Chapter
1:
COVID-19
pathogenesis
poses
paradoxes
difficult
to
explain
with
traditional
physiology.
For
instance,
since
type
II
pneumocytes
are
considered
the
primary
cellular
target
of
SARS-CoV-2;
as
these
produce
pulmonary
surfactant
(PS),
possibility
that
insufficient
PS
plays
a
role
in
has
been
raised.
However,
opposite
predicted
high
alveolar
surface
tension
is
found
many
early
patients:
paradoxically
normal
lung
volumes
and
compliance
occur,
profound
hypoxemia.
That
‘COVID
anomaly’
was
quickly
rationalised
by
invoking
vascular
mechanisms–mainly
because
surprisingly
preserved
hypoxemic
cases.
quick
rejection
damage
only
occurred
actual
mechanism
gas
exchange
long
presumed
be
non-problematic,
due
diffusion
through
surface.
On
contrary,
we
provide
physical
chemical
evidence
occurs
an
process
expansion
contraction
three-dimensional
structures
its
associated
proteins.
This
view
explains
anomalous
observations
from
level
cryo-TEM
whole
individuals.
It
encompasses
results
premature
infants
deepest
diving
seals.
Once
understood,
COVID
anomaly
dissolves
straightforwardly
explained
covert
viral
3D
structure
PS,
direct
treatment
implications.
As
natural
experiment,
SARS-CoV-2
virus
itself
helped
us
simplify
clarify
not
nature
dyspnea
relationship
compliance,
but
also
fine
detail
including
such
features
water
channels
which
had
heretofore
entirely
unexpected.
Microbiology and Immunology,
Journal Year:
2021,
Volume and Issue:
66(1), P. 15 - 23
Published: Sept. 25, 2021
Spike
(S)
protein
cleavage
is
a
crucial
step
in
coronavirus
infection.
In
this
review,
process
discussed,
with
particular
focus
on
the
novel
coronavirus,
severe
acute
respiratory
syndrome
2
(SARS-CoV-2).
Compared
influenza
virus
and
paramyxovirus
membrane
fusion
proteins,
activation
mechanism
of
S
much
more
complex.
The
has
two
sites
(S1/S2
S2'),
motif
for
furin
protease
at
S1/S2
site
that
results
from
unique
four-amino
acid
insertion
one
distinguishing
features
SARS-CoV-2.
viral
particle
incorporates
protein,
which
already
undergone
by
furin,
then
undergoes
further
S2'
site,
mediated
type
II
transmembrane
serine
(TMPRSS2),
after
binding
to
receptor
angiotensin-converting
enzyme
(ACE2)
facilitate
plasma
membrane.
addition,
SARS-CoV-2
can
enter
cell
endocytosis
be
proteolytically
activated
cathepsin
L,
although
not
major
mode
variants
enhanced
infectivity
have
been
emerging
throughout
ongoing
pandemic,
there
close
relationship
between
changes
cleavability.
All
four
concern
carry
D614G
mutation,
indirectly
enhances
cleavability
furin.
P681R
mutation
delta
variant
directly
increases
cleavability,
enhancing
virulence.
Changes
significantly
impact
infectivity,
tissue
tropism,
Understanding
these
mechanisms
critical
counteracting
pandemic.
Nature Communications,
Journal Year:
2025,
Volume and Issue:
16(1)
Published: Jan. 8, 2025
One
of
the
hallmarks
RNA
viruses
is
highly
structured
untranslated
regions
(UTRs)
which
are
often
essential
for
viral
replication,
transcription,
or
translation.
In
this
report,
we
discovered
a
series
coumarin
derivatives
that
bind
to
four-way
helix
called
SL5
in
5'
UTR
SARS-CoV-2
genome.
To
locate
binding
site,
developed
sequencing-based
method
namely
cgSHAPE-seq,
an
acylating
probe
was
directed
crosslink
with
2'-OH
group
ribose
at
site
create
read-through
mutations
during
reverse
transcription.
cgSHAPE-seq
unambiguously
determined
bulged
G
as
primary
validated
through
mutagenesis
and
vitro
experiments.
The
were
further
used
warhead
designing
RNA-degrading
chimeras
reduce
expression
levels.
optimized
chimera
C64
inhibited
live
virus
replication
lung
epithelial
carcinoma
cells.
Highly
serve
potential
drug
targets.
Here
authors
identified
class
small
molecules
Using
they
pinpointed
inhibit
replication.
Proceedings of the National Academy of Sciences,
Journal Year:
2022,
Volume and Issue:
119(32)
Published: July 26, 2022
The
furin
cleavage
site
(FCS),
an
unusual
feature
in
the
SARS-CoV-2
spike
protein,
has
been
spotlighted
as
a
factor
key
to
facilitating
infection
and
pathogenesis
by
increasing
processing.
Similarly,
QTQTN
motif
directly
upstream
of
FCS
is
also
for
group
2B
coronaviruses
(CoVs).
deletion
consistently
observed
vitro
cultured
virus
stocks
some
clinical
isolates.
To
determine
whether
critical
replication
pathogenesis,
we
generated
mutant
deleting
(ΔQTQTN).
Here,
report
that
attenuates
viral
respiratory
cells
disease
vivo.
results
shortened,
more
rigid
peptide
loop
contains
less
accessible
host
proteases,
such
TMPRSS2.
Thus,
reduced
efficiency
processing
infection.
Importantly,
residues
are
glycosylated,
disruption
its
glycosylation
TMPRSS2-dependent
manner.
Together,
our
reveal
three
aspects
S1/S2
site—the
FCS,
length,
glycosylation—are
required
efficient
pathogenesis.
iScience,
Journal Year:
2022,
Volume and Issue:
25(11), P. 105316 - 105316
Published: Oct. 10, 2022
The
severe
acute
respiratory
syndrome
coronavirus-2
(SARS-CoV-2)
spike
glycoprotein
(S)
binds
to
angiotensin-converting
enzyme
2
(ACE2)
mediate
membrane
fusion
via
two
distinct
pathways:
1)
a
surface,
serine
protease-dependent
or
2)
an
endosomal,
cysteine
pathway.
In
this
study,
we
found
that
SARS-CoV-2
S
has
wider
protease
usage
and
can
also
be
activated
by
TMPRSS13
matrix
metalloproteinases
(MMPs).
We
MMP-2
MMP-9
played
roles
in
cell-cell
TMPRSS2-
cathepsin-independent
viral
entry
cells
expressing
high
MMP
levels.
MMP-dependent
required
cleavage
at
the
S1/S2
junction
producer
cells,
differential
processing
of
variants
concern
dictated
its
usage;
efficiently
processed
Delta
preferred
metalloproteinase-dependent
when
available,
less
Omicron
was
unable
us
for
entry.
As
MMP-2/9
are
released
during
inflammation,
they
may
play
S-mediated
cytopathic
effects,
tropism,
disease
outcome.
EBioMedicine,
Journal Year:
2022,
Volume and Issue:
82, P. 104203 - 104203
Published: July 30, 2022
To
investigate
a
vaccine
technology
with
potential
to
protect
against
coronavirus
disease
2019
(COVID-19)
and
reduce
transmission
of
severe
acute
respiratory
syndrome
2
(SARS-CoV-2)
single
dose,
we
developed
SARS-CoV-2
candidate
using
the
live
vesicular
stomatitis
virus
(VSV)
chimeric
approach
previously
used
develop
licensed
Ebola
vaccine.We
generated
replication-competent
VSV-SARS-CoV-2
by
replacing
VSV
glycoprotein
(G)
gene
coding
sequence
for
Spike
(S).
Immunogenicity
lead
(VSV∆G-SARS-CoV-2)
was
evaluated
in
cotton
rats
golden
Syrian
hamsters,
protection
from
infection
also
assessed
hamsters.VSV∆G-SARS-CoV-2
delivered
intramuscular
(IM)
injection
immunogenic
hamsters
protected
weight
loss
following
challenge.
When
mucosal
vaccination
evaluated,
did
not
respond
vaccine,
whereas
administration
VSV∆G-SARS-CoV-2
found
be
more
than
IM
induced
immunity
that
significantly
reduced
challenge
loads
both
lung
nasal
tissues.VSV∆G-SARS-CoV-2
or
methods
effectively
infection.
Hamsters
vaccinated
application
controlled
replication
tissue.The
study
funded
Merck
Sharp
&
Dohme,
Corp.,
subsidiary
Co.,
Inc.,
Rahway,
NJ,
USA,
The
International
AIDS
Vaccine
Initiative,
Inc.
(IAVI),
New
York,
USA.
Parts
this
research
supported
Biomedical
Advanced
Research
Development
Authority
(BARDA)
Defense
Threat
Reduction
Agency
(DTRA)
US
Department
Defense.
QRB Discovery,
Journal Year:
2022,
Volume and Issue:
3
Published: Jan. 1, 2022
COVID-19
pathogenesis
poses
paradoxes
difficult
to
explain
with
traditional
physiology.
For
instance,
since
type
II
pneumocytes
are
considered
the
primary
cellular
target
of
SARS-CoV-2;
as
these
produce
pulmonary
surfactant
(PS),
possibility
that
insufficient
PS
plays
a
role
in
has
been
raised.
However,
opposite
predicted
high
alveolar
surface
tension
is
found
many
early
patients:
paradoxically
normal
lung
volumes
and
compliance
occur,
profound
hypoxemia.
That
'COVID
anomaly'
was
quickly
rationalised
by
invoking
vascular
mechanisms-mainly
because
surprisingly
preserved
hypoxemic
cases.
quick
rejection
damage
only
occurred
actual
mechanism
gas
exchange
long
presumed
be
non-problematic,
due
diffusion
through
surface.
On
contrary,
we
provide
physical
chemical
evidence
occurs
an
process
expansion
contraction
three-dimensional
structures
its
associated
proteins.
This
view
explains
anomalous
observations
from
level
cryo-TEM
whole
individuals.
It
encompasses
results
premature
infants
deepest
diving
seals.
Once
understood,
COVID
anomaly
dissolves
straightforwardly
explained
covert
viral
3D
structure
PS,
direct
treatment
implications.
As
natural
experiment,
SARS-CoV-2
virus
itself
helped
us
simplify
clarify
not
nature
dyspnea
relationship
compliance,
but
also
fine
detail
including
such
features
water
channels
which
had
heretofore
entirely
unexpected.For
time,
physical,
colloid
chemistry
have
intersected
physiology
cell
biology
much
might
hoped.
The
reasons
starting
become
clear.
discipline
suffered
serious
unrecognised
omissions
rendered
it
ineffective.
These
foundational
defects
included
omission
specific
ion
molecular
forces
hydration
effects.
lacked
predictive
theory
self-assembly
lipids
Worse,
omitted
any
for
dissolved
gases,
O2,
N2,
CO2,
their
existence
stable
nanobubbles
above
physiological
salt
concentration.
Recent
developments
gone
some
way
explaining
foam-like
function.
delivers
O2/N2
nanobubbles,
efflux
H2O
at
Knowledge
allows
explanation
corona
entry,
differences
infectivity
different
variants.
CO2
resulting
metabolism
passing
frit
provided
glycocalyx
venous
tissue,
forms
previously
unexplained
foam
endothelial
layer.
turn
out
lethal
viruses,
providing
plausible
origin
'Long
COVID'.
Circulating
0.17
M
drive
various
enzyme-like
activities
reactions.
Awareness
microstructure
Pulmonary
Surfactant
(O2/N2)
integral
respiratory
circulatory
provides
new
insights
other
pathogen
activity.
bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2023,
Volume and Issue:
unknown
Published: April 4, 2023
One
of
the
hallmarks
RNA
viruses
is
highly
structured
untranslated
regions
(UTRs)
in
their
genomes.
These
conserved
structures
are
often
essential
for
viral
replication,
transcription,
or
translation.
In
this
report,
we
discovered
and
optimized
a
new
type
coumarin
derivatives,
such
as
C30
C34
,
which
bind
to
four-way
helix
called
SL5
5’
UTR
SARS-CoV-2
genome.
To
locate
binding
site,
developed
novel
sequencing-based
method
namely
cgSHAPE-seq,
acylating
chemical
probe
was
directed
crosslink
with
2’-OH
groups
ribose
at
ligand
site.
This
crosslinked
could
then
create
read-through
mutations
during
reverse
transcription
(i.e.,
primer
extension)
single-nucleotide
resolution
uncover
acylation
locations.
cgSHAPE-seq
unambiguously
determined
that
bulged
G
primary
site
UTR,
validated
through
mutagenesis
vitro
experiments.
further
used
warhead
RNA-degrading
chimeras
reduce
expression
levels.
We
demonstrated
replacing
moiety
cgSHAPE
ribonuclease
L
recruiter
(RLR)
moieties
yielded
degraders
active
RNase
degradation
assay
expressing
cells.
explored
another
RLR
conjugation
on
E
ring
C30/C34
improved
activities
The
chimera
C64
inhibited
live
virus
replication
lung
epithelial
carcinoma
Biomedicines,
Journal Year:
2023,
Volume and Issue:
11(7), P. 2019 - 2019
Published: July 18, 2023
The
outbreak
of
severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2)
has
led
to
the
global
disease
2019
(COVID-19)
pandemic,
and
search
for
effective
treatments
been
limited.
Furthermore,
rapid
mutations
SARS-CoV-2
have
posed
challenges
existing
vaccines
neutralizing
antibodies,
as
they
struggle
keep
up
with
increased
viral
transmissibility
immune
evasion.
However,
there
is
hope
in
targeting
CD147-spike
protein,
which
serves
an
alternative
point
entry
into
host
cells.
This
protein
emerged
a
promising
therapeutic
target
development
drugs
against
COVID-19.
Here,
we
demonstrate
that
RNA-binding
Human-antigen
R
(HuR)
plays
crucial
role
post-transcriptional
regulation
CD147
by
directly
binding
its
3'-untranslated
region
(UTR).
We
observed
decrease
levels
across
multiple
cell
lines
upon
HuR
depletion.
identified
niclosamide
can
reduce
lowering
cytoplasmic
translocation
reducing
glycosylation.
Moreover,
our
investigation
revealed
infection
induces
upregulation
ACE2-expressing
A549
cells,
be
effectively
neutralized
dose-dependent
manner.
Overall,
study
unveils
novel
regulatory
mechanism
regulating
through
suggests
option
Frontiers in Cellular and Infection Microbiology,
Journal Year:
2023,
Volume and Issue:
13
Published: Oct. 24, 2023
Engineering
of
reverse
genetics
systems
for
newly
emerged
viruses
allows
viral
genome
manipulation,
being
an
essential
tool
the
study
virus
life
cycle,
virus-host
interactions
and
pathogenesis,
as
well
development
effective
antiviral
strategies.
Severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2)
is
emergent
human
that
has
caused
disease
(COVID-19)
pandemic.
The
engineering
a
full-length
infectious
cDNA
clone
fluorescent
replicon
SARS-CoV-2
Wuhan-Hu-1,
using
bacterial
artificial
chromosome,
reported.
Viral
growth
genetic
stability
in
eleven
cell
lines
were
analyzed,
showing
both
VeroE6
cells
overexpressing
transmembrane
serin
protease
(TMPRSS2)
lung
derived
resulted
optimization
system
to
preserve
stability.
recombinant
point
mutant
expressing
D614G
spike
protein
variant
virulent
mouse
model.
RNA
was
propagation-defective,
allowing
its
use
BSL-2
conditions
analyze
synthesis.
developed
constitute
useful
studying
molecular
biology
virus,
genetically
defined
vaccines
establish
compounds
screening.