Originally presented at the World Microbe Forum
Viana Q. Nguyen, Adam L. Okerlund, Christopher D. Warner, Christopher J. Detzel
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) viral entry into the gastrointestinal tract can increase gut permeability for both viral and bacterial infections. Translocation of infection leads to increased inflammatory cytokines and increase systemic inflammation.⁵
Viral entry (SARS-CoV2) into a cell is mediated by the virus’s surface spike protein binding to the angiotensin-converting enzyme 2 (ACE2) cell receptor, followed by the proteolytic cleavage of spike S1’ and S2’ domains by Furin and Transmembrane Serine Protease 2 (TMPRSS2).¹
Proteolytic cleavage of the S2’ domain by TMPRSS2 is required for fusion of the viral and host membranes and the release of viral RNA into the cell. Inhibiting the cleavage of the S2’ domain by TMPRSS2 has been shown to reduce viral entry into the cell.⁷
Serum derived bovine immunoglobulin/protein isolate (SBI) is an oral supplement composed mostly of immunoglobulins with broad specificity for microbial and viral components.
SBI has the potential to mitigate proteolytic cleavage of the S2’ by a couple of mechanisms.
1. Finding the S2’ domain and sequestering it from TMPRSS2. Bovine CoV and SARS-CoV-2 spike protein epitopes have high homology⁸ which could result in cross reactivity.
2. SBI could contain some residual protease inhibitors as it is derived from fractioning edible grade bovine plasma which contains protease inhibitors.
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SBI strongly inhibits TMPRSS2. Initial reaction velocity was inhibited by 90% at 0.19 g/L SBI inclusion and extent of reaction was decreased by 95%. (Figure 2)
The hydrolyzed gelatin negative control protein treatment showed no inhibition of TMPRSS2 at 0.19 g/L inclusion.
SBI inhibits over 50% of TMPRSS2 activity at 50μg/L and inhibits over 90% of activity between 10 mg/L and 10g/L inclusions.
This is comparable to therapeutically approved serine protease inhibitors such as gabexate, IC50 41 μg/L.²
As expected, at very dilute concentrations of SBI, TMPRSS activity was not inhibited as the SBI is too dilute.
Unexpectedly, as SBI concentrations increased above 10 g/L the inhibition of TMPRSS lessened though inhibition was still observed up too 100 g/L.
The cause of the lessened inhibition that these higher concentrations is not fully understood.
Controls show that SBI at 10-100g/L + S2’ peptide does not show significant signal, indicating the high concentrations of SBI are not hydrolyzing the S2’ peptide.
Additionally, controls of TMPRSS2 + SBI at 10-100 g/L showed no significant signal, indicating signal is not simply background fluorescence from the SBI and the enzyme.