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Vitamin D-inducible antimicrobial peptide LL-37 binds SARS-CoV-2 Spike and accessory proteins ORF7a and ORF8

Roth et al., Frontiers in Cellular and Infection Microbiology, doi:10.3389/fcimb.2025.1671738, Sep 2025
https://c19early.org/roth.html
Vitamin D for COVID-19
8th treatment shown to reduce risk in October 2020, now with p < 0.00000000001 from 126 studies, recognized in 18 countries.
No treatment is 100% effective. Protocols combine treatments.
6,100+ studies for 180 treatments. c19early.org
In vitro study showing that vitamin D-inducible antimicrobial peptide LL-37 binds to multiple SARS-CoV-2 proteins and inhibits viral entry.
29 preclinical studies support the efficacy of vitamin D for COVID-19:
Vitamin D has been identified by the European Food Safety Authority (EFSA) as having sufficient evidence for a causal relationship between intake and optimal immune system function27-30. Vitamin D inhibits SARS-CoV-2 replication in vitro17,24, mitigates lung inflammation, damage, and lethality in mice with an MHV-3 model for β-CoV respiratory infections17,24, reduces SARS-CoV-2 replication in nasal epithelial cells via increased type I interferon expression20, downregulates proinflammatory cytokines IL-1β and TNF-α in SARS-CoV-2 spike protein-stimulated cells16, attenuates nucleocapsid protein-induced hyperinflammation by inactivating the NLRP3 inflammasome through the VDR-BRCC3 signaling pathway21, may be neuroprotective by protecting the blood-brain barrier, reducing neuroinflammation, and via immunomodulatory effects31, may mitigate hyperinflammation and cytokine storm by upregulating TLR10 expression which downregulates proinflammatory cytokines13, downregulates ACE2 and TMPRSS2 in human trophoblasts and minimizes spike protein-induced inflammation19, may minimize cytokine storm by dampening excessive cytokine production2, may suppress viral entry and replication via LL-37 induction11,12, and minimizes platelet aggregation mediated by SARS-CoV-2 spike protein via inhibiting integrin αIIbβ3 outside-in signaling15. Cholecalciferol and calcifediol directly bind two allosteric pockets on the SARS-CoV-2 Spike RBD, bias the trimer toward a closed state, weaken ACE2 engagement, and reduce viral entry in cell models1. Vitamin D improves regulatory immune cell levels and control of proinflammatory cytokines in severe COVID-1932. Calcifediol inhibits SARS-CoV-2 papain-like protease (PLpro), a critical enzyme for viral replication14. Symptomatic COVID-19 is associated with a lower frequency of natural killer (NK) cells and vitamin D has been shown to improve NK cell activity33,34.
Roth et al., 23 Sep 2025, Germany, peer-reviewed, 14 authors. Contact: dzemal.elezagic@uk-koeln.de, manuel.koch@uni-koeln.de.
In vitro studies are an important part of preclinical research, however results may be very different in vivo.
Vitamin D-inducible antimicrobial peptide LL-37 binds SARS-CoV-2 Spike and accessory proteins ORF7a and ORF8
Annika Roth, Steffen Lütke, Matthias Mörgelin, Denise Meinberger, Gabriele Hermes, Gerhard Sengle, Manuel Koch, Marco Drexelius, Jan Gebauer, Ines Neundorf, Dzemal Elezagic, Mats Paulsson, Thomas Streichert, Andreas R Klatt
Frontiers in Cellular and Infection Microbiology, doi:10.3389/fcimb.2025.1671738
Background: The role of vitamin D in Coronavirus Disease 2019 outcomes remains debated, but emerging evidence suggests it may enhance recovery by strengthening immune responses. Vitamin D upregulates LL-37, an antimicrobial peptide with broad antiviral activity, including potential benefits against SARS-CoV-2. LL-37's interactions with viral proteins, however, remain incompletely understood. Methods: We investigated LL-37's interactions with the SARS-CoV-2 Spike glycoprotein and the accessory proteins ORF7a and ORF8 using surface plasmon resonance and negative-stain electron microscopy. These approaches were employed to assess LL-37's binding capabilities and potential impact on viral infectivity. Results: LL-37 bound multiple domains of the Spike protein and inhibited its interaction with the human angiotensin-converting enzyme 2 (hACE2) receptor in vitro. Up to seven LL-37 molecules were observed surrounding Spike, forming a halo-like structure that may block receptor engagement. LL-37 also bound to ORF7a and ORF8, potentially impairing their ability to disrupt host cell processes. Notably, LL-37's interaction with ORF7a may prevent degradation of SNAP29, restoring autophagy and promoting viral clearance.
Funding The author(s) declare financial support was received for the research and/or publication of this article. Funding for this study was provided by the Deutsche Forschungsgemeinschaft (DFG) via 384170921 FOR2722/ C2 to GS, FOR2722/B2 to MK, and FOR2722/B1 to MP. Conflict of interest The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. Generative AI statement The author(s) declare that Generative AI was used in the creation of this manuscript. During the preparation of this work the authors used Chat GPT in order to assist with improving the clarity, structure, and grammar of the manuscript text. After using this tool, the authors reviewed and edited the content as needed and take full responsibility for the content of the publication. Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us. Publisher's note All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer,..
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DOI record: { "DOI": "10.3389/fcimb.2025.1671738", "ISSN": [ "2235-2988" ], "URL": "http://dx.doi.org/10.3389/fcimb.2025.1671738", "abstract": "<jats:sec><jats:title>Background</jats:title><jats:p>The role of vitamin D in Coronavirus Disease 2019 (COVID-19) outcomes remains debated, but emerging evidence suggests it may enhance recovery by strengthening immune responses. Vitamin D upregulates LL-37, an antimicrobial peptide with broad antiviral activity, including potential benefits against SARS-CoV-2. LL-37’s interactions with viral proteins, however, remain incompletely understood.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>We investigated LL-37’s interactions with the SARS-CoV-2 Spike glycoprotein and the accessory proteins ORF7a and ORF8 using surface plasmon resonance and negative-stain electron microscopy. These approaches were employed to assess LL-37’s binding capabilities and potential impact on viral infectivity.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>LL-37 bound multiple domains of the Spike protein and inhibited its interaction with the human angiotensin-converting enzyme 2 (hACE2) receptor <jats:italic>in vitro</jats:italic>. Up to seven LL-37 molecules were observed surrounding Spike, forming a halo-like structure that may block receptor engagement. LL-37 also bound to ORF7a and ORF8, potentially impairing their ability to disrupt host cell processes. Notably, LL-37’s interaction with ORF7a may prevent degradation of SNAP29, restoring autophagy and promoting viral clearance.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>LL-37 disrupts key viral-host interactions by binding to Spike, ORF7a, and ORF8, thereby reducing SARS-CoV-2 infectivity. These findings highlight LL-37’s potential as a therapeutic agent in COVID-19 and provide mechanistic insight into its antiviral actions.</jats:p></jats:sec>", "alternative-id": [ "10.3389/fcimb.2025.1671738" ], "article-number": "1671738", "author": [ { "affiliation": [], "family": "Roth", "given": "Annika", "sequence": "first" }, { "affiliation": [], "family": "Lütke", "given": "Steffen", "sequence": "additional" }, { "affiliation": [], "family": "Mörgelin", "given": "Matthias", "sequence": "additional" }, { "affiliation": [], "family": "Meinberger", "given": "Denise", "sequence": "additional" }, { "affiliation": [], "family": "Hermes", "given": "Gabriele", "sequence": "additional" }, { "affiliation": [], "family": "Sengle", "given": "Gerhard", "sequence": "additional" }, { "affiliation": [], "family": "Koch", "given": "Manuel", "sequence": "additional" }, { "affiliation": [], "family": "Drexelius", "given": "Marco", "sequence": "additional" }, { "affiliation": [], "family": "Gebauer", "given": "Jan", "sequence": "additional" }, { "affiliation": [], "family": "Neundorf", "given": "Ines", "sequence": "additional" }, { "affiliation": [], "family": "Elezagic", "given": "Dzemal", "sequence": "additional" }, { "affiliation": [], "family": "Paulsson", "given": "Mats", "sequence": "additional" }, { "affiliation": [], "family": "Streichert", "given": "Thomas", "sequence": "additional" }, { "affiliation": [], "family": "Klatt", "given": "Andreas R.", "sequence": "additional" } ], "container-title": "Frontiers in Cellular and Infection Microbiology", "container-title-short": "Front. 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