Host cell proteases: Critical determinants of coronavirus tropism and pathogenesis.

Host cell proteases: Critical determinants of coronavirus tropism and pathogenesis.


Coronaviruses are a large group of enveloped, single-stranded positive-sense RNA viruses that infect a wide range of avian and mammalian species, including humans. The emergence of deadly human coronaviruses, severe acute respiratory syndrome coronavirus (SARS-CoV), and Middle East respiratory syndrome coronavirus (MERS-CoV) have bolstered research in these viral and often zoonotic pathogens. While coronavirus cell and tissue tropism, host range, and pathogenesis are initially controlled by interactions between the spike envelope glycoprotein and host cell receptor, it is becoming increasingly apparent that proteolytic activation of spike by host cell proteases also plays a critical role. Coronavirus spike proteins are the main determinant of entry as they possess both receptor binding and fusion functions. Whereas binding to the host cell receptor is an essential first step in establishing infection, the proteolytic activation step is often critical for the fusion function of spike, as it allows for controlled release of the fusion peptide into target cellular membranes. Coronaviruses have evolved multiple strategies for proteolytic activation of spike, and a large number of host proteases have been shown to proteolytically process the spike protein. These include, but are not limited to, endosomal cathepsins, cell surface transmembrane protease/serine (TMPRSS) proteases, furin, and trypsin. This review focuses on the diversity of strategies coronaviruses have evolved to proteolytically activate their fusion protein during spike protein biosynthesis and the critical entry step of their life cycle, and highlights important findings on how proteolytic activation of coronavirus spike influences tissue and cell tropism, host range and pathogenicity.

Keywords: Cleavage activation, coronavirus, pathogenesis, protease, spike protein, tropism, viral fusion


Coronaviruses are a wide-ranging family of viruses that infect many species of birds and mammals, including humans (). They possess a remarkable ability for interspecies transmission as exemplified by the emergence of the deadly human virus severe acute respiratory syndrome coronavirus (SARS-CoV) (; ; ), and more recently, Middle East respiratory syndrome coronavirus (MERS-CoV) (; ), both of which are thought to have originated in bats (; ), followed by an intermediate host stage (civet cats and camels, respectively) (; ; ; ), before crossing into the human population (). Such zoonotic potential is of particular concern, especially since global trade, deforestation, massive urbanization and high density farming practices increase the likelihood of sparking new and severe zoonotic outbreaks ().

The success of coronaviruses in their ability to jump between species may be attributed, in part, to the diverse array of virus entry strategies they deploy to infect target cells (; ). Coronavirus entry is largely controlled by the spike surface envelope glycoprotein (S) since it bears both receptor binding and membrane fusion capabilities (). As such, the S glycoprotein is a crucial determinant of tissue and cell tropism as well as host range. Coronaviruses are notable because at each step of virus entry, which includes receptor binding, activation of fusion, and internalization, a multitude of mechanisms and strategies have evolved (). For example, depending on the coronavirus species, the S protein can mediate binding to a proteinaceous receptor or to carbohydrate moieties.

Coronaviruses can enter cells via fusion either directly at the cell surface or be internalized through the endosomal compartment. The mouse hepatitis virus (MHV) is a prime example of the flexibility in entry mechanisms used. A variant of the MHV-4 strain was shown to be able to fuse directly at the cell surface at neutral pH and also enter cells through an endocytic route (), whilst the MHV-2 strain enters cells through endocytosis by a clathrin-dependent mechanism (; ).

Importantly, coronaviruses employ a diversity of cues, such as receptor binding, low pH and proteolytic activation, to activate the S protein, allowing a timely release of the fusion peptide into target membranes (). This enables a spatio-temporally controlled orchestration of viral entry steps.

Along with binding to the host cell receptor, fusion of the viral envelope with host cell membranes is a critical step in establishing successful infection for enveloped viruses such as coronaviruses. The coronavirus S envelope glycoprotein is a class I viral fusion protein (). The S protein is often activated for fusion by means of proteolytic processing by host cell proteases, an activation process that is typical of class I viral fusion proteins (). Remarkably, for some coronaviruses, such as SARS-CoV, cleavage of S can occur at two distinct sites (). A variety of proteases have been shown to mediate coronavirus activation ().

Notably, certain viruses harboring class I viral fusion proteins, like influenza virus and Newcastle disease virus, display characteristically expanded or modified cell and tissue tropism, and altered viral pathogenesis following mutation of the cleavage site that results in a change in proteolytic activation (). This is very well exemplified by the hemagglutinin (HA) protein of highly pathogenic avian influenza (HPAI) virus strains, where transition from a monobasic site, typically cleaved by trypsin-like proteases, to a polybasic site, allows cleavage by ubiquitously expressed furin-like proteases, enabling systemic spread of the virus within an infected host. Thus, small mutational changes in amino acid composition at cleavage sites can have a drastic impact on tissue and cell tropism, host range, and pathogenesis (; ).

Here, we put into perspective the wide variety of entry activation mechanisms employed by coronaviruses and present the wide diversity of host cell proteases known to activate coronavirus S proteins. We review what is known about coronavirus proteolytic processing of the S protein and its link with pathogenicity, cell and tissue tropism and host range. We also analyze and compare the amino acid sequence composition of two identified coronavirus S cleavage sites, S1/S2 and S2′, in a wide range of coronavirus species encompassing all four coronavirus genera. Finally, we propose using protease sequence recognition motifs on coronavirus S protein as a novel marker to assess pathogenicity and host range, as well as forming the basis for effective therapeutic intervention.

1. Coronavirus S protein

Because they possess an envelope, coronavirus entry into host target cells requires the successful completion of two critical steps. The first is binding to the cell surface by means of attachment to a host cell receptor. The second is fusion of the viral envelope with cellular membranes allowing release of the virus genome into the host cell’s cytoplasm, enabling viral replication to ensue. Both steps are controlled by the S envelope protein (). As S is a class I viral fusion protein, we will first introduce important basic features of the prototypical class I viral fusion protein, influenza virus HA.

1.1. A prototypical class I fusion protein: influenza virus hemagglutinin (HA)

There are three classes of virus fusion proteins known, which are classified according to their structural features (). While there is a wide degree of variability in the structure and mechanisms involved in the fusion process among these classes, all virus fusion proteins undergo major structural transitions, and ultimately form a final, compact and low-energy trimeric structure, the so-called trimer of hairpins. During the conformational changes, viral and cellular membranes are brought into close proximity. This in turn induces hemifusion, followed by complete fusion of viral and cellular membranes and formation of a pore that can expand, allowing for viral genetic material access into the cell ().

The very well characterized class I fusion protein influenza virus HA is useful in introducing key structural and mechanistic concepts shared with coronavirus S. Structurally, the salient features of influenza HA are that it assembles in homotrimers orientated perpendicular to the virion membrane surface, has two functional subunits, HA1 which binds to sialic acid receptors and HA2 which contains the fusion machinery, featuring mainly alpha-helical secondary structures (; ). HA2 contains two heptad repeats, which are structural motifs consisting of chains of seven amino acids that are critical for the fusion function and are another characteristic feature of class I fusion proteins (). HA is synthesized as an uncleaved precursor named HA0. Fusion activation occurs thanks to endoproteolysis by host cell proteases, such as trypsin-like proteases (; ), a cleavage event that processes HA0 into HA1 and HA2 fragments, with both fragments held together by disulfide bonds (). A fusion peptide, consisting mainly of apolar residues, is found at the N-terminus of HA2 buried at the subunit interface, and is exposed upon cleavage of HA0 and conformational changes of HA.

A key initial step in the HA fusion process is its priming by proteolytic cleavage that separates HA into HA1 and HA2 fragments. At this stage, the HA is in a metastable “spring-loaded” conformation. The receptor-binding subunit HA1 binds to sialic receptors found at the surface of target cells. This triggers uptake and internalization of the virion via the endocytic pathway. During maturation of the endosome, the virion becomes exposed to an increasingly acidic environment (note that this can also occur outside the cell in acidic tissue fluids). This drop in pH is the crucial trigger that provokes further conformational changes of HA allowing for full exposure of the hydrophobic fusion peptide on HA2 (): the fusion peptide extends to the tip of the molecule allowing for insertion into the target endosomal membrane, forming an intermediate structure called the prehairpin (). Further structural rearrangements of several prehairpins occur in which the alpha-helical heptad repeats assemble and bundle up into a compact coiled-coil structure, the six-helix bundle (6HB) with the C-terminal heptad repeats wrapping around the N-terminal heptad repeats (; ). During this dramatic change in structure, viral and target endosomal membranes come into closer proximity. This allows for hemifusion and then full fusion to occur, generating an expanding fusion pore and ultimately allowing release of viral genetic material into the host cell. It is after fusion has occurred, that the HA adopts a structurally stable conformation called the trimer of hairpin.

1.2. The coronavirus spike (S) protein

The coronavirus S protein is a type I transmembrane protein located at the surface of the virion, with a large ectodomain and very short endodomain (fig. 1) (). As a class I viral fusion protein, it shares many structural and mechanistic features of influenza virus HA (; ). It is the largest of the coronavirus structural proteins with an overall length ranging between ~1200 to 1400 amino acids, and is often heavily glycosylated, with between 21–35 N-glysosylation sites found within S monomers. Individual monomers of S proteins assemble into trimers giving rise to club-shaped protrusions forming characteristic corona-shaped structures around the virion (fig. 1A) (). The S protein ectodomain can be divided into two functional domains. The S1 domain holds the receptor binding properties while the S2 domain harbors the fusion machinery (fig. 1B). Within the S1 domain, two subdomains have been characterized. The N-terminal domain (NTD) is found at the S1 N-terminal half, while the C-domain is located at the S1 C-terminal half. The NTD of some coronaviruses can bind carbohydrate moieties such as 9-O-acetylated neuraminic acid (bovine coronavirus, BCoV, and human coronavirus HCoV-OC43), while the C-domain binds to proteinaceous receptors. Due to structural similarities between coronavirus S NTD and host cell proteins, it has been suggested that the NTD emerged from acquisition of a host sugar-binding galectin-like domain in an ancestral coronavirus (). The NTD is dispensable for some coronaviruses, such as human coronavirus 229E (HCoV-229E) and porcine respiratory coronavirus (PRCoV), a naturally occuring variant of transmissible gastroenteritis virus (TGEV), as their NTD appears to have been deleted from their spike protein. Notably in the latter case, the deletion of the NTD leads to a shift of tissue tropism, from enteric tract for TGEV, to the respiratory tract for PRCoV. Depending on the coronavirus species, the receptor binding domain (RBD) can be found in the NTD or C-domain, or both. A structural study on murine hepatitis virus (MHV) S has demonstrated that its NTD, which has evolved to bind to the proteinaceous receptor mouse CEACAM1 and no longer carbohydrates, still adopts a galectin fold structure (). Other crystal structure studies have shown that the coronavirus C-domain can adopt either a beta-sandwich fold, as is the case for the human alphacoronavirus HCoV-NL63 S (), or a beta-sheet fold, as shown for the human betacoronavirus SARS-CoV (). It is noteworthy that while both HCoV-NL63 and SARS-CoV S bind the same receptor, ACE2, their C-domains are structurally distinct and the modality of their respective binding to the receptor differs ().

An external file that holds a picture, illustration, etc.
Object name is nihms644271f1.jpg
Structural features of coronavirus spike (S) envelope glycoprotein

A. Diagram of a coronavirus virion with the main structural proteins depicted. The S protein assembles in trimers and projects outward from the virion to form a crown-like structure. The hemagglutinin esterase protein (HE) is found only in lineage A betacoronaviruses. B. Diagram of coronavirus S protein with the two well-defined cleavage sites, S1/S2 and S2’ (arrows). The S protein is composed of two subunits, the S1 receptor-binding subunit, and the S2 fusion subunit. NTD: N-terminal domain of S1, C-domain: C-terminal domain of S1, L: linker region between S1/S2 and S2’ sites, FP: putative fusion peptide, HR1: heptad repeat 1, HR2: heptad repeat 2, TM: transmembrane domain, E: endodomain. Not drawn to scale.

The S2 domain contains two heptad repeats (HR), which are composed of a chain of seven amino acid patterns, abcdefg, where a and d are hydrophobic residues, allowing formation of alpha-helical structures. HR are a defining structure of class I viral fusion proteins (fig. 1B). These participate in the formation of coiled-coil structure during membrane fusion. Initially, the precise location of the coronavirus fusion peptide was unclear (), however, it is becoming increasingly apparent that the fusion peptide is most likely located adjacent to one of the two cleavage sites, S2′ (; ; ). This region contains a remarkably conserved motif, I-E-D-L-L-F, which is present in coronavirus S proteins from all four genera (table 2). Similarly to the influenza HA fusion peptide (), the proposed coronavirus fusion peptide contains mostly hydrophobic residue (I: isoleucine, L: leucine, and F: phenylalanine) with some negatively charged residues (E: glutamic acid, and D: aspartic acid).

Table 2

Coronavirus spike (S) S2′ cleavage sites.

Accession no. S2′ sequence Furin score Other proteases
CCoV-Elmo/02(I) AAP72149.1 .985LPAQPGGRSAIEDLLF1000 < 0
CCoV-1-71(II) AAV65515.1 955HNSKRKYRSAIEDLLF970 + 5.3
FCoV-1683(II) AFH58021.1 952HNSKRKYRSAIEDLLF967 + 5.3
FCoV-1146(II) YP_004070194.1 945HNSKRKYGSAIEDLLF969 < 0
BatCoV-HKU10 YP_006908642.1 861---KSDGKSVVEDILF873 < 0
PEDV-CV777 AAK38656.1 884SGRVVQKRSVIEDLLF899 + 7.4 Trypsin1
TGEV-Miller ABG89306.1 950DNSKRKYRSAIEDLLF965 + 5.3
TGEV-Purdue ABG89335.1 951HNSKRKYRSAIEDLLF966 + 5.3
HCoV-NL63 AAS58177.1 863RSSRIAGRSALEDLLF878 + 2.4
HCoV-229E BAL45637.1 682SGSRVAGRSAIEDILF697 + 0.8

Lineage A
BCoV-Quebec P25193.2 906DCNKVSSRSAIEDLLF921 + 0.6
Lineage B
SARS-CoV NP_828851.1 790DPLKPTKRSFIEDLLF805 < 0 Elastase2, trypsin3
Lineage C
BatCoV-HKU4 YP_001039953.1 879GGSSSSYRSAIEDLLF894 < 0
BatCoV-HKU5 YP_001039962.1 877TTGERKYRSTIEDLLF892 < 0

IBV-Beaudette NP_040831.1 683NPSSRRKRSLIEDLLF698 + 12.7
IBV-Cal99 AAS00080.1 690PPSSTTGRSFIEDLLF705 < 0
TurkeyCoV-MG10 ABW81427.1 697TLAQNQGRSTIEDLLF712 < 0
BeCoV-SW1 YP_001876437.1 966GSDPRDARSTIEDILF981 < 0
BdCoV-HKU22 AHB63508.1 .989SGDPRQSRSTIEDLLF1004 + 1.3


The transmembrane domain of the S protein is found in the region C-terminal of the S2 domain (fig. 1B). A short cytoplasmic tail or endodomain is located at the C-terminal end of S. It contains conserved stretches of cysteine residues, which can be palmitoylated. Palmitoylation of cysteine residues within the endodomain was found to be important for regulating fusogenicity of S (; ). Cryo-EM studies on single particles of the SARS-CoV have shed light on the overall architecture of S protein trimers and the conformational changes they undergo during fusion (; ). While individual structures of key domains of S, such as the receptor binding domain (; ; ) or the six-helix bundle (), have been extensively studied, it is important to note that, to date, a complete crystal structure determination of the S ectodomain for any coronavirus is still lacking. Such a structure would be very useful to explain accessibility of sites to proteases within S, the precise location of N-linked glycans, and to compare it with other class I viral fusion proteins with known structures, such as influenza virus HA.

2. Coronavirus spike (S) proteolytic activation

2.1. Coronavirus spike (S) can be cleaved at different sites

A peculiar feature of the coronavirus S protein is that it can contain more than one proteolytic cleavage site (fig. 1B) (). The first identified cleavage site was found to be located at the S1/S2 boundary (table 1), and another more recently characterized site was found to be within S2 (table 2), upstream of the putative fusion peptide, and called S2′ (). S can also be cleaved at other less well-characterized sites. Depending on the coronavirus and which host cell it infects, cleavage at these different sites can occur at different stages of the virus life cycle, such as during S protein biosynthesis in producer cells and during virus entry into target cells. Cleavage events occurring during biosynthesis or virus entry can be critical factors in modulating pathogenicity, cell and tissue tropism as well as host range. An important distinction from influenza HA is that after cleavage of coronavirus S, the S1 and S2 domains are not held by disulfide bonds, but remain associated non-covalently. Since the two domains are not held covalently, the S1 domain may be shed from the S2 stalk domain of the protein.

Table 1

Coronavirus spike (S) S1/S2 cleavage sites.

Accession no. S1/S2 sequence Furin score Other proteases
CCoV-Elmo/02(I) AAP72149.1 798HTVRRARRAVQTGTTI813 + 9.5
FCoV-RM(I) ACT10854.1 787Q-PRRSRRSTPN--SV799 + 14.4
CCoV-1-71(II) AAV65515.1 --------------- < 0
FCoV-1683(II) AFH58021.1 --------------- < 0
FCoV-1146(II) YP_004070194.1 --------------- < 0
BatCoV-HKU10 YP_006908642.1 --------------- < 0
PEDV-CV777 AAK38656.1 --------------- < 0
PEDV-DR13 AFE85969.1 --------------- < 0
TGEV-Miller ABG89306.1 --------------- < 0
TGEV-Purdue ABG89335.1 --------------- < 0
HCoV-NL63 AAS58177.1 --------------- < 0
HCoV-229E BAL45637.1 --------------- < 0

Lineage A
BCoV-Quebec P25193.2 761STKRRSRRSITTGYRF776 + 14.2
HCoV-OC43 AAA03055.1 751SKNRRSRGAITTGYRF766 + 5.1
HCoV-HKU1 AAT98580.1 753SSSRRKRRSISASYRF768 + 14.6
MHV-A59 AAA46455.1 714SKSRRAHRSVSTGYRL729 + 8.2 Trypsin1
MHV-JHM YP_209233.1 762SKSRRARRSVSTGYRL777 + 13.7
Lineage B
SARS-CoV NP_828851.1 661-----HTVSLLRSTSQ671 < 0 Trypsin2, cathepsin L3, TMPRSS11d
Lineage C
BatCoV-HKU4 YP_001039953.1 745VSTFRSYSASQ755 < 0
BatCoV-HKU5 YP_001039962.1 738TTSSRVRRATSGASDV753 + 10.3

IBV-Beaudette NP_040831.1 532--TRRFRRSITENVAN545 + 10.6
IBV-M41 AAW33786.1 532--TRRFRRSITENVAN545 + 10.6
IBV-Cal99 AAS00080.1 539--THRSRRSVNENVTS552 + 12.6
TurkeyCoV-MG10 ABW81427.1 538SRKRRSTNAVYTGECT553 + 6.8
BeCoV-SW1 YP_001876437.1 800IHVGRDVSNVTINVCN815 < 0
BdCoV-HKU22 AHB63508.1 825QAALS--EEVQINVCN838 < 0

ThCoV-HKU12 ACJ12053.1 540TILN-FKSRIATPTFY554 < 0
MuCoV-HKU13 ACJ12062.1 505TLYG-FQRVIPTPTFY519 < 0

Proteases recognize specific amino acid sequences found in their substrates, with the general residue designation: P6-P6′ (fig. 2A). The cleavage site or scissile bond is located between the residue positions P1 and P1′.

An external file that holds a picture, illustration, etc.
Object name is nihms644271f2.jpg
Host cell proteases involved in activating the coronavirus spike (S) protein

A. Schematic of a protease cleavage site and substrate binding pocket. The sites within the protease that accommodate substrate residues are designated with the letter S. The residues of the substrate protein involved in recognition and proteolytic processing are denoted with the letter P. The scissile bond is cleaved by the protease and the residues involved in this bond are denoted P1-P1′. B. Structures of three common host cell proteases known to activate coronavirus S: crystal structures of trypsin (PDB: 2PTN), furin (PDB: 1P8J), and the pro-form of cathepsin L (PDB: 1CJL). C. Diagram of a coronavirus life cycle and the various host cell proteases known to cleave and activate some coronavirus S proteins. Note that for certain coronaviruses, fusion can occur directly at the plasma membrane.

2.2. Cellular proteases involved in coronavirus activation


2.2.1. Trypsin

Trypsin (fig. 2B) is a prototype serine endopeptidase and has been studied extensively in the context of virus glycoprotein cleavage-activation. Trypsin cleaves at neutral pH, with an optimum of approximately 8.0. Biochemically, trypsin strongly prefers to cleave at arginine (R) or lysine (K) residues, although almost all viral substrates get cleaved at arginines. Other flanking residues are in general non-discriminatory, however basic or hydrophobic residues at P2 decreases the catalytic activity, as does a proline (P) residue at P3 (). Overall the requirement for cleavage is for a single basic residue at P1. As trypsin is not very selective in terms of substrate recognition, there are potentially many sites within coronavirus S proteins that may be cleaved by it. However, within the native trimeric conformation of S, only a few of these sites, if any, are accessible to trypsin cleavage. Trypsin is expressed in the respiratory tract, where its activity is inhibited by alpha-1 antitrypsin. Trypsin is principally a digestive enzyme, with active trypsin found in the small intestine; as such trypsin is likely to be able to directly cleave the S proteins of many enteric coronaviruses. Probably the best example of this is porcine epidemic diarrhea virus (PEDV), where most strains are highly trypsin-dependent. In the case of PEDV produced in Vero cells, trypsin cleavage only occurs after receptor binding, and not on free particles (). For those coronaviruses with respiratory tissue tropism, cell-culture based studies using trypsin likely act as a surrogate for more biologically relevant proteases such as members of the TMPRSS family, which have similar substrate specificities. A good example of this is SARS-CoV produced in VeroE6 cells where trypsin can override the need for cathepsin-mediated cleavage, and shifts the virus to a low-pH independent route of entry, possibly at the plasma membrane. As with PEDV, prior binding to the viral receptor is a prerequisite for SARS-CoV fusion activation (). In other cases, such as with feline coronavirus (FCoV), trypsin can activate the virus for fusion without the need for prior engagement of the viral receptor ().


2.2.2. Furin and the proprotein convertase (PC) family

A large number of coronaviruses, from different genera, possess at their S1/S2 boundary site a furin cleavage site (table 1). Furin (fig. 2B) and furin-like proteases cleave at paired basic residues, and belong to the group of proteases called proprotein convertases.

The PC family is comprised of nine serine proteases that can cleave a vast number of cellular and microbial protein substrates. Furin belongs to the subset of PCs that includes proprotein convertase 1 (PC1), PC2, PC4, PC5, paired basic amino acid cleaving enzyme 4 (PACE4) and PC7, which generally cleave at single or paired basic residues within the following motif R/K-(X)0,2,4,6-R/K (X: any amino acid) (). The other two PCs, subtilisin/kexin-isozyme-1 (SKI-1) and proprotein convertase subtilisin/kexin type 9 (PCSK9) cleave at non-basic residue sites. SKI-1 recognizes R-X(-L/V/I)-X motifs (L: leucine, V: valine, I: isoleucine) and PCSK9 only autoproteolytically cleaves itself at the V-F-A-Q motif (F: phenylalanine, A: alanine, Q: glutamine). PCs are crucial regulatory proteases as they can activate and sometimes inactivate a very wide variety of substrates, such as enzymes and other proteases, cell adhesion factors, growth factors and hormones. The critical role of PCs is further demonstrated by knockout mouse experimental models, where individual knockout of furin, PC5, PACE4 or SKI-1 are lethal at different stages of development ().

PCs are known to be subverted by pathogenic microorganisms as they are recruited by viruses to process viral proteins, such as HIV gp160, respiratory syncytial virus (RSV) F protein, human papilloma virus minor capsid protein L2, dengue virus prM, and Chikungunya virus E3E2 (; ; ; ; ). They are also implicated in the cleavage of bacterial toxins, e.g. Pseudomonas exotoxin and Shiga toxin ().

Because furin can be viewed as a representative PC (), and because it is the most frequently characterized PC to be involved in processing and activating coronavirus S proteins, we will focus on this protease. However, it is important to recognize that there is a degree of redundancy between substrate recognition motifs by the different PCs, especially between furin, PC5 and PACE4. In line with this, a study has shown that overexpression of PACE4 and PC5 could enhance proteolytic cleavage of SARS-CoV S, along with furin ().

Like all PCs, furin is a serine protease, containing a critical serine residue in its catalytic triad. Also, like all PCs, it is related to the bacterial subtilisin family of protease, in which the prototypical yeast protease kexin is found. PCs require Ca2+ ions to be active. While most PCs, including furin require neutral pH for activity, a study has shown that self-activation of furin via protonation of a regulatory histidine residue (His-69) requires a slightly acidic environment (). The minimal substrate recognition motif for furin is R-X-X-R, with the R-X-R/K-R motif being highly favorable. The fairly strict requirement for basic arginines at P1 and P4 positions as well as lysine at P2 is due to furin’s binding pocket containing complementary charged residues (). Also, flanking serine (S) residues in the vicinity of the cleavage site appear to be highly favored by furin.

Several computational tools, such as ProP 1.0 and PiTou 2.0, have been made available for users to query amino acid sequences and predict whether or not they can be cleaved by furin (; ). The PiTou 2.0 tool offers the advantage of analyzing the 20 residue recognition motif used by furin (; ), and takes into account the binding strength and solvent accessibility of substrate residues, allowing for high sensitivity and specificity predictions ().

Furin is widely expressed and is often considered as a ubiquitous protease. However it should be noted that in most cases, the levels of furin expression are low (). Furin is produced in the ER, and traffics along the secretory pathway, where it can process coronavirus S proteins in infected cells. Furin is a membrane bound protease that can be shed in the extracellular space, is constitutively secreted, and is mainly found in the trans-golgi network (TGN) where it is activated and can traffic to the plasma membrane. Furin can also recycle back from the plasma membrane to the TGN through an endocytic pathway ().

It is noteworthy that while most coronaviruses that are cleaved by furin or furin-like proteases are cleaved at only one site, the S1/S2 site, there are examples of coronaviruses, such as IBV and MERS-CoV that can be additionally cleaved at the putative fusion peptide-proximal site S2′ (table 2), as described in section 2.4 Proteolytic activation mechanisms of coronaviruses.


2.2.3. Cathepsins

The cathepsins comprise a group of cysteine, serine, and aspartyl proteases with both endo- and exo-peptidase activity that are typically found in endosomes and lysosomes and function as degradative enzymes, as well as in antigen processing.

Cathepsins may also be secreted however, especially in cancer cells (). As a general rule, the substrate specificity of cathepsins is quite broad, and analysis of the residues recognized by these enzymes seems to differ depending on the analyses used. Biochemical analysis of peptide substrates indicates that arginine (R) residues are preferred at the P1 position, often with an aromatic residue at P2 (; ; ). However, databases of natural cathepsin substrates (e.g. MEROPS) show a preference for non-polar residues such as glycine (G), alanine (A), serine (S), threonine (T), and glutamine (Q) at the P1 position, along with a bulky hydrophobic residue at P2. Given their predominant endosomal/lysosomal location there is a distinct requirement of low pH for enzymatic activity. Cathepsin L (fig. 2B) is most commonly associated with activation of viral glycoproteins, and has a pH optimum of 3.0 to 6.5. Cathepsin L is known to process SARS-CoV S, as well a range of other coronaviruses, including MERS-CoV, HCoV-229E, and MHV-2 (; ; ; ). Cathepsin B can also be involved in coronavirus entry, and has some distinct properties compared to cathepsin L and other cathepsins; it has a generally higher pH optimum and, while preferring an aromatic P2 residue, can process di-basic substrates, in contrast to the other cathepsins (; ; ). Coronaviruses using cathepsin B for entry include type II feline coronavirus (FCoV) and MHV-2 (; ).


2.2.4. Other proteases: transmembrane protease/serine (TMPRSS) proteases, elastase, plasmin

Members of the TMPRSS family are membrane-bound tryspin-like serine proteases that are found on the cell surface or in the secretory pathway of cells (; ). TMPRSS proteases are part of the larger family of proteases, the type II transmembrane serine proteases or TTSP (). TTSPs are subdivided into four groups: the HAT/DESC, Hepsin/TMPRSS, Matriptase, and Corin subfamilies. TMPRSS proteases are type II transmembrane proteins. They are widely expressed in the respiratory tract and are involved in the activation of many respiratory viruses. Both MERS-CoV S and SARS-CoV S can be activated by TMPRSS family members, as well as HCoV-229E S (; ; ; ). Intriguingly, TMPRSS2 was shown to be important for the late stages of PEDV life cycle (). While the substrate specificity of TMPRSS proteases is not well defined, it is generally thought to be similar to that of trypsin.

Recently, the TTSPs mosaic serine protease large form (MSPL), and differentially expressed in squamous cell carcinoma 1 (DESC1) were shown to activate MERS-CoV and SARS-CoV S proteins for cell-cell and virus-cell fusion (). MSPL and DESC1 were also shown to activate the HA proteins of influenza virus. The authors demonstrated by quantitative RT-PCR that while MSPL was readily expressed in human lung tissue, DESC1 was only expressed at low levels. Remarkably, TMPRSS13, a splice variant form of MSPL, was shown to be sensitive to inhibition by the naturally occuring Kunitz-type serine protease inhibitor, hepatocyte growth factor activator inhibitor type 1 (HAI-1) (). HAI-1 was shown earlier to be involved in the regulation and inhibition of TTSPs such as hepsin, matriptase and prostatin (; ; ). A related protease inhibitor, HAI-2 was shown to inhibit influenza virus infection in vitro and its administration protected animals in a mouse model for influenza infection (). It would be of interest to test such naturally occurring inhibitors for their effects on coronavirus entry and infection.

Elastase has been shown to activate SARS-CoV S. While the biological relevance of this has focused on elastase produced by neutrophils during the inflammatory response, most experimental studies have used pancreatic elastase. Like trypsin, pancreatic elastase can shift SARS-CoV entry to a low pH-independent route (; ), although the amino acid preferences for elastase are very different to trypsin, with alanine (A), serine (S), glycine (G) and valine (V) residues being preferred at the P1 position ().

Plasmin is a key enzyme in blood clot lysis and its major natural substrates are fibrinogen and fibrin (; ). It is produced from its precursor plasminogen. Plasmin is also involved in a variety of other cellular processes in various tissues. Like trypsin, plasmin cleaves at K– and R– bonds, but is much less efficient and cleaves only a subset of such bonds. In part, this is due to differences in the P2 residues, where bulky hydrophobic residues are preferred (; ). Thus plasmin is a much more selective enzyme than trypsin. Plasmin is known to activate certain influenza virus HAs (; ; ). Although plasmin has been shown to activate SARS-CoV S (), there remains little direct biological evidence for a role of plasmin in activating SARS-CoV or other coronaviruses.

Another possible source of proteases that may impact coronavirus pathogenesis is proteases produced by co-infecting bacteria. Many bacterial species secrete proteases as virulence factors, or elicit secretion of host proteases, and these proteases are likely to have the capacity to activate virus envelope glycoproteins under certain co-infection conditions. Such a situation has been explored for influenza virus (), but has not generally been evaluated in coronaviruses, except for infection of mice with SARS-CoV and Pasteurella pneumotropica, a low-pathogenicity bacterium that elicits elastase production in the lungs ().

2.3. Spatio-temporal regulation of coronavirus fusion

One important component of S protein activation is that protease action is integrated into the life cycle of the virus, with cleavage able to occur during biosynthesis of the S protein during virus assembly, in the extracellular space on released particles, or on the cell surface and in endosomal compartments during virus entry (fig. 2C). As a general rule, cleavage during biosynthesis is likely to be carried out by furin and related PCs that have steady-state localization to the ER/Golgi and trans-Golgi compartments. Cleavage by trypsin and TMPRSS family members would be expected to occur in the extracellular space and cell surface, respectively. Cleavage during virus entry is expected to be mediated by cathepsins. However, it is important to note that intracellular proteases cycle between membrane compartments, and many proteases can shed catalytically active ectodomains from the cell surface. For instance, TMPRSS proteases can be active in the Golgi, furin can be present on the cell surface or in endosomes, and some cathepsins can be active in the secretory pathway or outside the cell. Such spatio-temporal protease cleavage events can be modulated extensively in different cell types and by the physiological status of a given cell type.

2.4. Proteolytic activation mechanisms of coronaviruses


2.4.1. Severe acute respiratory syndrome coronavirus (SARS-CoV)

The emergence of SARS-CoV in the human population reinforced research in coronavirus biology. In particular, the entry pathways and activation of SARS-CoV, a betacoronavirus, have become the subject of intense study. The proteolytic activation mechanisms of SARS-CoV S protein are perhaps amongst the best characterized so far and provide a good model to investigate coronavirus S proteolytic processing because many details of the proteases involved and cleavage sites processed are known. SARS-CoV also represents an example of how virus envelope glycoproteins can be activated by a diverse array of mechanisms.

Initially, a study employing retroviral pseudovirions produced in HEK-293T cells and harboring SARS-CoV S has found that SARS-CoV entry was sensitive to lysosomotropic agents, indicating a role for endosomal low pH (). Using similar HEK-293T produced SARS-CoV S pseudovirions, it was later shown that the dependency of virus entry on low-pH was because SARS-CoV S can be activated by endosomal cathepsin L, which requires low pH for its enzymatic activity (). Surprisingly, SARS-CoV seems to have evolved a multi-pronged approach regarding the activation of its S as many other proteases were shown to enable S-mediated entry and fusion, most of which act on the virus outside of the cell. Cathepsin L was shown to cleave SARS-CoV S at residue T678 in the S1/S2 boundary (table 1) (). Trypsin was shown to activate S-induced syncytia formation, without the need to acidify the extracellular milieu (), indicating that the low pH requirement observed for SARS-CoV entry is not due to S requiring low pH for fusion competency. Trypsin was found to cleave SARS-CoV S at R667 in the S1/S2 site (table 1) (). Furthermore, using native SARS-CoV infection in VeroE6 cells, it was shown that along with trypsin, thermolysin and elastase were also able to activate SARS-CoV fusion and entry (). The authors showed that cleavage activation by trypsin and thermolysin on virions bound on the cell surface allowed a much more efficient entry (>100-fold enhancement of infectivity) than endosomal cathepsin-mediated entry. Notably, prior treatment of virions before cell attachment decreased infectivity. This result suggests that fusion-active cleaved SARS-CoV S proteins are unstable, and the conformational changes induced by the cleavage event are transient and irreversible.

The location of the cleavage sites within SARS-CoV S has been investigated. Using wild type and mutated SARS-CoV S pseudovirions produced in HEK-293T cells, it was found that S could be cleaved by trypsin at two distinct sites, one located at the boundary of S1 and S2, the “classical” S1/S2 site (R667 P1 residue), and another newly identified site, S2′ (R797 P1 residue), found upstream of the putative fusion peptide and within the S2 domain (tables 1 and and2)2) allowing for activation of fusion and entry (). Importantly, trypsin cleavage of SARS-CoV S is thought to be sequential, with the S1/S2 cleavage occurring first and enhancing subsequent cleavage at S2′. It is the second cleavage event, at S2′, that is believed to be crucial for fusion activation of S. The S1/S2 cleavage appears dispensable for syncytia formation and virus-cell fusion.

Elastase-mediated cleavage was shown to occur at the S2′ site of SARS-CoV S on pseudovirions produced in HEK-293T cells, with the P1 residue found to be a threonine, T795 (table 2) (). Cleavage at this site shifts the starting position of the putative fusion peptide, which modulates but does not abrogate fusogenicity of S. A study has shown that plasmin, a known protease activator of influenza HA, could, along with trypsin, cleave SARS-CoV S expressed in BHK-21 cells (). The respiratory-tract resident and cell surface-expressed TMPRSS2 and TMPRSS11a proteases were shown to cleave and mediate activation of SARS-CoV entry in studies using HEK-293T-produced SARS-CoV S pseudoviruses (; ). This is a feature shared with influenza HA, which is known to be activated by TMPRSS proteases (). Remarkably, it was found that TMPRSS2 associates with the SARS-CoV receptor, ACE2, forming a receptor-protease complex allowing for efficient entry of the virus, directly at the cell surface (). Another TMPRSS protease, TMPRSS11d also known as human airway trypsin-like protease (HAT), was also shown to proteolytically activate SARS-CoV S in a HEK-293T expression system (). Using mass spectrometry, the authors demonstrated that TMPRSS11d cleaved S at R667, in the S1/S2 cleavage site (table 1). While TMPRSS2 cleavage appears to occur at different sites within S, TMPRSS11d cleavage occurs mostly at the S1/S2 site (R667), which may explain why TMPRSS11d activation appears sufficient for cell-cell fusion but not virus-cell fusion. After TMPRSS2 cleavage, shed fragments of S, including a large 150 kDa fragment, are detected in the supernatant of cells and were shown to act as decoys to anti-S neutralizing antibodies ().

Factor Xa is yet another protease that was shown to activate SARS-CoV S for entry into host cells (). The authors showed that the S protein of SARS-CoV retroviral pseudovirions produced in HEK-293T cells could be cleaved by factor Xa at the S1/S2 boundary. This cleavage event occurred when the pseudovirions were incubated with susceptible cells that were shown to express the protease. Overall, the study of SARS-CoV S was instrumental in defining cleavage sites and putting forward the notion that the coronavirus S protein can be cleaved by a wide variety of proteases, suggestive of a relatively high degree of plasticity in cleavage mechanisms employed.


2.4.2. Murine hepatitis virus (MHV)

The betacoronavirus MHV has been extensively studied and represents a good model for coronavirus biology and in particular for studying coronavirus entry mechanisms. In groundbreaking work on MHV strain A59 (MHV-A59), the S protein found on virions (then known as E2), was shown to be cleaved during its biosynthesis when produced in four infected murine cell lines: 17 Cl 1, Sac, DBT and L2 (). Pulse-chase experiments demonstrated that the cleavage event occurred before virion release from producer cells. The authors showed that the degree of cleavage varied depending on which cell type the S protein was expressed in. A study from the same group showed that the 180 kDa precursor S protein of MHV-A59 virions produced in the 17 Cl 1 mouse cell line was cleaved approximately in two halves, with equal amounts of uncleaved and cleaved S and yielding two ~90 kDa cleavage products (). The proteolytic processing of S was found to be potentiated by trypsin treatment of virions produced in murine 17 Cl 1 cells. The site where trypsin cleaved MHV-A59 S was mapped to the S1/S2 site (table 1) (). It was later shown that MHV-A59 S is cleaved by furin during biosynthesis and trafficking of S through the trans-Golgi network in murine LR-7 cells (). MHV-A59 S contains a minimal furin cleavage motif (R-R-A-H-R-S), containing at least P1 and P4 arginine residues (R-X-X-R) at the S1/S2 boundary, a feature that is shared by some alphacoronaviruses and many other coronaviruses from the beta- and gamma- genera (table 1). Mutating the S1/S2 site was shown to greatly affect the degree of cleavage of the S protein (). Another important concept that comes out from MHV studies is that the degree of cleavage at S1/S2 found when S is expressed and matures in different cell lines reflects the varying abundance of protease expression.

The MHV-2 strain was found to have lost this cleavage site and its S is uncleaved on virions exiting murine DBT producer cells (). When expressed in cells, MHV-2 fails to induce syncytia at neutral pH. MHV-2 S-induced syncytia can form if exogenous protease treatment is applied. It appears that MHV-2 still requires proteolytic processing for fusion competency. Indeed, MHV-2 S-mediated entry of virions produced in 17 Cl 1 murine cells is sensitive to inhibitors of the endosomal compartment resident proteases cathepsin B or L in murine fibroblast L2 target cells (). This suggests that for MHV-2, the timing and nature of proteases involved has been switched from furin-like proteolytic processing during virus maturation in producer cells to endosomal cathepsins during entry in target cells.

Recent work reported that the S protein of MHV-A59, in addition to being cleaved at S1/S2 during protein biosynthesis in mouse LR7 producer cells, is cleaved a second time at a site near the putative fusion peptide, named S2*, during the viral entry process (). This site is analogous to the S2′ site in SARS-CoV S (). The authors devised a clever experimental setup using conditional biontinylation assay that allows specific labeling and detection of MHV S proteins that have undergone the fusion process. This allows the analysis of any cleavage activation that may have occurred before fusion takes place. A new ~80 kDa band was detected by Western blot analysis, which the authors conclude to be the fusion subunit. A comprehensive study, using siRNA screenings and a replication-independent fusion assay, has shown that MHV-A59 entry necessitates clathrin-mediated endocytosis and that the virions fuse with lysosomal membranes (). The study also conclusively demonstrates that MHV-A59 requires cleavage of S, at the S2′ site. Inhibition of MHV-A59 entry could be obtained by using a pan-lysosomal protease inhibitor. The identity of the specific protease involved awaits elucidation.


2.4.3. Bovine coronavirus (BCoV)

A recent study on the betacoronavirus BCoV has uncovered important features of coronavirus population adaptation during host, tissue, and cell tropism shifts (). Intriguingly, the authors found a critical role for a genotype containing a S variation at the S2′ site that rapidly expands and dominates the population during the course of passaging in cell culture (table 3). Using a deep-sequencing approach the authors looked at the effect of passaging field strains of BCoV obtained in nasal washes on the genotype composition of the population. The viruses were passaged in human or bovine macrophage cell lines (THP-1 and BOMAC) as well as in a human rectal cell line (HRT-18). Surprisingly, they found that a variant genotype, a minority present in unpassaged samples, and which harbored a mutated S containing a multibasic insert composed of three arginines at S2′, was independently selected during passaging of three different nasal wash samples in either BOMAC, THP-1 or HRT-18 cell lines (for example, the B2.27.BO.P1 BOMAC passaged virus, table 3). Surprisingly, the study showed that just a single passage in BOMAC cells was sufficient to expand the minority variant to become dominant in the viral population. It is notable that the insertion of the three basic arginines (R-R-R) is very similar to what is observed in the HA polybasic sites of highly pathogenic avian influenza virus subtypes H5 and H7 (; ; ). The work on BCoV demonstrates the important role of cleavage sites in shifting coronavirus genetic populations depending on the proteolytic environment.

Table 3

Furin score and spike (S) amino acid sequence alignment of the S2′ region of passaged BCoV-B2.27.BO.P1 and other betacoronaviruses.

S2′ sequence Furin score
Lineage A
Lineage B
SARS-CoV 787ILPDP----------------LKPTKRSFIEDLLFNK807 < 0


2.4.4. Infectious bronchitis virus (IBV)

The avian gammacoronavirus IBV was the first described coronavirus. It provokes extensive impairment of respiratory and urogenital tracts of chickens, and has been well studied. Many strains of IBV have been characterized, most of which have a restricted cell and tissue tropism, often limited to primary chicken cells. All IBV strains harbor a well-defined furin cleavage site at the S1/S2 site (R-R-F-R-R-S, table 1) that is cleaved during protein biosynthesis. Strikingly, a lab adapted strain of IBV, the Beaudette strain, which has been heavily egg- and cell-culture adapted has acquired a mutation at its S2′ site, giving rise to the following motif S-R-R-R/K-R-S. Such a site is deemed ideal for furin recognition and cleavage as it harbors the critical P1 and P4 arginines (R), along with a highly favorable basic P2 lysine (K) or arginine (R) as well as flanking serines (S) at P1′ and P6 (). Notably, the IBV-Beaudette S2′ site is also cleaved during protein biosynthesis in S-transfected Huh-7 cells and in IBV-Beaudette-infected Vero cells, and this has been shown to be important for syncytia formation as well as entry of the virus (; ). Furthermore, IBV-Beaudette has a characteristically widened tissue and cell tropism and can productively infect many different cell types in vitro, including human cells. Importantly, high levels of furin expression, such as that observed in Huh-7 cells, was found to correlate tightly with highly productive infection by IBV-Beaudette produced in Vero cells (). The wide cell and tissue tropism is in sharp contrast with the very restricted cell and tissue tropism observed for the other strains of IBV, which do not harbor a S2′ furin cleavage site. Similarly to the concept found for avian influenza, modification of its S2′ cleavage site may have allowed IBV-Beaudette to be cleaved by ubiquitously expressed furin, allowing for this expansion in tissue and cell tropism. This unusual feature is shared with MERS-CoV, as described in paragraph 2.4.7. MERS-CoV.


2.4.5. Porcine epidemic diarrhea virus (PEDV)

An alphacoronavirus, PEDV causes severe outbreaks of diarrheal disease in pigs mostly centering in East Asia (). The virus recently emerged in the United States and is of particular concern because of the high mortality rates associated with piglet infections. In an early study, trypsin was found to activate PEDV for infection in Vero cells (). The S protein of Vero cell-produced PEDV was shown to be cleaved by trypsin when the virus is engaged with its receptor, but not on free virions (). This suggests that PEDV S protein requires receptor-binding-induced conformational changes in order for trypsin cleavage to occur. TMPRSS2 was found to play a role in releasing PEDV particles from Vero producer cells stably expressing TMPRSS2 (). PEDV produced in Vero cells was also shown to enter cells via a clathrin-dependent endocytic pathway, also involving low pH and the activity of serine proteases (). In a recent study, notable findings about proteolytic activation of PEDV S have been uncovered (). The authors focused on analyzing and comparing two strains of PEDV propagated in Vero cells, the first, CV777 which is an isolate that, like most PEDV isolates, requires trypsin activation for infection in cell culture, and the other, DR13, is a cell culture adapted strain, and has evolved to become trypsin-independent. The authors were able to demonstrate that CV777 S harbored a critical arginine (R) residue at the S2′ site that is cleaved by trypsin (table 2). Notably, they found that in the cell-culture adapted strain DR13, an R to G mutation occurred at the S2′ site and explains why the strain has evolved to become trypsin-independent. As most coronavirus S proteins contain an arginine (R) at the S2’ site (table 2), it would be interesting to study whether the findings of Wicht et al. can be generalized.


2.4.6. Feline coronavirus (FCoV)

Studies on FCoV offer deep insights into the role of S and in particular its proteolytic processing and fusion activation in coronavirus pathogenesis and host cell tropism. The FCoV is an alphacoronavirus and there are two known serotypes, based on differential S antigenicity (). While serotype II viruses are the most extensively studied, notably due to their propensity to grow well in vitro, such as in CrFK feline kidney cells, they are not the most clinically prevalent. The serotype I is the most prevalent but is difficult to culture and so has yet to be extensively studied, although some strains, such as Black (TN-406) and UCD1, can be grown in feline AK-D cells and feline macrophage-like cell line Fcwf-4, respectively (; ). In both serotypes I and II, FCoV exists as two biotypes or pathotypes that display extremely contrasting pathogenicity. The low pathogenicity biotype, feline enteric coronavirus (FECV) is a highly prevalent virus that transmits easily through the fecal-oral route and generally causes only mild and self-limiting enteritis. In contrast, the highly pathogenic biotype, feline infectious peritonitis or FIPV, causes an acute, systemic and immune-mediated disease that is invariably fatal and represents a leading cause of infectious disease deaths in cats. The current understanding on FIP pathogenesis, the so-called “internal mutation theory”, is that it arises from an initial FECV infection in which the virus acquires mutations within the infected animal that leads to its conversion from the low pathogenic form to the virulent FIPV form (). A key difference between FECV and FIPV is their tissue and cell tropism: while FECV is generally restricted to the epithelial cells of the gastrointestinal tract, FIPV has the ability to readily infect monocytes and macrophages (). It is this change in cell and tissue tropism, from gut epithelial cells to motile immune cells, that is thought to be the crucial step towards systemic spread of the virus. Several studies have mapped mutations that are linked to the transition between the biotypes, located in the accessory 3c and ORF 7 genes (; ), but there is a growing body of evidence indicating that mutations within the S protein are key to the development of FIP (; ). In the following section we will describe the current understanding on the S mutations that are thought to be linked with FIP. Type I feline coronavirus (FCoV)

Type I FCoV have S proteins harboring two putative cleavage sites: S1/S2 and S2′ (tables 1 and and2).2). A study on serotype I strains of FCoV has demonstrated that alphacoronaviruses could harbor a cleaved S protein (). In particular, serotype I UCD strain, a FECV obtained from the feces of experimentally infected cats, was shown to contain a S1/S2 site (R-R-S-R-R-S) that is cleaved by furin. In contrast, the authors show that UCD1, a FIPV adapted for growth in Fcwf cells, has acquired a mutation at the P1 position (R-R-S-R-G-S) abrogating cleavage by furin. It was also shown that because the S1/S2 site in UCD1 S was left uncleaved, it retained an intact heparan sulfate binding motif (B-B-X-B, B: basic residue), allowing the virus to bind the polysaccharide, a property that is not shared with its parental strain UCD. Since UCD1 arose from cell-culture adaptation, it is an important example of how a change in S cleavage site can lead to acquisition of new characteristics, such as heparan sulfate binding, that can lead to modulation of cell tropism and pathogenicity.

Licitra and colleagues have studied S S1/S2 cleavage site sequence diversity found in circulating field strains of type I FECV and compared them with those found in FIPV (). Remarkably, FECV S sequences harbored a highly conserved furin cleavage motif (R-R-S/A-R-R-S), an unusual property for an alphacoronavirus, which is shared with type I canine coronavirus (table 1). However, a strong correlation was found between FIPV S sequences and presence of one or more non-silent mutations at the S1/S2 cleavage site, introducing a range of hydrophobic or non-polar residues.

Biochemical assays employing fluorogenic peptide mimetics of the mutated cleavage sites confirmed that the substitutions found in FIPV abrogated furin cleavage. A more recent study, using an extended sample set of type I FCoV, and which compares S1/S2, including the P6 position, and the S2′ cleavage sites of FECV and FIPV, confirmed the strong association between FIPV samples and mutations at the S1/S2 and S2′ cleavage sites (Licitra et al., manuscript in preparation). It is hypothesized that mutation at the S1/S2 and S2′ cleavage sites may switch S activating protease requirements, allowing for a change in tissue and cell tropism. Further research is required to investigate this hypothesis. A practical outcome of this discovery would be to use the type I S1/S2 and S2′ sites as biotype markers to discriminate between type I FECV and FIPV infections. Type II feline coronavirus (FCoV)

The type II FCoV has a S protein that is distinct from type I FCoV as it was demonstrated to have arisen from recombination with canine coronavirus (CCoV) S (). Although the precise mechanisms involved differ from type I FCoV, a study on the prototypical FECV (1683) and FIPV (1146) type II FCoV strains, produced in canine A-72 cells, has shown that there is also a link between modified proteolytic processing requirements and cell tropism (). Whereas FECV-1683 entry was shown to be highly dependent on endosomal cathepsin B and L activity and low pH, FIPV-1146 was shown to be dependent on cathepsin B activity but not cathepsin L activity. Importantly, while FECV-1683 S was demonstrated to be cleaved by both cathepsin B and L, FIPV-1146 could only be cleaved by cathepsin B. This difference in proteolytic processing may influence which cell types each virus infects, as individual protease expression profiles differ from cell type to cell type. It would be important to investigate further whether this change in proteolytic activation requirement is due to a mutation found within S, particularly at the S2′ site of FIPV-1146 S, as the R to G mutation found at that site (table 2) is reminiscent of the R to G mutation found in PEDV S2′ ().


2.4.7. Middle East respiratory syndrome coronavirus (MERS-CoV)

MERS-CoV, a recently emerged virus from the Middle East that is associated with severe pneumonia with a high case fatality rate, is another example of a coronavirus whose S protein can be activated by a multitude of proteases. Since its isolation and discovery in 2012, the complete viral genome was swiftly sequenced (), and its receptor, dipeptidyl peptidase 4 (DPP4 or CD26), rapidly identified ().

In a report using pseudovirions produced in HEK-293T cells as well as protease inhibitors, it was first shown that TMPRSS2 and endosomal cathepsins could activate MERS-CoV virus-cell fusion (). The authors also reported the sensitivity of MERS-CoV entry to the lysosomotropic weak base NH4Cl, a result attributed to a decreasing of activity of endosomal cathepsins, which require low pH. The role of cell surface-expressed TMPRSS2 in the activation of MERS-CoV was confirmed using native MERS-CoV virions produced in Vero cells, and it was estimated that the entry of the virus in Vero cells overexpressing the protease was increased 100-fold, compared to control cells (). The authors described how TMPRSS2 could greatly potentiate MERS-CoV infection-induced cell-cell fusion in Vero cells stably expressing the protease. The study also corroborated that endosomal cathepsin L could activate MERS-CoV S. Notably, the study showed that depending on the target cell type, MERS-CoV could use different activation pathways.

Along with TMPRSS2, TMPRSS4 was also shown to activate MERS-CoV S-mediated cell-cell fusion in a co-transfection HEK-293T cell expression system (). More recently, a study has revealed that MERS-CoV S from native virions produced in Vero cells could be cleaved by furin at two distinct sites, S1/S2 and S2’, with the former cleavage occurring during S biosynthesis in the Vero producer cells, and the latter, during virus entry into target cells (). Similarly to the situation with IBV-Beaudette, it was also shown that expression of high levels of furin, such as in Huh-7 cells, along with the receptor DPP4, is associated with increased susceptibility to MERS-CoV infection. The role of furin during entry of MERS-CoV was confirmed by a recent study by Burkard and colleagues (). Intriguingly, a similar two-step activation mechanism for entry by furin was demonstrated for the paramyxovirus respiratory syncytial virus (RSV) (; ; ). It was shown for bovine RSV that the dual cleavage events generated a small peptide fragment, the virokinin, that is released upon activation and entry and has bioactive properties implicated in exacerbating pathogenesis (; ).

3. Discussion: spike (S) cleavage motifs as coronavirus cell and tissue tropism, host range, and virulence markers

In recent years, it has become more appreciated that the protease-mediated activation of membrane fusion is a versatile process that can be exploited by coronaviruses not only for the basic requirement of entry into host cells, but also to modulate this entry process and allow changes in cell, tissue and species tropism. In concert with changes in the receptor binding site(s) of S, the ability to modulate infectivity via cleavage site changes makes coronaviruses of particular concern as emerging pathogens. In particular, a recent study on MERS-CoV has strengthened the concept that along with the virus receptor, the repertoire of proteases a given cell type expresses can be a determining factor for infectivity ().

Our present understanding is that probably all coronavirus S are cleaved at some point during infection, in line with their designation as class I viral fusion proteins. In many cases, cleavage occurs at the S1/S2 position; a location that (based on the situation with other class I viral fusion proteins such an influenza HA) is at the expected junction between the S1 (receptor binding) and S2 (fusion) domains. We believe that in most cases, this cleavage will occur during the process of S protein maturation and virus assembly. S1/S2 cleavage may not be obligatory, however. While in several cases, coronaviruses appear to be released from cells with uncleaved S in many other cases the S1/S2 site is cleaved, often by furin. Previously, it has been suggested that alphacoronaviruses have uncleaved S, betacoronavirus may or not be cleaved, with gammacoronaviruses having obligatory cleavage. However this now appears to be an oversimplification; for instance, S proteins of alphacoronaviruses in the feline and canine serotype I lineage have strong furin cleavage sites and have been shown to be furin cleaved, and based on bioinformatics (table 1), S proteins of gammacoronaviruses in aquatic mammalian hosts appear not to be cleaved by furin. It appears that different coronaviruses have different requirements for S1/S2 cleavage.

The more recently identified cleavage site within the fusion domain (S2′) is more directly connected to the proposed fusion peptide, and so may function in a more analogous manner to the influenza HA cleavage site. As such, we believe that S2′ cleavage is an obligatory event for coronavirus entry (), with the possibility of cleavage at the S1/S2 site priming subsequent cleavage at the second (S2′) site (; ). There is accumulating evidence that S2′ cleavage mainly occurs during virus entry (either at the cell surface or in endosomal compartments), and may be a relatively transient event. The transient nature of the cleavage means that in many cases it is difficult to observe this cleavage event based on conventional techniques (e.g. Western blots). While the nature of the proteases cleaving at S2′ remain unclear, it is likely that cathepsins would be involved, as well as potentially cell-surface TMPRSS2-like proteases. Bioinformatic analysis of S2′ indicates that a strong furin motif is present on laboratory-selected viruses (IBV-Beaudette and BCoV-B2.27.BO.P1, tables 2 and and3).3). The presence of a robust furin cleavage site on MERS-CoV at S2′ may represent a novel, if not unique, situation for a naturally occurring coronavirus. However, bioinformatics also predicts that some alphacoronaviruses (PEDV, TGEV, type II FCoV and type II CCoV) also have pronounced furin cleavage motifs at S2′. It will be important to test this possibility experimentally.

Another parallel to point out between cleavage sites of coronaviruses and influenza viruses is that it appears that the presence of a furin cleavage site adjacent to the putative fusion peptide can arise by either insertion of a polybasic site, as is the case for HPAI viruses of the H5 and H7 subtypes (; ) and the bovine coronavirus B2.27.BO.P1 (table 3) (), or by incremental substitutions such as in avian influenza virus H9 subtype (), MERS-CoV (), or IBV-Beaudette () (table 2). Notably, MHV S contains what appears to be an insertion of a stretch of residues upstream of the cleavage site (table 3), which are clearly linked to fusion activity (). In this regard, there are also parallels with influenza virus, where peptide insertions upstream of the cleavage site/fusion peptide modulate the fusion activity of H7 influenza viruses (; ). In addition, work on influenza virus HA have shown that glycosylations can have profound effects on cleavage activation, as bulky sugar moieties can create steric hindrance around the cleavage site, restricting access for proteases (; ). The role of glycosylations in modulating proteolytic activation of the coronavirus S protein, which is known to be heavily glycosylated, has been relatively unexplored and awaits further investigation.

Inhibitors of host cell proteases, including TMPRSS2, PCs and furin, have been proposed as potential antiviral therapeutics for coronavirus infections, in particular for the treatment of SARS and MERS infections (; ; ; ). Targeting host cell proteases in the context of a virus infection presents the advantage of minimizing the development of viral drug resistance observed when targeting virus proteins. The list of cellular protease inhibitors approved for clinical use for various diseases, such as trypsin-like, factor X, and neutrophil elastase inhibitors, is growing (). However, it is important to consider that such treatments increases the risk of higher toxicity and side effects as host cell proteases, such as furin, are essential for a great number of cellular processes (; ). Clearly, targeting host cell proteases will require more research efforts before actual therapeutics can be safely and effectively used against coronavirus infections.

Many open questions remain, including the specific proteases involved, the compartment and pH at which cleavage occurs, what proportion of S need to get cleaved within a single virus particle/S trimer and how many virus particle in a population get cleaved. New technologies such as single particle studies and selective biotinylation assays will hopefully provide answers to these questions in the future (; ). In addition to the S1/S2 and S2′ sites, it is also possible that the S protein gets cleaved in other locations, giving rise to the concept that S undergoes a progressive “destabilization”, based on a combination of proteolysis (sometimes at multiple sites), low pH, and receptor binding, as part of its fusion activation (; ). In this regard coronaviruses may show more similarity to Ebola virus, another virus with a class I fusion protein, than it does to influenza virus (). It is also important to note that many coronavirus receptors are membrane ectopeptidases (i.e. ACE2, APN, DPP4). To date however, there is no evidence for proteolytic involvement of these receptors in virus entry ().

Bioinformatic analysis of the coronavirus S cleavage sites suggests the possibility of using this data within the framework of virulence or bio-markers that can differentiate different coronaviruses. For type I FCoV S, the S1/S2 and S2′ cleavage sites are likely to be a biotype markers differentiating FECV from FIPV, and for type II FCoV S a similar situation may also occur for their S2′ site. Notably, the amino acid sequence within the two cleavage sites are often highly conserved within groups of viruses, and so sequencing information of the cleavage sites may be useful in the future for virus typing, rapid identification of new viruses and as a “virulence marker”. This proposed virus typing can be applied to so-called polytropic coronaviruses, in particular IBV-Beaudette and MERS-CoV. These studies indicate that a second furin cleavage positioned at the S2′ site may be viewed as a marker of expanded cell and tissue tropism, host range and perhaps pathogenicity (; ). At present, modulation of the S2′ site seems to be correlated most strongly to changes in tissue and cell tropism, host range and pathogenesis (e.g. IBV, MERS-CoV, PEDV). However, in other cases changes in the S1/S2 site are also strongly correlated (e.g. type I FCoV) with modification of cell tropism and pathogenesis. Overall, it seems likely that modulation of either of two protease cleavage sites by coronaviruses can have a profound impact on disease outcome, depending on the individual coronavirus. The coronavirus field has gained tremendously thanks to the study of S proteolytic processing by host cell proteases. As shown in this review, such investigations are crucial for the development of the study of coronavirus entry, cell and tissue tropism, host range, and pathogenesis. While many questions remain, we look forward to future breakthroughs and discoveries in this active and lively area of investigation.


  • Coronavirus spike proteins can be cleaved by a multitude of host cell proteases

  • Proteolytic activation of spike is a crucial step to activate its fusogenicity

  • The spike protein can be cleaved at multiple sites

  • Modulation of spike cleavage can have profound effects on tropism and pathogenesis


We thank Weishan Huang for critical reading of this manuscript. This work was supported by National Institutes of Health Grant R21 AI111085.



Tables. Analysis of coronavirus spike (S) cleavage sites. Table 1. Coronavirus S S1/S2 cleavage sites. The amino acid sequences of coronavirus S S1/S2 sites from the four coronavirus genera were aligned using ClustalX. Table 2. Coronavirus S S2’ cleavage sites. The amino acid sequences of coronavirus S S2’ sites from the four coronavirus genera were aligned using ClustalX. For tables 1 and and2,2, the serotype of CCoV and FCoV are denoted in brackets (I or II). Table 3. Furin score and spike (S) amino acid sequence alignment of the S2’ region of passaged BCoV-B2.27.BO.P1 and other betacoronaviruses. Amino acid sequence alignment of S2’ region of S proteins of passaged BCoV-B2.27.BO.P1, BCoV-Quebec, MHV-JHM and SARS-CoV, based on sequence information by Borucki and collaborators (). Residues colored in red indicate positions with insertions/deletions. To generate furin scores in tables 1, ,2,2, and and3,3, sequences were queried into the PiTou 2.0 furin prediction algorithm that gives a score, with positive numbers (green) indicating predicted furin cleavage, while negative numbers (red) denote no predicted cleavage by furin. Furin scores that are borderline (< 3) are denoted in grey. For comparison, the avian influenza strain A/muscovy duck/VietNam/209/2005(H5), which harbors the following polybasic cleavage site, R-R-R-K-R, has a +9.1 furin score. Other proteases, known to cleave coronavirus S1/S2 or S2′ sites are shown in the “Other proteases” column. Note that some proteases are known to cleave coronavirus S proteins, however, because the precise location of their cleavage site(s) has not been determined, they are not shown in tables 1 and and2.2. Blue arrows denote the position of potential sites of cleavage. Basic arginine (R) and lysine (K) residues are highlighted in blue and bold font.



Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.



  • Alagaili AN, Briese T, Mishra N, Kapoor V, Sameroff SC, de Wit E, Munster VJ, Hensley LE, Zalmout IS, Kapoor A, Epstein JH, Karesh WB, Daszak P, Mohammed OB, Lipkin WI. Middle East Respiratory Syndrome Coronavirus Infection in Dromedary Camels in Saudi Arabia. MBio. 2014;5(2) [PMC free article] [PubMed] []
  • Ami Y, Nagata N, Shirato K, Watanabe R, Iwata N, Nakagaki K, Fukushi S, Saijo M, Morikawa S, Taguchi F. Co-infection of respiratory bacterium with severe acute respiratory syndrome coronavirus induces an exacerbated pneumonia in mice. Microbiology and Immunology. 2008;52(2):118–127. [PubMed] []
  • Antalis TM, Bugge TH, Wu Q. Membrane-anchored serine proteases in health and disease. Progress in molecular biology and translational science. 2011;99:1–50. [PMC free article] [PubMed] []
  • Backes BJ, Harris JL, Leonetti F, Craik CS, Ellman JA. Synthesis of positional-scanning libraries of fluorogenic peptide substrates to define the extended substrate specificity of plasmin and thrombin. Nat Biotechnol. 2000;18(2):187–193. [PubMed] []
  • Barlan A, Zhao J, Sarkar MK, Li K, McCray PB, Jr, Perlman S, Gallagher T. Receptor variation and susceptibility to MERS coronavirus infection. Journal of Virology. 2014;88(9):4953–4961. [PMC free article] [PubMed] []
  • Belouzard S, Chu VC, Whittaker GR. Activation of the SARS coronavirus spike protein via sequential proteolytic cleavage at two distinct sites. Proceedings of the National Academy of Sciences. 2009;106(14):5871–5876. [PMC free article] [PubMed] []
  • Belouzard S, Madu I, Whittaker GR. Elastase-mediated activation of the SARS coronavirus spike protein at discrete sites within the S2 domain. J Biol Chem. 2010;285(30):22758–22763. [PMC free article] [PubMed] []
  • Belouzard S, Millet JK, Licitra BN, Whittaker GR. Mechanisms of Coronavirus Cell Entry Mediated by the Viral Spike Protein. Viruses. 2012;4(6):1011–1033. [PMC free article] [PubMed] []
  • Beniac DR, Andonov A, Grudeski E, Booth TF. Architecture of the SARS coronavirus prefusion spike. Nat Struct Mol Biol. 2006;13(8):751–752. [PubMed] []
  • Beniac DR, deVarennes SL, Andonov A, He R, Booth TF. Conformational Reorganization of the SARS Coronavirus Spike Following Receptor Binding: Implications for Membrane Fusion. PLoS ONE. 2007;2(10):e1082. [PMC free article] [PubMed] []
  • Bergeron E, Vincent MJ, Wickham L, Hamelin J, Basak A, Nichol ST, Chretien M, Seidah NG. Implication of proprotein convertases in the processing and spread of severe acute respiratory syndrome coronavirus. Biochemical and Biophysical Research Communications. 2005;326(3):554–563. [PubMed] []
  • Bertram S, Dijkman R, Habjan M, Heurich A, Gierer S, Glowacka I, Welsch K, Winkler M, Schneider H, Hofmann-Winkler H, Thiel V, Pöhlmann S. TMPRSS2 activates the human coronavirus 229E for cathepsin-independent host cell entry and is expressed in viral target cells in the respiratory epithelium. Journal of Virology. 2013;87(11):6150–6160. [PMC free article] [PubMed] []
  • Bertram S, Glowacka I, Muller MA, Lavender H, Gnirss K, Nehlmeier I, Niemeyer D, He Y, Simmons G, Drosten C, Soilleux EJ, Jahn O, Steffen I, Pöhlmann S. Cleavage and activation of the SARS-coronavirus spike-protein by human airway trypsin-like protease. Journal of Virology. 2011;85(24):13363–13372. [PMC free article] [PubMed] []
  • Bieth . Leukocyte Elastase. In: Barrett, Rawlings, Woessner, editors. Handbook of Proteolytic Enzymes. 2. Vol. 2. 2004. pp. 1517–1523. 2 vols. []
  • Borucki MK, Allen JE, Chen-Harris H, Zemla A, Vanier G, Mabery S, Torres C, Hullinger P, Slezak T. The role of viral population diversity in adaptation of bovine coronavirus to new host environments. PLoS ONE. 2013;8(1):e52752. [PMC free article] [PubMed] []
  • Bosch BJ, Bartelink W, Rottier PJM. Cathepsin L Functionally Cleaves the Severe Acute Respiratory Syndrome Coronavirus Class I Fusion Protein Upstream of Rather than Adjacent to the Fusion Peptide. Journal of Virology. 2008;82(17):8887–8890. [PMC free article] [PubMed] []
  • Bosch BJ, Rottier P. Nidovirus Entry into Cells. In: Perlman, Gallagher, Snijder, editors. Nidoviruses. ASM Press; Washington, DC: 2008. pp. 157–178. []
  • Bosch BJ, Smits SL, Haagmans BL. Membrane ectopeptidases targeted by human coronaviruses. Curr Opin Virol. 2014;6C:55–60. [PMC free article] [PubMed] []
  • Bosch BJ, van der Zee R, de Haan CAM, Rottier PJM. The Coronavirus Spike Protein Is a Class I Virus Fusion Protein: Structural and Functional Characterization of the Fusion Core Complex. Journal of Virology. 2003;77(16):8801–8811. [PMC free article] [PubMed] []
  • Böttcher E, Matrosovich T, Beyerle M, Klenk HD, Garten W, Matrosovich M. Proteolytic Activation of Influenza Viruses by Serine Proteases TMPRSS2 and HAT from Human Airway Epithelium. Journal of Virology. 2006;80(19):9896–9898. [PMC free article] [PubMed] []
  • Böttcher-Friebertshauser E, Klenk HD, Garten W. Activation of influenza viruses by proteases from host cells and bacteria in the human airway epithelium. Pathogens and disease. 2013;69(2):87–100. [PubMed] []
  • Bugge TH, Antalis TM, Wu Q. Type II Transmembrane Serine Proteases. J Biol Chem. 2009;284(35):23177–23181. [PMC free article] [PubMed] []
  • Burkard C, Verheije MH, Wicht O, van Kasteren SI, van Kuppeveld FJ, Haagmans BL, Pelkmans L, Rottier PJM, Bosch BJ, de Haan CAM. Coronavirus Cell Entry Occurs through the Endo-/Lysosomal Pathway in a Proteolysis-Dependent Manner. PLoS Pathog. 2014;10(11):e1004502. [PMC free article] [PubMed] []
  • Carr CM, Kim PS. A spring-loaded mechanism for the conformational change of influenza hemagglutinin. Cell. 1993;73(4):823–832. [PubMed] []
  • Castellino . Plasmin. In: Barrett, Rawlings, Woessner, editors. Handbook of Proteolytic Enzymes. 2. Vol. 2. 2004. pp. 1692–1699. 2 vols. []
  • Castellino, Ploplis . Plasminogen Structure, Activation, and Regulation. Kluwer Academic; 2003. Human Plasminogen: Structure, Activation, and Function; pp. 3–17. []
  • Chambers P, Pringle CR, Easton AJ. Heptad repeat sequences are located adjacent to hydrophobic regions in several types of virus fusion glycoproteins. J Gen Virol. 1990;71:3075–3080. [PubMed] []
  • Chang HW, Egberink HF, Halpin R, Spiro DJ, Rottier PJ. Spike protein fusion Peptide and feline coronavirus virulence. Emerg Infect Dis. 2012;18(7):1089–1095. [PMC free article] [PubMed] []
  • Chen J, Skehel JJ, Wiley DC. N- and C-terminal residues combine in the fusion-pH influenza hemagglutinin HA(2) subunit to form an N cap that terminates the triple-stranded coiled coil. Proceedings of the National Academy of Sciences. 1999;96(16):8967–8972. [PMC free article] [PubMed] []
  • Choe Y, Leonetti F, Greenbaum DC, Lecaille F, Bogyo M, Bromme D, Ellman JA, Craik CS. Substrate profiling of cysteine proteases using a combinatorial peptide library identifies functionally unique specificities. J Biol Chem. 2006;281(18):12824–12832. [PubMed] []
  • Costello DA, Millet JK, Hsia CY, Whittaker GR, Daniel S. Single particle assay of coronavirus membrane fusion with proteinaceous receptor-embedded supported bilayers. Biomaterials. 2013;34(32):7895–7904. [PubMed] []
  • Cross K, WL, RR, JS, DS Composition and Functions of the Influenza Fusion Peptide. Protein & Peptide Letters. 2009;16(7):766–778. [PubMed] []
  • Cutler SJ, Fooks AR, van der Poel WH. Public health threat of new, reemerging, and neglected zoonoses in the industrialized world. Emerg Infect Dis. 2010;16(1):1–7. [PMC free article] [PubMed] []
  • de Haan CAM, Haijema BJ, Schellen P, Schreur PW, te Lintelo E, Vennema H, Rottier PJM. Cleavage of Group 1 Coronavirus Spike Proteins: How Furin Cleavage Is Traded Off against Heparan Sulfate Binding upon Cell Culture Adaptation. Journal of Virology. 2008;82(12):6078–6083. [PMC free article] [PubMed] []
  • de Haan CAM, Stadler K, Godeke GJ, Bosch BJ, Rottier PJM. Cleavage Inhibition of the Murine Coronavirus Spike Protein by a Furin-Like Enzyme Affects Cell-Cell but Not Virus-Cell Fusion. Journal of Virology. 2004;78(11):6048–6054. [PMC free article] [PubMed] []
  • Drexler JF, Corman VM, Drosten C. Ecology, evolution and classification of bat coronaviruses in the aftermath of SARS. Antiviral Research. 2014;101:45–56. [PubMed] []
  • Drosten C, Gunther S, Preiser W, van der Werf S, Brodt HR, Becker S, Rabenau H, Panning M, Kolesnikova L, Fouchier RA, Berger A, Burguiere AM, Cinatl J, Eickmann M, Escriou N, Grywna K, Kramme S, Manuguerra JC, Muller S, Rickerts V, Sturmer M, Vieth S, Klenk HD, Osterhaus AD, Schmitz H, Doerr HW. Identification of a novel coronavirus in patients with severe acute respiratory syndrome. N Engl J Med. 2003;348(20):1967–1976. [PubMed] []
  • Du L, Kao RY, Zhou Y, He Y, Zhao G, Wong C, Jiang S, Yuen KY, Jin DY, Zheng BJ. Cleavage of spike protein of SARS coronavirus by protease factor Xa is associated with viral infectivity. Biochemical and Biophysical Research Communications. 2007;359(1):174–179. [PMC free article] [PubMed] []
  • Duckert P, Brunak Sr, Blom N. Prediction of proprotein convertase cleavage sites. Protein Engineering Design and Selection. 2004;17(1):107–112. [PubMed] []
  • Fan B, Wu TD, Li W, Kirchhofer D. Identification of Hepatocyte Growth Factor Activator Inhibitor-1B as a Potential Physiological Inhibitor of Prostasin. J Biol Chem. 2005;280(41):34513–34520. [PubMed] []
  • Frana MF, Behnke JN, Sturman LS, Holmes KV. Proteolytic cleavage of the E2 glycoprotein of murine coronavirus: host-dependent differences in proteolytic cleavage and cell fusion. Journal of Virology. 1985;56(3):912–920. [PMC free article] [PubMed] []
  • Gierer S, Bertram S, Kaup F, Wrensch F, Heurich A, Kramer-Kuhl A, Welsch K, Winkler M, Meyer B, Drosten C, Dittmer U, von Hahn T, Simmons G, Hofmann H, Pöhlmann S. The spike-protein of the emerging betacoronavirus EMC uses a novel coronavirus receptor for entry, can be activated by TMPRSS2 and is targeted by neutralizing antibodies. Journal of Virology. 2013;87(10):5502–5511. [PMC free article] [PubMed] []
  • Gierer S, Muller MA, Heurich A, Ritz D, Springstein B, Karsten CB, Schendzielorz A, Gnirss K, Drosten C, Pöhlmann S. Inhibition of proprotein convertases abrogates processing of the MERS-coronavirus spike protein in infected cells but does not reduce viral infectivity. J Infect Dis 2014 [PubMed] []
  • Glowacka I, Bertram S, Müller MA, Allen P, Soilleux E, Pfefferle S, Steffen I, Tsegaye TS, He Y, Gnirss K, Niemeyer D, Schneider H, Drosten C, Pöhlmann S. Evidence that TMPRSS2 Activates the Severe Acute Respiratory Syndrome Coronavirus Spike Protein for Membrane Fusion and Reduces Viral Control by the Humoral Immune Response. Journal of Virology. 2011;85(9):4122–4134. [PMC free article] [PubMed] []
  • Gonzalez-Reyes L, Ruiz-Arguello MB, Garcia-Barreno B, Calder L, Lopez JA, Albar JP, Skehel JJ, Wiley DC, Melero JA. Cleavage of the human respiratory syncytial virus fusion protein at two distinct sites is required for activation of membrane fusion. Proceedings of the National Academy of Sciences. 2001;98(17):9859–9864. [PMC free article] [PubMed] []
  • Haagmans BL, Al Dhahiry SHS, Reusken CBEM, Raj VS, Galiano M, Myers R, Godeke GJ, Jonges M, Farag E, Diab A, Ghobashy H, Alhajri F, Al-Thani M, Al-Marri SA, Al Romaihi HE, Al Khal A, Bermingham A, Osterhaus ADME, AlHajri MM, Koopmans MPG. Middle East respiratory syndrome coronavirus in dromedary camels: an outbreak investigation. Lancet Infectious Diseases. 2013;14(2):140–145. [PubMed] []
  • Halfon S, Baird T, Craik C. Trypsin. In: Barrett, Rawlings, Woessner, editors. Handbook of Proteolytic Enzymes. 2. Vol. 2. Elsevier; 2004. pp. 1483–1488. 2 vols. []
  • Hamilton BS, Chung C, Cyphers SY, Rinaldi VD, Marcano VC, Whittaker GR. Inhibition of influenza virus infection and hemagglutinin cleavage by the protease inhibitor HAI-2. Biochemical and Biophysical Research Communications. 2014;450(2):1070–1075. [PMC free article] [PubMed] []
  • Hamilton BS, Sun X, Chung C, Whittaker GR. Acquisition of a novel eleven amino acid insertion directly N-terminal to a tetrabasic cleavage site confers intracellular cleavage of an H7N7 influenza virus hemagglutinin. Virology. 2012;434(1):88–95. [PMC free article] [PubMed] []
  • Harrison SC. Principles of Virus Structure. In: Knipe DM, Howley PM, editors. Fields Virology. 6. Vol. 1. Lippincot Williams & Wilkins; Philadelphia: 2013. pp. 52–86. 2 vols. []
  • Hashimoto T, Kato M, Shimomura T, Kitamura N. TMPRSS13, a type II transmembrane serine protease, is inhibited by hepatocyte growth factor activator inhibitor type 1 and activates pro-hepatocyte growth factor. FEBS Journal. 2010;277(23):4888–4900. [PubMed] []
  • Hemida MG, Chu DK, Poon LL, Perera RA, Alhammadi MA, Ng H, Siu LY, Guan Y, Alnaeem A, Peiris M. MERS Coronavirus in Dromedary Camel Herd, Saudi Arabia. Emerg Infect Dis. 2014;20(7):1231–1234. [PMC free article] [PubMed] []
  • Henrich S, Cameron A, Bourenkov GP, Kiefersauer R, Huber R, Lindberg I, Bode W, Than ME. The crystal structure of the proprotein processing proteinase furin explains its stringent specificity. Nat Struct Mol Biol. 2003;10(7):520–526. [PubMed] []
  • Herrewegh AA, Smeenk I, Horzinek MC, Rottier PJ, de Groot RJ. Feline coronavirus type II strains 79–1683 and 79–1146 originate from a double recombination between feline coronavirus type I and canine coronavirus. Journal of Virology. 1998;72(5):4508–4514. [PMC free article] [PubMed] []
  • Herrewegh AAPM, Vennema H, Horzinek MC, Rottier PJM, de Groot RJ. The Molecular Genetics of Feline Coronaviruses: Comparative Sequence Analysis of the ORF7a/7b Transcription Unit of Different Biotypes. Virology. 1995;212(2):622–631. [PubMed] []
  • Hervio LS, Coombs GS, Bergstrom RC, Trivedi K, Corey DR, Madison EL. Negative selectivity and the evolution of protease cascades: the specificity of plasmin for peptide and protein substrates. Chem Biol. 2000;7(6):443–453. [PubMed] []
  • Hofmann H, Simmons G, Rennekamp AJ, Chaipan C, Gramberg T, Heck E, Geier M, Wegele A, Marzi A, Bates P, Pöhlmann S. Highly conserved regions within the spike proteins of human coronaviruses 229E and NL63 determine recognition of their respective cellular receptors. Journal of Virology. 2006;80(17):8639–8652. [PMC free article] [PubMed] []
  • Hofmann M, Wyler R. Propagation of the virus of porcine epidemic diarrhea in cell culture. J Clin Microbiol. 1988;26(11):2235–2239. [PMC free article] [PubMed] []
  • Kam YW, Okumura Y, Kido H, Ng LFP, Bruzzone R, Altmeyer R. Cleavage of the SARS Coronavirus Spike Glycoprotein by Airway Proteases Enhances Virus Entry into Human Bronchial Epithelial Cells In Vitro. PLoS ONE. 2009;4(11):e7870. [PMC free article] [PubMed] []
  • Kawaoka Y, Naeve CW, Webster RG. Is virulence of H5N2 influenza viruses in chickens associated with loss of carbohydrate from the hemagglutinin? Virology. 1984;139(2):303–316. [PubMed] []
  • Kawaoka Y, Webster RG. Sequence requirements for cleavage activation of influenza virus hemagglutinin expressed in mammalian cells. Proceedings of the National Academy of Sciences. 1988;85(2):324–328. [PMC free article] [PubMed] []
  • Kawase M, Shirato K, Matsuyama S, Taguchi F. Protease-Mediated Entry via the Endosome of Human Coronavirus 229E. Journal of Virology. 2009;83(2):712–721. [PMC free article] [PubMed] []
  • Kirchhofer D, Peek M, Lipari MT, Billeci K, Fan B, Moran P. Hepsin activates pro-hepatocyte growth factor and is inhibited by hepatocyte growth factor activator inhibitor-1B (HAI-1B) and HAI-2. FEBS Letters. 2005;579(9):1945–1950. [PubMed] []
  • Klenk HD, Garten W. Activation cleavage of viral spike proteins by host proteases. In: Wimmer E, editor. Cellular receptors for animal viruses. Cold Spring Harbor Laboratory Press; Cold Spring Harbor: 1994a. pp. 241–280. []
  • Klenk HD, Garten W. Host cell proteases controlling virus pathogenicity. Trends Microbiol. 1994b;2(2):39–43. [PubMed] []
  • Krzyzaniak MA, Zumstein MT, Gerez JA, Picotti P, Helenius A. Host cell entry of respiratory syncytial virus involves macropinocytosis followed by proteolytic activation of the f protein. PLoS Pathogens. 2013;9(4):e1003309. [PMC free article] [PubMed] []
  • Lazarowitz SG, Choppin PW. Enhancement of the infectivity of influenza A and B viruses by proteolytic cleavage of the hemagglutinin polypeptide. Virology. 1975;68(2):440–454. [PubMed] []
  • Lazarowitz SG, Compans RW, Choppin PW. Proteolytic cleavage of the hemagglutinin polypeptide of influenza virus. Function of the uncleaved polypeptide HA. Virology. 1973a;52(1):199–212. [PubMed] []
  • Lazarowitz SG, Goldberg AR, Choppin PW. Proteolytic cleavage by plasmin of the HA polypeptide of influenza virus: Host cell activation of serum plasminogen. Virology. 1973b;56(1):172–180. [PubMed] []
  • Lee CW, Lee YJ, Senne DA, Suarez DL. Pathogenic potential of North American H7N2 avian influenza virus: A mutagenesis study using reverse genetics. Virology. 2006;353(2):388–395. [PubMed] []
  • Li F, Berardi M, Li W, Farzan M, Dormitzer PR, Harrison SC. Conformational States of the Severe Acute Respiratory Syndrome Coronavirus Spike Protein Ectodomain. Journal of Virology. 2006;80(14):6794–6800. [PMC free article] [PubMed] []
  • Li F, Li W, Farzan M, Harrison SC. Structure of SARS Coronavirus Spike Receptor-Binding Domain Complexed with Receptor. Science. 2005a;309(5742):1864–1868. [PubMed] []
  • Li W, Shi Z, Yu M, Ren W, Smith C, Epstein JH, Wang H, Crameri G, Hu Z, Zhang H, Zhang J, McEachern J, Field H, Daszak P, Eaton BT, Zhang S, Wang LF. Bats Are Natural Reservoirs of SARS-Like Coronaviruses. Science. 2005b;310(5748):676–679. [PubMed] []
  • Licitra BN, Millet JK, Regan AD, Hamilton BS, Rinaldi VD, Duhamel GE, Whittaker GR. Mutation in spike protein cleavage site and pathogenesis of feline coronavirus. Emerg Infect Dis. 2013;19(7):1066–1073. [PMC free article] [PubMed] []
  • Lin CY, Anders J, Johnson M, Dickson RB. Purification and Characterization of a Complex Containing Matriptase and a Kunitz-type Serine Protease Inhibitor from Human Milk. J Biol Chem. 1999;274(26):18237–18242. [PubMed] []
  • Luytjes W, Sturman LS, Bredenbeek PJ, Charite J, van der Zeijst BA, Horzinek MC, Spaan WJ. Primary structure of the glycoprotein E2 of coronavirus MHV-A59 and identification of the trypsin cleavage site. Virology. 1987;161(2):479–487. [PubMed] []
  • Madu IG, Roth SL, Belouzard S, Whittaker GR. Characterization of a Highly Conserved Domain within the Severe Acute Respiratory Syndrome Coronavirus Spike Protein S2 Domain with Characteristics of a Viral Fusion Peptide. Journal of Virology. 2009;83(15):7411–7421. [PMC free article] [PubMed] []
  • Masters, Perlman . Coronaviridae. In: Knipe DM, Howley PM, editors. Fields Virology. 6. Vol. 1. Lippincot Williams & Wilkins; Philadelphia: 2013. pp. 825–858. 2 vols. []
  • Matsuyama S, Ujike M, Morikawa S, Tashiro M, Taguchi F. Protease-mediated enhancement of severe acute respiratory syndrome coronavirus infection. Proceedings of the National Academy of Sciences. 2005;102(35):12543–12547. [PMC free article] [PubMed] []
  • McCune JM, Rabin LB, Feinberg MB, Lieberman M, Kosek JC, Reyes GR, Weissman IL. Endoproteolytic cleavage of gp160 is required for the activation of human immunodeficiency virus. Cell. 1988;53(1):55–67. [PubMed] []
  • Millet JK, Whittaker GR. Host cell entry of Middle East respiratory syndrome coronavirus after two-step, furin-mediated activation of the spike protein. Proceedings of the National Academy of Sciences. 2014;111(42):15214–15219. [PMC free article] [PubMed] []
  • Mohamed MM, Sloane BF. Cysteine cathepsins: multifunctional enzymes in cancer. Nature reviews Cancer. 2006;6(10):764–775. [PubMed] []
  • Molloy SS, Thomas G. Furin. In: Rose ED, David SS, editors. The Enzymes. Vol. 22. Academic Press; San Diego, CA: 2001. pp. 199–235. []
  • Mort . Cathepsin B. In: Barrett, Rawlings, Woessner, editors. Handbook of Proteolytic Enzymes. 2. Vol. 2. Elsevier; 2004. pp. 1079–1086. 2 vols. []
  • Nagai Y. Protease-dependent virus tropism and pathogenicity. Trends Microbiol. 1993;1(3):81–87. [PubMed] []
  • Nash TC, Buchmeier MJ. Entry of Mouse Hepatitis Virus into Cells by Endosomal and Nonendosomal Pathways. Virology. 1997;233(1):1–8. [PubMed] []
  • Neuman B, Adair B, Yoshioka C, Quispe J, Milligan R, Yeager M, Buchmeier M. Ultrastructure of SARS-CoV, FIPV, and MHV Revealed by Electron Cryomicroscopy. In: Perlman S, Holmes K, editors. The Nidoviruses. Vol. 581. Springer US; 2006. pp. 181–185. [PubMed] []
  • Ozden S, Lucas-Hourani M, Ceccaldi PE, Basak A, Valentine M, Benjannet S, Hamelin J, Jacob Y, Mamchaoui K, Mouly V, Desprès P, Gessain A, Butler-Browne G, Chrétien M, Tangy F, Vidalain PO, Seidah NG. Inhibition of Chikungunya Virus Infection in Cultured Human Muscle Cells by Furin Inhibitors. J Biol Chem. 2008;283(32):21899–21908. [PubMed] []
  • Park JE, Cruz DJ, Shin HJ. Receptor-bound porcine epidemic diarrhea virus spike protein cleaved by trypsin induces membrane fusion. Arch Virol. 2011a;156(10):1749–1756. [PubMed] []
  • Park JE, Cruz DJ, Shin HJ. Clathrin- and serine proteases-dependent uptake of porcine epidemic diarrhea virus into Vero cells. Virus Research. 2014;191C:21–29. [PubMed] []
  • Park SJ, Kim HK, Song DS, Moon HJ, Park BK. Molecular characterization and phylogenetic analysis of porcine epidemic diarrhea virus (PEDV) field isolates in Korea. Arch Virol. 2011b;156(4):577–585. [PubMed] []
  • Pedersen NC. A review of feline infectious peritonitis virus infection: 1963–2008. J Feline Med Surg. 2009;11(4):225–258. [PubMed] []
  • Pedersen NC, Liu H, Scarlett J, Leutenegger CM, Golovko L, Kennedy H, Kamal FM. Feline infectious peritonitis: Role of the feline coronavirus 3c gene in intestinal tropism and pathogenicity based upon isolates from resident and adopted shelter cats. Virus Research. 2012;165(1):17–28. [PubMed] []
  • Peiris JS, Lai ST, Poon LL, Guan Y, Yam LY, Lim W, Nicholls J, Yee WK, Yan WW, Cheung MT, Cheng VC, Chan KH, Tsang DN, Yung RW, Ng TK, Yuen KY. Coronavirus as a possible cause of severe acute respiratory syndrome. Lancet. 2003;361(9366):1319–1325. [PubMed] []
  • Peiris JSM, Guan Y, Yuen KY. Severe acute respiratory syndrome. Nat Med. 2004;10(12):S88–S97. [PubMed] []
  • Peng G, Sun D, Rajashankar KR, Qian Z, Holmes KV, Li F. Crystal structure of mouse coronavirus receptor-binding domain complexed with its murine receptor. Proceedings of the National Academy of Sciences. 2011;108(26):10696–10701. [PMC free article] [PubMed] []
  • Perdue ML. Molecular Determinants of Pathogenicity for Avian Influenza Viruses. In: Swayne DE, editor. Avian Influenza. Blackwell Publishing; 2008. pp. 23–41. []
  • Petit CM, Chouljenko VN, Iyer A, Colgrove R, Farzan M, Knipe DM, Kousoulas KG. Palmitoylation of the cysteine-rich endodomain of the SARS-coronavirus spike glycoprotein is important for spike-mediated cell fusion. Virology. 2007;360(2):264–274. [PubMed] []
  • Polgár L. Cathepsins, Mechanisms of Protease Action. CRC Press; 1989. Cysteine Proteases B; pp. 125–128. []
  • Pu Y, Zhang X. Mouse Hepatitis Virus Type 2 Enters Cells through a Clathrin-Mediated Endocytic Pathway Independent of Eps15. Journal of Virology. 2008;82(16):8112–8123. [PMC free article] [PubMed] []
  • Qian Z, Dominguez SR, Holmes KV. Role of the Spike Glycoprotein of Human Middle East Respiratory Syndrome Coronavirus (MERS-CoV) in Virus Entry and Syncytia Formation. PLoS ONE. 2013;8(10):e76469. [PMC free article] [PubMed] []
  • Qiu Z, Hingley ST, Simmons G, Yu C, Das Sarma J, Bates P, Weiss SR. Endosomal proteolysis by cathepsins is necessary for murine coronavirus mouse hepatitis virus type 2 spike-mediated entry. Journal of Virology. 2006;80(12):5768–5776. [PMC free article] [PubMed] []
  • Raj VS, Mou H, Smits SL, Dekkers DH, Muller MA, Dijkman R, Muth D, Demmers JA, Zaki A, Fouchier RA, Thiel V, Drosten C, Rottier PJ, Osterhaus AD, Bosch BJ, Haagmans BL. Dipeptidyl peptidase 4 is a functional receptor for the emerging human coronavirus-EMC. Nature. 2013;495(7440):251–254. [PubMed] []
  • Rawlings, Barrett . Introduction: the clans and families of cysteine peptidases. In: Barrett, Rawlings, Woessner, editors. Handbook of Proteolytic Enzymes. 2. Vol. 2. Elsevier; 2004. pp. 1051–1071. 2 vols. []
  • Regan AD, Shraybman R, Cohen RD, Whittaker GR. Differential role for low pH and cathepsin-mediated cleavage of the viral spike protein during entry of serotype II feline coronaviruses. Veterinary Microbiology. 2008;132(3–4):235–248. [PMC free article] [PubMed] []
  • Richards RM, Lowy DR, Schiller JT, Day PM. Cleavage of the papillomavirus minor capsid protein, L2, at a furin consensus site is necessary for infection. Proceedings of the National Academy of Sciences of the United States of America. 2006;103(5):1522–1527. [PMC free article] [PubMed] []
  • Rodenhuis-Zybert IA, van der Schaar HM, da Silva Voorham JM, van der Ende-Metselaar H, Lei HY, Wilschut J, Smit JM. Immature dengue virus: a veiled pathogen? PLoS Pathogens. 2010;6(1):e1000718. [PMC free article] [PubMed] []
  • Seidah NG, Prat A. The biology and therapeutic targeting of the proprotein convertases. Nat Rev Drug discovery. 2012;11(5):367–383. [PubMed] []
  • Shapiro J, Sciaky N, Lee J, Bosshart H, Angeletti RH, Bonifacino JS. Localization of Endogenous Furin in Cultured Cell Lines. Journal of Histochemistry & Cytochemistry. 1997;45(1):3–12. [PubMed] []
  • Shirato K, Kawase M, Matsuyama S. Middle East Respiratory Syndrome Coronavirus (MERS-CoV) Infection Mediated by the Transmembrane Serine Protease TMPRSS2. Journal of Virology. 2013;87(23):12552–12561. [PMC free article] [PubMed] []
  • Shirato K, Matsuyama S, Ujike M, Taguchi F. Role of Proteases in the Release of Porcine Epidemic Diarrhea Virus from Infected Cells. Journal of Virology. 2011;85(15):7872–7880. [PMC free article] [PubMed] []
  • Shulla A, Gallagher T. Role of spike protein endodomains in regulating coronavirus entry. J Biol Chem. 2009;284:32725–32734. [PMC free article] [PubMed] []
  • Shulla A, Heald-Sargent T, Subramanya G, Zhao J, Perlman S, Gallagher T. A Transmembrane Serine Protease Is Linked to the Severe Acute Respiratory Syndrome Coronavirus Receptor and Activates Virus Entry. Journal of Virology. 2011;85(2):873–882. [PMC free article] [PubMed] []
  • Simmons G, Bertram S, Glowacka I, Steffen I, Chaipan C, Agudelo J, Lu K, Rennekamp AJ, Hofmann H, Bates P, Pöhlmann S. Different host cell proteases activate the SARS-coronavirus spike-protein for cell-cell and virus-cell fusion. Virology. 2011;413(2):265–274. [PMC free article] [PubMed] []
  • Simmons G, Gosalia DN, Rennekamp AJ, Reeves JD, Diamond SL, Bates P. Inhibitors of cathepsin L prevent severe acute respiratory syndrome coronavirus entry. Proceedings of the National Academy of Sciences of the United States of America. 2005;102(33):11876–11881. [PMC free article] [PubMed] []
  • Simmons G, Reeves JD, Rennekamp AJ, Amberg SM, Piefer AJ, Bates P. Characterization of severe acute respiratory syndrome-associated coronavirus (SARS-CoV) spike glycoprotein-mediated viral entry. Proceedings of the National Academy of Sciences. 2004;101(12):4240–4245. [PMC free article] [PubMed] []
  • Simmons G, Zmora P, Gierer S, Heurich A, Pöhlmann S. Proteolytic activation of the SARS-coronavirus spike protein: Cutting enzymes at the cutting edge of antiviral research. Antiviral Research. 2013;100(3):605–614. [PMC free article] [PubMed] []
  • Skehel JJ, Wiley DC. Receptor binding and membrane fusion in virus entry: the influenza hemagglutinin. Annu Rev Biochem. 2000;69:531–569. [PubMed] []
  • Stoddart CA, Scott FW. Intrinsic resistance of feline peritoneal macrophages to coronavirus infection correlates with in vivo virulence. Journal of Virology. 1989;63(1):436–440. [PMC free article] [PubMed] []
  • Sturman LS, Ricard CS, Holmes KV. Proteolytic cleavage of the E2 glycoprotein of murine coronavirus: activation of cell-fusing activity of virions by trypsin and separation of two different 90K cleavage fragments. Journal of Virology. 1985;56(3):904–911. [PMC free article] [PubMed] []
  • Sun X, Tse LV, Ferguson AD, Whittaker GR. Modifications to the hemagglutinin cleavage site control the virulence of a neurotropic H1N1 influenza virus. Journal of Virology. 2010;84(17):8683–8690. [PMC free article] [PubMed] []
  • Taguchi F, Shimazaki YK. Functional analysis of an epitope in the S2 subunit of the murine coronavirus spike protein: involvement in fusion activity. J Gen Virol. 2000;81:2867–2871. [PubMed] []
  • Tay FPL, Huang M, Wang L, Yamada Y, Xiang Liu D. Characterization of cellular furin content as a potential factor determining the susceptibility of cultured human and animal cells to coronavirus infectious bronchitis virus infection. Virology. 2012;433(2):421–430. [PubMed] []
  • Thomas G. Furin at the cutting edge: from protein traffic to embryogenesis and disease. Nat Rev Mol Cell Biol. 2002;3(10):753–766. [PMC free article] [PubMed] []
  • Tian S. A 20 Residues Motif Delineates the Furin Cleavage Site and its Physical Properties May Influence Viral Fusion. Biochemistry Insights. 2009;2009(BCI-2-Tian):9. []
  • Tian S, Huajun W, Wu J. Computational prediction of furin cleavage sites by a hybrid method and understanding mechanism underlying diseases. Sci Rep. 2012;2:261. [PMC free article] [PubMed] []
  • Tian S, Huang Q, Fang Y, Wu J. FurinDB: A Database of 20-Residue Furin Cleavage Site Motifs, Substrates and Their Associated Drugs. Int J Mol Sci. 2011;12(2):1060–1065. [PMC free article] [PubMed] []
  • Tse LV, Hamilton AM, Friling T, Whittaker GR. A Novel Activation Mechanism of Avian Influenza Virus H9N2 by Furin. Journal of Virology. 2014;88(3):1673–1683. [PMC free article] [PubMed] []
  • Tse LV, Marcano VC, Huang W, Pocwierz MS, Whittaker GR. Plasmin-Mediated Activation of Pandemic H1N1 Influenza Virus Hemagglutinin Is Independent of the Viral Neuraminidase. Journal of Virology. 2013;87(9):5161–5169. [PMC free article] [PubMed] []
  • Turk B. Targeting proteases: successes, failures and future prospects. Nat Rev Drug discovery. 2006;5(9):785–799. [PubMed] []
  • Valarcher JF, Furze J, Wyld SG, Cook R, Zimmer G, Herrler G, Taylor G. Bovine respiratory syncytial virus lacking the virokinin or with a mutation in furin cleavage site RA(R/K)R109 induces less pulmonary inflammation without impeding the induction of protective immunity in calves. J Gen Virol. 2006;87(6):1659–1667. [PubMed] []
  • van Boheemen S, de Graaf M, Lauber C, Bestebroer TM, Raj VS, Zaki AM, Osterhaus AD, Haagmans BL, Gorbalenya AE, Snijder EJ, Fouchier RA. Genomic characterization of a newly discovered coronavirus associated with acute respiratory distress syndrome in humans. MBio. 2012;3(6) [PMC free article] [PubMed] []
  • Vennema H, Poland A, Foley J, Pedersen NC. Feline Infectious Peritonitis Viruses Arise by Mutation from Endemic Feline Enteric Coronaviruses. Virology. 1998;243(1):150–157. [PubMed] []
  • Wang LF, Eaton BT. Bats, Civets and the Emergence of SARS. In: Childs J, Mackenzie J, Richt J, editors. Wildlife and Emerging Zoonotic Diseases: The Biology, Circumstances and Consequences of Cross-Species Transmission. Vol. 315. Springer; Berlin Heidelberg: 2007. pp. 325–344. []
  • Wang Q, Qi J, Yuan Y, Xuan Y, Han P, Wan Y, Ji W, Li Y, Wu Y, Wang J, Iwamoto A, Woo PC, Yuen KY, Yan J, Lu G, Gao GF. Bat Origins of MERS-CoV Supported by Bat Coronavirus HKU4 Usage of Human Receptor CD26. Cell Host Microbe. 2014;16(3):328–337. [PubMed] []
  • White JM, Delos SE, Brecher M, Schornberg K. Structures and Mechanisms of Viral Membrane Fusion Proteins: Multiple Variations on a Common Theme. Critical Reviews in Biochemistry and Molecular Biology. 2008;43(3):189–219. [PMC free article] [PubMed] []
  • Wicht O, Burkard C, de Haan CA, van Kuppeveld FJ, Rottier PJ, Bosch BJ. Identification and Characterization of a Proteolytically Primed Form of the Murine Coronavirus Spike Proteins after Fusion with the Target Cell. Journal of Virology. 2014a;88(9):4943–4952. [PMC free article] [PubMed] []
  • Wicht O, Li W, Willems L, Meuleman TJ, Wubbolts RW, van Kuppeveld FJ, Rottier PJ, Bosch BJ. Proteolytic Activation of the Porcine Epidemic Diarrhea Coronavirus Spike Fusion Protein by Trypsin in Cell Culture. Journal of Virology. 2014b;88(14):7952–7961. [PMC free article] [PubMed] []
  • Williamson DM, Elferich J, Ramakrishnan P, Thomas G, Shinde U. The Mechanism by Which a Propeptide-encoded pH Sensor Regulates Spatiotemporal Activation of Furin. J Biol Chem. 2013;288(26):19154–19165. [PMC free article] [PubMed] []
  • Woo PC, Lau SK, Huang Y, Yuen KY. Coronavirus diversity, phylogeny and interspecies jumping. Exp Biol Med (Maywood) 2009;234(10):1117–1127. [PubMed] []
  • Wu K, Li W, Peng G, Li F. Crystal structure of NL63 respiratory coronavirus receptor-binding domain complexed with its human receptor. Proceedings of the National Academy of Sciences. 2009;106(47):19970–19974. [PMC free article] [PubMed] []
  • Xu Y, Lou Z, Liu Y, Pang H, Tien P, Gao GF, Rao Z. Crystal Structure of Severe Acute Respiratory Syndrome Coronavirus Spike Protein Fusion Core. J Biol Chem. 2004;279(47):49414–49419. [PubMed] []
  • Yamada Y, Liu DX. Proteolytic activation of the spike protein at a novel RRRR/S motif is implicated in furin-dependent entry, syncytium formation, and infectivity of coronavirus infectious bronchitis virus in cultured cells. Journal of Virology. 2009;83(17):8744–8758. [PMC free article] [PubMed] []
  • Yamada YK, Takimoto K, Yabe M, Taguchi F. Acquired Fusion Activity of a Murine Coronavirus MHV-2 Variant with Mutations in the Proteolytic Cleavage Site and the Signal Sequence of the S Protein. Virology. 1997;227(1):215–219. [PubMed] []
  • Zaki AM, van Boheemen S, Bestebroer TM, Osterhaus AD, Fouchier RA. Isolation of a Novel Coronavirus from a Man with Pneumonia in Saudi Arabia. N Engl J Med. 2012;367(19):1814–1820. [PubMed] []
  • Zimmer G, Budz L, Herrler G. Proteolytic Activation of Respiratory Syncytial Virus Fusion Protein: Cleavage at Two Furin Consensus Sequences. J Biol Chem. 2001;276(34):31642–31650. [PubMed] []
  • Zimmer G, Rohn M, McGregor GP, Schemann M, Conzelmann KK, Herrler G. Virokinin, a Bioactive Peptide of the Tachykinin Family, Is Released from the Fusion Protein of Bovine Respiratory Syncytial Virus. J Biol Chem. 2003;278(47):46854–46861. [PubMed] []
  • Zmora P, Blazejewska P, Moldenhauer AS, Welsch K, Nehlmeier I, Wu Q, Schneider H, Pöhlmann S, Bertram S. DESC1 and MSPL activate influenza A viruses and emerging coronaviruses for host cell entry. Journal of Virology. 2014;88(20):12087–12097. [PMC free article] [PubMed] []
Jawahar Raina

Leave a comment

Please note: comments must be approved before they are published.