PT - JOURNAL ARTICLE AU - Procko, Erik TI - The sequence of human ACE2 is suboptimal for binding the S spike protein of SARS coronavirus 2 AID - 10.1101/2020.03.16.994236 DP - 2020 Jan 01 TA - bioRxiv PG - 2020.03.16.994236 4099 - http://biorxiv.org/content/early/2020/03/17/2020.03.16.994236.short 4100 - http://biorxiv.org/content/early/2020/03/17/2020.03.16.994236.full AB - The rapid and escalating spread of SARS coronavirus 2 (SARS-CoV-2) poses an immediate public health emergency, and no approved therapeutics or vaccines are currently available. The viral spike protein S binds ACE2 on host cells to initiate molecular events that release the viral genome intracellularly. Soluble ACE2 inhibits entry of both SARS and SARS-2 coronaviruses by acting as a decoy for S binding sites, and is a candidate for therapeutic and prophylactic development. Using deep mutagenesis, variants of ACE2 are identified with increased binding to the receptor binding domain of S at a cell surface. Mutations are found across the interface and also at buried sites where they are predicted to enhance folding and presentation of the interaction epitope. The N90-glycan on ACE2 hinders association. The mutational landscape offers a blueprint for engineering high affinity ACE2 receptors to meet this unprecedented challenge.