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Mol Biomed . ACE2-PNA conjugates exploit viral endocytosis for targeted intracellular delivery and exhibit dual antiviral efficacy against SARS-CoV

tetano

Editor, Senior Moderator
Mol Biomed


. 2026 Aug 3;7(1):122.
doi: 10.1186/s43556-026-00520-6.
ACE2-PNA conjugates exploit viral endocytosis for targeted intracellular delivery and exhibit dual antiviral efficacy against SARS-CoV-2

Yifei Wang[SUP] #[/SUP][SUP] 1 [/SUP], Jinghan Xu[SUP] #[/SUP][SUP] 2 [/SUP], Yiquan Chen[SUP] 1 [/SUP], Xin Xiao[SUP] 1 [/SUP], Yiru Zhu[SUP] 1 [/SUP], Liyang Yu[SUP] 1 [/SUP], Wen Shi[SUP] 2 [/SUP], Jingchao Li[SUP] 1 3 [/SUP], Jianhua Li[SUP] 4 [/SUP], Chenggang Zhu[SUP] 5 [/SUP]


Affiliations
Abstract

The COVID-19 pandemic and its protracted consequences underscore the urgent need for more effective antiviral strategies. Current antiviral strategies face a persistent challenge achieving sufficient viral suppression while minimizing off-target toxicity, particularly against such highly mutable viruses. Here, we describe a Receptor-Drug Conjugate (RDC) strategy, in which a therapeutic payload is covalently linked to a decoy receptor, enabling virus-triggered targeted intracellular delivery. Angiotensin-converting enzyme 2 (ACE2), as the essential receptor for SARS-CoV-2 entry, has been widely exploited for virus-neutralizing strategies. Targeting SARS-CoV-2 as a proof-of-concept, we conjugated peptide nucleic acids (PNAs) designed to target the viral ORF1ab region (±30 bp) to ACE2-Fc. The ACE2-PNA conjugate demonstrated superior inhibitory efficacy against multiple SARS-CoV-2 variants relative to ACE2-Fc alone. We confirmed that ACE2-PNA retains the extracellular neutralization activity of soluble ACE2, while being selectively internalized into virus-infected cells via virus-mediated endocytosis. Owing to its inherent protease resistance, the PNA component remains intact upon cytoplasmic entry and subsequently exerts antisense inhibitory activity against viral RNA. The mechanistic feasibility of ACE2-PNA was further validated in a mouse model. Collectively, RDC represents a novel virus-triggered targeted delivery platform that confers dual antiviral efficacy through extracellular virion neutralization and intracellular inhibition of viral replication. It has significant implications for reducing off-target toxicity and enhancing antiviral potency, and is furthermore readily adaptable to diverse viral pathogens and therapeutic payloads.

Keywords: Angiotensin-converting enzyme 2; Drug delivery systems; Peptide nucleic acids; SARS-CoV-2.

 
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