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,..
References
Accorsi, Britton, Fleming-Dutra, Smith, Shang et al., Association between 3 doses of mRNA COVID-19 vaccine and symptomatic infection caused by the SARS-CoV-2 omicron and delta variants, JAMA,
doi:10.1001/jama.2022.0470
Alcala-Diaz, Limia-Perez, Gomez-Huelgas, Martin-Escalante, Cortes-Rodriguez et al., Calcifediol treatment and hospital mortality due to COVID-19: A cohort study, Nutrients,
doi:10.3390/nu13061760
Aloul, Nielsen, Defensor, Lin, Fortkort et al., Upregulating human cathelicidin antimicrobial peptide LL-37 expression may prevent severe COVID-19 inflammatory responses and reduce microthrombosis, Front. Immunol,
doi:10.3389/fimmu.2022.880961
Alsafar, Grant, Hijazi, Uddin, Alkaabi et al., COVID-19 disease severity and death in relation to vitamin D status among SARS-CoV-2-positive UAE residents, Nutrients,
doi:10.3390/nu13051714
Anzic, Stoiber, Obermeyer, Mertz, Stalder et al., Two-sided effects of neutrophil extracellular traps and changes in the myeloid compartment in acute COVID-19: A histopathological study on autopsy cases from the first and second COVID-19 waves in Switzerland, J. Leukoc. Biol,
doi:10.1093/jleuko/qiaf056
Barlow, Svoboda, Mackellar, Nash, York et al., Antiviral activity and increased host defense against influenza infection elicited by the human cathelicidin LL-37, PloS One,
doi:10.1371/journal.pone.0025333
Bober, Enochsson, Collin, Mörgelin, Collagen VI is a subepithelial adhesive target for human respiratory tract pathogens, J. Innate Immun,
doi:10.1159/000232587
Can, Köseoglu, Erkunt Alak, Güvendi, Dösķaya et al., In silico discovery of antigenic proteins and epitopes of SARS-CoV-2 for the development of a vaccine or a diagnostic approach for COVID-19, Sci. Rep,
doi:10.1038/s41598-020-79645-9
Castillo, Entrenas Costa, Vaquero Barrios, Alcaládıáz, Loṕez Miranda et al., Effect of calcifediol treatment and best available therapy versus best available therapy on intensive care unit admission and mortality among patients hospitalized for COVID-19: A pilot randomized clinical study, J. Steroid Biochem. Mol. Biol,
doi:10.1016/j.jsbmb.2020.105751
Chen, Wang, Gilby, Wei, Omicron variant (B.1.1.529): infectivity, vaccine breakthrough, and antibody resistance, J. Chem. Inf. Modeling,
doi:10.1021/acs.jcim.1c01451
Crane-Godreau, Clem, Payne, Fiering, Vitamin D deficiency and air pollution exacerbate COVID-19 through suppression of antiviral peptide LL37, Front. Public Health,
doi:10.3389/fpubh.2020.00232
Duan, Zhang, Chen, Liu, Zhao et al., Role of LL-37 in thrombotic complications in patients with COVID-19, Cell Mol. Life Sci,
doi:10.1007/s00018-022-04309-y
Elenius, Palomares, Waris, Turunen, Puhakka et al., The relationship of serum vitamins A, D, E and LL-37 levels with allergic status, tonsillar virus detection and immune response, PloS One,
doi:10.1371/journal.pone.0172350
Hachim, Kavian, Cohen, Chin, Chu et al., ORF8 and ORF3b antibodies are accurate serological markers of early and late SARS-CoV-2 infection, Nat. Immunol,
doi:10.1038/s41590-020-0773-7
Hou, Wang, Wang, Wang, Yu et al., The ORF7a protein of SARS-CoV-2 initiates autophagy and limits autophagosomelysosome fusion via degradation of SNAP29 to promote virus replication, Autophagy,
doi:10.1080/15548627.2022.2084686
Iuliano, Brunkard, Boehmer, Peterson, Adjei et al., Trends in disease severity and health care utilization during the early omicron variant period compared with previous SARS-coV-2 high transmission periods -United States, december 2020-january 2022, MMWR Morb Mortal Wkly Rep,
doi:10.15585/mmwr.mm7104e4
Jaratsittisin, Sornjai, Chailangkarn, Jongkaewwattana, Smith, The vitamin D receptor agonist EB1089 can exert its antiviral activity independently of the vitamin D receptor, PloS One,
doi:10.1371/journal.pone.0293010
Kohyama, Suzuki, Nakai, Ono, Matsuoka et al., SARS-CoV-2 ORF8 is a viral cytokine regulating immune responses, Int. Immunol,
doi:10.1093/intimm/dxac044
Kowarz, Löscher, Marschalek, Optimized Sleeping Beauty transposons rapidly generate stable transgenic cell lines, Biotechnol. J,
doi:10.1002/biot.201400821
Li, Chen, Shi, Mehmood, Qiu, HD5 and LL-37 inhibit SARS-coV and SARS-CoV-2 binding to human ACE2 by molecular simulation, Interdiscip Sci,
doi:10.1007/s12539-021-00462-3
Li, Liao, Wang, Tan, Luo et al., The ORF6, ORF8 and nucleocapsid proteins of SARS-CoV-2 inhibit type I interferon signaling pathway, Virus Res,
doi:10.1016/j.virusres.2020.198074
Lin, Fu, Yin, Li, Liu et al., ORF8 contributes to cytokine storm during SARS-CoV-2 infection by activating IL-17 pathway, iScience,
doi:10.1016/j.isci.2021.102293
Luo, Yan, Yang, Ren, Luo et al., Antiviral activity of vitamin D derivatives against severe fever with thrombocytopenia syndrome virus in vitro and in vivo, Virol. Sin,
doi:10.1016/j.virs.2024.08.007
Matsuoka, Imahashi, Ohno, Ode, Nakata et al., SARS-CoV-2 accessory protein ORF8 is secreted extracellularly as a glycoprotein homodimer, J. Biol. Chem,
doi:10.1016/j.jbc.2022.101724
Meinberger, Koch, Roth, Hermes, Stemler et al., Analysis of IgM, IgA, and IgG isotype antibodies Directed against SARS-CoV-2 spike glycoprotein and ORF8 in the course of COVID-19, Sci. Rep,
doi:10.1038/s41598-021-88356-8
Nogues, Ovejero, Pineda-Moncusı, Bouillon, Arenas et al., Calcifediol treatment and COVID-19-related outcomes, J. Clin. Endocrinol. Metab,
doi:10.1210/clinem/dgab405
Oren, Lerman, Gudmundsson, Agerberth, Shai, Structure and organization of the human antimicrobial peptide LL-37 in phospholipid membranes: relevance to the molecular basis for its non-cell-selective activity, Biochem. J,
doi:10.1042/bj3410501
Pahar, Madonna, Das, Albanesi, Girolomoni, Immunomodulatory role of the antimicrobial LL-37 peptide in autoimmune diseases and viral infections, Vaccines,
doi:10.3390/vaccines8030517
Qiao, Olvera De La Cruz, Enhanced binding of SARS-CoV-2 spike protein to receptor by distal polybasic cleavage sites, ACS nano,
doi:10.1021/acsnano.0c04798
Ramakrishnan, Nicolau, Langford, Mahdi, Jeffers et al., Inhaled budesonide in the treatment of early COVID-19 (STOIC): a phase 2, open-label, randomised controlled trial, Lancet Respir. Med,
doi:10.1016/S2213-2600(21)00160-0
Raucci, Mansour, Casillo, Saviano, Caso et al., Interleukin-17A (IL-17A), a key molecule of innate and adaptive immunity, and its potential involvement in COVID-19-related thrombotic and vascular mechanisms, Autoimmun. Rev,
doi:10.1016/j.autrev.2020.102572
Ricci, Pagliuca, D'ascanio, Innammorato, De Vitis et al., Circulating Vitamin D levels status and clinical prognostic indices in COVID-19 patients, Respir. Res,
doi:10.1186/s12931-021-01666-3
Sancho-Vaello, Francois, Bonetti, Lilie, Finger et al., Structural remodeling and oligomerization of human cathelicidin on membranes suggest fibril-like structures as active species, Sci. Rep,
doi:10.1038/s41598-017-14206-1
Sancho-Vaello, Gil-Carton, Francois, Bonetti, Kreir et al., The structure of the antimicrobial human cathelicidin LL-37 shows oligomerization and channel formation in the presence of membrane mimics, Sci. Rep,
doi:10.1038/s41598-020-74401-5
Sengle, Charbonneau, Ono, Sasaki, Alvarez et al., Targeting of bone morphogenetic protein growth factor complexes to fibrillin, J. Biol. Chem,
doi:10.1074/jbc.M707820200
Sengle, Ono, Lyons, Bächinger, Sakai, A new model for growth factor activation: type II receptors compete with the prodomain for BMP-7, J. Mol. Biol,
doi:10.1016/j.jmb.2008.06.074
Sharun, Tiwari, Dhama, COVID-19 and sunlight: Impact on SARS-CoV-2 transmissibility, morbidity, and mortality, Ann. Med. Surg,
doi:10.1016/j.amsu.2021.102419
Svensson, Lagerstedt, Nilsson, Del Giudice, Apolipoprotein A-I attenuates LL-37-induced endothelial cell cytotoxicity, Biochem. Biophys. Res. Commun,
doi:10.1016/j.bbrc.2017.09.072
Säll, Carlsson, Gidlöf, Holm, Humleń et al., The antimicrobial peptide LL-37 alters human osteoblast Ca2+ handling and induces Ca2 +-independent apoptosis, J. Innate Immun,
doi:10.1159/000346587
Tang, Basavarajappa, Haeggström, P2X7 receptor regulates internalization of antimicrobial peptide LL-37 by human macrophages that promotes intracellular pathogen clearance, J. Immunol,
doi:10.4049/jimmunol.1402845
Tang, Liu, Zhang, Xu, Ji et al., Cytokine storm in COVID-19: the current evidence and treatment strategies, Front. Immunol,
doi:10.3389/fimmu.2020.01708
Tang, Yu, Shen, Qi, Hu, Conjugation with 8-arm PEG and CRM(197) enhances the immunogenicity of SARS-CoV-2 ORF8 protein, Int. Immunopharmacol,
doi:10.1016/j.intimp.2022.108922
Walls, Park, Tortorici, Wall, Mcguire et al., Structure, function, and antigenicity of the SARS-CoV-2 spike glycoprotein, Cell,
doi:10.1016/j.cell.2020.11.032
Wang, Lam, Wong, Yuen, Cai et al., Accurate diagnosis of COVID-19 by a novel immunogenic secreted SARS-coV-2 orf8 protein, mBio,
doi:10.1128/mBio.02431-20
Wang, Nestel, Bourdeau, Nagai, Wang et al., Cutting edge: 1,25-dihydroxyvitamin D3 is a direct inducer of antimicrobial peptide gene expression, J. Immunol,
doi:10.4049/jimmunol.173.5.2909
Wang, Wang, Li, Chen, Han et al., Human cathelicidin inhibits SARS-coV-2 infection: killing two birds with one stone, ACS Infect. Dis,
doi:10.1021/acsinfecdis.1c00096
Wang, Wang, Wang, Wang, Jiang et al., SARS-coV-2 ORF8 protein induces endoplasmic reticulum stress-like responses and facilitates virus replication by triggering calnexin: an unbiased study, J. Virol,
doi:10.1128/jvi.00011-23
Wrapp, Wang, Corbett, Goldsmith, Hsieh et al., Cryo-EM structure of the 2019-nCoV spike in the prefusion conformation, Science,
doi:10.1126/science.abb2507
Xhindoli, Pacor, Guida, Antcheva, Tossi, Native oligomerization determines the mode of action and biological activities of human cathelicidin LL-37, Biochem. J,
doi:10.1042/bj20131048
Xiao, Lu, Zhang, Johnson, Mckay et al., A trimeric human angiotensin-converting enzyme 2 as an anti-SARS-CoV-2 agent, Nat. Struct. Mol. Biol,
doi:10.1038/s41594-020-00549-3
Young, Fong, Chan, Mak, Ang et al., Effects of a major deletion in the SARS-CoV-2 genome on the severity of infection and the inflammatory response: an observational cohort study, Lancet,
doi:10.1016/s0140-6736(20)31757-8
Zhang, Chen, Li, Huang, Luo et al., The ORF8 protein of SARS-CoV-2 mediates immune evasion through down-regulating MHC-I, Proc. Natl. Acad. Sci. U.S.A,
doi:10.1073/pnas.2024202118
Zhang, Ghosh, Basavarajappa, Chen, Shrestha et al., HBD-2 binds SARS-CoV-2 RBD and blocks viral entry: Strategy to combat COVID-19, iScience,
doi:10.1016/j.isci.2022.103856
Zhao, Zhang, Zhao, Liu, Dong et al., Efficacy and safety of Oral LL-37 against the Omicron BA.5.1.3 variant of SARS-COV-2: A randomized trial, J. Med. Virol,
doi:10.1002/jmv.29035
Zhou, Huang, Zhou, Huang, Su et al., Structural insight reveals SARS-CoV-2 ORF7a as an immunomodulating factor for human CD14 monocytes, Iscience,
doi:10.1016/j.isci.2021.102187
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. Cell. Infect. Microbiol.",
"content-domain": {
"crossmark-restriction": true,
"domain": [
"frontiersin.org"
]
},
"created": {
"date-parts": [
[
2025,
9,
23
]
],
"date-time": "2025-09-23T05:30:03Z",
"timestamp": 1758605403000
},
"deposited": {
"date-parts": [
[
2025,
9,
23
]
],
"date-time": "2025-09-23T05:30:04Z",
"timestamp": 1758605404000
},
"indexed": {
"date-parts": [
[
2025,
9,
24
]
],
"date-time": "2025-09-24T00:06:51Z",
"timestamp": 1758672411968,
"version": "3.44.0"
},
"is-referenced-by-count": 0,
"issued": {
"date-parts": [
[
2025,
9,
23
]
]
},
"license": [
{
"URL": "https://creativecommons.org/licenses/by/4.0/",
"content-version": "vor",
"delay-in-days": 0,
"start": {
"date-parts": [
[
2025,
9,
23
]
],
"date-time": "2025-09-23T00:00:00Z",
"timestamp": 1758585600000
}
}
],
"link": [
{
"URL": "https://www.frontiersin.org/articles/10.3389/fcimb.2025.1671738/full",
"content-type": "unspecified",
"content-version": "vor",
"intended-application": "similarity-checking"
}
],
"member": "1965",
"original-title": [],
"prefix": "10.3389",
"published": {
"date-parts": [
[
2025,
9,
23
]
]
},
"published-online": {
"date-parts": [
[
2025,
9,
23
]
]
},
"publisher": "Frontiers Media SA",
"reference": [
{
"DOI": "10.1001/jama.2022.0470",
"article-title": "Association between 3 doses of mRNA COVID-19 vaccine and symptomatic infection caused by the SARS-CoV-2 omicron and delta variants",
"author": "Accorsi",
"doi-asserted-by": "publisher",
"first-page": "639",
"journal-title": "JAMA",
"key": "B1",
"volume": "327",
"year": "2022"
},
{
"DOI": "10.3390/nu13061760",
"article-title": "Calcifediol treatment and hospital mortality due to COVID-19: A cohort study",
"author": "Alcala-Diaz",
"doi-asserted-by": "publisher",
"first-page": "1760",
"journal-title": "Nutrients",
"key": "B2",
"volume": "13",
"year": "2021"
},
{
"DOI": "10.3389/fimmu.2022.880961",
"article-title": "Upregulating human cathelicidin antimicrobial peptide LL-37 expression may prevent severe COVID-19 inflammatory responses and reduce microthrombosis",
"author": "Aloul",
"doi-asserted-by": "publisher",
"journal-title": "Front. Immunol.",
"key": "B3",
"volume": "13",
"year": "2022"
},
{
"DOI": "10.3390/nu13051714",
"article-title": "COVID-19 disease severity and death in relation to vitamin D status among SARS-CoV-2-positive UAE residents",
"author": "AlSafar",
"doi-asserted-by": "publisher",
"first-page": "1714",
"journal-title": "Nutrients",
"key": "B4",
"volume": "13",
"year": "2021"
},
{
"DOI": "10.1093/jleuko/qiaf056",
"article-title": "Two-sided effects of neutrophil extracellular traps and changes in the myeloid compartment in acute COVID-19: A histopathological study on autopsy cases from the first and second COVID-19 waves in Switzerland",
"author": "Anzic",
"doi-asserted-by": "publisher",
"journal-title": "J. Leukoc. Biol.",
"key": "B5",
"volume": "117",
"year": "2025"
},
{
"DOI": "10.1371/journal.pone.0025333",
"article-title": "Antiviral activity and increased host defense against influenza infection elicited by the human cathelicidin LL-37",
"author": "Barlow",
"doi-asserted-by": "publisher",
"journal-title": "PloS One",
"key": "B6",
"volume": "6",
"year": "2011"
},
{
"DOI": "10.1159/000232587",
"article-title": "Collagen VI is a subepithelial adhesive target for human respiratory tract pathogens",
"author": "Bober",
"doi-asserted-by": "publisher",
"first-page": "160",
"journal-title": "J. Innate Immun.",
"key": "B7",
"volume": "2",
"year": "2010"
},
{
"DOI": "10.1038/s41598-020-79645-9",
"article-title": "In silico discovery of antigenic proteins and epitopes of SARS-CoV-2 for the development of a vaccine or a diagnostic approach for COVID-19",
"author": "Can",
"doi-asserted-by": "publisher",
"first-page": "22387",
"journal-title": "Sci. Rep.",
"key": "B8",
"volume": "10",
"year": "2020"
},
{
"DOI": "10.1021/acs.jcim.1c01451",
"article-title": "Omicron variant (B.1.1.529): infectivity, vaccine breakthrough, and antibody resistance",
"author": "Chen",
"doi-asserted-by": "publisher",
"first-page": "412",
"journal-title": "J. Chem. Inf. Modeling",
"key": "B9",
"volume": "62",
"year": "2022"
},
{
"DOI": "10.3389/fpubh.2020.00232",
"article-title": "Vitamin D deficiency and air pollution exacerbate COVID-19 through suppression of antiviral peptide LL37",
"author": "Crane-Godreau",
"doi-asserted-by": "publisher",
"journal-title": "Front. Public Health",
"key": "B10",
"volume": "8",
"year": "2020"
},
{
"DOI": "10.1038/s41577-020-00480-0",
"article-title": "Viral targets for vaccines against COVID-19",
"author": "Dai",
"doi-asserted-by": "publisher",
"first-page": "73",
"journal-title": "Nat. Rev. Immunol.",
"key": "B11",
"volume": "21",
"year": "2021"
},
{
"DOI": "10.1007/s00018-022-04309-y",
"article-title": "Role of LL-37 in thrombotic complications in patients with COVID-19",
"author": "Duan",
"doi-asserted-by": "publisher",
"journal-title": "Cell Mol. Life Sci.",
"key": "B12",
"volume": "79",
"year": "2022"
},
{
"DOI": "10.1371/journal.pone.0172350",
"article-title": "The relationship of serum vitamins A, D, E and LL-37 levels with allergic status, tonsillar virus detection and immune response",
"author": "Elenius",
"doi-asserted-by": "publisher",
"journal-title": "PloS One",
"key": "B13",
"volume": "12",
"year": "2017"
},
{
"DOI": "10.1016/j.jsbmb.2020.105751",
"article-title": "Effect of calcifediol treatment and best available therapy versus best available therapy on intensive care unit admission and mortality among patients hospitalized for COVID-19: A pilot randomized clinical study",
"author": "Entrenas Castillo",
"doi-asserted-by": "publisher",
"journal-title": "J. Steroid Biochem. Mol. Biol.",
"key": "B14",
"volume": "203",
"year": "2020"
},
{
"DOI": "10.1038/s41590-020-0773-7",
"article-title": "ORF8 and ORF3b antibodies are accurate serological markers of early and late SARS-CoV-2 infection",
"author": "Hachim",
"doi-asserted-by": "publisher",
"first-page": "1293",
"journal-title": "Nat. Immunol.",
"key": "B15",
"volume": "21",
"year": "2020"
},
{
"DOI": "10.1016/j.compbiomed.2021.104380",
"article-title": "A unique view of SARS-CoV-2 through the lens of ORF8 protein",
"author": "Hassan",
"doi-asserted-by": "publisher",
"journal-title": "Comput. Biol. Med.",
"key": "B16",
"volume": "133",
"year": "2021"
},
{
"DOI": "10.1080/15548627.2022.2084686",
"article-title": "The ORF7a protein of SARS-CoV-2 initiates autophagy and limits autophagosome-lysosome fusion via degradation of SNAP29 to promote virus replication",
"author": "Hou",
"doi-asserted-by": "publisher",
"first-page": "551",
"journal-title": "Autophagy",
"key": "B17",
"volume": "19",
"year": "2023"
},
{
"DOI": "10.1016/S0140-6736(20)30183-5",
"article-title": "Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China",
"author": "Huang",
"doi-asserted-by": "publisher",
"first-page": "497",
"journal-title": "Lancet",
"key": "B18",
"volume": "395",
"year": "2020"
},
{
"DOI": "10.15585/mmwr.mm7104e4",
"article-title": "Trends in disease severity and health care utilization during the early omicron variant period compared with previous SARS-coV-2 high transmission periods - United States, december 2020-january 2022",
"author": "Iuliano",
"doi-asserted-by": "publisher",
"first-page": "146",
"journal-title": "MMWR Morb Mortal Wkly Rep.",
"key": "B19",
"volume": "71",
"year": "2022"
},
{
"DOI": "10.1371/journal.pone.0293010",
"article-title": "The vitamin D receptor agonist EB1089 can exert its antiviral activity independently of the vitamin D receptor",
"author": "Jaratsittisin",
"doi-asserted-by": "publisher",
"journal-title": "PloS One",
"key": "B20",
"volume": "18",
"year": "2023"
},
{
"DOI": "10.1093/intimm/dxac044",
"article-title": "SARS-CoV-2 ORF8 is a viral cytokine regulating immune responses",
"author": "Kohyama",
"doi-asserted-by": "publisher",
"journal-title": "Int. Immunol",
"key": "B21",
"year": "2022"
},
{
"DOI": "10.1002/pep2.24122",
"article-title": "Antimicrobial peptides under clinical investigation",
"author": "Koo",
"doi-asserted-by": "publisher",
"journal-title": "Pept. Sci.",
"key": "B22",
"volume": "111",
"year": "2019"
},
{
"DOI": "10.1002/biot.201400821",
"article-title": "Optimized Sleeping Beauty transposons rapidly generate stable transgenic cell lines",
"author": "Kowarz",
"doi-asserted-by": "publisher",
"first-page": "647",
"journal-title": "Biotechnol. J.",
"key": "B23",
"volume": "10",
"year": "2015"
},
{
"DOI": "10.1007/s12539-021-00462-3",
"article-title": "HD5 and LL-37 inhibit SARS-coV and SARS-CoV-2 binding to human ACE2 by molecular simulation",
"author": "Li",
"doi-asserted-by": "publisher",
"first-page": "766",
"journal-title": "Interdiscip Sci.",
"key": "B24",
"volume": "13",
"year": "2021"
},
{
"DOI": "10.1016/j.virusres.2020.198074",
"article-title": "The ORF6, ORF8 and nucleocapsid proteins of SARS-CoV-2 inhibit type I interferon signaling pathway",
"author": "Li",
"doi-asserted-by": "publisher",
"journal-title": "Virus Res.",
"key": "B25",
"volume": "286",
"year": "2020"
},
{
"DOI": "10.1016/j.isci.2021.102293",
"article-title": "ORF8 contributes to cytokine storm during SARS-CoV-2 infection by activating IL-17 pathway",
"author": "Lin",
"doi-asserted-by": "publisher",
"journal-title": "iScience",
"key": "B26",
"volume": "24",
"year": "2021"
},
{
"DOI": "10.1016/j.virs.2024.08.007",
"article-title": "Antiviral activity of vitamin D derivatives against severe fever with thrombocytopenia syndrome virus in vitro and in vivo",
"author": "Luo",
"doi-asserted-by": "publisher",
"first-page": "802",
"journal-title": "Virol. Sin.",
"key": "B27",
"volume": "39",
"year": "2024"
},
{
"DOI": "10.1016/j.jbc.2022.101724",
"article-title": "SARS-CoV-2 accessory protein ORF8 is secreted extracellularly as a glycoprotein homodimer",
"author": "Matsuoka",
"doi-asserted-by": "publisher",
"journal-title": "J. Biol. Chem.",
"key": "B28",
"volume": "298",
"year": "2022"
},
{
"DOI": "10.1038/s41598-021-88356-8",
"article-title": "Analysis of IgM, IgA, and IgG isotype antibodies Directed against SARS-CoV-2 spike glycoprotein and ORF8 in the course of COVID-19",
"author": "Meinberger",
"doi-asserted-by": "publisher",
"first-page": "8920",
"journal-title": "Sci. Rep.",
"key": "B29",
"volume": "11",
"year": "2021"
},
{
"DOI": "10.3390/vaccines9010039",
"article-title": "A COVID-19 vaccine: big strides come with big challenges",
"author": "Mellet",
"doi-asserted-by": "publisher",
"first-page": "39",
"journal-title": "Vaccines",
"key": "B30",
"volume": "9",
"year": "2021"
},
{
"DOI": "10.1111/j.1529-8019.2009.01287.x",
"article-title": "Vitamin D and innate immunity",
"author": "Miller",
"doi-asserted-by": "publisher",
"first-page": "13",
"journal-title": "Dermatologic Ther.",
"key": "B31",
"volume": "23",
"year": "2010"
},
{
"DOI": "10.1210/clinem/dgab405",
"article-title": "Calcifediol treatment and COVID-19–related outcomes",
"author": "Nogues",
"doi-asserted-by": "publisher",
"first-page": "e4017",
"journal-title": "J. Clin. Endocrinol. Metab.",
"key": "B32",
"volume": "106",
"year": "2021"
},
{
"DOI": "10.1042/bj3410501",
"article-title": "Structure and organization of the human antimicrobial peptide LL-37 in phospholipid membranes: relevance to the molecular basis for its non-cell-selective activity",
"author": "Oren",
"doi-asserted-by": "publisher",
"first-page": "501",
"journal-title": "Biochem. J.",
"key": "B33",
"volume": "341",
"year": "1999"
},
{
"DOI": "10.1038/s41577-020-0328-z",
"article-title": "COVID-19: a case for inhibiting\nIL-17",
"author": "Pacha",
"doi-asserted-by": "publisher",
"first-page": "345",
"journal-title": "Nat. Rev. Immunol.",
"key": "B34",
"volume": "20",
"year": "2020"
},
{
"DOI": "10.3390/vaccines8030517",
"article-title": "Immunomodulatory role of the antimicrobial LL-37 peptide in autoimmune diseases and viral infections",
"author": "Pahar",
"doi-asserted-by": "publisher",
"journal-title": "Vaccines",
"key": "B35",
"volume": "8",
"year": "2020"
},
{
"DOI": "10.1021/acsnano.0c04798",
"article-title": "Enhanced binding of SARS-CoV-2 spike protein to receptor by distal polybasic cleavage sites",
"author": "Qiao",
"doi-asserted-by": "publisher",
"first-page": "10616",
"journal-title": "ACS nano",
"key": "B36",
"volume": "14",
"year": "2020"
},
{
"DOI": "10.3390/cells11152463",
"article-title": "LL-37, a multi-faceted amphipathic peptide involved in NETosis",
"author": "Radic",
"doi-asserted-by": "publisher",
"journal-title": "Cells",
"key": "B37",
"volume": "11",
"year": "2022"
},
{
"DOI": "10.1016/S2213-2600(21)00160-0",
"article-title": "Inhaled budesonide in the treatment of early COVID-19 (STOIC): a phase 2, open-label, randomised controlled trial",
"author": "Ramakrishnan",
"doi-asserted-by": "publisher",
"journal-title": "Lancet Respir. Med",
"key": "B38",
"year": "2021"
},
{
"DOI": "10.1016/j.autrev.2020.102572",
"article-title": "Interleukin-17A (IL-17A), a key molecule of innate and adaptive immunity, and its potential involvement in COVID-19-related thrombotic and vascular mechanisms",
"author": "Raucci",
"doi-asserted-by": "publisher",
"first-page": "102572",
"journal-title": "Autoimmun. Rev.",
"key": "B39",
"volume": "19",
"year": "2020"
},
{
"DOI": "10.1186/s12931-021-01666-3",
"article-title": "Circulating Vitamin D levels status and clinical prognostic indices in COVID-19 patients",
"author": "Ricci",
"doi-asserted-by": "publisher",
"first-page": "76",
"journal-title": "Respir. Res.",
"key": "B40",
"volume": "22",
"year": "2021"
},
{
"DOI": "10.1159/000346587",
"article-title": "The antimicrobial peptide LL-37 alters human osteoblast Ca2+ handling and induces Ca2+-independent apoptosis",
"author": "Säll",
"doi-asserted-by": "publisher",
"first-page": "290",
"journal-title": "J. Innate Immun.",
"key": "B41",
"volume": "5",
"year": "2013"
},
{
"DOI": "10.1038/s41598-017-14206-1",
"article-title": "Structural remodeling and oligomerization of human cathelicidin on membranes suggest fibril-like structures as active species",
"author": "Sancho-Vaello",
"doi-asserted-by": "publisher",
"first-page": "15371",
"journal-title": "Sci. Rep.",
"key": "B42",
"volume": "7",
"year": "2017"
},
{
"DOI": "10.1038/s41598-020-74401-5",
"article-title": "The structure of the antimicrobial human cathelicidin LL-37 shows oligomerization and channel formation in the presence of membrane mimics",
"author": "Sancho-Vaello",
"doi-asserted-by": "publisher",
"first-page": "17356",
"journal-title": "Sci. Rep.",
"key": "B43",
"volume": "10",
"year": "2020"
},
{
"DOI": "10.1074/jbc.M707820200",
"article-title": "Targeting of bone morphogenetic protein growth factor complexes to fibrillin",
"author": "Sengle",
"doi-asserted-by": "publisher",
"first-page": "13874",
"journal-title": "J. Biol. Chem.",
"key": "B44",
"volume": "283",
"year": "2008"
},
{
"DOI": "10.1016/j.jmb.2008.06.074",
"article-title": "A new model for growth factor activation: type II receptors compete with the prodomain for BMP-7",
"author": "Sengle",
"doi-asserted-by": "publisher",
"first-page": "1025",
"journal-title": "J. Mol. Biol.",
"key": "B45",
"volume": "381",
"year": "2008"
},
{
"DOI": "10.1016/j.amsu.2021.102419",
"article-title": "COVID-19 and sunlight: Impact on SARS-CoV-2 transmissibility, morbidity, and mortality",
"author": "Sharun",
"doi-asserted-by": "publisher",
"journal-title": "Ann. Med. Surg.",
"key": "B46",
"volume": "66",
"year": "2021"
},
{
"DOI": "10.1016/j.bbrc.2017.09.072",
"article-title": "Apolipoprotein A-I attenuates LL-37-induced endothelial cell cytotoxicity",
"author": "Svensson",
"doi-asserted-by": "publisher",
"first-page": "71",
"journal-title": "Biochem. Biophys. Res. Commun.",
"key": "B47",
"volume": "493",
"year": "2017"
},
{
"DOI": "10.4049/jimmunol.1402845",
"article-title": "P2X7 receptor regulates internalization of antimicrobial peptide LL-37 by human macrophages that promotes intracellular pathogen clearance",
"author": "Tang",
"doi-asserted-by": "publisher",
"first-page": "1191",
"journal-title": "J. Immunol.",
"key": "B48",
"volume": "195",
"year": "2015"
},
{
"DOI": "10.3389/fimmu.2020.01708",
"article-title": "Cytokine storm in COVID-19: the current evidence and treatment strategies",
"author": "Tang",
"doi-asserted-by": "publisher",
"journal-title": "Front. Immunol.",
"key": "B49",
"volume": "11",
"year": "2020"
},
{
"DOI": "10.1016/j.intimp.2022.108922",
"article-title": "Conjugation with 8-arm PEG and CRM(197) enhances the immunogenicity of SARS-CoV-2 ORF8 protein",
"author": "Tang",
"doi-asserted-by": "publisher",
"journal-title": "Int. Immunopharmacol",
"key": "B50",
"volume": "109",
"year": "2022"
},
{
"DOI": "10.3389/fimmu.2022.1035559",
"article-title": "SARS-CoV-2 ORF8: One protein, seemingly one structure, and many functions",
"author": "Vinjamuri",
"doi-asserted-by": "publisher",
"journal-title": "Front. Immunol.",
"key": "B51",
"volume": "13",
"year": "2022"
},
{
"DOI": "10.1016/j.cell.2020.11.032",
"article-title": "Structure, function, and antigenicity of the SARS-CoV-2 spike glycoprotein",
"author": "Walls",
"doi-asserted-by": "publisher",
"first-page": "1735",
"journal-title": "Cell",
"key": "B52",
"volume": "183",
"year": "2020"
},
{
"DOI": "10.1128/mBio.02431-20",
"article-title": "Accurate diagnosis of COVID-19 by a novel immunogenic secreted SARS-coV-2 orf8 protein",
"author": "Wang",
"doi-asserted-by": "publisher",
"first-page": "e02431",
"journal-title": "mBio",
"key": "B53",
"volume": "11",
"year": "2020"
},
{
"DOI": "10.4049/jimmunol.173.5.2909",
"article-title": "Cutting edge: 1,25-dihydroxyvitamin D3 is a direct inducer of antimicrobial peptide gene expression",
"author": "Wang",
"doi-asserted-by": "publisher",
"first-page": "2909",
"journal-title": "J. Immunol.",
"key": "B54",
"volume": "173",
"year": "2004"
},
{
"DOI": "10.1021/acsinfecdis.1c00096",
"article-title": "Human cathelicidin inhibits SARS-coV-2 infection: killing two birds with one stone",
"author": "Wang",
"doi-asserted-by": "publisher",
"first-page": "1545",
"journal-title": "ACS Infect. Dis.",
"key": "B55",
"volume": "7",
"year": "2021"
},
{
"DOI": "10.1128/jvi.00011-23",
"article-title": "SARS-coV-2 ORF8 protein induces endoplasmic reticulum stress-like responses and facilitates virus replication by triggering calnexin: an unbiased study",
"author": "Wang",
"doi-asserted-by": "publisher",
"journal-title": "J. Virol.",
"key": "B56",
"volume": "97",
"year": "2023"
},
{
"DOI": "10.1126/science.abb2507",
"article-title": "Cryo-EM structure of the 2019-nCoV spike in the prefusion conformation",
"author": "Wrapp",
"doi-asserted-by": "publisher",
"first-page": "1260",
"journal-title": "Science",
"key": "B57",
"volume": "367",
"year": "2020"
},
{
"DOI": "10.1042/bj20131048",
"article-title": "Native oligomerization determines the mode of action and biological activities of human cathelicidin LL-37",
"author": "Xhindoli",
"doi-asserted-by": "publisher",
"first-page": "263",
"journal-title": "Biochem. J.",
"key": "B58",
"volume": "457",
"year": "2013"
},
{
"DOI": "10.1038/s41594-020-00549-3",
"article-title": "A trimeric human angiotensin-converting enzyme 2 as an anti-SARS-CoV-2 agent",
"author": "Xiao",
"doi-asserted-by": "publisher",
"first-page": "202",
"journal-title": "Nat. Struct. Mol. Biol.",
"key": "B59",
"volume": "28",
"year": "2021"
},
{
"DOI": "10.1016/s0140-6736(20)31757-8",
"article-title": "Effects of a major deletion in the SARS-CoV-2 genome on the severity of infection and the inflammatory response: an observational cohort study",
"author": "Young",
"doi-asserted-by": "publisher",
"first-page": "603",
"journal-title": "Lancet",
"key": "B60",
"volume": "396",
"year": "2020"
},
{
"DOI": "10.1073/pnas.2024202118",
"article-title": "The ORF8 protein of SARS-CoV-2 mediates immune evasion through down-regulating MHC-I",
"author": "Zhang",
"doi-asserted-by": "publisher",
"journal-title": "Proc. Natl. Acad. Sci. U.S.A.",
"key": "B61",
"volume": "118",
"year": "2021"
},
{
"DOI": "10.1016/j.isci.2022.103856",
"article-title": "HBD-2 binds SARS-CoV-2 RBD and blocks viral entry: Strategy to combat COVID-19",
"author": "Zhang",
"doi-asserted-by": "publisher",
"journal-title": "iScience",
"key": "B62",
"volume": "25",
"year": "2022"
},
{
"DOI": "10.1002/jmv.29035",
"article-title": "Efficacy and safety of Oral LL-37 against the Omicron BA.5.1.3 variant of SARS-COV-2: A randomized trial",
"author": "Zhao",
"doi-asserted-by": "publisher",
"journal-title": "J. Med. Virol.",
"key": "B63",
"volume": "95",
"year": "2023"
},
{
"DOI": "10.1016/j.isci.2021.102187",
"article-title": "Structural insight reveals SARS-CoV-2 ORF7a as an immunomodulating factor for human CD14 monocytes",
"author": "Zhou",
"doi-asserted-by": "publisher",
"journal-title": "Iscience",
"key": "B64",
"volume": "24",
"year": "2021"
}
],
"reference-count": 64,
"references-count": 64,
"relation": {},
"resource": {
"primary": {
"URL": "https://www.frontiersin.org/articles/10.3389/fcimb.2025.1671738/full"
}
},
"score": 1,
"short-title": [],
"source": "Crossref",
"subject": [],
"subtitle": [],
"title": "Vitamin D-inducible antimicrobial peptide LL-37 binds SARS-CoV-2 Spike and accessory proteins ORF7a and ORF8",
"type": "journal-article",
"update-policy": "https://doi.org/10.3389/crossmark-policy",
"volume": "15"
}