Title
Structural and functional analysis of female sex hormones against SARS-CoV-2 cell entry
Date Issued
01 November 2021
Access level
open access
Resource Type
journal article
Publisher(s)
MDPI
Abstract
Emerging evidence suggests that males are more susceptible to severe infection by the SARS-CoV-2 virus than females. A variety of mechanisms may underlie the observed gender-related disparities including differences in sex hormones. However, the precise mechanisms by which female sex hormones may provide protection against SARS-CoV-2 infectivity remains unknown. Here we report new insights into the molecular basis of the interactions between the SARS-CoV-2 spike (S) protein and the human ACE2 receptor. We further report that glycosylation of the ACE2 receptor enhances SARS-CoV-2 infectivity. Importantly, estrogens can disrupt glycan–glycan interactions and glycan–protein interactions between the human ACE2 and the SARS-CoV-2 thereby blocking its entry into cells. In a mouse model of COVID-19, estrogens reduced ACE2 glycosylation and thereby alveolar uptake of the SARS-CoV-2 spike protein. These results shed light on a putative mechanism whereby female sex hormones may provide protection from developing severe infection and could inform the development of future therapies against COVID-19.
Volume
22
Issue
21
Language
English
OCDE Knowledge area
Virología Enfermedades infecciosas
Scopus EID
2-s2.0-85117932628
PubMed ID
Source
International Journal of Molecular Sciences
ISSN of the container
16616596
Sponsor(s)
Funding: This research work was funded by the MGH Physician-Scientist Development Award and the Ruth L. Kirschstein National Research Service Award (5T32HL007208-43). The NHLBI funding (R01 HL142809) and the COVID Fast Grant from George Mason University. The American Heart Association grant 18TPA34230025, and the Wild Family Foundation. The COVID-19 Fast Grant (0371-VRINV-2020) from the Vicerrectorado de Investigación de la Universidad Católica de Santa María, Arequipa, Peru. Acknowledgments: Lino Cardenas is supported by the MGH Physician-Scientist Development Award and the Ruth L. Kirschstein National Research Service Award (5T32HL007208-43). Malhotra is supported by NHLBI funding (R01 HL142809) and the COVID Fast Grant from George Mason University, the American Heart Association grant 18TPA34230025, and the Wild Family Foundation. Davila Del-Carpio, Aguilar-Pineda and Vera-Lopez are supported by the COVID-19 Fast Grant (0371-VRINV-2020) from the Vicerrectorado de Investigación de la Universidad Católica de Santa María, Arequipa, Peru.
Sources of information: Directorio de Producción Científica Scopus