZG.
    PyMOL
    suggested: (PyMOL, SCR_000305)

    Data from additional tools added to each annotation on a weekly basis.

    About SciScore

    SciScore is an automated tool that is designed to assist expert reviewers by finding and presenting formulaic information scattered throughout a paper in a standard, easy to digest format. SciScore is not a substitute for expert review. SciScore checks for the presence and correctness of RRIDs (research resource identifiers) in the manuscript, and detects sentences that appear to be missing RRIDs. SciScore also checks to make sure that rigor criteria are addressed by authors. It does this by detecting sentences that discuss criteria such as blinding or power analysis. SciScore does not guarantee that the rigor criteria that it detects are appropriate for the particular study. Instead it assists authors, editors, and reviewers by drawing attention to sections of the manuscript that contain or should contain various rigor criteria and key resources. For details on the results shown here, including references cited, please follow this link.