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SARS-CoV-2 spike receptor-binding domain–Angiotensin-converting enzyme 2 protein–protein interaction interface (SARS-CoV-2 RBD–ACE2 PPI)

Target
SARS-CoV-2 RBD–ACE2 PPI
Molecular classification
Protein-protein interaction interface, Viral entry receptor complex
01

Overview

The SARS-CoV-2 spike receptor-binding domain (RBD)–Angiotensin-converting enzyme 2 (ACE2) protein–protein interaction (PPI) interface is the primary gateway for the entry of the SARS-CoV-2 virus into human host cells (NIH, 2022; Nature Rev Mol Cell Biol, 2022). The viral spike protein's RBD binds with high affinity to the extracellular peptidase domain of the human ACE2 receptor, initiating a series of conformational changes that lead to membrane fusion and viral infection (NIH, 2020; Nature, 2020). This interface is a critical therapeutic target, as blocking this interaction can effectively neutralize the virus and prevent its spread (NIH, 2021). Numerous monoclonal antibodies, such as Bamlanivimab, Etesevimab, Casirivimab, and Imdevimab, have been developed to bind specifically to the RBD and sterically hinder its association with ACE2 (NIH, 2021; Cell Rep, 2021). Additionally, research into small-molecule inhibitors and recombinant soluble ACE2 aims to disrupt this PPI to treat COVID-19 (ResearchGate, 2021; NIH, 2022). However, the rapid evolution of the virus has led to mutations within the RBD, such as those found in the Delta and Omicron variants, which can enhance binding affinity or facilitate escape from existing neutralizing antibodies (Frontiers in Molecular Biosciences, 2022; bioRxiv, 2021).

Other names
SARS-CoV-2 Spike-ACE2 interfaceRBD-ACE2 complexACE2-interacting surfaceACE2ISSpike RBD-ACE2 interfaceSARS-CoV-2 RBD-hACE2 PPI
02

Mechanism of action

Inhibition of the protein-protein interaction between the SARS-CoV-2 spike protein receptor-binding domain (RBD) and the human Angiotensin-converting enzyme 2 (ACE2) receptor, thereby preventing viral attachment and subsequent entry into host cells (NIH, 2021; Nature, 2022).

03

Biological functions

Viral entryCell attachmentViral transmissionHost cell invasion
04

Disease associations

InfectionCOVID-19Acute respiratory distress syndromePneumonia
05

Safety considerations

Viral escape mutations (e.g., Omicron variant)Antibody-dependent enhancement (ADE)Efficacy reduction against emerging variantsPotential off-target effects on ACE2 enzymatic activity
06

Interacting drugs

Bamlanivimab

9 more in the full profile.

07

Biomarkers

SARS-CoV-2 viral loadNeutralizing antibody titersSpike protein levelsACE2 expression levels

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