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Polycations and polyanions in SARS-CoV-2 infection.
1The Hebrew University - Hadassah School of Medicine, The Faculty of Dental Medicine, The Ein-Kerm Campus, Jerusalem, Israel.
Medical Hypotheses
|January 7, 2021
Summary
Polycations like histones from neutrophils worsen COVID-19 by aiding viral entry and increasing cell damage. Negatively charged polyanions may offer relief.
Area of Science:
- Immunology
- Virology
- Cell Biology
Background:
- Neutrophils release polycations, including nuclear histones, during COVID-19.
- These positively charged molecules may interact with negatively charged biological structures.
Purpose of the Study:
- To investigate the hypothesis that neutrophil-derived polycations aggravate COVID-19.
- To elucidate the mechanisms by which polycations contribute to disease severity.
- To explore potential therapeutic interventions using polyanions.
Main Methods:
- The study proposes a hypothesis based on known biological interactions.
- Mechanisms involve electrostatic interactions, viral binding, and synergistic cytotoxicity.
- Potential therapeutic strategies are suggested based on charge neutralization.
Main Results:
- Polycations may neutralize electrostatic repulsion, enhancing virus-cell entry.
- Polycations can bind to virions, promoting opsonin-mediated endocytosis.
- Polycations contribute to cytotoxicity alongside other inflammatory mediators.
Conclusions:
- Neutrophil-derived polycations are hypothesized to be key contributors to COVID-19 pathogenesis.
- Targeting these polycationic effects with polyanions like heparin could be a therapeutic avenue.
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