Coronavirus Invasion mechanism

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By Lizzy Apunda

Introduction

Figure 1: An image of Coronavirus Disease 2019 (COVID 19). [1]


Figure 2: Phylogenetic tree of 28 coronaviruses with complete protein sequences of helicase.https://cmr.asm.org/content/20/4/660.short [2]

Coronaviruses are a large family consisting of enveloped, non-segmented, positive stranded RNA viruses that cause moderate to mild upper-respiratory tract, gastrointestinal, hepatic and central nervous system diseases. [3] These viruses have a broad host range and infect both mammals (pigs, camels, bats, cats e.t.c) and avian species. Spillover events are rare circumstances that cause the viruses to jump to humans and cause disease [4].The virus primarily causes upper respiratory tract infections in humans and fowls and enteric infections in porcine and bovine [3] . Since 2013, porcine epidemic diarrhea coronavirus (PEDV) has killed 100% of infected piglets in America [5]. This constituted 10% of America’s pig population. About four of the seven known coronaviruses only cause mild to moderate symptoms in infected individuals. Three of these, however, are capable of causing severe, even fatal, disease: Severe acute respiratory syndrome coronavirus (SARS-CoV) and Middle East respiratory syndrome coronavirus (MERS-CoV) [6]. SARS-CoV emerged in November 2002 and disappeared in 2004 after infecting 8000 people with a fatality rate of ~10% [4]. The sudden disappearance was likely due to intensive contact tracing and care isolation measures [4]. Since 2012, MERS-CoV has infected more than 1700 people, with a fatality rate of ~36% [5]. Coronaviruses adapt to new environments through mutation and recombination and as a result can alter host range and tissue tropism efficiently [7] . This means that the effects of coronaviruses on global health and economic stability are constant and long term. Therefore, it is crucial to study and understand the virology of coronaviruses [6].

Coronaviruses belong to the family Coronaviridae in the order Nidovirales [5]. These viruses have a viral genome of about 26-32 kilobases and can further be classified into four genera: Alphacoronavirus, Betacoronavirus, Gammacoronavirus, and Deltacoronavirus. These genera were first determined by serology, and later by phylogenetic clustering [8] . Alpha and beta coronaviruses infect mammals, gamma coronaviruses infect avian species, and delta coronaviruses infect both mammalian and avian species [8]. Examples of alpha coronaviruses include Human coronavirus (HCoV-NL63), porcine transmissible gastroenteritis coronavirus (TGEV), PEDV, and porcine respiratory coronavirus (PRCV) [5]. Examples of beta coronaviruses include SARS-CoV, 2019-nCoV, MERS-CoV, bat coronavirus HKU4, mouse hepatitis coronavirus (MHV), bovine coronavirus (BCoV), and human coronavirus OC43 [5]. The 2019-nCoV also an example of a betacoronavirus that is ancestral to human SARS-CoV and bat SARS-CoV [9]. Examples of gamma- and delta coronaviruses include avian infectious bronchitis coronavirus (IBV) and porcine deltacoronavirus (PdCV), respectively [8].

Genome Structure and Organization

Figure 3:Genomic organization of representative α, β, and γ CoVs. An illustration of the MHV genome is depicted at the top. The expanded regions below show the structural and accessory proteins in the 3′ regions of the HCoV-229E, MHV, SARS-CoV, MERS-CoV and IBV.[8]

Viruses in the Nidovirales order have exceptionally large genome sizes among all RNA viruses, with the largest genome size being 33.5 kilobases [6]. Coronaviruses have a highly organized genome structure where the 5’ ends have a cap while the 3’ ends have a poly(A) tail [8]. The 5’ ends also contain untranslated regions, stem loop structures, and a leader sequence required for RNA replication and transcription of the viral genome. These features enable the genome to act as an mRNA for the translation of the replicase protein, which encodes non-structural proteins [8]. The genome is packed inside a helical capsid, which is common in negative-sense strand RNA and unusual in positive-sense strand RNA viruses. These viruses have spike projections that protrude from the surface in addition to four structural proteins: the Spike protein (S), the membrane protein (M), the envelope protein (E) and the nucleocapsid protein (N) [8]. The S protein uses an N-terminal signal sequence to mediate attachment to the host receptor [8]. The M protein exists as a dimer and contains three transmembrane domains. This protein is responsible for giving the virion its shape and promotes membrane curvature. The E protein is a transmembrane protein that has various functions: facilitates assembly and dispersion of the virus, and contains ion channel activity. In SARS-CoV, the ion channel activity is necessary for pathogenesis [8]. Phosphorylation in the N protein triggers a structural change that increases the affinity for viral DNA [8].

Coronaviruses Spike Proteins

Figure 6: A soluble form of ACE2, blocked the association of S1–Ig with Vero E6 cells. S1–Ig immunoprecipitated a soluble form of ACE2 that was recognized by an anti-ACE2 antibody (lane 8). When the approximately 110 kDa soluble form of ACE2 was incubated with PNGase F, an 85 kDa band was observed, demonstrating a specific, high-affinity association between the S1 domain of the SARS-CoV S protein and ACE2. .[7]

The coronavirus spike proteins associate with cellular receptors to facilitate infection of their target cells (Li et al, 2003). They consist of an ectodomain, a transmembrane anchor and a short intracellular tail [5]. The ectodomain contains the receptor binding subunit S1 that binds to the host’s cell surface during virus entry and a membrane fusion subunit S2, which fuses the host and viral membrane [6]. These processes are critical for the coronavirus infection cycle. SARS-Cov and 2019 nCoV spike proteins share similarities of around 76-78%, while the receptor binding proteins share about 50-53% similarities [9].

Receptor Recognition

Figure 10: Introduction to coronaviruses and their spike proteins. (a) Classification of coronaviruses. (b) Schematic of the overall structure of prefusion coronavirus spikes. Shown are the receptor-binding subunit S1, the membrane-fusion subunit S2, the transmembrane anchor (TM), the intracellular tail (IC), and the viral envelope. (c) Schematic of the domain structure of coronavirus spikes, including the S1 N-terminal domain (S1-NTD), the S1 C-terminal domain (S1-CTD), the fusion peptide (FP), and heptad repeat regions N and C (HR-N and HR-C). Scissors indicate two proteolysis sites in coronavirus spikes. (d ) Summary of the structures and functions of coronavirus spikes.[5]

Coronaviruses have a rich diversity of receptor usage. They either utilize the S1, N-terminal domain (S1-NTD) or the S1, C-terminal domain as a receptor-binding domain [9]. Coronavirus S1-NTDs bind sugar with the exception of the beta coronavirus MHV that binds a protein receptor [6]. The S1-CTDs recognize protein receptors ACE2, APN, and DPP4 [8]. Alpha coronaviruses such as the human coronavirus (HCoV-NL63) and beta coronaviruses such as SARS-CoV recognize the zinc peptidase angiotensin-converting enzyme 2 (ACE2) [6]. Other alpha coronaviruses TGEV, PEDV, and PRCV recognize the zinc peptidase, aminopeptidase N (APN) [8]. Comparably, other beta coronaviruses recognize different receptors: a serine peptidase, dipeptidyl peptidase 4 (DPP4) [8]. Alpha coronaviruses such as TGEV and PEDV, together with gamma coronavirus (IBV) use sugar as receptors or coreceptors [8]. These receptors have other physiological functions aside from facilitating viral entry. The S1-CTD of the SARS-CoV exists as a core structure (five-stranded antiparallel β-sheet) and a receptor binding motif (RBM) [8]. The RBM includes a surface that binds the ACE2 receptor. SARS-Cov strains that were isolated from human patients and palm civets during the SARS epidemic showed differences in S1-CTD residues of the RBM region: Asn479 and Thr487 in human viral strains become Lys479 and Ser487 in civet viral strains, respectively [5]. Strains collected from the humans bound more tightly to the human ACE2 receptor than strains collected from the civets. These results were crucial in the study of cross-species transmissions of SARS-CoV [6]. Human ACE2 residues Lys31 and lys353 are virus hotspots with salt bridges and are instrumental in virus receptor binding. Protein residues that interact with these hotpots are under selective pressure to mutate [8]. Naturally selected viral mutations strengthen the structure of the hot spots, enhancing the binding affinity of S1-CTD for human ACE2 [8]. These mutations were responsible for the civet-to-human and human-to-human transmissions of the virus [8]. Rat, mouse and bat ACE2 protein residues are unable to bind to the SARS-CoV binding domain [8]. The similarities in Receptor binding proteins and spike proteins of the 2019-nCoV and SARS-CoV suggest that the two may share the same receptor (ACE2) [9]. Evidence that supports this is that the SARS-CoV receptor binding motifs do not have deletions or insertions. Nine of the 14 ACE2 residues in the RBM are fully conserved while 4 are partially conserved among human, bat and civet SARS-CoV and 2019-nCoV (Wan, 2020). Favorable interactions between residues and viral binding hot spots enhances viral binding of 2019-nCoV to human ACE2. The viral binding ACE2 residues of cats, ferrets, monkeys, pigs and orangutans have similar viral binding residues [5]. This explains why the 2019-nCov is able to recognize them. The diversity of bats makes it difficult to establish the ability of 2019-nCoV to bind to the ACE2 [8]. 2019-nCoV RBM recognizes the ACE2 sequence of the Rhinolophus sinicus bats [5]. />

Coronavirus Replicase

Nidoviruses possess a significant number of individual proteins compared to other plus strand viruses [10]. These extra proteins arenecessary to produce a more useful replication and transcription system that increases the fidelity of RNA-dependent RNA synthesis. This process makes it possible to replace needed host factors that are needed by other viruses in an otherwise error prone RNA-dependent RNA synthesis [11]. It also assists sthe viruses to interact with the host cell and the immune system of the host animal. Gene expression in Coronaviruses begins with the translation of the replicase gene from the infectious genomic RNA [10]. The replicase gene consists of two large Open Reading Frames (ORF): ORF1a and ORF1b. The two types are located at the 5’ end and cover over two-thirds of the genome [12]. The upstream ORF1a encodes a polyprotein, pp 1a, whereas a combination of the reading frames encode pp 1ab to generate, which is translated as a ribosomal frameshift [12]. Some of the virally encoded proteinases such as papain-like and 3C like proteinases can process the coronavirus polyproteins pp 1a and pp 1b to form 15 to 16 end products and a number of intermediate products [12]. These non-structural proteins (nsp) assemble to form a fully functional replication and transcription complex in the cytoplasm of the infected cell [12]. This complex provides a medium for replication and of coronavirus genomic RNA and transcription of multiple sub-genomic mRNA [12]. Research also suggests that the replicase gene may contribute to tropism and pathogenicity [11]. There is a significant number of conserved domains present in the replicase that are uncharacterized. These domains may provide potential targets for antiviral intervention examples including helicase,s proteases, and RNA-dependent RNA polymerase [12]./>

Discontinuous Transcription by Coronaviruses

Whereas, plus and minus strands that are as large as the genome are generated continuously or processively by viral replicases, discontinuous transcription is a mechanism that is required to synthesize the minus-strand templates for the subgenomic mRNA [13]. Studies on the group 2 coronavirus, Mouse Hepatitis Virus Strain (MHV-A59), revealed that all of the viral plus strands possessed the 1.7 kb sequence of RNA-7 as well as the poly (a) tract at their 3’ and 5’ ends [13]. In addition, the genome and all the sub-genomic mRNAs had similar leader sequences. Since this leader sequence is restricted to the 5’ end of the genome, scientists suggest that in viral RNA synthesis, there may be a way for the leader RNA to be joined to the body of mRNAs at the 3’ end of the genome [13]. The end of the leader sequence and before the ORF of the sub-genomic RNA, there exists a translation regulating/activating sequence (TRS- UCUAAAC) (Eunjuanes, 2004). This replication strategy occurs in Arteriviridae in the Coronaviridae family [13].

According to Enjuanes’ model of the 3’ discontinuous extension, viral polymerase begins transcription at the 3’ end of the genome (2004) and pauses after transcription of the TRS- UCUAAAC sequence. Every polymerase that gets to this point can either continue transcription or move to the 5’ end of the genome without copying the intervening sequences. This process is known as discontinuous transcription [13]. The coronaviruses polymerases may function in a way that is analogous to DNA dependent RNA polymerases where the polymerase is primarily associated with the growing strand [13]. Scientists suggest that a similar mechanism may exist for proofreading by RNA polymerase: the polymerase pauses, retracts and then excises nucleotides from the 3’ end [13]. Several gene products of the ORF1b of coronaviruses and SARS- CoV were identified to function in this manner, with added nuclease activity [13].

Assembly and Release

After replication and sub-genomic RNA synthesis, coronaviruses assemble intracellularly at membranes of the immediate compartment [8]. This usually occurs between the endoplasmic reticulum (ER) and the golgi apparatus [14]. This process involves the viral structural proteins, S, E and M getting inserted into the ER where they move along the secretory pathway into the ER-golgi intermediate compartment (ERGIC) [14]

. The helical nucleocapsids that are generated in the cytoplasm align at these membranes and mingle with the cytoplasmic domains of the viral membrane proteins [8]. At the ERGIC, the viral genomes that have been enclosed by the N protein bud into membranes of the ERGIC. These membranes contain viral structural proteins and form mature virions [8]. The virions are transported from the cell and into the exocytic pathway as they undergo various post assembly maturation processes including proteolytic and oligosaccharide processing [14] The M protein is responsible for managing the majority of protein-protein interactions needed for the assembly of coronaviruses [8]. The co-expression of the M protein and the E protein is sufficient for the formation of virus-like particles. This suggests that the two proteins are required for the production of coronavirus enveloped [8]. The N protein enhances the formation of the particles while the S protein traffics to the ERGIC and interacts with the M protein enhancing incorporation of virions [8]. Researchers have suggested that the E protein may be required for inducing membrane curvature, altering the host secretory pathway or preventing the aggregation of the M protein [8]. The M protein binds to the nucleocapsids, an interaction that enhances the completion of virion assembly. In several coronaviruses, the S protein travels to the cell surface where it mediates cell-cell fusion between infected and adjacent uninfected cells [8]. This process causes the formation of giant, multinucleated cells that enables the virus to spread within an infected organism without detection or neutralization by antibodies [8].

Figure 12: The shc mutant strain shows an increased detergent sensitivity compared to the wild-type.[15]
Figure 13: The intracellular concentration of NPN of the shc mutant strain does not change a lot, while that of the wild-type strain decreases constantly.[15]

Pathogenesis

Animal Coronaviruses

Coronaviruses are responsible for causing a large number of diseases in animals especially livestock. Approximately 75% of emerging infectious diseases are of zoonotic origin [16] .Transmissible Gastroenteritis Virus is a coronavirus that infects pigs by binding to the APN receptor [17]. Porcine Epidemic Diarrhea Virus (PEDV) infects a pig’s intestinal cell lining and causes severe dehydration and diarrhea. Porcine hemagglutinating encephalomyelitis virus (PHEV) causes an enteric infection in pigs with the added possibility of infecting the nervous system [8]. Feline enteric coronavirus (FCoV) causes a mild, asymptomatic infection in domestic cats. This strain becomes virulent with persistent infection [8]. Bovine CoV, Rat CoV, and Infectious Bronchitis Virus (IBV) lead to the formation of mild to severe respiratory tract diseases in livestock, rats, and chickens respectively [8]. Murine hepatitis virus (MHV) infects mice and causes respiratory, enteric, hepatic and neurologic diseases. These infections have been used as model systems to study the effects of the coronavirus. Animal coronaviruses lead to high mortality and morbidity in livestock, which negatively impacts the economy./>

Human Coronaviruses

Figure 14: The nodules formed by wild-tryp, hpnP, and hpnH strains. Compared to the wild-type B. diazoefficiens, the nodules formed by either hpnP or hpnH strain are unhealthy.[18]

For a long period, coronaviruses were believed to only cause mild, respiratory tract infections in humans. The SARS-CoV was the first to debunk this theory. Betacoronaviruses such as HCoV 229E and the HCoV OC43 were the first human coronaviruses to be identified [19]. The two were responsible for upper and mild respiratory tract infections like the common cold [19]. After the emergence of other coronaviruses, such as NL63 in 2004, HKU1 in 2005 and SARS-CoV in 2003, new studies have emerged characterizing HCoV. Research shows that human coronavirus infections mainly occur in the winter, with a relatively short incubation period [19]. Coronaviruses can cause bronchitis, bronchiolitis or pneumonia [8]. These infections predominantly occur in weak patients i.e newborns/infants, the elderly and immunocompromised patients [19]. The HCoVs are believed to cause digestive issues and necrotizing enterocolitis in newborns [19]. Diarrhea and other gastrointestinal issues may accompany coronavirus infections [8]. Some HCoV OC43 infected patients exhibit neurological symptoms suggesting the possible involvement of the HCoV in the Central Nervous System. Highly pathogenic coronaviruses such as SARS-CoV and Covid19 affect a significant number of people in the world. SARS-CoV and Covid19 infections in humans cause fatigue, rigors, high fever, and tiredness [19]. Covid19 patients also report having shortness of breath. A third of patients infected with SARS-CoV recover as clinical symptoms regress, however, some continue to have persistent pulmonary lesions [8]. Covid!9 has an even lower infection rate of around 1%. Respiratory insufficiency in both diseases cause respiratory failure, which is the most common cause of death among infected patients [19]. The majority of patients infected with SARS-CoV develop watery diarrhea with active virus shedding for several weeks, which increases transmissibility [8]. The ability of coronaviruses to jump from one species to the next poses a risk to the human population [8]. For instance, the HCoV OC43 may have evolved from the bovine coronavirus and SARS-CoV is a zoonotic virus that crossed the species barrier [19].


Figure 15: Under the high concentration of oxygen, Azotobacter vinelandii also synthesize alginate to create an alginate capsule to protect nitrogenase activity.[18]

Vaccines and Therapy

There is currently no treatment or vaccine to fight HCoVs. The major strategies employed by healthcare professionals is to help patients manage their symptoms until they recover. Multi-organ failure, respiratory failure and septic shock is the leading cause of death in Covid19 patients.




Authored for BIOL 238 Microbiology, taught by Joan Slonczewski, 2018, Kenyon College.

  1. ↑ "Newsroom" Centers for Disease Control and Prevention(CDC) 25 February 2019. Web. 14 April. 2020.
  2. ↑ V. C., Lau, S. K., Woo, P. C., & Yuen, K. Y. (2007). Severe acute respiratory syndrome coronavirus as an agent of emerging and reemerging infection. Clinical microbiology reviews, 20(4), 660-694.
  3. ↑ 3.0 3.1 T., & Buchmeier, M. (2001). Coronavirus Spike Proteins in Viral Entry and Pathogenesis. Virology, 279(2), 371-374. doi: 10.1006/viro.2000.0757
  4. ↑ 4.0 4.1 4.2 “Coronavirus” National Institutes of Health (COVID-19). (2020). Retrieved 8 April 2020.
  5. ↑ 5.0 5.1 5.2 5.3 5.4 5.5 5.6 5.7 5.8 5.9 F. (2016). Structure, Function, and Evolution of Coronavirus Spike Proteins. Annual Review Of Virology, 3(1), 237-261. doi: 10.1146/annurev-virology-110615-042301
  6. ↑ 6.0 6.1 6.2 6.3 6.4 6.5 6.6 Cite error: Invalid <ref> tag; no text was provided for refs named ag
  7. ↑ 7.0 7.1 W., Moore, M., Vasilieva, N., Sui, J., Wong, S., & Berne, M. et al. (2003). Angiotensin-converting enzyme 2 is a functional receptor for the SARS coronavirus. Nature, 426(6965), 450-454. doi: 10.1038/nature02145
  8. ↑ 8.00 8.01 8.02 8.03 8.04 8.05 8.06 8.07 8.08 8.09 8.10 8.11 8.12 8.13 8.14 8.15 8.16 8.17 8.18 8.19 8.20 8.21 8.22 8.23 8.24 8.25 8.26 8.27 8.28 8.29 8.30 8.31 8.32 8.33 8.34 8.35 8.36 A. R., & Perlman, S. (2015). Coronaviruses: an overview of their replication and pathogenesis. Methods in molecular biology, (Clifton, N.J.), 1282, 1–23.
  9. ↑ 9.0 9.1 9.2 9.3 Y., Shang, J., Graham, R., Baric, R., & Li, F. (2020). Receptor Recognition by the Novel Coronavirus from Wuhan: an Analysis Based on Decade-Long Structural Studies of SARS Coronavirus. Journal Of Virology, 94(7). doi: 10.1128/jvi.00127-20
  10. ↑ 10.0 10.1 J. (2005). The coronavirus replicase. In Coronavirus replication and reverse genetics, (pp. 57-94). Springer, Berlin, Heidelberg.
  11. ↑ 11.0 11.1 E., McAuliffe, J., Lu, X., Subbarao, K., & Denison, M. R. (2004). Identification and characterization of severe acute respiratory syndrome coronavirus replicase proteins. Journal of virology, 78(18), 9977-9986.
  12. ↑ 12.0 12.1 12.2 12.3 12.4 12.5 T., Scandella, E., Schelle, B., Ziebuhr, J., Siddell, S. G., Ludewig, B., & Thiel, V. (2004). Rapid identification of coronavirus replicase inhibitors using a selectable replicon RNA. Journal of general virology, 85(6), 1717-1725.
  13. ↑ 13.0 13.1 13.2 13.3 13.4 13.5 13.6 13.7 L. (Ed.). (2004). Coronavirus replication and reverse genetics (Vol. 287). Springer Science & Business Media.
  14. ↑ 14.0 14.1 14.2 H., Godeke, G. J., Rossen, J. W., Voorhout, W. F., Horzinek, M. C., Opstelten, D. J., & Rottier, P. J. (1996). Nucleocapsid‐independent assembly of coronavirus‐like particles by co‐expression of viral envelope protein genes. The EMBO journal, 15(8), 2020-2028.
  15. ↑ 15.0 15.1 Cite error: Invalid <ref> tag; no text was provided for refs named Saenz2015
  16. ↑ L. J. (2004). Animal coronaviruses: what can they teach us about the severe acute respiratory syndrome?. Revue scientifique et technique-Office international des épizooties, 23(2), 643-660.
  17. ↑ L., & van der Zeijst, B. A. (1995). Molecular basis of transmissible gastroenteritis virus epidemiology. In The coronaviridae (pp. 337-376). Springer, Boston, MA.
  18. ↑ 18.0 18.1 Cite error: Invalid <ref> tag; no text was provided for refs named Kulkarni2013
  19. ↑ 19.0 19.1 19.2 19.3 19.4 19.5 19.6 19.7 C., Varbanov, M., & Duval, R. E. (2012). Human coronaviruses: insights into environmental resistance and its influence on the development of new antiseptic strategies. Viruses, 4(11), 3044–3068.
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