What is it about?

COVID-19 is caused by the SARS-CoV-2 virus, which enters human cells by attaching to a molecule on the cell surface called ACE2. Just like our physical traits such as height and eye color, there can be small natural variations in this ACE2 molecule among different people. We wanted to find out if these small variations could change how well the virus attaches and if this could make some people more or less susceptible to the virus. So, we tested this theory by looking at several variations of ACE2 found in humans and measuring how strongly they can bind to the virus. What we found was interesting - some variations allowed the virus to bind more strongly, potentially increasing the risk of infection. Others made the virus bind less well, which could possibly provide some protection against the virus. Importantly, we noticed that some of these variations are more common in certain populations, which could potentially impact how COVID-19 spreads among those groups. While most of these variations are rare, a few occur in more than 1 in 1,000 individuals, so they might have an important role in how COVID-19 affects different people. Lastly, we used computer programs to predict what might happen with even more variations of ACE2 than we could test in the lab. These predictions could help us to identify people who might be at a higher or lower risk from COVID-19 in the future.

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Why is it important?

Our study is unique as it offers new insights into how genetic variations in the ACE2 protein, the key human cell entry point for SARS-CoV-2, could influence the spread and severity of COVID-19 among different populations. While previous research has established the role of ACE2 in SARS-CoV-2 infection, our work takes it a step further by investigating how specific genetic variants could either enhance or inhibit the virus's ability to bind to ACE2, hence affecting the risk and course of the disease. What's more, we've discovered certain variants of ACE2 that are prevalent in specific population cohorts, such as the African, Ashkenazi Jewish, and European non-Finnish groups. This finding is critical, as it could potentially inform tailored public health strategies and interventions to combat COVID-19 more effectively in these specific populations. Our study's findings also have broader implications for the understanding and prediction of susceptibility to other diseases that use ACE2 or similar receptors for cell entry. By comparing our experimental results with computational predictions, we provide a foundation for future research to refine these methods and expand our capacity to assess potential genetic risk factors for infectious diseases like COVID-19. Ultimately, this could lead to more personalized preventive measures and treatments.

Perspectives

This research began during the first UK lockdown, an intense period marked by long work weeks exceeding 80 hours. During this time, I compiled the first set of predictions and drafted an initial preprint. I was thrilled by the reception from eLife reviewers, although it was disheartening when one reviewer felt our study didn't meet the novelty standards due to a similar topic covered in another preprint. This was quite a blow, considering the significant effort and sacrifices made, not only by me but by my family as well. However, such is the nature of scientific research - opinions vary, and editors must base their decisions on these varied viewpoints. While it felt like a setback at the time, this led to a fortuitous development. We initiated a collaboration with an experimental lab, which not only brought this paper to fruition but also led to another significant paper on Spike variants. In retrospect, the entire journey was a testament to the grit, resilience, and collaboration intrinsic to scientific research, especially in response to global health emergencies. It reinforced the idea that progress sometimes comes from unexpected directions, and it was an honor to be a part of this endeavor, contributing to the ongoing battle against COVID-19.

Dr Stuart MacGowan
University of Dundee

Read the Original

This page is a summary of: Missense variants in human ACE2 strongly affect binding to SARS-CoV-2 Spike providing a mechanism for ACE2 mediated genetic risk in Covid-19: A case study in affinity predictions of interface variants, PLoS Computational Biology, March 2022, PLOS,
DOI: 10.1371/journal.pcbi.1009922.
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