Evidence map›Paper›PMID 35149555›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2022

Targeting stem-loop 1 of the SARS-CoV-2 5' UTR to suppress viral translation and Nsp1 evasion.

Setu M Vora, Pietro Fontana, Tianyang Mao, Valerie Leger, Ying Zhang, Tian-Min Fu, Judy Lieberman, Lee Gehrke, Ming Shi, Longfei Wang and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed
10.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 111 citations in OpenAlex.

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  10. "Fertile" Mutations in SARS-CoV-2 RNA More Frequently Occurred in Hairpin Loops That Determine Virus Evolution.APMIS : acta pathologica, microbiologica, et immunologica Scandinavica · 2025
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  19. IsomiRome analysis reveals dysregulation of 5' isomiRs during SARS-CoV-2 infection.Computational and structural biotechnology journal · 2025
    Article
  20. Review

20 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 2 countries.

Setu M VoraDepartment of Biological Chemistry and Molecular Pharmacology, Harvard Medical School, Boston, MA 02115.
Pietro FontanaDepartment of Biological Chemistry and Molecular Pharmacology, Harvard Medical School, Boston, MA 02115.
Tianyang MaoDepartment of Immunobiology, Yale University School of Medicine, New Haven, CT 06520.
Valerie LegerInstitute for Medical Engineering and Science, Massachusetts Institute of Technology, Cambridge, MA 02139.
Ying ZhangProgram in Cellular and Molecular Medicine, Boston Children's Hospital, Boston, MA 02115.ORCID 0000-0002-1116-2182
Tian-Min FuDepartment of Biological Chemistry and Molecular Pharmacology, Harvard Medical School, Boston, MA 02115.ORCID 0000-0002-6281-1752
Judy LiebermanProgram in Cellular and Molecular Medicine, Boston Children's Hospital, Boston, MA 02115.
Lee GehrkeInstitute for Medical Engineering and Science, Massachusetts Institute of Technology, Cambridge, MA 02139.ORCID 0000-0002-9387-8212
Ming ShiDepartment of Biological Chemistry and Molecular Pharmacology, Harvard Medical School, Boston, MA 02115; shiming@hit.edu.cn wanglf@whu.edu.cn akiko.iwasaki@yale.edu hao.wu@childrens.harvard.edu.ORCID 0000-0003-0527-0061
Longfei WangDepartment of Biological Chemistry and Molecular Pharmacology, Harvard Medical School, Boston, MA 02115; shiming@hit.edu.cn wanglf@whu.edu.cn akiko.iwasaki@yale.edu hao.wu@childrens.harvard.edu.
Akiko IwasakiDepartment of Immunobiology, Yale University School of Medicine, New Haven, CT 06520; shiming@hit.edu.cn wanglf@whu.edu.cn akiko.iwasaki@yale.edu hao.wu@childrens.harvard.edu.ORCID 0000-0002-7824-9856
Hao WuDepartment of Biological Chemistry and Molecular Pharmacology, Harvard Medical School, Boston, MA 02115; shiming@hit.edu.cn wanglf@whu.edu.cn akiko.iwasaki@yale.edu hao.wu@childrens.harvard.edu.ORCID 0000-0002-7281-8579
Boston Children's Hospital · USYale University · USHarvard University · USMassachusetts Institute of Technology · US

Funding

MOLECULAR BASIS OF ALLERGIC AND IMMUNOLOGIC DISEASET32AI007512 · NIAID · CHILDREN'S HOSPITAL BOSTON · PI Janet Chou, Peter A Nigrovic · 1996 to 2026
$13.1M
TRANSFUSION BIOLOGY AND MEDICINET32HL066987 · NHLBI · CHILDREN'S HOSPITAL BOSTON · PI JOHN P MANIS · 2001 to 2026
$10.2M
NHLBI NIH HHS T32 HL066987NIAID NIH HHS T32 AI007512
6 · The paper itself

Abstract

SARS-CoV-2 is a highly pathogenic virus that evades antiviral immunity by interfering with host protein synthesis, mRNA stability, and protein trafficking. The SARS-CoV-2 nonstructural protein 1 (Nsp1) uses its C-terminal domain to block the messenger RNA (mRNA) entry channel of the 40S ribosome to inhibit host protein synthesis. However, how SARS-CoV-2 circumvents Nsp1-mediated suppression for viral protein synthesis and if the mechanism can be targeted therapeutically remain unclear. Here, we show that N- and C-terminal domains of Nsp1 coordinate to drive a tuned ratio of viral to host translation, likely to maintain a certain level of host fitness while maximizing replication. We reveal that the stem-loop 1 (SL1) region of the SARS-CoV-2 5' untranslated region (5' UTR) is necessary and sufficient to evade Nsp1-mediated translational suppression. Targeting SL1 with locked nucleic acid antisense oligonucleotides inhibits viral translation and makes SARS-CoV-2 5' UTR vulnerable to Nsp1 suppression, hindering viral replication in vitro at a nanomolar concentration, as well as providing protection against SARS-CoV-2-induced lethality in transgenic mice expressing human ACE2. Thus, SL1 allows Nsp1 to switch infected cells from host to SARS-CoV-2 translation, presenting a therapeutic target against COVID-19 that is conserved among immune-evasive variants. This unique strategy of unleashing a virus' own virulence mechanism against itself could force a critical trade-off between drug resistance and pathogenicity.

Indexed as

Protein Biosynthesis5' Untranslated RegionsAnimalsBase SequenceChlorocebus aethiopsHEK293 CellsHost-Pathogen InteractionsHumansImmune EvasionMice, TransgenicModels, BiologicalOligonucleotides, AntisenseSARS-CoV-2Vero CellsViral Nonstructural ProteinsVirus Replication5' Untranslated RegionsOligonucleotides, AntisenseORF1ab polyprotein, SARS-CoV-2Viral Nonstructural ProteinsSARS-CoV-2therapeutictranslation

Identifiers

PMID35149555
PMCPMC8892331
OpenAlexW4211091971

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.