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

Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), the virus responsible for Coronavirus Disease 2019 (COVID-19), utilizes its spike protein to infect host cells. In addition to angiotensin-converting enzyme 2 (ACE2) and neuropilin-1 (NRP1), AXL acts as a spike protein receptor and mediates infection, especially in respiratory cells with low ACE2 expression. Angiotensin II (1-8) can be cleaved into shorter peptides within the biological system. Antibody-based binding assays showed that angiotensin II causes a two-fold increase in the binding between the spike protein and AXL, but not ACE2 or NRP1. While a longer peptide, angiotensin I (1-10), did not affect the spike-AXL binding, shorter lengths of angiotensin peptides exhibited enhancing effects. The -terminal deletions of angiotensin II to angiotensin (1-7) or angiotensin (1-6) resulted in peptides with enhanced activity toward spike-AXL binding with a similar capacity as angiotensin II. In contrast, the -terminal deletions of angiotensin II to angiotensin III (2-8) or angiotensin IV (3-8) as well as the -terminal deletions of angiotensin (1-7) to angiotensin (2-7) or angiotensin (5-7) produced peptides with a more potent ability to enhance spike-AXL binding (2.7-fold increase with angiotensin IV). When valine was substituted for tyrosine at position 4 in angiotensin II or when tyrosine at position 4 was phosphorylated, spike-AXL binding was increased, suggesting that modifications to tyrosine trigger enhancement. Angiotensin IV also enhances spike protein binding to ACE2 and NRP1. Thus, angiotensin peptides may contribute to COVID-19 pathogenesis by enhancing spike protein binding and thus serve as therapeutic targets.