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The Role of Furin in the Pathogenesis of COVID-19-Associated Neurological Disorders.

作者信息

Ayyubova Gunel, Gychka Sergiy G, Nikolaienko Sofia I, Alghenaim Fada A, Teramoto Tadahisa, Shults Nataliia V, Suzuki Yuichiro J

机构信息

Department of Cytology, Embryology and Histology, Azerbaijan Medical University, Baku AZ1022, Azerbaijan.

Department of Pathological Anatomy, Bogomolets National Medical University, 01601 Kyiv, Ukraine.

出版信息

Life (Basel). 2024 Feb 19;14(2):279. doi: 10.3390/life14020279.


DOI:10.3390/life14020279
PMID:38398788
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10890058/
Abstract

Neurological disorders have been reported in a large number of coronavirus disease 2019 (COVID-19) patients, suggesting that this disease may have long-term adverse neurological consequences. COVID-19 occurs from infection by a positive-sense single-stranded RNA virus called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The membrane fusion protein of SARS-CoV-2, the spike protein, binds to its human host receptor, angiotensin-converting enzyme 2 (ACE2), to initiate membrane fusion between the virus and host cell. The spike protein of SARS-CoV-2 contains the furin protease recognition site and its cleavage enhances the infectivity of this virus. The binding of SARS-CoV-2 to the ACE2 receptor has been shown to downregulate ACE2, thereby increasing the levels of pathogenic angiotensin II (Ang II). The furin protease cleaves between the S1 subunit of the spike protein with the binding domain toward ACE2 and the S2 subunit with the transmembrane domain that anchors to the viral membrane, and this activity releases the S1 subunit into the blood circulation. The released S1 subunit of the spike protein also binds to and downregulates ACE2, in turn increasing the level of Ang II. Considering that a viral particle contains many spike protein molecules, furin-dependent cleavage would release many free S1 protein molecules, each of which can downregulate ACE2, while infection with a viral particle only affects one ACE2 molecule. Therefore, the furin-dependent release of S1 protein would dramatically amplify the ability to downregulate ACE2 and produce Ang II. We hypothesize that this amplification mechanism that the virus possesses, but not the infection per se, is the major driving force behind COVID-19-associated neurological disorders.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c66/10890058/8e08e9920466/life-14-00279-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c66/10890058/5b20cf5b88b7/life-14-00279-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c66/10890058/7ed3c7543ab9/life-14-00279-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c66/10890058/1729998f5059/life-14-00279-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c66/10890058/fe202fe66f57/life-14-00279-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c66/10890058/8e08e9920466/life-14-00279-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c66/10890058/5b20cf5b88b7/life-14-00279-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c66/10890058/7ed3c7543ab9/life-14-00279-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c66/10890058/1729998f5059/life-14-00279-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c66/10890058/fe202fe66f57/life-14-00279-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c66/10890058/8e08e9920466/life-14-00279-g005.jpg

相似文献

[1]
The Role of Furin in the Pathogenesis of COVID-19-Associated Neurological Disorders.

Life (Basel). 2024-2-19

[2]
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[3]
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[5]
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[6]
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[9]
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引用本文的文献

[1]
SARS-CoV-2 spike treatment and transfection impairs airway epithelial repair.

ERJ Open Res. 2025-8-4

[2]
Naturally Occurring Angiotensin Peptides Enhance the SARS-CoV-2 Spike Protein Binding to Its Receptors.

Int J Mol Sci. 2025-6-24

[3]
Soluble SARS-CoV-2 Spike glycoprotein: considering some potential pathogenic effects.

Front Immunol. 2025-6-4

[4]
Characterizations of angiotensin-converting enzyme-2 (ACE2) peptidase activity.

Arch Biochem Biophys. 2024-11

[5]
The Neurological Implications of COVID-19: A Comprehensive Narrative Review.

Cureus. 2024-5-15

本文引用的文献

[1]
Higher angiotensin-converting enzyme 2 (ACE2) levels in the brain of individuals with Alzheimer's disease.

Acta Neuropathol Commun. 2023-10-2

[2]
Age-related reduction in brain ACE-2 is not exacerbated by Alzheimer's disease pathology in mouse models of Alzheimer's disease.

Aging Brain. 2022-12-28

[3]
Role of SARS-CoV-2 Spike-Protein-Induced Activation of Microglia and Mast Cells in the Pathogenesis of Neuro-COVID.

Cells. 2023-2-22

[4]
SIM imaging resolves endocytosis of SARS-CoV-2 spike RBD in living cells.

Cell Chem Biol. 2023-3-16

[5]
Circulating Spike Protein Detected in Post-COVID-19 mRNA Vaccine Myocarditis.

Circulation. 2023-3-14

[6]
SARS-CoV-2 down-regulates ACE2 through lysosomal degradation.

Mol Biol Cell. 2022-12-1

[7]
Neurological consequences of COVID-19.

Pharmacol Rep. 2022-12

[8]
The spike hypothesis in vaccine-induced adverse effects: questions and answers.

Trends Mol Med. 2022-10

[9]
Persistent Circulating Severe Acute Respiratory Syndrome Coronavirus 2 Spike Is Associated With Post-acute Coronavirus Disease 2019 Sequelae.

Clin Infect Dis. 2023-2-8

[10]
Plasma Angiotensin II Is Increased in Critical Coronavirus Disease 2019.

Front Cardiovasc Med. 2022-6-24

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