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SARS-CoV-2 host-pathogen interactome: insights into more players during pathogenesis

Mothae et al., Virology, doi:10.1016/j.virol.2025.110607, Jun 2025
https://c19ivm.org/mothae.html
Ivermectin for COVID-19
4th treatment shown to reduce risk in August 2020, now with p < 0.00000000001 from 105 studies, recognized in 24 countries.
No treatment is 100% effective. Protocols combine treatments.
5,800+ studies for 172 treatments. c19ivm.org
Review of SARS-CoV-2 host-pathogen interactions during viral pathogenesis, focusing on protein-protein interactions that facilitate viral entry, replication, immune evasion, assembly, and release. Authors comprehensively analyze how SARS-CoV-2 exploits host cellular machinery through interactions with ACE2 and alternative receptors (neuropilin-1, AXL, heparan sulfate proteoglycans), manipulates immune responses by targeting interferon pathways, and hijacks cellular processes for replication and dissemination. Authors identify several compounds with therapeutic potential, including amlexanox (TBK1 inhibitor), H-151 (STING inhibitor), ivermectin (nuclear transport inhibitor), silvestrol (translation inhibitor), niclosamide (ORF7a/8 inhibitor), chloroquine (trafficking inhibitor), and resveratrol (nucleocapsid inhibitor). Various SARS-CoV-2 proteins target specific host factors: NSPs inhibit interferon signaling, ORF proteins disrupt antigen presentation, and structural proteins facilitate viral assembly and release.
Reviews covering ivermectin for COVID-19 include1-48.
Review covers ivermectin, HCQ, niclosamide, and resveratrol.
Mothae et al., 12 Jun 2025, peer-reviewed, 3 authors. Contact: mvubun@ukzn.ac.za.
SARS-CoV-2 host-pathogen interactome: insights into more players during pathogenesis
S A Mothae, T E Chiliza, N E Mvubu
Virology, doi:10.1016/j.virol.2025.110607
SARS-CoV-2, the virus responsible for COVID-19, emerged in December 2019 and was declared a global health emergency in January 2020. The pandemic has led to nearly 7 million deaths worldwide, prompting ongoing research into viral variants and potential future outbreaks. Like other viruses, SARS-CoV-2 relies on host proteins to complete its life cycle, hijacking cellular processes to enhance replication and evade immune responses. The virus primarily enters host cells through the angiotensin-converting enzyme 2 (ACE2) receptor, but additional coreceptors, including C-type lectins, neuropilin-1, basigin (CD147), and tyrosine-protein kinase receptors, may also facilitate entry. To evade immune detection, SARS-CoV-2 targets the type I interferon (IFN) pathway, disrupting antiviral responses. Viral replication is supported by interactions with host polymerase (Pol δ), lipid droplet regulators, and Ras-related proteins. Non-structural proteins (NSPs) further manipulate host ATP metabolism and stress response pathways in the endoplasmic reticulum (ER) and mitochondria. The membrane (M) protein plays a crucial role in viral trafficking, interacting with host proteins to direct assembly at the ER-Golgi intermediate compartment (ERGIC) or plasma membrane, promoting syncytia formation. For viral release, SARS-CoV-2 exploits tight junction proteins, enhancing its spread within the lungs. This narrative review unpacks the SARS-CoV-2 host-pathogen interactome, highlighting critical structural and non-structural protein interactions as well as crucial host proteins that are expressed during the pathogenesis process. Through an integrative perspective of essential "players" during pathogenesis, this review aims to uncover therapeutic and vaccine targets, offering insights into antiviral strategies against SARS-CoV-2 and future coronaviruses.
Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
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