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K5 polysaccharides inhibit SARS-CoV-2 infection by preventing spike-proteolytic priming

Title: K5 polysaccharides inhibit SARS-CoV-2 infection by preventing spike-proteolytic priming
Authors: Milanesi, Maria; Urbinati, Chiara; Zimmermann, Liv; Oreste, Pasqua; Zani, Alberto; Caruso, Arnaldo; Caccuri, Francesca; Laketa, Vibor; Chlanda, Petr; Wade, Rebecca C.; Rusnati, Marco; Paiardi, Giulia
Contributors: Milanesi Maria; Urbinati Chiara; Zimmermann Liv; Oreste Pasqua; Zani Alberto; Caruso Arnaldo; Caccuri Francesca; Laketa Vibor; Chlanda Petr; Wade Rebecca C.; Rusnati Marco; Paiardi Giulia
Publication Year: 2026
Collection: Università degli Studi di Brescia: OPENBS - Open Archive UniBS
Description: SARS-CoV-2 spike glycoprotein is a promising drug target due to its crucial role in viral infection. Heparin, a long linear polysaccharide that inhibits SARS-CoV-2 infection by acting on spike, has limited antiviral applications due to its anticoagulant effect. E. coli K5 polysaccharides share the same structure as the heparin precursor and can be chemically modified to be devoid of anticoagulant activity. Here, biochemical assays and computer simulations reveal that K5 with high degree of sulfation at O- (K5OSH) or N- and O-positions (K5NOSH) bind spike with higher affinity than heparin, preventing its binding to ACE2 and furin cleavage. This mechanism is supported by cell syncytia assays showing that K5OSH and K5NOSH inhibit viral infection by blocking membrane fusion. Infection assays for SARS-CoV-2 Wuhan-Hu-1 and Omicron BA.1 variants corroborate their antiviral activity. These results support the therapeutic potential of K5OSH and K5NOSH against SARS-CoV-2, with K5OSH displaying more promising activity profile. (Figure presented.)
Document Type: article in journal/newspaper
File Description: ELETTRONICO
Language: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/41513808; info:eu-repo/semantics/altIdentifier/wos/WOS:001657966100001; volume:4; issue:1; journal:NPJ VIRUSES; https://hdl.handle.net/11379/637893
DOI: 10.1038/s44298-025-00163-4
Availability: https://hdl.handle.net/11379/637893; https://doi.org/10.1038/s44298-025-00163-4
Rights: info:eu-repo/semantics/openAccess ; license:DRM non definito ; license uri:iris.PRI00
Accession Number: edsbas.2A361A1E
Database: BASE