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mBio . Development of a mutant aerosolized ACE2 that neutralizes SARS-CoV-2 in vivo

tetano

Editor, Senior Moderator
mBio


. 2024 May 21:e0076824.
doi: 10.1128/mbio.00768-24. Online ahead of print. Development of a mutant aerosolized ACE2 that neutralizes SARS-CoV-2 in vivo

Daniel L Kober[SUP] 1 [/SUP], Marley C Caballero Van Dyke[SUP] 2 [/SUP], Jennifer L Eitson[SUP] 2 [/SUP], Ian N Boys[SUP] 2 [/SUP], Matthey B McDougal[SUP] 2 [/SUP], Daniel M Rosenbaum[SUP] 3 [/SUP], John W Schoggins[SUP] 2 [/SUP]



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Free article Abstract

The rapid evolution of SARS-CoV-2 variants highlights the need for new therapies to prevent disease spread. SARS-CoV-2, like SARS-CoV-1, uses the human cell surface protein angiotensin-converting enzyme 2 (ACE2) as its native receptor. Here, we design and characterize a mutant ACE2 that enables rapid affinity purification of a dimeric protein by altering the active site to prevent autoproteolytic digestion of a C-terminal His[SUB]10[/SUB] epitope tag. In cultured cells, mutant ACE2 competitively inhibits lentiviral vectors pseudotyped with spikes from multiple SARS-CoV-2 variants and infectious SARS-CoV-2. Moreover, the protein can be nebulized and retains virus-binding properties. We developed a system for the delivery of aerosolized ACE2 to K18-hACE2 mice and demonstrated protection by our modified ACE2 when delivered as a prophylactic agent. These results show proof-of-concept for an aerosolized delivery method to evaluate anti-SARS-CoV-2 agents in vivo and suggest a new tool in the ongoing fight against SARS-CoV-2 and other ACE2-dependent viruses.
Importance: The rapid evolution of SARS-CoV-2 variants poses a challenge for immune recognition and antibody therapies. However, the virus is constrained by the requirement that it recognizes a human host receptor protein. A recombinant ACE2 could protect against SARS-CoV-2 infection by functioning as a soluble decoy receptor. We designed a mutant version of ACE2 with impaired catalytic activity to enable the purification of the protein using a single affinity purification step. This protein can be nebulized and retains the ability to bind the relevant domains from SARS-CoV-1 and SARS-CoV-2. Moreover, this protein inhibits viral infection against a panel of coronaviruses in cells. Finally, we developed an aerosolized delivery system for animal studies and show the modified ACE2 offers protection in an animal model of COVID-19. These results show proof-of-concept for an aerosolized delivery method to evaluate anti-SARS-CoV-2 agents in vivo and suggest a new tool in the ongoing fight against SARS-CoV-2.

Keywords: ACE2; SARS-CoV-2; antiviral agents; mutational studies; protein structure-function; receptor-ligand interaction; receptors.

 
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