Considerations around the SARS-CoV-2 Spike Protein with Particular Attention to COVID-19 Brain Infection and Neurological Symptoms

Spike protein (S protein) is the virus “key” to infect cells and is able to strongly bind to the human angiotensin-converting enzyme2 (ACE2), as has been reported. In fact, Spike structure and function is known to be highly important for cell infection as well as for entering the brain. Growing evidence indicates that different types of coronaviruses not only affect the respiratory system, but they might also invade the central nervous system (CNS). However, very little evidence has been so far reported on the presence of COVID-19 in the brain, and the potential exploitation, by this virus, of the lung to brain axis to reach neurons has not been completely understood. In this Article, we assessed the SARS-CoV and SARS-CoV-2 Spike protein sequence, structure, and electrostatic potential using computational approaches. Our results showed that the S proteins of SARS-CoV-2 and SARS-CoV are highly similar, sharing a sequence identity of 77%. In addition, we found that the SARS-CoV-2 S protein is slightly more positively charged than that of SARS-CoV since it contains four more positively charged residues and five less negatively charged residues which may lead to an increased affinity to bind to negatively charged regions of other molecules through nonspecific and specific interactions. Analysis the S protein binding to the host ACE2 receptor showed a 30% higher binding energy for SARS-CoV-2 than for the SARS-CoV S protein. These results might be useful for understanding the mechanism of cell entry, blood-brain barrier crossing, and clinical features related to the CNS infection by SARS-CoV-2.

[1]  A. Verkhratsky,et al.  Neuroinfection may contribute to pathophysiology and clinical manifestations of COVID‐19 , 2020, Acta physiologica.

[2]  S. Harrison,et al.  Structure of SARS Coronavirus Spike Receptor-Binding Domain Complexed with Receptor , 2005, Science.

[3]  P. Bongrand Specific and nonspecific interactions in cell biology , 1998 .

[4]  Qiang Zhou,et al.  Structural basis for the recognition of SARS-CoV-2 by full-length human ACE2 , 2020, Science.

[5]  T. Lv,et al.  Encephalitis as a clinical manifestation of COVID-19 , 2020, Brain, Behavior, and Immunity.

[6]  E. Lazartigues,et al.  Differential expression of neuronal ACE2 in transgenic mice with overexpression of the brain renin-angiotensin system. , 2007, American journal of physiology. Regulatory, integrative and comparative physiology.

[7]  S. Henikoff,et al.  Amino acid substitution matrices from protein blocks. , 1992, Proceedings of the National Academy of Sciences of the United States of America.

[8]  J. Libbey,et al.  Seizures following picornavirus infection , 2008, Epilepsia.

[9]  Liangzhi Xie,et al.  SARS-CoV-2 and SARS-CoV Spike-RBD Structure and Receptor Binding Comparison and Potential Implications on Neutralizing Antibody and Vaccine Development , 2020, bioRxiv.

[10]  G. Whittaker,et al.  Phylogenetic Analysis and Structural Modeling of SARS-CoV-2 Spike Protein Reveals an Evolutionary Distinct and Proteolytically Sensitive Activation Loop , 2020, Journal of Molecular Biology.

[11]  John Watkins,et al.  Preventing a covid-19 pandemic , 2020, BMJ.

[12]  Muhamed Amin,et al.  Comparing the Binding Interactions in the Receptor Binding Domains of SARS-CoV-2 and SARS-CoV , 2020, The journal of physical chemistry letters.

[13]  A. Sali,et al.  Modeller: generation and refinement of homology-based protein structure models. , 2003, Methods in enzymology.

[14]  Usman Ali,et al.  Evidence of the COVID-19 Virus Targeting the CNS: Tissue Distribution, Host–Virus Interaction, and Proposed Neurotropic Mechanisms , 2020, ACS chemical neuroscience.

[15]  A. Vorbrodt Demonstration of anionic sites on the luminal and abluminal fronts of endothelial cells with poly-L-lysine-gold complex. , 1987, The journal of histochemistry and cytochemistry : official journal of the Histochemistry Society.

[16]  E. Bay [Smell and taste disorders]. , 1961, Die Medizinische Welt.

[17]  Tsutomu Hashikawa,et al.  The neuroinvasive potential of SARS‐CoV2 may play a role in the respiratory failure of COVID‐19 patients , 2020, Journal of medical virology.

[18]  M. Masserini,et al.  Functionalization with TAT-peptide enhances blood-brain barrier crossing in vitro of nanoliposomes carrying a curcumin-derivative to bind amyloid-β peptide , 2013 .

[19]  Christian Drosten,et al.  Differential Downregulation of ACE2 by the Spike Proteins of Severe Acute Respiratory Syndrome Coronavirus and Human Coronavirus NL63 , 2009, Journal of Virology.

[20]  J. Sung,et al.  Detection of SARS Coronavirus RNA in the Cerebrospinal Fluid of a Patient with Severe Acute Respiratory Syndrome , 2003, Clinical chemistry.

[21]  A. Rossi Imaging of acute disseminated encephalomyelitis. , 2008, Neuroimaging clinics of North America.

[22]  T. Hashikawa,et al.  Neurotropic virus tracing suggests a membranous‐coating‐mediated mechanism for transsynaptic communication , 2012, The Journal of comparative neurology.

[23]  Rajendra Kumar,et al.  g_mmpbsa - A GROMACS Tool for High-Throughput MM-PBSA Calculations , 2014, J. Chem. Inf. Model..

[24]  A. Welge-Lüssen Re-establishment of olfactory and taste functions , 2005, GMS current topics in otorhinolaryngology, head and neck surgery.

[25]  Mark Chappell,et al.  A crucial role of angiotensin converting enzyme 2 (ACE2) in SARS coronavirus–induced lung injury , 2005, Nature Medicine.

[26]  A. Verkhratsky,et al.  Astrogliopathology in the infectious insults of the brain , 2019, Neuroscience Letters.

[27]  F. Fonnum,et al.  Behavioural deficits and serotonin depletion in adult rats after transient infant nasal viral infection , 1990, Neuroscience.

[28]  Paolo Calligari,et al.  Molecular Investigation of SARS–CoV-2 Proteins and Their Interactions with Antiviral Drugs , 2020, Viruses.

[29]  Ping Chen,et al.  Evolution of the novel coronavirus from the ongoing Wuhan outbreak and modeling of its spike protein for risk of human transmission , 2020, Science China Life Sciences.

[30]  Jiali Gao,et al.  Enhanced receptor binding of SARS-CoV-2 through networks of hydrogen-bonding and hydrophobic interactions , 2020, Proceedings of the National Academy of Sciences.

[31]  M. Clark,et al.  Angiotensin II regulation of angiotensin‐converting enzymes in spontaneously hypertensive rat primary astrocyte cultures , 2016, Journal of neurochemistry.

[32]  B. Robson,et al.  COVID-19 Coronavirus spike protein analysis for synthetic vaccines, a peptidomimetic antagonist, and therapeutic drugs, and analysis of a proposed achilles’ heel conserved region to minimize probability of escape mutations and drug resistance , 2020, Computers in Biology and Medicine.

[33]  P. Dalton Olfaction and anosmia in rhinosinusitis , 2004, Current allergy and asthma reports.

[34]  Qingling Zhang,et al.  Organ distribution of severe acute respiratory syndrome (SARS) associated coronavirus (SARS‐CoV) in SARS patients: implications for pathogenesis and virus transmission pathways , 2004, The Journal of pathology.

[35]  A. Seiden Postviral olfactory loss. , 2004, Otolaryngologic clinics of North America.

[36]  B. Graham,et al.  Cryo-EM structure of the 2019-nCoV spike in the prefusion conformation , 2020, Science.

[37]  M. Gobbi,et al.  Pulmonary administration of functionalized nanoparticles significantly reduces beta-amyloid in the brain of an Alzheimer’s disease murine model , 2016, Nano Research.

[38]  N. Karimi,et al.  Frequent Convulsive Seizures in an Adult Patient with COVID-19: A Case Report , 2020, Iranian Red Crescent Medical Journal.

[39]  Conrad C. Huang,et al.  UCSF Chimera—A visualization system for exploratory research and analysis , 2004, J. Comput. Chem..

[40]  M. R. Jensen,et al.  Specific and Nonspecific Interactions in Ultraweak Protein–Protein Associations Revealed by Solvent Paramagnetic Relaxation Enhancements , 2014, Journal of the American Chemical Society.

[41]  J. Libbey,et al.  Neurotropic viral infections leading to epilepsy: focus on Theiler's murine encephalomyelitis virus. , 2011, Future virology.

[42]  Bo Zhang,et al.  Multiple organ infection and the pathogenesis of SARS , 2005, The Journal of experimental medicine.

[43]  Linqi Zhang,et al.  Structure of the SARS-CoV-2 spike receptor-binding domain bound to the ACE2 receptor , 2020, Nature.

[44]  K. Pyrć,et al.  Replication-dependent downregulation of cellular angiotensin-converting enzyme 2 protein expression by human coronavirus NL63. , 2012, The Journal of general virology.

[45]  N. Zhong,et al.  Detection of Severe Acute Respiratory Syndrome Coronavirus in the Brain: Potential Role of the Chemokine Mig in Pathogenesis , 2005, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[46]  M. L. Serrano,et al.  Role of changes in SARS-CoV-2 spike protein in the interaction with the human ACE2 receptor: An in silico analysis , 2020, EXCLI journal.

[47]  E. Myers,et al.  Basic local alignment search tool. , 1990, Journal of molecular biology.

[48]  Han-Ming Shen,et al.  Targeting the Endocytic Pathway and Autophagy Process as a Novel Therapeutic Strategy in COVID-19 , 2020, International journal of biological sciences.

[49]  Y. Hu,et al.  Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China , 2020, The Lancet.

[50]  R. Zorec,et al.  ZIKV Strains Differentially Affect Survival of Human Fetal Astrocytes versus Neurons and Traffic of ZIKV-Laden Endocytotic Compartments , 2019, Scientific Reports.

[51]  P. Singhi Infectious causes of seizures and epilepsy in the developing world , 2011, Developmental medicine and child neurology.

[52]  Nathan A. Baker,et al.  Electrostatics of nanosystems: Application to microtubules and the ribosome , 2001, Proceedings of the National Academy of Sciences of the United States of America.

[53]  S. Perlman,et al.  Effect of olfactory bulb ablation on spread of a neurotropic coronavirus into the mouse brain , 1990, The Journal of experimental medicine.

[54]  Ming Zhao Cytokine storm and immunomodulatory therapy in COVID-19: Role of chloroquine and anti-IL-6 monoclonal antibodies , 2020, International Journal of Antimicrobial Agents.

[55]  Giuliano Rizzardini,et al.  Self-reported Olfactory and Taste Disorders in Patients With Severe Acute Respiratory Coronavirus 2 Infection: A Cross-sectional Study , 2020, Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America.

[56]  J. Perper,et al.  Neurogenic pulmonary edema in unexpected, unexplained death of epileptic patients , 1981, Annals of neurology.

[57]  J. Mullol,et al.  Position paper on olfactory dysfunction. , 2017, Rhinology.

[58]  J. Libbey,et al.  Interleukin-6, Produced by Resident Cells of the Central Nervous System and Infiltrating Cells, Contributes to the Development of Seizures following Viral Infection , 2011, Journal of Virology.

[59]  P. Espinosa,et al.  Neurological Complications of Coronavirus Disease (COVID-19): Encephalopathy , 2020, Cureus.

[60]  E. Lazartigues,et al.  Angiotensin-Converting Enzyme 2: Central Regulator for Cardiovascular Function , 2010, Current hypertension reports.

[61]  L. Mao,et al.  Neurological Manifestations of Hospitalized Patients with COVID-19 in Wuhan, China: a retrospective case series study , 2020, medRxiv.

[62]  Xin Li,et al.  [Expression of the monoclonal antibody against nucleocapsid antigen of SARS-associated coronavirus in autopsy tissues from SARS patients]. , 2003, Di 1 jun yi da xue xue bao = Academic journal of the first medical college of PLA.

[63]  J. Zicha,et al.  Pathogenetic Mechanisms of Neurogenic Pulmonary Edema. , 2015, Journal of neurotrauma.

[64]  R. Abagyan,et al.  Do aligned sequences share the same fold? , 1997, Journal of molecular biology.

[65]  Suresh Patel,et al.  COVID-19–associated Acute Hemorrhagic Necrotizing Encephalopathy: CT and MRI Features , 2020, Radiology.

[66]  A. Shamshiri,et al.  Coincidence of COVID-19 epidemic and olfactory dysfunction outbreak in Iran , 2020, medRxiv.

[67]  Irina S Moreira,et al.  Computational Alanine Scanning Mutagenesis-An Improved Methodological Approach for Protein-DNA Complexes. , 2013, Journal of chemical theory and computation.

[68]  R. Carlier,et al.  Olfactory and gustatory dysfunctions as a clinical presentation of mild-to-moderate forms of the coronavirus disease (COVID-19): a multicenter European study , 2020, European Archives of Oto-Rhino-Laryngology.