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Proc Natl Acad Sci U S A . An experimental test of the nicotinic hypothesis of COVID-19

tetano

Editor, Senior Moderator
Proc Natl Acad Sci U S A


. 2022 Nov;119(44):e2204242119.
doi: 10.1073/pnas.2204242119. Epub 2022 Oct 24.
An experimental test of the nicotinic hypothesis of COVID-19


Nicole E Godellas[SUP] 1 [/SUP], Gisela D Cymes[SUP] 1 [/SUP], Claudio Grosman[SUP] 1 2 3 [/SUP]



Affiliations

Abstract

The pathophysiological mechanisms underlying the constellation of symptoms that characterize COVID-19 are only incompletely understood. In an effort to fill these gaps, a "nicotinic hypothesis," which posits that nicotinic acetylcholine receptors (AChRs) act as additional severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) receptors, has recently been put forth. A key feature of the proposal (with potential clinical ramifications) is the suggested competition between the virus' spike protein and small-molecule cholinergic ligands for the receptor's orthosteric binding sites. This notion is reminiscent of the well-established role of the muscle AChR during rabies virus infection. To address this hypothesis directly, we performed equilibrium-type ligand-binding competition assays using the homomeric human α7-AChR (expressed on intact cells) as the receptor, and radio-labeled α-bungarotoxin (α-BgTx) as the orthosteric-site competing ligand. We tested different SARS-CoV-2 spike protein peptides, the S1 domain, and the entire S1-S2 ectodomain, and found that none of them appreciably outcompete [[SUP]125[/SUP]I]-α-BgTx in a specific manner. Furthermore, patch-clamp recordings showed no clear effect of the S1 domain on α7-AChR-mediated currents. We conclude that the binding of the SARS-CoV-2 spike protein to the human α7-AChR's orthosteric sites-and thus, its competition with ACh, choline, or nicotine-is unlikely to be a relevant aspect of this complex disease.

Keywords: SARS-CoV-2; acetylcholine receptors; binding competition assays; nicotinic receptors; spike protein.
 
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