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Updated: Jul 5, 2025

Methods to Study Lipid Alterations in Neutrophils and the Subsequent Formation of Neutrophil Extracellular Traps
Published on: March 29, 2017
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.
Abstract:
The causative agent of the COVID-19 pandemic, SARS-CoV-2, is a virus that targets mainly the upper respiratory tract. However, it can affect other systems such as the gastrointestinal (GI) tract. Therapeutic strategies for this virus are still inconclusive and understanding its entry mechanism is important for finding effective treatments. Cholesterol is an important constituent in the structure of cellular membranes that plays a crucial role in a variety of cellular events. In addition, it is important for the infectivity and pathogenicity of several viruses. ACE2, the main receptor of SARS-CoV-2, is associated with lipid rafts which are microdomains composed of cholesterol and sphingolipids. In this study, we investigate the role of statins, lipid-lowering drugs, on the trafficking of ACE2 and the impact of cholesterol modulation on the interaction of this receptor with S1 in Caco-2 cells. The data show that fluvastatin and simvastatin reduce the expression of ACE2 to variable extents, impair its association with lipid rafts and sorting to the brush border membrane resulting in substantial reduction of its interaction with the S1 subunit of the spike protein. By virtue of the substantial effects of statins demonstrated in our study, these molecules, particularly fluvastatin, represent a promising therapeutic intervention that can be used off-label to treat SARS-CoV-2.
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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