Structural and Functional Analysis of Female Sex Hormones against SARS-CoV-2 Cell Entry

Emerging evidence suggests that males are more susceptible to severe infection by the SARS-CoV-2 virus than females. A variety of mechanisms may underlie the observed gender-related disparities including differences in sex hormones. However, the precise mechanisms by which female sex hormones may pr...

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Main Authors: Jorge Alberto Aguilar-Pineda, Mazen Albaghdadi, Wanlin Jiang, Karin J. Vera-Lopez, Rita Nieto-Montesinos, Karla Lucia F. Alvarez, Gonzalo Davila Del-Carpio, Badhin Gómez, Mark E. Lindsay, Rajeev Malhotra, Christian L. Lino Cardenas
Format: Article
Language:English
Published: MDPI AG 2021-10-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/22/21/11508
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author Jorge Alberto Aguilar-Pineda
Mazen Albaghdadi
Wanlin Jiang
Karin J. Vera-Lopez
Rita Nieto-Montesinos
Karla Lucia F. Alvarez
Gonzalo Davila Del-Carpio
Badhin Gómez
Mark E. Lindsay
Rajeev Malhotra
Christian L. Lino Cardenas
author_facet Jorge Alberto Aguilar-Pineda
Mazen Albaghdadi
Wanlin Jiang
Karin J. Vera-Lopez
Rita Nieto-Montesinos
Karla Lucia F. Alvarez
Gonzalo Davila Del-Carpio
Badhin Gómez
Mark E. Lindsay
Rajeev Malhotra
Christian L. Lino Cardenas
author_sort Jorge Alberto Aguilar-Pineda
collection DOAJ
description Emerging evidence suggests that males are more susceptible to severe infection by the SARS-CoV-2 virus than females. A variety of mechanisms may underlie the observed gender-related disparities including differences in sex hormones. However, the precise mechanisms by which female sex hormones may provide protection against SARS-CoV-2 infectivity remains unknown. Here we report new insights into the molecular basis of the interactions between the SARS-CoV-2 spike (S) protein and the human ACE2 receptor. We further report that glycosylation of the ACE2 receptor enhances SARS-CoV-2 infectivity. Importantly, estrogens can disrupt glycan–glycan interactions and glycan–protein interactions between the human ACE2 and the SARS-CoV-2 thereby blocking its entry into cells. In a mouse model of COVID-19, estrogens reduced ACE2 glycosylation and thereby alveolar uptake of the SARS-CoV-2 spike protein. These results shed light on a putative mechanism whereby female sex hormones may provide protection from developing severe infection and could inform the development of future therapies against COVID-19.
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spelling doaj.art-2bb22b49e4aa49e3806b88ce407630ac2023-11-22T20:53:20ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672021-10-0122211150810.3390/ijms222111508Structural and Functional Analysis of Female Sex Hormones against SARS-CoV-2 Cell EntryJorge Alberto Aguilar-Pineda0Mazen Albaghdadi1Wanlin Jiang2Karin J. Vera-Lopez3Rita Nieto-Montesinos4Karla Lucia F. Alvarez5Gonzalo Davila Del-Carpio6Badhin Gómez7Mark E. Lindsay8Rajeev Malhotra9Christian L. Lino Cardenas10Laboratory of Genomics and Neurovascular Diseases, Vicerrectorado de Investigación, Universidad Católica de Santa María, Arequipa 04001, PeruCardiovascular Research Center, Cardiology Division, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USACardiovascular Research Center, Cardiology Division, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USALaboratory of Genomics and Neurovascular Diseases, Vicerrectorado de Investigación, Universidad Católica de Santa María, Arequipa 04001, PeruLaboratory of Genomics and Neurovascular Diseases, Vicerrectorado de Investigación, Universidad Católica de Santa María, Arequipa 04001, PeruLaboratory of Genomics and Neurovascular Diseases, Vicerrectorado de Investigación, Universidad Católica de Santa María, Arequipa 04001, PeruLaboratory of Genomics and Neurovascular Diseases, Vicerrectorado de Investigación, Universidad Católica de Santa María, Arequipa 04001, PeruLaboratory of Genomics and Neurovascular Diseases, Vicerrectorado de Investigación, Universidad Católica de Santa María, Arequipa 04001, PeruCardiovascular Research Center, Cardiology Division, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USACardiovascular Research Center, Cardiology Division, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USACardiovascular Research Center, Cardiology Division, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USAEmerging evidence suggests that males are more susceptible to severe infection by the SARS-CoV-2 virus than females. A variety of mechanisms may underlie the observed gender-related disparities including differences in sex hormones. However, the precise mechanisms by which female sex hormones may provide protection against SARS-CoV-2 infectivity remains unknown. Here we report new insights into the molecular basis of the interactions between the SARS-CoV-2 spike (S) protein and the human ACE2 receptor. We further report that glycosylation of the ACE2 receptor enhances SARS-CoV-2 infectivity. Importantly, estrogens can disrupt glycan–glycan interactions and glycan–protein interactions between the human ACE2 and the SARS-CoV-2 thereby blocking its entry into cells. In a mouse model of COVID-19, estrogens reduced ACE2 glycosylation and thereby alveolar uptake of the SARS-CoV-2 spike protein. These results shed light on a putative mechanism whereby female sex hormones may provide protection from developing severe infection and could inform the development of future therapies against COVID-19.https://www.mdpi.com/1422-0067/22/21/11508COVID-19ACE2sex hormonesestrogenes
spellingShingle Jorge Alberto Aguilar-Pineda
Mazen Albaghdadi
Wanlin Jiang
Karin J. Vera-Lopez
Rita Nieto-Montesinos
Karla Lucia F. Alvarez
Gonzalo Davila Del-Carpio
Badhin Gómez
Mark E. Lindsay
Rajeev Malhotra
Christian L. Lino Cardenas
Structural and Functional Analysis of Female Sex Hormones against SARS-CoV-2 Cell Entry
International Journal of Molecular Sciences
COVID-19
ACE2
sex hormones
estrogenes
title Structural and Functional Analysis of Female Sex Hormones against SARS-CoV-2 Cell Entry
title_full Structural and Functional Analysis of Female Sex Hormones against SARS-CoV-2 Cell Entry
title_fullStr Structural and Functional Analysis of Female Sex Hormones against SARS-CoV-2 Cell Entry
title_full_unstemmed Structural and Functional Analysis of Female Sex Hormones against SARS-CoV-2 Cell Entry
title_short Structural and Functional Analysis of Female Sex Hormones against SARS-CoV-2 Cell Entry
title_sort structural and functional analysis of female sex hormones against sars cov 2 cell entry
topic COVID-19
ACE2
sex hormones
estrogenes
url https://www.mdpi.com/1422-0067/22/21/11508
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