A comprehensive SARS-CoV-2 and COVID-19 review, Part 1: Intracellular overdrive for SARS-CoV-2 infection

The study, “A comprehensive SARS-CoV-2 and COVID-19 review Part 1: Intracellular overdrive for SARS-CoV-2 infection,” provides an in-depth analysis of the mechanisms employed by the SARS-CoV-2 virus, responsible for COVID-19, to infect and replicate within human host cells. Authored by David A. Jamison Jr., S. Anand Narayanan, and others, this review was published in the European Journal of Human Genetics in 2022​​.

Key Points of the Study:

  1. Global Impact of COVID-19: As of November 21st, 2021, COVID-19 has resulted in over 257 million cases and claimed more than 5 million lives globally. The pandemic’s persistence is largely due to ongoing viral transmission and the accumulation of mutations in the SARS-CoV-2 genome​​.
  2. Virus Structure and Genetics: SARS-CoV-2, a positive-sense RNA virus, has a large genome of approximately 30 kilobases. The virus possesses several spike proteins crucial for cell infection. The study highlights the structure and function of the SARS-CoV-2 non-structural proteins (NSPs) and their roles in the viral life cycle. Notably, it explains how mutations in the viral genome affect its infectivity and immune evasion strategies​​.
  3. Variants of Concern: Several SARS-CoV-2 variants, such as Alpha, Beta, Gamma, and Delta, have been classified as “variants of concern” due to their potential impacts on diagnostics, treatments, and vaccines​​.
  4. Cellular Infection and Responses: SARS-CoV-2 affects different cell types, including pulmonary, intestinal, hepatic, renal, and neuronal cells, largely by exploiting the ACE2 receptor. The virus’s interaction with host cells leads to a wide range of clinical manifestations, influenced by factors like cell type, genetics, and individual clinical characteristics​​.
  5. ACE2 Receptor and S Protein: ACE2, a key receptor for SARS-CoV-2 entry, plays a significant role in the Renin-Angiotensin Aldosterone System (RAAS). The study describes how the virus’s spike protein binds to ACE2 and initiates internalization, highlighting the importance of this interaction in understanding the virus’s ability to invade various organ systems​​.
  6. Ca2+ Signaling Disruption: SARS-CoV-2 appears to disrupt Ca2+ homeostasis, affecting cellular functions and promoting viral infection. This alteration is partly facilitated by viroporins, viral proteins that form ion channels in host cell membranes​​.
  7. Intracellular Signaling and Immune Evasion: The virus hijacks and reprograms host cell metabolism and signaling pathways. It manipulates key pathways like PI3K/AKT, TGF-β, TLR, and NF-κB, thereby antagonizing host antiviral responses and facilitating replication, entry, and propagation​​.
  8. Metabolic Adaptations: SARS-CoV-2 infection leads to significant alterations in host cellular metabolism, with a central role played by mitochondria. The virus induces changes in mitochondrial gene expression, oxidative phosphorylation, and induces mitochondrial dysfunction, affecting overall cellular energy dynamics​​.
  9. ATP and Nitric Oxide Signaling: The study discusses how SARS-CoV-2 infection affects ATP and nitric oxide signaling, leading to cell stress and impacting various physiological functions, including vascular function and inflammation​​.
  10. Future Research Directions:

The study concludes by emphasizing the need for ongoing research in several key areas. These include understanding the mechanisms of viral entry and the role of specific proteins and receptors, the impact of host genetics and environmental factors on infection, and how SARS-CoV-2 affects metabolic pathways like glycolysis and oxidative phosphorylation. Additionally, it highlights the need to explore how mitochondria adapt to the infection and shift their function, which is critical for developing effective treatments and interventions​​.

In summary, this comprehensive review presents a detailed overview of the molecular and cellular mechanisms of SARS-CoV-2 infection and replication, emphasizing the virus’s impact on host cellular machinery and signaling pathways. The insights provided in this study are crucial for guiding future research and developing strategies to combat COVID-19 effectively.

Read More: https://www.nature.com/articles/s41431-022-01108-8

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