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. 2022 Feb 23;322(4):C605–C613. doi: 10.1152/ajpcell.00028.2022

Table 1.

Interaction of heparan sulfate and SARS-CoV-2

References Role of Heparan Sulfate The Types of Virus Stains/Protein Note
Clausen et al. (14) Attachment factor 1) SARS-CoV-2 live virus (USA-WA1/2020)2) pp-SARS2 Binding to HS changes the conformation of the spike protein
Kim et al. (83) Interaction with recombinant S Recombinant SARS-CoV-2 spike protein Recombinant spike protein interacts with the GAG-binding motif at the S1/S2 site and [453-459 (YRLFRKS)]
Mycroft-West et al. (12) Heparin inhibits the SARS-CoV-2 entry Italy/UniSR1/2020 isolate (GISAID accession ID: EPI_ISL_413489) Binding to the RBD is more likely dependent on the structures of 2-O- or 6-O-sulfate groups
Schuurs et al. (84) Interaction with spike protein Bioinformatics and molecular dynamics simulations The heparan sulfate binds the furin cleavage site and S247R; heparin binds the furin cleavage site and surrounding glycosylation structures, but not S247R
Chu et al. (10) Attachment factor 1) SARS-CoV-2 HKU-001a (GenBank accession number MT230904)2) SARS-CoV-2 HKU-001a S1/S2mut (GenBank accession number MT621560)3) pp-SARS2 Both human lung epithelial cells and ex vivo human lung tissues were used in assessing the role of heparan sulfate
Tandon et al. (85) Sulfated polysaccharides exhibit potent anti-SARS-CoV-2 activity pp-SARS2
Yan et al. (86) Binding to the spike protein pp-SARS2 SARS-CoV-2 spike protein binds stronger to human lung heparan sulfate than bat lung heparan sulfate
Partridge et al. (87) Unfractionated heparin inhibits spike protein interaction Recombinant SARS-CoV-2 spike protein Chondroitin sulfate did not inhibit the binding of the spike protein
Yue et al. (88) Facilitates spike protein-mediated SARS-CoV-2 cell entry pp-SARS2 Overexpression of Ext1 in 293 T-ACE2 cells increased pp-SARS2 infection
Liu et al. (89) Attachment factor Recombinant protein HS Functions as initial attachment factor, which facilitates the binding of spike protein to ACE2
Hao et al. (11) Binding to the spike protein Recombinant protein S proteins are able to bind to HS in a sulfation-dependent manner specifically
Gupta et al. (90) Heparin inhibits SARS-CoV-2 infection SARS-COV2/MT020880.1
Shiliaev et al. (91) Heparin can effectively inhibit Cell adapted SARS-CoV-2 but not natural isolates 1) SARS-CoV-2 strain 2019nCoV/USA_WA1/20202) CoV-2/UAB Serial passages of natural SARS-CoV-2 isolates in Vero-E6 increases the affinity to HS
Bermejo-Jambrina et al. (92) Attachment receptor 1) SARS-Related Coronavirus 2, Isolate Italy-INMI1, NR-52284; 2) PP-SARS2 Heparan sulfate proteoglycans Syndecan 1 and 4 are important for SARS-CoV-2 binding
Chittum et al. (93) Interacts with SARS-CoV-2 spike HS microarray/SARS-CoV-2 protein Equivalent importance of IdoA2S−GlcNS6S and GlcNS3S on binging to RBD
Zheng et al. (94) Heparin binding to SARS-CoV-2 spike protein mFc-tagged S1 protein Spike protein directly promotes blood coagulation and thrombosis in the zebrafish model

HS, heparin sulfate; pp-SARS2: pseudotyped SARS-CoV-2.