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. 2022 Jan 13:10.2217/epi-2021-0476. doi: 10.2217/epi-2021-0476

Table 1. Epigenetically upregulated receptors/mediators associated with SARS-CoV-2 entry.

Receptor/mediator Role in COVID-19 Histone marks in mdig+ epithelial cells Ref.
ACE2 The main receptor mediating SARS-CoV-2 entry, the expression of ACE2 is maintained, if not upregulated, as a result of the arsenic-induced impaired activity of EZH2. ↓ H3K27me3 [10,18,19]
NRP1 Highly expressed in the respiratory tract epithelial cells, NRP1 bind the S1 segment of the SARS-CoV-2 spike protein following its cleavage by furin. ↑ H3K4me3
↓ H3K9me3
[10,20]
NRP2 Similar to NRP1. ↑ H3K4me3
↓ H3K9me3
↓ H3K27me3
[10,21]
AT1R Facilitates SARS-CoV-2 entry through receptor-mediated endocytosis of sACE2-S complex following the interaction of viral spike protein with soluble ACE2. ↓ H3K9me3 [10,22,23]
CTSD Potentially facilitates SARS-CoV-2 entry through positive regulation of furin by means of osteopontin. ↓ H3K9me3
↓ H3K27me3
[10,24–26]
CTSL Elevated in the serum of COVID-19 patients, CTSL mediates viral entry by participating in the cleavage of the viral S protein. ↑ H3K4me3
↓ H3K9me3
↓ H3K27me3
[10,27]
PTGER2-4 Upregulation of PGE2 receptors might potentiate the positive regulatory effect of PGE2 on ACE2 and TMPRSS2, facilitating SARS-CoV-2 entry. ↑ H3K4me3 [10,28,29]
SLC6A20/SIT1 Positively regulated by ACE2, SLC6A20/SIT1 is suspected to reciprocally interact with ACE2 and enhance its activity. ↓ H3K27me3 [10,30,31]
IL-6 Present in high levels in the serum of COVID-19 patients, IL-6 is speculated to enhance viral entry by activating the AT1R signaling cascade. ↓ H3K27me3 [4,23,32,33]