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. 2026 Feb;98(2):e70855.
doi: 10.1002/jmv.70855.

SARS-CoV-2 Main Protease Activates ERK1/2 Signaling to Facilitate MEG2-STAT3-Mediated Suppression of ACE2

Uyen Nguyen Phuong Le  1   2 , Ruey-Hwang Chou  3   4 , Chen-Sheng Lin  5 , Hsueh-Chou Lai  6   7 , Wen-Chi Su  4 , Po-Ren Hsueh  8   9 , Cheng-Wen Lin  1   2   3   4   10
Affiliations

SARS-CoV-2 Main Protease Activates ERK1/2 Signaling to Facilitate MEG2-STAT3-Mediated Suppression of ACE2

Uyen Nguyen Phuong Le et al. J Med Virol. 2026 Feb.

Abstract

Angiotensin-converting enzyme 2 (ACE2), the receptor for SARS-CoV-2, is critical for viral entry and pulmonary homeostasis, yet its regulation during infection remains unclear. Using SARS-CoV-2 single-round infectious particles (SRIPs), we found that ACE2 protein and mRNA were markedly reduced in human alveolar (A549) and bronchial (Calu-3) cells. This effect was reproduced by expression of the viral main protease (Mpro). Notably, ACE2 suppression was independent of Mpro enzymatic activity, as the catalytically inactive mutant (Mpro_C145A) downregulated ACE2 comparably to wild-type Mpro, and inhibition with nirmatrelvir or MG132 failed to restore expression. Mechanistically, Mpro enhanced STAT1 phosphorylation while suppressing STAT3 Tyr705 phosphorylation, impairing STAT3 nuclear localization and transcriptional activity. Overexpression of STAT3, but not STAT1, restored ACE2 expression in both Mpro-expressing and SARS-CoV-2-infected cells. Moreover, Mpro activated ERK1/2 through TRAF6-TAK1 signaling, which facilitated STAT3 interaction with the tyrosine phosphatase MEG2, leading to dephosphorylation of STAT3 at Tyr705. ERK1/2 inhibition restored STAT3 activity and ACE2 expression, while JNK inhibition had no effect. In infected cells, ERK1/2 inhibition increased ACE2 but also enhanced viral replication. These findings identify a non-enzymatic role of Mpro in suppressing ACE2 through the ERK1/2-MEG2-STAT3 axis, highlighting a mechanism that regulates host receptor availability and influences SARS-CoV-2 pathogenesis.

Keywords: ACE2; ERK1/2; MEG2; SARS‐CoV‐2; STAT3; main protease.

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