{"title":"Targeting conserved dynamic regions of SARS-CoV-2 spike protein identified by normal mode analysis for broad-spectrum antiviral therapy","authors":"Junhong Lü","doi":"10.1016/j.mehy.2026.111873","DOIUrl":null,"url":null,"abstract":"<div><div>The continuous emergence of SARS-CoV-2 variants challenges conventional antiviral strategies that targets highly mutable epitopes or enzymatic active sites. We propose a novel hypothesis centered on targeting the conserved dynamic regions of the SARS-CoV-2 spike (S) glycoprotein, which govern its large-scale conformational transitions. Through normal mode analysis (NMA), these regions have been identified as critical dynamic hotspots that facilitate an allosteric transition from the closed to the open, ACE2-accessible state. We hypothesize that small molecules or peptides designed to bind these hotspots could act as conformational locks, thereby providing broad-spectrum antiviral activity. The feasibility of targeting the physical dynamics of the spike protein is supported by independent studies on its mechanical vulnerability. While identifying druggable allosteric pockets and achieving experimental validation still need be overcome before practical realization, this strategy represents a paradigm shift from static, structure-based targeting to dynamic allostery. It offers a potentially variant-resilient therapeutic approach against both current and future threats from coronaviruses.</div></div>","PeriodicalId":18425,"journal":{"name":"Medical hypotheses","volume":"207 ","pages":"Article 111873"},"PeriodicalIF":1.0000,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical hypotheses","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0306987726000022","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/1/2 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"MEDICINE, RESEARCH & EXPERIMENTAL","Score":null,"Total":0}
引用次数: 0
Abstract
The continuous emergence of SARS-CoV-2 variants challenges conventional antiviral strategies that targets highly mutable epitopes or enzymatic active sites. We propose a novel hypothesis centered on targeting the conserved dynamic regions of the SARS-CoV-2 spike (S) glycoprotein, which govern its large-scale conformational transitions. Through normal mode analysis (NMA), these regions have been identified as critical dynamic hotspots that facilitate an allosteric transition from the closed to the open, ACE2-accessible state. We hypothesize that small molecules or peptides designed to bind these hotspots could act as conformational locks, thereby providing broad-spectrum antiviral activity. The feasibility of targeting the physical dynamics of the spike protein is supported by independent studies on its mechanical vulnerability. While identifying druggable allosteric pockets and achieving experimental validation still need be overcome before practical realization, this strategy represents a paradigm shift from static, structure-based targeting to dynamic allostery. It offers a potentially variant-resilient therapeutic approach against both current and future threats from coronaviruses.
期刊介绍:
Medical Hypotheses is a forum for ideas in medicine and related biomedical sciences. It will publish interesting and important theoretical papers that foster the diversity and debate upon which the scientific process thrives. The Aims and Scope of Medical Hypotheses are no different now from what was proposed by the founder of the journal, the late Dr David Horrobin. In his introduction to the first issue of the Journal, he asks ''what sorts of papers will be published in Medical Hypotheses? and goes on to answer ''Medical Hypotheses will publish papers which describe theories, ideas which have a great deal of observational support and some hypotheses where experimental support is yet fragmentary''. (Horrobin DF, 1975 Ideas in Biomedical Science: Reasons for the foundation of Medical Hypotheses. Medical Hypotheses Volume 1, Issue 1, January-February 1975, Pages 1-2.). Medical Hypotheses was therefore launched, and still exists today, to give novel, radical new ideas and speculations in medicine open-minded consideration, opening the field to radical hypotheses which would be rejected by most conventional journals. Papers in Medical Hypotheses take a standard scientific form in terms of style, structure and referencing. The journal therefore constitutes a bridge between cutting-edge theory and the mainstream of medical and scientific communication, which ideas must eventually enter if they are to be critiqued and tested against observations.