Regenerative Neuro Immune Research Institute of South Carolina, Charleston, United States; NeuroDrug Research LLC, Charleston, SC, United States.
Department of Natural Sciences, Biology Division, Trident Technical College, North Charleston, SC, United States.
Med Hypotheses. 2021 Dec;157:110706. doi: 10.1016/j.mehy.2021.110706. Epub 2021 Oct 13.
SARS-COV-2 infection causes severe respiratory tract illness leading to asphyxia and death. The onset of infection is associated with loss of smell, blurred vision, headache with bronchopulmonary symptoms. The clinical observations of neurological abnormalities lead us to address the question, does the virus enter into brain and what is the underlying mechanism of brain infection? The working hypothesis is, SARS-COV-2 Spike epitopes modify blood brain barrier and infect glial cells to induce brain inflammation in genetically diverse human population. The hypothesis is tested by determining binding or interacting ability of virus Spike epitope peptides M1Lys60 and Ala240Glu300 with human toll-like receptor 8 (TLR 8), brain targeted Vascular Cell adhesion Molecules (VCAM1) proteins, Zonula Occludens (ZO), glial cell specific protein NDRG2 and Apo- S100B. The molecular dynamic experiments are performed, and root mean square deviation (RMSD) values are determined for interactions between the Spike peptides and selected proteins. The observations demonstrate formation of heterodimeric complex between the epitope peptides and selected protein structures. The viral epitopes have ability to bind with HLA-DRB1 15:01, 07:01 or 03.01 alleles thus found immunogenic in nature. The observations altogether suggest entry of these Spike protein epitopes into human brain causes inflammation.
SARS-COV-2 感染会导致严重的呼吸道疾病,导致窒息和死亡。感染的发作与嗅觉丧失、视力模糊、伴有支气管肺部症状的头痛有关。神经系统异常的临床观察使我们不得不提出这样一个问题:病毒是否进入大脑,以及大脑感染的潜在机制是什么?工作假设是,SARS-COV-2 的刺突表位修饰血脑屏障并感染神经胶质细胞,从而在遗传上多样化的人群中引发大脑炎症。该假设通过确定病毒刺突表位肽 M1Lys60 和 Ala240Glu300 与人类 toll 样受体 8(TLR 8)、靶向大脑的血管细胞粘附分子(VCAM1)蛋白、紧密连接蛋白(ZO)、神经胶质细胞特异性蛋白 NDRG2 和 Apo-S100B 的结合或相互作用能力来进行测试。进行了分子动力学实验,并确定了刺突肽与选定蛋白之间相互作用的均方根偏差(RMSD)值。观察结果表明,表位肽与选定的蛋白结构形成异二聚体复合物。这些病毒表位具有与 HLA-DRB1 15:01、07:01 或 03.01 等位基因结合的能力,因此具有天然的免疫原性。总的来说,这些观察结果表明这些 Spike 蛋白表位进入人脑会引起炎症。