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Severe acute respiratory syndrome coronavirus 2 spike glycoprotein–angiotensin-converting enzyme 2 complex (SARS-CoV-2 Spike–ACE2 complex)

Target
SARS-CoV-2 Spike–ACE2 complex
Molecular classification
Viral fusion protein–receptor complex, Fusion protein (class I fusion protein, component: spike glycoprotein), Receptor (component: angiotensin-converting enzyme 2), Other (heteromeric protein–protein complex)
01

Overview

The SARS-CoV-2 spike–ACE2 complex is the molecular assembly formed when the receptor-binding domain (RBD) of the spike glycoprotein from SARS-CoV-2 binds with high affinity to the extracellular domain of human angiotensin-converting enzyme 2 (ACE2) on host cells[1][2][3][4]. This interaction is the critical initial step for viral attachment, membrane fusion, and entry, determining host specificity and enabling SARS-CoV-2 infection in humans[3][4][5]. The spike protein is a class I viral fusion glycoprotein, while ACE2 is an enzyme and membrane-bound receptor. The interface comprises a network of hydrophilic and aromatic interactions, with both protein conformational flexibility and key amino acid contacts contributing to binding specificity and affinity[1][3][5][6]. The complex is the primary target for neutralizing antibodies and vaccine design, as preventing this interaction is an effective therapeutic and prophylactic strategy[4][5]. Major therapeutic approaches focus on blocking or mimicking this binding event, but continual emergence of spike mutations can affect affinity, immune recognition, and drug resistance[6].

Other names
SARS-CoV-2 spike–ACE2 receptor complexspike–ACE2 complexspike glycoprotein–ACE2 complexSARS-CoV-2 S protein–ACE2 complex
02

Mechanism of action

Inhibition of spike–ACE2 binding: competitively block or sterically hinder RBD–ACE2 engagement (by antibodies, peptides, small molecules, or soluble ACE2) Conformational interference: stabilize spike in closed conformation or block S2-mediated fusion rearrangements

03

Biological functions

Mediates viral entry into host cellsCell membrane fusionInitial determinant of host specificity and cell tropismTarget for neutralizing antibodies
04

Disease associations

Infection (COVID-19)Viral transmissionZoonotic disease crossing
05

Safety considerations

Potential for immune escape via spike mutations (especially in variants)Off-target effects of ACE2 modulationAntibody-dependent enhancement (theoretical concern)Rapid evolution and selection of resistant virus
06

Interacting drugs

Monoclonal antibodies: casirivimab, imdevimab, bamlanivimab, etesevimab (target spike)

2 more in the full profile.

07

Biomarkers

Presence of neutralizing antibodies against spike (especially RBD)Viral load measured by PCRACE2 expression levels (investigational for susceptibility)

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