Lipid rafts disruption by statins negatively impacts the interaction between SARS-CoV-2 S1 subunit and ACE2 in

Marianne El Khoury1, Hassan Y Naim1

  • 1Department of Biochemistry, University of Veterinary Medicine Hannover, Hannover, Germany.

Frontiers in Microbiology
|January 23, 2024
PubMed

Insights

Statins like fluvastatin and simvastatin reduce SARS-CoV-2 entry by lowering ACE2 expression and its association with cholesterol-rich lipid rafts. These drugs show promise for treating COVID-19 by inhibiting viral interaction with host cells.

Area of Science:

  • Virology
  • Cell Biology
  • Pharmacology

Background:

  • Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) primarily affects the respiratory system but can impact the gastrointestinal tract.
  • Cholesterol is vital for cellular membranes and influences the infectivity of various viruses.
  • Angiotensin-converting enzyme 2 (ACE2), the SARS-CoV-2 receptor, is linked to cholesterol-rich lipid rafts.

Purpose of the Study:

  • To investigate the effect of statins on ACE2 trafficking and cholesterol modulation.
  • To assess the impact of cholesterol on the interaction between ACE2 and the SARS-CoV-2 spike protein (S1 subunit).

Main Methods:

  • Utilized Caco-2 cells to study statin effects on ACE2.
  • Modulated cholesterol levels and observed effects on ACE2 expression and localization.
  • Quantified the interaction between ACE2 and the S1 subunit.

Main Results:

  • Fluvastatin and simvastatin significantly reduced ACE2 expression.
  • Statins impaired ACE2's association with lipid rafts and brush border membrane localization.
  • A substantial reduction in ACE2 interaction with the S1 subunit was observed.

Conclusions:

  • Statins, particularly fluvastatin, demonstrate potential as a therapeutic strategy against SARS-CoV-2.
  • Modulating cholesterol via statins can inhibit SARS-CoV-2 entry by affecting ACE2 receptor function.

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