Immune evasion strategies | Mechanisms of viral escape of host immunity | References |
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Defective recognition of SARS-CoV-2 by the host | Loss-of-function mutations in the immune sensor, the toll like receptor gene TLR7, encoding TLR7 which acts as the pattern recognition receptor (PRR) to recognize the pathogen-associated molecular pattern (PAMP). Thus the initial PAMP-PRR interaction | Martin-Sancho et al. (2021), van der Made et al. (2020), Wan et al. (2020) |
Avoidance of innate immunity during viral entry | A defective interferon (IFN) response to SARS-CoV-2 by host that is resulted due to the impairment of expression of the IFN-stimulated genes (ISGs) encoding mainly LY6E, whose product stops the viral replication onward | Martin-Sancho et al. (2021), Kikkert (2020), Snijder et al. (2020) |
Downregulation of several ISGs which specifically interferes the entry of SARS-CoV-2 spike (S) protein | ||
Suppression of IFN-1 induced anti-viral state triggers hyper-inflammation and COVID-19 severity | ||
Defective endosomal factors which are actually directed to inhibit the entry of SARS-CoV-2 | ||
Loss of control to inhibit SARS-CoV-2 replication | Loss of expression of the required RNA binding proteins which are supposed to hinder the viral RNA synthesis | |
Lack of production of the cluster of endoplasmic reticulum (ER)/Golgi-resident anti-viral ISGs which are dedicated to suppress the genes required for viral assembly | ||
Curved membrane vesicles | Such modification of intracellular membranes makes the SARS-CoV-2 RNA replication easier | Klein et al. (2020) |
Cap-snatching process | The host capping enzymes may be employed by SARS-CoV-2, resulting in viral mRNAs consisting of both the host capped small RNA (addition of a 7-methyl guanosine; and lacking of the 2′-O-methylation) and the virus-encoded RNA. Thus, the SARS-CoV-2 RNAs may escape recognition by the host innate immune RNA sensors | Beyer and Forero (2022), Mandilara et al. (2021), Kikkert (2020), Dai et al. (2020) |
Avoidance of recognition by the melanoma differentiation-associated protein (MDA5) sensor | Avoid recognition by the MDA5 sensor which controls the innate immune response to SARS-CoV-2 in the lung epithelial cells. Viral endoribonuclease activity encoded in one of the non-structural genes may also hinder the recognition by MDA5 sensor | |
Evading host innate immunity by the viral endoribonuclease | Avoidance of the MDA5 recognition (as stated above) | Kikkert (2020), Drappier et al. (2015), Kindler et al. (2017) |
Avoidance of the protein kinase R (PKR), and the 2’-5’ Oligoadenylate Synthetase (the OAS/RNAse L system, which triggers the IFN effector pathways for creating the anti-viral state in host. PKR and the OAS)/RNAse L system is involved in the recognition and destruction of foreign RNA. Thus, avoidance of this system hinders the elicitation of viral RNA sensing as well as the virus-eliminating mechanisms by innate immunity | ||
Genetic mutations within SARS-CoV-2 spike (S) protein | Defective recognition or the inability of recognition of the receptor binding domain (RBD) of the viral spike (S) protein by the host angiotensin-converting enzyme 2 (ACE 2) receptor | Noor et al. (2022), Lazarevic et al. (2021), Korber et al. (2020), Zhang et al. (2020) |