Id |
Subject |
Object |
Predicate |
Lexical cue |
T216 |
0-50 |
Sentence |
denotes |
Mechanism of Viral Entry Mediated by the S Protein |
T217 |
51-176 |
Sentence |
denotes |
A coronavirus contains four structural proteins, namely spike (S), envelope (E), membrane (M), and nucleocapsid (N) proteins. |
T218 |
177-303 |
Sentence |
denotes |
These proteins assemble around a lipid bilayer to provide the shell enclosing the viral genome (Figure 4A; Tang et al., 2020). |
T219 |
304-495 |
Sentence |
denotes |
Homotrimers of S protrude from the viral surface, and are densely decorated by N-linked glycans, creating the “crown” (“Corona” in Latin) that christens this virus group (Walls et al., 2016). |
T220 |
496-650 |
Sentence |
denotes |
S is a ∼180 kDa glycoprotein anchored in the viral membrane, which plays the most important roles in viral attachment, fusion and entry (Ou et al., 2020). |
T221 |
651-801 |
Sentence |
denotes |
Sequence analysis has shown that SARS-CoV-2 S protein shares 76% of the primary sequence with the corresponding S of human SARS-CoV (Ou et al., 2020). |
T222 |
802-932 |
Sentence |
denotes |
Accordingly, it has been early proposed that SARS-CoV-2 utilizes a similar cell entry mechanism as SARS-CoV, pivoted on S protein. |
T223 |
933-1003 |
Sentence |
denotes |
This hypothesis has been confirmed from an experimental point of view. |
T224 |
1004-1216 |
Sentence |
denotes |
By using pseudotyped virus bearing SARS-CoV S or SARS-CoV-2 S, it was shown that a large panel of cell lines allows comparable entry of SARS-CoV or SARS-CoV-2 viruses (Hoffmann et al., 2020b; Walls et al., 2020). |
T225 |
1217-1349 |
Sentence |
denotes |
FIGURE 4 (A) Structure of a Coronavirus. (B) Functional motifs in the sequence of the S “spike” protein of SARS-CoV and SARS-CoV-2. |
T226 |
1350-1631 |
Sentence |
denotes |
The S protein consists of ∼1300 aminoacids and it is composed by a N-terminal “S1”subunit (∼700 aa) and a C-terminal “S2”subunit (∼600 aa); binding to the host receptor is mediated by S1, whereas S2 induces fusion of the viral envelope with cellular membranes (Walls et al., 2017). |
T227 |
1632-1758 |
Sentence |
denotes |
S1 and S2 can be further subdivided in functional segments with different roles in viral entry (Figure 4B; Tang et al., 2020). |
T228 |
1759-1859 |
Sentence |
denotes |
The S1 subunit contains two subdomains, the N-terminal domain (NTD) and the C-terminal domain (CTD). |
T229 |
1860-2063 |
Sentence |
denotes |
In SARS-CoV (Li, 2015) and SARS-CoV-2 (Wang et al., 2020) CTD encloses the receptor-binding domain (RBD), and the RBD section that directly contacts the receptor is named as receptor-binding motif (RBM). |
T230 |
2064-2217 |
Sentence |
denotes |
The N-region of S2 contains a fusion peptide (FP), two heptapeptide repeat domains (HR1, HR2), a transmembrane domain (TM), and cytoplasmic peptide (CP). |
T231 |
2218-2385 |
Sentence |
denotes |
FP is a short segment composed of mostly hydrophobic residues, such as glycine (G) or alanine (A), which inserts in the host cell membrane to trigger the fusion event. |
T232 |
2386-2569 |
Sentence |
denotes |
HR1 and HR2 are composed of a repetitive heptapeptide with HPPHCPC sequence, where H represents hydrophobic or bulky residues, P polar or hydrophilic residues, and C charged residues. |
T233 |
2570-2668 |
Sentence |
denotes |
HR regions typically fold into α-helices with a hydrophobic interface that drives membrane fusion. |
T234 |
2669-2866 |
Sentence |
denotes |
On the basis of the strong similarity between the S proteins of SARS-CoV and SARS-CoV-2, many researchers early set-out to demonstrate whether both viruses target the same host cell receptor, ACE2. |
T235 |
2867-3025 |
Sentence |
denotes |
Zhou et al. (2020) highlighted that the virus was able to infect cell lines only when they expressed human, bat, civet, and pig (but not mouse) ACE2 receptor. |
T236 |
3026-3217 |
Sentence |
denotes |
Hoffmann et al. (2020b), Ou et al. (2020), and Walls et al. (2020) elegantly outlined that the BHK cell line could be infected by pseudotyped SARS-CoV-2 or SARS-CoV only upon ACE2 expression. |
T237 |
3218-3423 |
Sentence |
denotes |
Conversely, the expression of different human receptors used by other CoVs (hDPP4 and APN, used by MERS CoV and HCoV-229E, respectively) did not enable pseudovirus access to cells (Hoffmann et al., 2020b). |
T238 |
3424-3518 |
Sentence |
denotes |
Taken together, these findings are solid evidence that SARS-CoV-2 engages ACE2 for cell entry. |
T239 |
3519-3742 |
Sentence |
denotes |
Nonetheless, the two viruses were demonstrated by Xia to share also the membrane fusion mechanism, as strongly suggested by the impressive 89.9% sequence identity of S2 between SARS-CoV and SARS-CoV-2 (Xia et al., 2020a,b). |
T240 |
3743-3968 |
Sentence |
denotes |
To date, the cell entry mechanism of SARS-CoV and SARS-CoV-2 has been understood in its general details and it is based on a concerted action of receptor binding and proteolysis of the S protein (Figure 5; Tang et al., 2020). |
T241 |
3969-4160 |
Sentence |
denotes |
Ultrastructural studies showed a metastable “prefusion” V-shaped trimer composed by three S1 heads sitting on top of a trimeric S2 stalk anchored into the virus membrane (Walls et al., 2016). |
T242 |
4161-4378 |
Sentence |
denotes |
The RBD constantly switches between a standing-up (“open”) position for receptor binding and a lying-down (“closed”) configuration, the latter allowing immune evasion (Figure 6; Song et al., 2018; Wrapp et al., 2020). |
T243 |
4379-4497 |
Sentence |
denotes |
Yet only one of the three RBD in trimeric S can flip up at a time and interact with the receptor (Wrapp et al., 2020). |
T244 |
4498-4660 |
Sentence |
denotes |
The second key feature of the fusion mechanism is “priming” by host proteases, which recognize and cleave a short peptide motif at the S1/S2 boundary (Figure 4B). |
T245 |
4661-5024 |
Sentence |
denotes |
This cleavage does not disassemble S1 from S2 in pre-fusion conditions (Belouzard et al., 2009), but the binding interaction of RBD with its receptor, accompanied by a further cleavage in a second site in S2 (S2’site, upstream of FP, Figure 4B), triggers the possible dissociation of S1 and the irreversible refolding of S2 into a “post-fusion” state (Figure 4B). |
T246 |
5025-5260 |
Sentence |
denotes |
In detail, HR1 undergoes a dramatic “jack-knife” conformational change, converting four helical stretches that run in an antiparallel fashion into a single long (∼130 aa) α-helix (Heald-Sargent and Gallagher, 2012; Walls et al., 2017). |
T247 |
5261-5375 |
Sentence |
denotes |
At first, three of these helices assemble into a homotrimeric bundle and stick the FP into the host cell membrane. |
T248 |
5376-5530 |
Sentence |
denotes |
Then, HR2 (one for each S2 chain) fold backward and bind to HR1, yielding the “six-helix bundle fusion core” (6-HB) of post-fusion S2 (Song et al., 2018). |
T249 |
5531-5763 |
Sentence |
denotes |
This conformational foldback brings the FP (at N-terminus of HR1) and the TM (at the C terminus of HR2) close to each other, so that the viral and host cell membranes approach until their outer leaflets merge (hemifusion, Figure 5). |
T250 |
5764-5974 |
Sentence |
denotes |
Eventually the inner leaflets merge (pore formation), enabling a connection between the interior of the virus and the host cell cytoplasm, that allows the delivery of viral genome (Figure 5; Tang et al., 2020). |
T251 |
5975-6024 |
Sentence |
denotes |
FIGURE 5 Coronavirus viral fusion pathway model. |
T252 |
6025-6088 |
Sentence |
denotes |
Initially, the S protein is in the pre-fusion native state (1). |
T253 |
6089-6387 |
Sentence |
denotes |
Then S undergoes priming of the S1 subunit at S1/S2 by local proteases yielding the pre-fusion metastable state (2); note that priming at S1/S2 could also happen upon virus formation in releasing cell: in such a case the virus attaches to a host cell already in the pre-fusion metastable state (2). |
T254 |
6388-6567 |
Sentence |
denotes |
Subsequent triggering by a protease on S2’ enables the FP to insert in the host membrane upon the “jack-knife” transition of HR1 and HR2 yielding the pre-hairpin intermediate (3). |
T255 |
6568-6682 |
Sentence |
denotes |
The pre-hairpin folds back on itself due to HR1 and HR2 interactions eventually forming the post-fusion (6) state. |
T256 |
6683-6853 |
Sentence |
denotes |
During the S protein foldback, the two membranes approach each other until the outer leaflets merge (hemifusion) and eventually the inner leaflets merge (pore formation). |
T257 |
6854-6975 |
Sentence |
denotes |
Note that cell membrane may refer to plasma membrane (direct fusion) or endosomal membrane (fusion in endocytic vesicle). |
T258 |
6976-7008 |
Sentence |
denotes |
Adapted from Tang et al. (2020). |
T259 |
7009-7085 |
Sentence |
denotes |
FIGURE 6 Trimeric S protein of SARS-CoV-2 in the ”Closed” and “Open” forms. |
T260 |
7086-7174 |
Sentence |
denotes |
Note the single RBD protruding out of the V-shaped conformation of the protein assembly. |
T261 |
7175-7223 |
Sentence |
denotes |
The structures have been drawn from PDB 6X2C (R. |
T262 |
7224-7287 |
Sentence |
denotes |
Henderson, 10.1101/2020.05.18.10208) by Mol on the PDB website. |
T263 |
7288-7457 |
Sentence |
denotes |
Although not directly related to ACE2, the role of S “priming” by host cell proteases deserves particular attention in the context of SARS-CoV-2 virus entry and tropism. |
T264 |
7458-7670 |
Sentence |
denotes |
Possibly, the most notable feature of SARS-CoV-2 genome, as compared to SARS-CoV and some related bat coronaviruses, is a four basic aminoacid insert (PRRA) at the S1/S2 junction (Figure 4B; Jaimes et al., 2020). |
T265 |
7671-7826 |
Sentence |
denotes |
This site is potentially cleavable by the protease furin, a proprotein convertase widely recognized to activate the fusion machinery of viral glycoprotein. |
T266 |
7827-8059 |
Sentence |
denotes |
Indeed, many authors showed that pseudoviruses bearing SARS-CoV-2 S were already “primed” (i.e., cleaved) at the S1/S2 boundary by furin upon assembly in the cell, at odds with pseudoviruses bearing SARS-CoV S (Shang et al., 2020a). |
T267 |
8060-8453 |
Sentence |
denotes |
SARS-COV-2 shows a large flexibility with regard to protease priming, which may independently occur by a) furin and furin-like proteases intracellularly, b) trypsin-like proteases such as TMPRSS2 that are present on the host cell membrane (particularly on airway epithelial cells), and 3) endosomal cathepsins activated by a drop in pH (e.g., cathepsin L) (Figure 7; Hoffmann et al., 2020a,b). |
T268 |
8454-8605 |
Sentence |
denotes |
This flexibility could be the crucial factor that explain SARS-CoV-2 cell tropism and the peculiar features of COVID-19 symptoms (Jaimes et al., 2020). |
T269 |
8606-8791 |
Sentence |
denotes |
Additionally, the kind of protease “priming” may determine whether the membrane fusion process occur directly at the plasma membrane or at endosomal level (Tang et al., 2020; Figure 7). |
T270 |
8792-8877 |
Sentence |
denotes |
FIGURE 7 Relevance of S S1/S2 “priming” by host proteases for viral fusion to cells. |
T271 |
8878-9038 |
Sentence |
denotes |
The left cells produce viruses that can be “primed” by endogenous proteases such as furin (blue scissors); other viruses are not primed when they exit the cell. |
T272 |
9039-9264 |
Sentence |
denotes |
The primed viruses (marked by a yellow internal shadow) reach another cell (pathway A), where a membrane protease (e.g., TMPRSS2) may cleave the S2’ site (see Figure RB1b) leading to membrane fusion and delivery of viral RNA. |
T273 |
9265-9575 |
Sentence |
denotes |
Non-primed viruses can deliver their genome by two routes: in B, the virus reaches the cell, is primed on the membrane at both S1/S2 and S2’ by a local protease and then fuse with the plasma membrane; alternatively, in C the virus is internalized by endocytosis and priming/fusion occurs in endocytic vesicles. |
T274 |
9576-9686 |
Sentence |
denotes |
Note that also “primed” viruses may undergo pathway C, depending on their interaction with the recipient cell. |