Ross C Larue1, Enming Xing2, Adam D Kenney3, Yuexiu Zhang4, Jasmine A Tuazon5, Jianrong Li4, Jacob S Yount3, Pui-Kai Li2, Amit Sharma3,4. 1. Division of Pharmaceutics and Pharmacology, The Ohio State University, Columbus, Ohio 43210, United States. 2. Division of Medicinal Chemistry and Pharmacognosy, The Ohio State University, Columbus, Ohio 43210, United States. 3. Department of Microbial Infection & Immunity, The Ohio State University, Columbus, Ohio 43210, United States. 4. Department of Veterinary Biosciences, The Ohio State University, Columbus, Ohio 43210, United States. 5. Medical Scientist Training Program, The Ohio State University, Columbus, Ohio 43210, United States.
Abstract
Severe acute respiratory syndrome coronavirus (SARS-CoV)-2 is a novel and highly pathogenic coronavirus and is the causative agent of the coronavirus disease 2019 (COVID-19). The high morbidity and mortality associated with COVID-19 and the lack of an approved drug or vaccine for SARS-CoV-2 underscores the urgent need for developing effective antiviral therapies. Therapeutics that target essential viral proteins are effective at controlling virus replication and spread. Coronavirus Spike glycoproteins mediate viral entry and fusion with the host cell, and thus are essential for viral replication. To enter host cells, the Spike proteins of SARS-CoV-2 and related coronavirus, SARS-CoV, bind the host angiotensin-converting enzyme 2 (ACE2) receptor through their receptor binding domains (RBDs). Here, we rationally designed a panel of ACE2-derived peptides based on the RBD-ACE2 binding interfaces of SARS-CoV-2 and SARS-CoV. Using SARS-CoV-2 and SARS-CoV Spike-pseudotyped viruses, we found that a subset of peptides inhibits Spike-mediated infection with IC50 values in the low millimolar range. We identified two peptides that bound Spike RBD in affinity precipitation assays and inhibited infection with genuine SARS-CoV-2. Moreover, these peptides inhibited the replication of a common cold causing coronavirus, which also uses ACE2 as its entry receptor. Results from the infection experiments and modeling of the peptides with Spike RBD identified a 6-amino-acid (Glu37-Gln42) ACE2 motif that is important for SARS-CoV-2 inhibition. Our work demonstrates the feasibility of inhibiting SARS-CoV-2 with peptide-based inhibitors. These findings will allow for the successful development of engineered peptides and peptidomimetic-based compounds for the treatment of COVID-19.
Severe acute respiratory syndrome coronavirus (SARS-CoV)-2 is a novel and highly pathogenic coronavirus and is the causative agent of the coronavirus disease 2019 (COVID-19). The high morbidity and mortality associated with COVID-19 and the lack of an approved drug or vaccine for SARS-CoV-2 underscores the urgent need for developing effective antiviral therapies. Therapeutics that target essential viral proteins are effective at controlling virus replication and spread. CoronavirusSpike glycoproteins mediate viral entry and fusion with the host cell, and thus are essential for viral replication. To enter host cells, the Spike proteins of SARS-CoV-2 and related coronavirus, SARS-CoV, bind the host angiotensin-converting enzyme 2 (ACE2) receptor through their receptor binding domains (RBDs). Here, we rationally designed a panel of ACE2-derived peptides based on the RBD-ACE2 binding interfaces of SARS-CoV-2 and SARS-CoV. Using SARS-CoV-2 and SARS-CoVSpike-pseudotyped viruses, we found that a subset of peptides inhibits Spike-mediated infection with IC50 values in the low millimolar range. We identified two peptides that bound Spike RBD in affinity precipitation assays and inhibited infection with genuine SARS-CoV-2. Moreover, these peptides inhibited the replication of a common cold causing coronavirus, which also uses ACE2 as its entry receptor. Results from the infection experiments and modeling of the peptides with Spike RBD identified a 6-amino-acid (Glu37-Gln42) ACE2 motif that is important for SARS-CoV-2 inhibition. Our work demonstrates the feasibility of inhibiting SARS-CoV-2 with peptide-based inhibitors. These findings will allow for the successful development of engineered peptides and peptidomimetic-based compounds for the treatment of COVID-19.
Coronavirus disease 2019 (COVID-19) is an ongoing pandemic that has posed a serious threat
to public health and the global economy. The causative agent of COVID-19 is a novel
coronavirus, severe acute respiratory syndrome coronavirus (SARS-CoV)-2, which first emerged
in late 2019 in Wuhan City, China.[1,2] By March 2020, the World Health Organization had declared COVID-19 a
pandemic. The rapid spread of SARS-CoV-2 is attributable to its high reproductive number,
community and asymptomatic spread through close contact, and airborne transmission of
respiratory droplets and aerosols.[3−5] COVID-19patients can become critically ill with severe hypoxemia, viral pneumonia, acute respiratory
distress syndrome, and gastrointestinal and neurological symptoms.[6−9] To date, there is no
approved drug or vaccine for SARS-CoV-2, with the best treatments being supportive care and
repurposed drugs.[10,11] A
wide array of diverse approaches are urgently needed to rapidly and effectively advance
antiviral therapies.Of the seven coronaviruses known to infect humans, SARS-CoV-2 and two other highly
pathogenic coronaviruses, SARS-CoV and Middle East respiratory syndrome coronavirus
(MERS-CoV), are the result of zoonotic transmission.[12] Sequence analyses
of coronaviruses have revealed that the SARS-CoV-2 genome shares ∼80% identity with
SARS-CoV and ∼96% identity with bat coronavirus RaTG13.[1,13] Similar to all coronaviruses,
SARS-CoV-2 virions display the characteristic club-shaped projections formed by trimers of
viral Spike glycoprotein on their surface.[14] Spike proteins are essential
for viral replication as they mediate viral entry into the host cell. During virion
morphogenesis, the trimeric Spike protein is cleaved into the S1 and S2
subunits.[15−18] The cleavage event positions the receptor-binding domain
(RBD) in the S1 subunits in a receptor-accessible conformation and induces structural
changes in the S2 subunits to stabilize its prefusion state.[19−21] SARS-CoV and SARS-CoV-2 RBDs bind to the peptidase domain of humanangiotensin-converting enzyme 2 (ACE2), which serves as the viral entry
receptor.[18,22]
Binding of the RBD to ACE2 triggers another cleavage event of the S2 subunit, which results
in formation of the six-helix bundle fusion core necessary for viral–host membrane
fusion.[18,23−25] The essential
role of Spike protein in receptor binding and viral fusion makes it a prime target for
vaccine candidate development and therapeutic interventions.Seminal SARS-CoV and SARS-CoV-2 structural studies have revealed the overall structures of
Spike trimers, detailed atomic level structures of RBD bound to ACE2, and structural
intermediates of the Spike-ACE2 interaction events.[19,21,26−31] These structural studies have identified that
SARS-CoV and SARS-CoV-2 Spikes bind ACE2 with a nearly identical binding mode—the
N-terminal lobe of the ACE2 peptidase domain binds a concave groove on the Spike RBD.
Moreover, these studies highlighted that SARS-CoV and SARS-CoV-2 have conserved interactions
at the RBD-ACE2 binding interface. For example, 17/20 contacting amino acid residues in ACE2
have conserved interactions with the two RBDs. Likewise, 13/14 contacting residues in the
two RBDs are either conserved or have conservatively substituted side chains. Given the
significance of the RBD-ACE2 interaction interface for SARS-CoV-2 infection, computational
approaches have identified potential inhibitory peptides that could interfere with the
interaction of Spike protein with ACE2.[32−35] These theoretical studies have suggested that
regions in Spike and select residues in ACE2 could be exploited for competitive inhibition.
While potentially promising, the antiviral potential of such peptides has not been
experimentally evaluated.Here, we performed comparative analyses of the SARS-CoV and SARS-CoV-2 RBD-ACE2 interaction
interfaces to rationally design a panel of Spike-targeting ACE2-derived peptides (SAPs). A
combination of approaches were used to evaluate the inhibitory potential, selective
inhibition, and binding affinity of SAPs. Antiviral potential of selected SAPs was validated
against two pathogenic humancoronaviruses, SARS-CoV-2 and HCoV-NL63, both of which use ACE2
as entry receptors. Importantly, our findings provide a proof-of-principle and demonstrate
feasibility of inhibiting SARS-CoV-2 infection by disrupting the Spike-ACE2 interaction
interface with peptide-based inhibitors.
Results and Discussion
Rational Design of ACE2-Derived Peptides
In order to design a panel of small peptide-based inhibitors that can block the
interaction of SARS-CoV-2Spike with the ACE2 receptor, we utilized a combination of
existing structural and biochemical data, and known amino acid interactions necessary for
binding of SARS-CoV and SARS-CoV-2Spike proteins to ACE2. This included (1) crystal
structures of ACE2 bound to SARS-CoV and SARS-CoV-2Spike receptor binding domains
(RBDs);[19,30,31] (2) cryoEM structures of ACE2 in complex with trimeric SARS-CoVSpike
and RBD or S1 subunit of SARS-CoV-2Spike;[21,26,29] and (3) biochemical binding data of
the ACE2-interacting motif with the SARS-CoV and SARS-CoV-2 Spikes.[27,30] In particular, we focused on the
Spike-ACE2 interaction interface, as it offers a prime target for competitive inhibition
of viral entry. Structural and biochemical analyses have shown that SARS-CoV and
SARS-CoV-2 RBDs bind ACE2 with nearly identical binding modes and with similar low
nanomolar binding affinities. The α1 helix of ACE2, which is cradled in a concave
groove formed by the β5 and β6 sheets of the RBD, provides the most contacts
with the two RBDs (ACE2 residues Gln24, Thr27, Phe28, Lys31, His34, Glu37, Asp38, Tyr41,
and Gln42). Additional contacts from ACE2 are provided by α3 helix (ACE2 residues
Leu79, Met82, Tyr83 for the two RBDs), a short loop between α10 and α11
helices (ACE2 residues Gln325 and Glu329 for SARS-CoV RBD and Asn330 for both RBDs),
β-hairpin flanking α11 helix (ACE2 residue Lys353 for both RBDs), and
α11 helix (ACE2 residues Gly354, Asp355, and Arg357 for both RBDs). Conversely, 14
residues (402, 426, 436, 440, 442, 472, 473, 475, 479, 484, 486, 487, 488, and 491) in the
two RBDs provide contacts with ACE2. These RBD residues form a network of hydrogen bonds,
salt bridges, and van der Waals contacts with ACE2 residues. Based on these insights, we
designed six Spike-targeting ACE2-derived peptides (SAPs)—four derived from
α1, one derived from α3, and one derived from α11 helix of ACE2 (Table ). The SAPs were designed using the following
criteria: (1) they contain at least three residues predicted to interact with RBDs based
on structural data (Table , highlighted in
bold); (2) they are not highly disordered or unresolved in the crystal structures (such as
ACE2 residues 1–18); and (3) the length is more than 6 and less than 30 amino
acids, making them amenable for synthesis.
Table 1
Spike-Targeting ACE2-Derived Peptides (SAPs) Used in This Studya
Amino acid sequence with the residue number of the first and last amino acid in the
sequence is indicated. The essential EDLFYQ motif is indicated in red. The SARS-CoV
and SARS-CoV-2 contacting residues are indicated in bold.
Amino acid sequence with the residue number of the first and last amino acid in the
sequence is indicated. The essential EDLFYQ motif is indicated in red. The SARS-CoV
and SARS-CoV-2 contacting residues are indicated in bold.
We evaluated the antiviral potencies of SAPs against lentiviral vectors pseudotyped with
SARS-CoV-2Spike glycoprotein. Lentiviral cores pseudotyped with viral surface
glycoproteins offer an alternative to highly pathogenic viruses that require biosafety
level 3 (BSL3) or BSL4 facilities.[36] Importantly, pseudotyped viruses
can be utilized at BSL2 and are ideal for studies pertaining to viral entry and screening
of therapeutic agents that target viral entry, such as the peptides in this study.
Luciferase-encoding lentiviruses pseudotyped with SARS-CoV-2Spike were
incubated with test peptides to allow binding to the vector particle-associated Spike
prior to infection of HEK293T-ACE2 cells. Luciferase production was measured 48 h
post-infection. A titration curve for each peptide was generated for determining its
inhibitory concentration (IC50). Of the six SAPs tested, SAP1, SAP2, and SAP6
inhibited SARS-CoV-2Spike-mediated virus infection with an IC50 value of 2.39
± 0.20, 3.72 ± 0.37, and 1.90 ± 0.14 mM, respectively (Figure ). In contrast, 50% inhibition of Spike-mediated virus
infection was not achieved with SAP3, SAP4, or SAP5 even at 7.5 mM, the highest
concentration tested. Thus, three of the six SAPs inhibit SARS-CoV-2Spike-mediated virus
infection with IC50 values in the low millimolar range.
Figure 1
Dose-dependent inhibition of SARS-CoV-2 Spike-pseudotyped lentivirus infection by
SAPs. Dose response curves of the indicated SAPs generated by plotting the percent
viral inhibition (y-axis) against the log transformation of SAP
concentration (mM, x-axis). Each data point represents the average of
three independent experiments, performed in duplicate. Error bars represent standard
deviations. The dotted gray line indicates 50% viral inhibition used to determine the
IC50 value. Computed IC50 values for the indicated SAPs from
three independent experiments ± standard deviations are shown.
Dose-dependent inhibition of SARS-CoV-2Spike-pseudotyped lentivirus infection by
SAPs. Dose response curves of the indicated SAPs generated by plotting the percent
viral inhibition (y-axis) against the log transformation of SAP
concentration (mM, x-axis). Each data point represents the average of
three independent experiments, performed in duplicate. Error bars represent standard
deviations. The dotted gray line indicates 50% viral inhibition used to determine the
IC50 value. Computed IC50 values for the indicated SAPs from
three independent experiments ± standard deviations are shown.Despite the fact that the genomes of SARS-CoV and SARS-CoV-2 share ∼80% sequence
identity and most of the sequence variation is within the Spike open reading frame,[1] the overall structure and ACE2-binding mode of their Spike RBDs are nearly
identical. Moreover, the majority of amino acid residues in the SARS-CoV and SARS-CoV-2
RBDs that are essential for binding ACE2 either are identical or have conserved side
chains.[29−31] Thus, we sought to
determine whether SAPs that inhibit SARS-CoV-2Spike-mediated virus infection are also
able to inhibit infection mediated by SARS-CoVSpike. For this, SAPs with positive
inhibitory profiles from Figure were evaluated
for their ability to inhibit infection of SARS-CoVSpike- and SARS-CoV-2Spike-pseudotyped
viruses at 3 mM dose, which is within the IC50 range for the test peptides
(Figure ). As specificity control, antiviral
activity of SAPs was also measured against lentiviruses pseudotyped with vesicular
stomatitis virus Glycoprotein (VSV-G), which utilizes low-density lipoprotein receptor,
LDL-R, for viral entry.[37] In comparison to the diluent control, SAP1,
SAP2, and SAP6 treatment resulted in ∼1.6–3.5-fold reduction in SARS-CoV-2Spike-mediated infection (Figure A) and
∼1.9–7.5-fold reduction in SARS-CoVSpike-mediated infection (Figure B). Consistent with the results in Figure , SAP5 treatment had no significant effect on
SARS-CoV-2Spike-mediated infection, but resulted in ∼1.5-fold reduction in
SARS-CoVSpike-mediated infection. None of the SAPs affected VSV-G-mediated virus
infection demonstrating their specificity for inhibiting Spike-mediated viral entry (Figure C). The slightly higher potency of SAP1,
SAP5, and SAP6 against SARS-CoVSpike-mediated infection compared to SARS-CoV-2Spike-mediated infection could be attributable to subtle differences in the SARS-CoV and
SARS-CoV-2 RBD-ACE2 interaction interfaces.[29−31] Importantly, these results highlight the fact that minor differences
in the number of contact residues and their interactions at the RBD-ACE2 interface could
be exploitable for structure-based rational design of viral-specific inhibitors.
Figure 2
Inhibition of Spike- and VSV-G-pseudotyped lentivirus infection by SAPs.
Luciferase-encoding lentiviruses pseudotyped with indicated viral
glycoprotein were incubated with 3 mM of indicated SAP or diluent control for 1 h
prior to infection of 293T-ACE2 cells. Infection was measured as relative luciferase
expression 48 h post-infection. The luciferase signal obtained for the diluent control
was set to 100%. Graphs indicate the percentage of infected cells normalized to the
diluent control for lentiviruses pseudotyped with (A) SARS-CoV-2 Spike, (B) SARS-CoV
Spike, or (C) VSV-G. Bars represent averages from four independent experiments,
performed in duplicate, with means from individual experiments shown as circles. Error
bars represent standard deviations. Percent infections were compared to the diluent
control using one-way analysis of variance (ANOVA) followed by Dunnett’s
multiple comparisons test. * p < 0.05; ns, not significant.
Inhibition of Spike- and VSV-G-pseudotyped lentivirus infection by SAPs.
Luciferase-encoding lentiviruses pseudotyped with indicated viral
glycoprotein were incubated with 3 mM of indicated SAP or diluent control for 1 h
prior to infection of 293T-ACE2 cells. Infection was measured as relative luciferase
expression 48 h post-infection. The luciferase signal obtained for the diluent control
was set to 100%. Graphs indicate the percentage of infected cells normalized to the
diluent control for lentiviruses pseudotyped with (A) SARS-CoV-2Spike, (B) SARS-CoVSpike, or (C) VSV-G. Bars represent averages from four independent experiments,
performed in duplicate, with means from individual experiments shown as circles. Error
bars represent standard deviations. Percent infections were compared to the diluent
control using one-way analysis of variance (ANOVA) followed by Dunnett’s
multiple comparisons test. * p < 0.05; ns, not significant.
Binding Affinities of SAPs to SARS-CoV-2 Spike RBD
Recent studies using biochemical and biophysical methods have demonstrated that the RBD
within the S1 subunit of SARS-CoV-2Spike is responsible for binding ACE2 with high
affinity.[27,30]
Thus, we employed affinity precipitation assays to determine the binding affinities of
SAPs with positive inhibitory profiles to recombinantly expressed and purified Spike RBD.
A titration curve for each FITC-labeled peptide was generated for determining its binding
affinity to His-tagged Spike RBD (Figure A and
B). Of the four SAPs tested, SAP1 displayed the highest binding affinity
(Kd = 0.53 ± 0.01 mM), whereas SAP5 did not display any
detectable binding in vitro (Figure B). SAP6, which contains the overlapping region in SAP1 and SAP2 (Table ), displayed binding affinity similar to that
of SAP1 (Figure C, SAP6
Kd of 1.36 ± 0.14 mM vs SAP1
Kd = 0.53 ± 0.01 mM). SAP2 displayed lower binding
(Kd = 10.7 ± 4.2 mM) possibly attributable to the
presence of two consecutive serine residues in the peptide, which could affect its
flexibility. Thus, our results suggest that SAP6 contains the minimal residues needed for
binding RBD, and additional residues in SAP1 can slightly improve the binding affinity.
Moreover, we found that the in vitro binding affinities of SAPs track
closely with their antiviral IC50 values (Figures and 3).
Figure 3
Binding of SAPs to SARS-CoV-2 Spike. Affinity precipitation of His-tagged SARS-CoV-2
Spike RBD (indicated “His-S RBD”) with FITC-SAPs. (A) Representative
SDS-PAGE gels of affinity precipitation of His-S RBD with increasing concentrations of
indicated FITC-SAP (lanes 2–8: 0.125, 0.25, 0.5, 1, and 3 mM FITC-SAP). Lane 1
indicates control precipitation of 3 mM FITC-SAP without His-S RBD. FITC-labeled bands
were detected at 488 nm fluorescence and His-S RBD was visualized with Coomassie
staining. (B) Graphical representation of fluorescence intensities from (A) of
indicated FITC-SAP bound to His-S RBD. Each data point represents the average of three
independent experiments. Error bars represent standard deviations. Data were fit to
the Hill equation to determine the apparent Kd of binding.
(C) Calculated binding Kd from three independent
experiments ± standard deviations.
Binding of SAPs to SARS-CoV-2Spike. Affinity precipitation of His-tagged SARS-CoV-2Spike RBD (indicated “His-S RBD”) with FITC-SAPs. (A) Representative
SDS-PAGE gels of affinity precipitation of His-S RBD with increasing concentrations of
indicated FITC-SAP (lanes 2–8: 0.125, 0.25, 0.5, 1, and 3 mM FITC-SAP). Lane 1
indicates control precipitation of 3 mM FITC-SAP without His-S RBD. FITC-labeled bands
were detected at 488 nm fluorescence and His-S RBD was visualized with Coomassie
staining. (B) Graphical representation of fluorescence intensities from (A) of
indicated FITC-SAP bound to His-S RBD. Each data point represents the average of three
independent experiments. Error bars represent standard deviations. Data were fit to
the Hill equation to determine the apparent Kd of binding.
(C) Calculated binding Kd from three independent
experiments ± standard deviations.
SAP1 and SAP6 Inhibit SARS-CoV-2 Infection
We next sought to determine whether SAPs that bind RBD with high affinity and display
positive inhibitory profiles against pseudotyped viruses are also able to inhibit the
infection of genuine SARS-CoV-2. To this end, SAP1, SAP5, and SAP6 were evaluated for
their ability to inhibit infection of SARS-CoV-2. Viruses was incubated with 3 mM of test
peptide or diluent control to allow binding to the virion-associated Spike prior to
infection of HEK293T-ACE2-GFP cells. Percent infection was measured by intracellular
staining of SARS-CoV-2 N protein and flow cytometry 24 h post-infection. In comparison to
the diluent control, SAP1 and SAP6 treatment resulted in ∼2-fold reduction in
SARS-CoV-2 infection (Figure A and B). In
contrast, SAP5, which does not bind RBD and does not inhibit SARS-CoV-2Spike-pseudotyped
lentiviruses, had no significant effect on virus infection. Based on the findings that
SAP1 and SAP6 have comparable IC50 values (Figure ), bind RBD with similar affinity (Figure C), and inhibit SARS-CoV-2 infection to similar levels (Figure B), we conclude that SAP6 contains the
minimal necessary residues for inhibition of SARS-CoV-2.
Figure 4
Inhibition of SARS-CoV-2 infection by SAPs. SARS-CoV-2 was incubated with 3 mM of
indicated SAP or diluent control for 1 h prior to infection of 293T-ACE2-GFP cells.
Infection was measured by flow cytometry as the percentage of cells positive for
SARS-CoV-2 nucleocapsid (N) protein 24 h post-infection. (A) Representative flow
cytometry plots indicating percent infection. (B) Graph indicates the percentage of
infected cells normalized to the diluent control, which was set to 100%. Bars
represent averages from two independent experiments, performed in triplicate, with
individual data points shown as circles. Error bars represent standard deviations.
Percent infections were compared to the diluent control using one-way analysis of
variance (ANOVA) followed by Dunnett’s multiple comparisons test. *
p < 0.05; ns, not significant.
Inhibition of SARS-CoV-2 infection by SAPs. SARS-CoV-2 was incubated with 3 mM of
indicated SAP or diluent control for 1 h prior to infection of 293T-ACE2-GFP cells.
Infection was measured by flow cytometry as the percentage of cells positive for
SARS-CoV-2 nucleocapsid (N) protein 24 h post-infection. (A) Representative flow
cytometry plots indicating percent infection. (B) Graph indicates the percentage of
infected cells normalized to the diluent control, which was set to 100%. Bars
represent averages from two independent experiments, performed in triplicate, with
individual data points shown as circles. Error bars represent standard deviations.
Percent infections were compared to the diluent control using one-way analysis of
variance (ANOVA) followed by Dunnett’s multiple comparisons test. *
p < 0.05; ns, not significant.
SAP1 and SAP6 Inhibit HCoV-NL63 Infection
In addition to the three highly pathogenic coronaviruses known to infect humans, four low
pathogenicity coronaviruses (HCoV-229E, HCoV-OC43, HCoV-HKU1, HCoV-NL63) are endemic in
humans and cause common cold and upper and lower respiratory tract
infections.[38−40] Of the four endemic
humancoronaviruses, only HCoV-NL63 uses ACE2 as an entry receptor.[41]
Similar to SARS-CoV and SARS-CoV-2, the S1 subunit of HCoV-NL63Spike binds ACE2 to
mediate viral entry.[42] Thus, we sought to determine whether SAP1 and
SAP6, which inhibit SARS-CoV-2 infection, could also inhibit HCoV-NL63infection. Viruses
were incubated with 3 mM of test peptide or diluent control to allow binding to the
virion-associated Spike prior to infection of LLC-MK2 cells. Virus-induced cytopathic
effects (CPEs) and virus titers in the supernatants were measured 72 h post-infection.
Severe CPEs were observed in cells that were infected with viruses treated with diluent
control or SAP5 indicating robust viral infection (Figure A). In contrast, reduced CPEs were observed in cells infected with
SAP1- or SAP6-treated viruses indicating reduced viral infection. Moreover, in comparison
to the diluent control, SAP1 and SAP6 treatment resulted in ∼3-fold reduced
HCoV-NL63 titers (Figure B). In contrast, SAP5
treatment did not result in significant reduction of viral titers. Taken together, our
results demonstrate that SAP1 and SAP6 inhibit infection of SARS-CoV-2 and HCoV-NL63, both
of which utilize ACE2 as entry receptor.
Figure 5
Inhibition of HCoV-NL63 infection by SAPs. HCoV-NL63 was incubated with 3 mM of
indicated SAP or diluent control for 1 h prior to infection of LLC-MK2 cells.
Cytopathic effects and virus titers in the supernatants were analyzed at 72 h
post-infection. (A) Representative bright field microscope images showing cytopathic
effects. (B) Graph indicates virus titers in supernatants from LLC-MK2 cells. Bars
represent averages from triplicate infections with individual data points shown as
circles. Error bars represent standard deviations. Virus titers were compared to the
diluent control using one-way analysis of variance (ANOVA) followed by
Dunnett’s multiple comparisons test. * p < 0.05; ns, not
significant.
Inhibition of HCoV-NL63infection by SAPs. HCoV-NL63 was incubated with 3 mM of
indicated SAP or diluent control for 1 h prior to infection of LLC-MK2 cells.
Cytopathic effects and virus titers in the supernatants were analyzed at 72 h
post-infection. (A) Representative bright field microscope images showing cytopathic
effects. (B) Graph indicates virus titers in supernatants from LLC-MK2 cells. Bars
represent averages from triplicate infections with individual data points shown as
circles. Error bars represent standard deviations. Virus titers were compared to the
diluent control using one-way analysis of variance (ANOVA) followed by
Dunnett’s multiple comparisons test. * p < 0.05; ns, not
significant.
Structural Modeling of SAP1 and SAP6 with SARS-CoV-2 Spike
The findings from our infectivity assays suggest that SAP1 and SAP6, and to a lesser
degree SAP2, block the interaction of SARS-CoV-2Spike with ACE2. We found that both SAP1
and SAP6 inhibit SARS-CoV-2 infection to similar levels. Since SAP6 contains the minimal
conserved short EDLFYQ motif present in SAP1 and SAP2, we conclude that it is the minimal
essential motif important for inhibition of SARS-CoV-2. The cocrystal structure of
SARS-CoV-2Spike RBD and humanACE2 has been recently solved and available through the
Protein Data Bank (PDB).[30] As shown in Figure A, magenta surface and ribbon represent the Spike RBD and yellow
ribbon corresponds to ACE2. The RBD-ACE2 interaction interface is contacted mainly by the
N-terminal helix (residues Ile21-Asn51) of ACE2. Our results suggest that SAP6
(Glu37-Gln42, blue ribbon in Figure B) and SAP1
(Thr27-Gln42, blue and green ribbon in Figure B)
are able to disrupt the RBD-ACE2 interaction in the low millimolar range, indicating the
importance of these residues at the N-terminal helix of ACE2 for RBD-ACE2 interaction.
Based on the crystal structure solved by Lan et al.[30] and highlighted
in the modeling studies,[28] polar residues (Glu37, Asp38, Tyr41, and
Gln42) of SAP6 are able to form a network of hydrogen bonds with Thr500, Tyr449, Asn501,
and Tyr505 of SARS-CoV-2Spike RBD (Figure C).
In particular, the carboxy groups of Glu37, Asp38, and Gln42 and hydroxyl group of Tyr41
of SAP6 interface with Spike cavity surrounded by Gln498, Thr500, Tyr449, Asn501, and
Tyr505. Taken together, these structural insights lend support to our identification of
SAP1 and SAP6 as peptide disruptors of the Spike RBD-ACE2 interaction.
Figure 6
Graphical illustration of SARS-CoV-2 Spike and SAP6 interaction interface. (A)
Overall view of SARS-CoV-2 Spike RBD and human ACE2 interaction mode. The N-terminal
helix of human ACE2 is located at the central interface. (B) Relative location of SAP6
(light blue) and SAP1 (green and light blue). (C) H-bond interaction network between
SAP6 and SARS-CoV-2 Spike RBD. The Y41, Q42, D38, and E37 of SAP6 peptide are involved
in H-bond interactions with T500, Y449, N501, and Y505 of SARS-CoV-2 Spike RBD.
Corresponding crystal structure: PDB Code: 6M0J. http://www.rcsb.org/structure/6M0J.
Graphical illustration of SARS-CoV-2Spike and SAP6 interaction interface. (A)
Overall view of SARS-CoV-2Spike RBD and humanACE2 interaction mode. The N-terminal
helix of humanACE2 is located at the central interface. (B) Relative location of SAP6
(light blue) and SAP1 (green and light blue). (C) H-bond interaction network between
SAP6 and SARS-CoV-2Spike RBD. The Y41, Q42, D38, and E37 of SAP6 peptide are involved
in H-bond interactions with T500, Y449, N501, and Y505 of SARS-CoV-2Spike RBD.
Corresponding crystal structure: PDB Code: 6M0J. http://www.rcsb.org/structure/6M0J.
Conclusions
In summary, we have developed and screened a panel of rationally designed, small peptide
inhibitors and identified peptides that block the interaction of coronavirusSpike proteins
with ACE2. Importantly, we have identified two peptides, SAP1 and SAP6, which inhibit
SARS-CoV-2 infection—demonstrating the feasibility of targeting Spike–ACE2
interaction interface with peptide-based inhibitors to inhibit virus infection. SAP6, which
contains the minimal conserved EDLFYQ sequence, highlights the importance of the N-terminal
α1 helix of ACE2 for interaction with Spike protein. Future structure-based rational
design studies focused on improved conformational matching between SAPs and SARS-CoV-2Spike
protein will allow for increased binding affinity and potent viral inhibition. Such
approaches could include increased noncovalent π–π interactions between
aromatic amino acid residues and the enhancement of peptide α-helicity to increase the
stability of the SAPs. Lending support to such approaches, a recent study employed
computer-generated scaffolds built around the α1 helix of ACE2 to design de
novo miniprotein inhibitors of SARS-CoV-2.[43] In summary, our
proof-of-principle study that SARS-CoV-2 can be inhibited by small peptides will further
allow for the successful development of engineered peptides and peptidomimetic-based
compounds for the treatment of COVID-19.
Methods
Peptide Design and Recombinant Proteins
SAPs were designed using the following published structures: SARS-CoV-2Spike S1 subunit
bound to ACE2 (PDB codes: 7A91–98), SARS-CoV-2 RBD bound to ACE2 (PDB codes:
6M0J and 6VW1), SARS-CoV RBD bound to ACE2 (PDB
code: 2AJF), and SARS-CoV
S1–S2 subunits bound to ACE2 (PDB codes: 6ACK, 6ACJ, 6ACC, 6ACD, and 6ACG).[19,21,26−31]
Sequence and structural comparisons of the SARS-CoV and SARS-CoV-2 binding interfaces with
ACE2 were performed using Clustal Omega (EMBL-EBI, England), SWISS-MODEL (Biozentrum,
Switzerland), and MUSTER (University of Michigan, USA). Once designed, synthetic SAPs were
purchased from Biomatik (95% purity, with TFA removed) either unmodified or with an
N-terminal FITC label (FITC-SAP). 1× Phosphate Buffered Saline (PBS) was used as a
diluent to reconstitute SAPs. To improve the solubility of SAP1 and SAP2, 1× PBS was
supplemented with 10% and 5% aqueous NH3, respectively. Recombinant His-tagged
SARS-CoV-2Spike RBD (His-S RBD, amino acids Arg319-Phe541) was purchased from
RayBiotech.
Affinity Precipitation Assay
Affinity precipitation assays using Ni-NTA beads (GE Healthcare) were performed with
His-S RBD and FITC-SAPs using previously described methods.[44] Ni-NTA
beads were equilibrated in binding buffer (50 mM Tris pH 7.5, 250 mM NaCl, 50 mM
imidazole, and 2 mM β-mercaptoethanol). Binding reactions were setup by incubating
equilibrated Ni-NTA beads with His-S RBD (1 μM) and increasing concentrations (3, 1,
0.5, 0.25, and 0.125 mM) of indicated FITC-SAP in the binding buffer and incubated for 1 h
at 4 °C. In parallel, control reactions with 3 mM of indicated FITC-SAP without His-S
RBD were preformed to rule out nonspecific FITC-SAP binding to the Ni-NTA beads. Reactions
were spun and washed three times in the binding buffer to remove unbound
proteins/peptides. The resulting protein–peptide complexes bound to the beads were
extracted using NuPAGE lithium dodecyl sulfate sample buffer (Invitrogen), subjected to
SDS-PAGE analysis, and visualized by Coomassie staining or fluorescence detection at 488
nm. Resulting FITC-labeled bands were quantified using ImageJ software. To estimate
Kd values for FITC-SAP binding to His-S RBD, the data were
fit to the Hill equation using Origin 8 software (OriginLab).
Cells, Plasmids, Viruses
HEK293T (ATCC CRL-3216), HEK293T-ACE2 (BEI Resources), Vero E6 (ATCC CRL-1586), and
LLC-MK2 (ATCC CCL-7) cells were cultured in Dulbecco’s modified Eagle’s
medium (DMEM, Gibco) supplemented with 10% fetal bovine serum (FBS, Gibco). HEK293T cells
stably expressing GFP-tagged humanACE2 (HEK293T-ACE2-GFP) were generated using methods
described previously,[45] and were maintained in DMEM supplemented with
10% FBS and 1 μg/mL puromycin (Sigma).Plasmid encoding SARS-CoV-2Spike (pCAGGS-SARS-CoV-2Spike) was obtained from BEI
Resources. Generation of plasmid encoding SARS-CoVSpike (pCAGGS-SARS-CoVSpike) has been
described previously.[46] Vesicular stomatitis virus-G (VSV-G) expression
plasmid (pMD2.G) was purchased from Addgene. HIV-1-derived luciferase reporter vector
(pNL4–3.Luc.R–E–) was obtained from NIH AIDS
Reagent Program.SARS-CoV-2 USA-WA1/2020 stock virus was obtained from BEI Resources. HumancoronavirusNL63 (HCoV-NL63) stock was obtained from Dr. Susan Baker (Loyola University, Chicago,
IL).
Pseudovirus Production
Luciferase-encoding lentiviruses pseudotyped with viral glycoprotein of
interest were generated using methods described previously.[47] Briefly,
HEK293T cells were transfected with
pNL4–3.Luc.R–E– and pCAGGS-SARS-CoV-2Spike,
pCAGGS-SARS-CoVSpike, or pMD2.G using Fugene 6 transfection reagent (Roche) following
manufacturer’s protocol. Forty-eight hours post-transfection, virus-containing
supernatants were harvested, filtered through 0.45 μm sterile filter, and
concentrated using Amicon Ultra-15 centrifugal filters (Millipore). Aliquots of
pseudoviruses were stored at −80 °C. The titers of SARS-CoV-2Spike-, SARS-CoVSpike-, and VSV-G-pseudotyped viruses were in the range of ∼2 ×
105, ∼1 × 105, and ∼3 × 107
relative luciferase units (RLUs)/mL, respectively.
Pseudovirus Inhibition Assay
HEK293T-ACE2 cells were seeded in μClear Black 96-well plates (Greiner Bio-One) in
100 μL of DMEM supplemented with 10% FBS at a density of 1.25 × 104
cells per well. Sixteen hours after plating, equal amounts (RLUs/mL) of a given
pseudovirus were incubated with indicated concentrations of the test peptide or diluent
control (1× PBS) in 50 μL of DMEM supplemented with 10% FBS for 1 h at 37
°C in a V-bottom 96-well plate. The virus–peptide mixture was then added to
the HEK293T-ACE2 cells. Polybrene (Sigma) at the final concentration of 5 μg/mL was
added to the cells. After 48 h, 100 μL of supernatant was removed from each well and
luciferase activity was measured using Bright-Glo Luciferase Assay System (Promega)
following the manufacturer’s protocol. Luminescence was detected using an Infinite
M PLEX multimode plate reader (Tecan).
Dose Response Curves
For dose response curves, the pseudovirus inhibition assays were performed with
increasing concentrations of SAP (0.001, 0.01, 0.1, 1.0, 2.5, 5.0, and 7.5 mM). Percent
viral inhibition was calculated as the percent reduction in luciferase activity of
pseudovirus incubated with a given concentration of SAP compared to the pseudovirus
incubated with the diluent control. The concentration of SAP that resulted in 50%
inhibition of viral replication (IC50) was interpolated from a nonlinear,
best-fit curve using GraphPad Prism 8.0.2 software.
Biosafety Procedures for Live SARS-CoV-2 Experiments
All experiments involving live SARS-CoV-2 were performed at Biosafety Level 3 (BSL3)
according to the standard operating procedures approved by The Ohio State University BSL3
Operations Group (BOG) and Institutional Biosafety Committee. Infected cells were removed
from the BSL3 facility for subsequent analyses after fixation with 4% paraformaldehyde for
a minimum of 1 h in accordance with a validated decontamination protocol approved by the
BOG and Institutional Biosafety Officer.
SARS-CoV-2 Propagation
SARS-CoV-2 USA-WA1/2020 stock was diluted 1:10,000 in DMEM and added to confluent Vero E6
cells. After infection for 1 h at 37 °C, media was replaced with DMEM supplemented
with 4% FBS. Following incubation at 37 °C for 72 h, virus-containing supernatant was
clarified at 1000g for 10 min to remove cell debris, aliquoted,
flash-frozen in liquid nitrogen, and stored at −80 °C. The viral stock titer
was determined by plaque assay on Vero E6 cells in 12-well plates with 0.3% low-melting
agarose (Sigma) overlay and visualization with 0.25% crystal violet (Sigma).
SARS-CoV-2 Infections
106 plaque-forming units of SARS-CoV-2 were incubated with 3 mM final
concentration of the test peptide or diluent control (1× PBS) in 400 μL of DMEM
for 1 h at 37 °C. The virus–peptide mixture was then added to near-confluent
HEK293T-ACE2-GFP cells in a 12-well plate. Infection was allowed to proceed for 1 h at 37
°C at which point media was removed and replaced with 500 μL of DMEM
supplemented with 10% FBS. After 24 h, the cells were harvested using 0.25% trypsin-EDTA
(Gibco), fixed with 4% paraformaldehyde (Thermo Scientific) for 1 h at room temperature,
permeabilized with 1× PBS containing 0.1% Triton X-100, and blocked with 1× PBS
containing 2% FBS. The cells were then stained with anti-SARS-CoV-2 N mouse monoclonal
antibody (1:1000, Sino Biological) followed by staining with anti-mouse AlexaFluor-647
secondary antibody (1:1000, Life Technologies). The stained cells were analyzed using a
FACSCanto II flow cytometer (BD Biosciences). Flow cytometry data was analyzed using
FlowJo software.
HCoV-NL63 Propagation
HCoV-NL63 stock was expanded and titered on LLC-MK2 cells as described previously.[48] The virus was aliquoted and stored at −80 °C.
HCoV-NL63 Infections
HCoV-NL63 equiv to MOI of 0.5 was incubated with 3 mM final concentration of the test
peptide or diluent control (1× PBS) in 300 μL of DMEM for 1 h at 37 °C.
Confluent LLC-MK2 cells in 6-well plates were washed once with DMEM. The
virus–peptide mixture was then added to LLC-MK2 cells in triplicate. Infection was
allowed to proceed for 1 h at 37 °C at which point media was removed and replaced
with 1 mL of DMEM supplemented with 2% FBS. After 72 h, the cytopathic effects (CPE) in
each well were imaged under a light microscope. The cell culture supernatants were
collected for virus titration by plaque assay.
HCoV-NL63 Plaque Assay
Confluent LLC-MK2 cells in 6-well plates were infected with serial dilutions (ranging
from 10–1 to 10–7) of HCoV-NL63 in DMEM. After
infection for 1 h at 37 °C, cells were washed three times with DMEM and overlaid with
1% low-melting agarose in 2 mL of DMEM supplemented with 2% FBS. After incubation at 37
°C for 5 days, cells were fixed with 4% paraformaldehyde for 2 h, and plaques were
visualized after staining with 0.05% crystal violet.
Authors: Francesca Curreli; Shahad Ahmed; Sofia M B Victor; Aleksandra Drelich; Siva S Panda; Andrea Altieri; Alexander V Kurkin; Chien-Te K Tseng; Christopher D Hillyer; Asim K Debnath Journal: Viruses Date: 2021-12-31 Impact factor: 5.048