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Angiotensin-converting enzyme 2 – SARS-CoV-2 spike protein interface (ACE2–SARS-CoV-2 S protein interface)

Target
ACE2–SARS-CoV-2 S protein interface
Molecular classification
Receptor–viral glycoprotein interface, Protein–protein interaction, Entry receptor complex
01

Overview

The **angiotensin-converting enzyme 2 – SARS-CoV-2 spike protein interface** represents the critical molecular contact site whereby the receptor-binding domain (RBD) of the SARS-CoV-2 spike glycoprotein attaches to the human ACE2 receptor, facilitating viral entry into host cells[2][3][4]. This interaction is mediated primarily through a set of conserved amino acid residues in the spike RBD (notably within residues 438–506) engaging the N-terminal peptidase domain of ACE2, leading to viral attachment, conformational rearrangement of the spike, and subsequent membrane fusion required for infection[2][3][7]. Disrupting this interface is a validated antiviral strategy, forming the mechanistic basis for therapeutic agents such as neutralizing antibodies, soluble ACE2 constructs, and designed peptides or miniproteins. The ACE2–spike RBD interface is a focus of vaccine and drug development against COVID-19, but interventions must account for the physiological importance of ACE2 and the potential for viral resistance through spike mutations[3][4][6].

Other names
ACE2–Spike protein interfaceACE2–S protein interfaceACE2–RBD interface
02

Mechanism of action

Competitive inhibition of spike-ACE2 binding (prevents viral attachment and fusion)[2][4] Neutralization of spike protein via monoclonal antibodies (blocks ACE2 binding site) Allosteric modulation of ACE2 or spike RBD conformation to prevent productive interaction[1] Decoy receptor strategy (soluble ACE2 binds spike and blocks virus from binding to cell-surface ACE2)[4]

03

Biological functions

Viral entry and membrane fusionHost–virus recognitionViral infection initiation
04

Disease associations

InfectionCOVID-19Other viral respiratory diseases
05

Safety considerations

Disruption of ACE2 physiological function (regulation of renin-angiotensin system, cardiovascular and renal function)Potential for selection of viral escape mutations in spike RBDCross-reactivity affecting other ACE2-mediated processesCytokine release or immunopathology with some antibody therapies
06

Interacting drugs

Human recombinant soluble ACE2 (hrsACE2)

3 more in the full profile.

07

Biomarkers

Expression levels of ACE2 in respiratory epithelium (may correlate with infection susceptibility)Viral load (as a measure of interface blockage efficacy)Neutralization titers for antibodies targeting this interface

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