Inhibitors of cathepsin L prevent severe acute respiratory syndrome coronavirus entry

G Simmons, DN Gosalia… - Proceedings of the …, 2005 - National Acad Sciences
G Simmons, DN Gosalia, AJ Rennekamp, JD Reeves, SL Diamond, P Bates
Proceedings of the National Academy of Sciences, 2005National Acad Sciences
Severe acute respiratory syndrome (SARS) is caused by an emergent coronavirus (SARS-
CoV), for which there is currently no effective treatment. SARS-CoV mediates receptor
binding and entry by its spike (S) glycoprotein, and infection is sensitive to lysosomotropic
agents that perturb endosomal pH. We demonstrate here that the lysosomotropic-agent-
mediated block to SARS-CoV infection is overcome by protease treatment of target-cell-
associated virus. In addition, SARS-CoV infection was blocked by specific inhibitors of the …
Severe acute respiratory syndrome (SARS) is caused by an emergent coronavirus (SARS-CoV), for which there is currently no effective treatment. SARS-CoV mediates receptor binding and entry by its spike (S) glycoprotein, and infection is sensitive to lysosomotropic agents that perturb endosomal pH. We demonstrate here that the lysosomotropic-agent-mediated block to SARS-CoV infection is overcome by protease treatment of target-cell-associated virus. In addition, SARS-CoV infection was blocked by specific inhibitors of the pH-sensitive endosomal protease cathepsin L. A cell-free membrane-fusion system demonstrates that engagement of receptor followed by proteolysis is required for SARS-CoV membrane fusion and indicates that cathepsin L is sufficient to activate membrane fusion by SARS-CoV S. These results suggest that SARS-CoV infection results from a unique, three-step process: receptor binding and induced conformational changes in S glycoprotein followed by cathepsin L proteolysis within endosomes. The requirement for cathepsin L proteolysis identifies a previously uncharacterized class of inhibitor for SARS-CoV infection.
National Acad Sciences