COVID infection in 4 steps: Thermodynamic considerations reveal how viral mucosal diffusion, target receptor affinity and furin cleavage act in concert to drive the nature and degree of infection in human COVID-19 disease

We have developed a mechanistic model of SARS-CoV-2 and SARS-CoV infection, exploring the relationship between the viral diffusion in the mucosa and viral affinity for the angiotensin converting enzyme 2 (ACE2) target. Utilising the structural similarity of SARS-CoV and SARS-CoV-2 and a shared viral...

Full description

Bibliographic Details
Main Authors: Marko Popovic, Jennifer H. Martin, Richard J. Head
Format: Article
Language:English
Published: Elsevier 2023-06-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844023043827
_version_ 1827926540543852544
author Marko Popovic
Jennifer H. Martin
Richard J. Head
author_facet Marko Popovic
Jennifer H. Martin
Richard J. Head
author_sort Marko Popovic
collection DOAJ
description We have developed a mechanistic model of SARS-CoV-2 and SARS-CoV infection, exploring the relationship between the viral diffusion in the mucosa and viral affinity for the angiotensin converting enzyme 2 (ACE2) target. Utilising the structural similarity of SARS-CoV and SARS-CoV-2 and a shared viral target receptor (ACE2), but a dramatic difference in upper or lower respiratory tract infectivity, we were able to generate insights into the linkage of mucosal diffusion and target receptor affinity in determining the pathophysiological pathways of these two viruses.Our analysis reveals that for SARS-CoV-2 the higher affinity of ACE2 binding, the faster and more complete the mucosal diffusion in its transport from the upper airway to the region of the ACE2 target on the epithelium. This diffusional process is essential for the presentation of this virus to the furin catalysed highly efficient entry and infection process in the upper respiratory tract epithelial cells. A failure of SARS-CoV to follow this path is associated with lower respiratory tract infection and decreased infectivity. Thus, our analysis supports the view that through tropism SARS-CoV-2 has evolved a highly efficient membrane entry process that can act in concert with a high binding affinity of this virus and its variants for its ACE2 which in turn promotes enhanced movement of the virus from airway to epithelium. In this way ongoing mutations yielding higher affinities of SARS-CoV-2 for the ACE2 target becomes the basis for higher upper respiratory tract infectivity and greater viral spread. It is concluded that SARS-CoV-2 is constrained in the extent of its activities by the fundamental laws of physics and thermodynamics. Laws that describe diffusion and molecular binding. Moreover it can be speculated that the very earliest contact of this virus with the human mucosa defines the pathogenesis of this infection.
first_indexed 2024-03-13T05:40:04Z
format Article
id doaj.art-ecf6cb3975ca4b7e9c67c49e488f3821
institution Directory Open Access Journal
issn 2405-8440
language English
last_indexed 2024-03-13T05:40:04Z
publishDate 2023-06-01
publisher Elsevier
record_format Article
series Heliyon
spelling doaj.art-ecf6cb3975ca4b7e9c67c49e488f38212023-06-14T04:33:55ZengElsevierHeliyon2405-84402023-06-0196e17174COVID infection in 4 steps: Thermodynamic considerations reveal how viral mucosal diffusion, target receptor affinity and furin cleavage act in concert to drive the nature and degree of infection in human COVID-19 diseaseMarko Popovic0Jennifer H. Martin1Richard J. Head2Institute of Chemistry, Technology and Metallurgy, University of Belgrade, Njegoševa 12, 11000 Belgrade, Serbia; Corresponding author.Centre for Drug Repurposing and Medicines Research, University of Newcastle and Hunter Medical Research Institute, Newcastle 2305, AustraliaDrug Discovery and Development, Clinical and Health Sciences, University of South Australia, Adelaide, South Australia, AustraliaWe have developed a mechanistic model of SARS-CoV-2 and SARS-CoV infection, exploring the relationship between the viral diffusion in the mucosa and viral affinity for the angiotensin converting enzyme 2 (ACE2) target. Utilising the structural similarity of SARS-CoV and SARS-CoV-2 and a shared viral target receptor (ACE2), but a dramatic difference in upper or lower respiratory tract infectivity, we were able to generate insights into the linkage of mucosal diffusion and target receptor affinity in determining the pathophysiological pathways of these two viruses.Our analysis reveals that for SARS-CoV-2 the higher affinity of ACE2 binding, the faster and more complete the mucosal diffusion in its transport from the upper airway to the region of the ACE2 target on the epithelium. This diffusional process is essential for the presentation of this virus to the furin catalysed highly efficient entry and infection process in the upper respiratory tract epithelial cells. A failure of SARS-CoV to follow this path is associated with lower respiratory tract infection and decreased infectivity. Thus, our analysis supports the view that through tropism SARS-CoV-2 has evolved a highly efficient membrane entry process that can act in concert with a high binding affinity of this virus and its variants for its ACE2 which in turn promotes enhanced movement of the virus from airway to epithelium. In this way ongoing mutations yielding higher affinities of SARS-CoV-2 for the ACE2 target becomes the basis for higher upper respiratory tract infectivity and greater viral spread. It is concluded that SARS-CoV-2 is constrained in the extent of its activities by the fundamental laws of physics and thermodynamics. Laws that describe diffusion and molecular binding. Moreover it can be speculated that the very earliest contact of this virus with the human mucosa defines the pathogenesis of this infection.http://www.sciencedirect.com/science/article/pii/S2405844023043827Viral diffusionPharmacologyAffinity constantThermodynamicsHuman diseaseSARS-CoV2
spellingShingle Marko Popovic
Jennifer H. Martin
Richard J. Head
COVID infection in 4 steps: Thermodynamic considerations reveal how viral mucosal diffusion, target receptor affinity and furin cleavage act in concert to drive the nature and degree of infection in human COVID-19 disease
Heliyon
Viral diffusion
Pharmacology
Affinity constant
Thermodynamics
Human disease
SARS-CoV2
title COVID infection in 4 steps: Thermodynamic considerations reveal how viral mucosal diffusion, target receptor affinity and furin cleavage act in concert to drive the nature and degree of infection in human COVID-19 disease
title_full COVID infection in 4 steps: Thermodynamic considerations reveal how viral mucosal diffusion, target receptor affinity and furin cleavage act in concert to drive the nature and degree of infection in human COVID-19 disease
title_fullStr COVID infection in 4 steps: Thermodynamic considerations reveal how viral mucosal diffusion, target receptor affinity and furin cleavage act in concert to drive the nature and degree of infection in human COVID-19 disease
title_full_unstemmed COVID infection in 4 steps: Thermodynamic considerations reveal how viral mucosal diffusion, target receptor affinity and furin cleavage act in concert to drive the nature and degree of infection in human COVID-19 disease
title_short COVID infection in 4 steps: Thermodynamic considerations reveal how viral mucosal diffusion, target receptor affinity and furin cleavage act in concert to drive the nature and degree of infection in human COVID-19 disease
title_sort covid infection in 4 steps thermodynamic considerations reveal how viral mucosal diffusion target receptor affinity and furin cleavage act in concert to drive the nature and degree of infection in human covid 19 disease
topic Viral diffusion
Pharmacology
Affinity constant
Thermodynamics
Human disease
SARS-CoV2
url http://www.sciencedirect.com/science/article/pii/S2405844023043827
work_keys_str_mv AT markopopovic covidinfectionin4stepsthermodynamicconsiderationsrevealhowviralmucosaldiffusiontargetreceptoraffinityandfurincleavageactinconcerttodrivethenatureanddegreeofinfectioninhumancovid19disease
AT jenniferhmartin covidinfectionin4stepsthermodynamicconsiderationsrevealhowviralmucosaldiffusiontargetreceptoraffinityandfurincleavageactinconcerttodrivethenatureanddegreeofinfectioninhumancovid19disease
AT richardjhead covidinfectionin4stepsthermodynamicconsiderationsrevealhowviralmucosaldiffusiontargetreceptoraffinityandfurincleavageactinconcerttodrivethenatureanddegreeofinfectioninhumancovid19disease