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Essential role of quantum science and nanoscience in antiviral strategies for COVID-19

Mina Zare *a, Mika Sillanpää b and Seeram Ramakrishna *a
aCenter for Nanotechnology and Sustainability, National University of Singapore, Singapore 117576, Singapore. E-mail: seeram@nus.edu.sg; zare.mina@yahoo.com
bChemistry Department, College of Science, King Saud University, Riyadh 11451, Saudi Arabia

Received 24th January 2021 , Accepted 16th February 2021

First published on 18th February 2021


Abstract

The severe acute respiratory syndrome coronavirus (SARS-CoV-2) that caused the COVID-19 disease pandemic since December 2019 highlights the importance of developing efficient antiviral strategies to prevent and treat viral infection. Virus particles are nanosized, therefore design strategies are suitable to develop advanced nano and quantum materials that can interact with and mimic virus particles. Quantum science and nanoscience can help in the synthesis and functionalization of nanomaterials for virus prevention, treatment, and detection. The first step is identifying the genome sequencing of the virus, then the fabrication of antiviral (virustatic or virucidal) materials. Quantum and nanoscience-enabled nanomaterials yield better performance and flexibility for virus detection, vaccine design and delivery, facemasks, respirators, and drugs. In this review, we explore the applications of quantum and nanoscience in diagnosis, inhibition, and antiviral therapy. Further, we explain how the van der Waals forces, electrostatic interactions, fluctuation of the medium, electrodynamic and thermal fluctuations, local field enhancement effect, and reactive oxygen species (ROS) generation can prevent the viral life cycle through the virustatic and virucidal effects of quantum and nanoparticles.


Introduction

In the past 20 years, viral infections such as Ebola, Zika, Middle East respiratory syndrome coronavirus (MERS-CoV), and severe acute respiratory syndrome coronavirus-1 (SARS-CoV1) have caused pandemics and deaths. Infectious diseases are a major threat to global health that we must be aware of, and we must be well prepared to combat future viral pandemics of understudied or unknown viruses.1,2 The World Health Organization (WHO) in 2018 prepared a list of non-viral and viral pathogens that could cause Disease X with epidemic potential for which there is no or insufficient treatment. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the most recent pandemic virus and the first Disease X. It causes COVID-19 and was recognized in December 2019 and started in Wuhan, China. To date (23 January 2021), about 2.06 million deaths and 96.2 million cases have been reported.3,4 WHO declared a Public Health Emergency of International Concern (PHEIC) on 30 January 2020 and declared the outbreak a pandemic on 11 March 2020.5–7

The responses to a pandemic will be different from one context to another, from one society to another, but they must be based on a human rights framework and humanistic vision of education and development. Actions must strengthen public education, fortify common goods, expand global solidarity and emphasize the collective responsibility for the education of everyone everywhere. For that future, we need boldness of thought and courageous action now.8 To reduce the potentially devasting effects of COVID-19, immediate support is required from social and behavioral science. Plenty of activities may be relevant to future public health crises and pandemics. The WHO report disclosed that “health communication is seen to have relevance for virtually every aspect of health and well-being, including disease prevention, health promotion and quality of life”.9,10 The SARS-CoV-2 pandemic has ignited scientific efforts to develop quantum science and nanoscience-enabled solutions intended to stop viral infections. The preventive, diagnostic, and therapeutic applications of quantum and nanomaterials have the potential to bring about revolutionary developments in the biomedical field.11

SARS-CoV-2 is believed to be a zoonotic virus from bats12 that transmits among humans and infects various organs, including the lungs,13 brain,14 kidneys,15 liver,16 and heart.17 Coronaviruses are positive single-strand ribonucleic acid (RNA) viruses with positive-sense, single-stranded RNA that can be directly accessed by the ribosomes of the host to produce proteins and uses a simple reproduction pathway (viruses with polycistronic mRNA) or a more complex transcription pathway (for which proteolytic processing of polyproteins, ribosomal frameshifting, and subgenomic mRNAs may be used).18 Antiviral agents are categorized into virucidal (destroy the supercritical membrane and the virion protein capsid or penetrate into the virion and destroy the viral genome; irreversible) and virustatic (substances that possess reversible interaction with the virus and parameters like pH, temperature, and dilution can cause the release of virions).19,20

The functionalization of quantum and nanomaterials has been used in antiviral research due to their unique chemical, and physical properties in the biomedical field, including quantum dots, metal and metal oxide nanoparticles (NPs).21–26 The poor stability of NPs (nanosheets and nanofibers), the cytotoxicity of degradation products (precious metal NPs), and the complexity of synthetic techniques restrict the antiviral application of NPs.23,27–33 Hence, the establishment of stable, biodegradable virucidal nanomaterials using a facile approach is urgently needed.

The applications of quantum science and nanoscience in developing new antiviral strategies to prevent viral infection are discussed in this review. Some of the latest broad-spectrum antiviral strategies that might be useful in thwarting SARS-CoV-2 in the near future are presented. Furthermore, the nanoscience and quantum science phenomena in antiviral therapy are comprehensively explored.

Application of nanoscience in antiviral strategies

In general, the nanoscience field studies the correlation of atomic and molecular structures with the nanometer scale materials phenomena, while the engineering of functional nanomaterials is known as nanotechnology.34,35 The quantum and nano-based materials possess amenable physical, chemical, and biological properties that enhance their potential in comparison with bulk materials.34,36 There is great potential for using quantum and nanomaterials against viral infections such as SARS-CoV-2. We categorized the quantum and nanomaterials into three groups based on their potential to prevent the dissemination of the viral infection, including preventive application, diagnostic application, and therapeutic application. Nanocarriers or functionalized NPs can deliver drugs to the target cells and prevent virus replication and infection. The incorporation of nanomaterials into PPE and coating of surfaces can prevent the attachment of viruses or destroy virions. Quantum and nanomaterials in sensors can give sensitive, accurate, and rapid detection of virus infection rates in the primary phase. Quantum and nano-based materials in vaccines can help in the prophylaxis or treatment of COVID-19. Nanomaterials can terminate the lifecycle of SARS-CoV-2 in a different phase. Nanomaterials can inhibit virus binding to the target cells, prevent cell penetration by blocking the angiotensin-converting enzyme 2 (ACE2) receptor, prevent internalization of the virion to the cell and trafficking, prevent escaping from the endosome, inhibit membrane fusion and uncoating, and stop the release of the viral genome.37,38 Nanomaterials can be incorporated into PPE and prevent the entrance of viruses to the target cell. Nanocarriers can be applied to prevent the entrance of viruses to the lung or alveoli by delivery of the drug to the respiratory system. Nanostructured materials prevent the binding of the virus to the host cell by targeting the viral spike glycoprotein or ACE2 receptor and prevent entrance of virions to the target cell. The S protein is a key target for diagnostics, therapeutic antibodies and vaccines.6 Nano-based materials can systematically inactivate SARS-CoV-2 by neutralization of the virus or in combination with photodynamic therapy. Furthermore, nanoparticles can boost the immune system by immunomodulation during infection or when used in combination with a vaccine to prevent infection.3,37,39–41 Transmembrane serine protease 2 (TMPRSS2) on the surface of the target cell facilitates cellular entry through protease activity.21 Nanostructured materials inhibit or reduce the activation/expression of the cellular protease TMPRSS2, which allows the spike proteins, potentially suppressing SARS-CoV-2 infection.26,42 Nanostructured materials can inhibit the budding and release of the virus.21Fig. 1 illustrates the life cycle of SARS-CoV-2 and possible targets for nanomaterials.
image file: d1ma00060h-f1.tif
Fig. 1 The life cycle of SARS-CoV-2 and possible targets for nanomaterials. SARS-CoV-2 binds to an ACE-2 receptor on the surface of the target cell. Nanomaterials can prevent binding to ACE-2 and inhibit entry of the virus to the cell. TMPRSS2 through protease activity facilitates cellular entry and reduces or inhibits expression/activation of the cellular protease. The virion is internalized into the endosome and uncoated due to the low pH of the endosome, then the viral genome is released for protein synthesis. Nanomaterials inhibit replication of the viral genome. The new infectious virions are assembled and released. The nanoparticles can inhibit the release of the virus.

Diagnostic applications

The primary phase in the treatment is the detection of the virus and isolation of infected people to avoid the spread of viral infection.43 The surface modification of quantum and nanomaterials in diagnostic applications is based on paper-based biomolecular sensors using aptamers, beacons, and nucleic acids, a plasmonic-based colorimetric assay using RNA/DNA, thermoplastic chips using oligos, and antigen-binding and antibody capture assays using antibodies.44–50Table 1 shows the diagnostic applications of quantum and nanomaterials in viral detection. Nucleic acid amplification and immunoassays employing PCR are reliable techniques for the detection of viral nucleic acids and proteins, respectively. The precision of the results depends on the sensitivity of the materials and instruments. The immune colloidal gold method is an immunoassay approach in which antibodies are labeled with plasmonic gold nanoparticles, which enable the fluorescent readout after the capturing of the antigen by the antibody. Using gold NPs enhances near-infrared fluorescence by up to 100 times. Nanowire field effect transistors with immune colloidal gold used for direct electrical detection and real-time detection of virions rely on conductance alteration after antibody–antigen binging. Furthermore, graphene quantum dots and gold embedded polyaniline nanostructures ameliorate the detection of the virus in the virus accumulation step.51 The limitations of professional medical staff and instruments necessitate artificial intelligence (AI) and the development of portable diagnosis tools to help clinical diagnosis, guarantee the accuracy of results and enhance the detection process.51
Table 1 Applications of quantum and nanomaterials in viral detection
Nanoparticles Purpose Virus Mechanism of antiviral action Ref.
Chiral Au NPs–quantum dot nanocomposite Viral detection Coronavirus and fowl adenovirus, avian influenza A (H4N6) virus Chiral plasmon–exciton system 52
Quantum dots Viral detection RSV Streptavidin interacts with G-protein in virus 53
Magnetic-derivatized plasmonic molybdenum trioxide quantum dots (MP-MoO3 QDs) Viral detection H1N1 A core–satellite immunocomplex is formed between the antibody-conjugated nanomaterials (Ab-MP-MoO3 QDs and Ab-gCNQDs) and their interaction resulted in the modulation and gradual enhancement of the fluorescence intensity of the detection 54
H3N2
Europium-doped fluorescent Si NPs Fluorescence-based sandwich immunoassay detection of virus HIV (HIV-1 p24 antigen) Binding to HIV-1 p24 antigen 55
Fe3O4 NPs Specific and rapid viral detection H5N2 56
Unmodified Au NPs Colorimetric-based viral detection assay H3N2 BVDV-RNA-based PNA-induced aggregation of the Au NPs 57
Au NPs Viral detection Foot-and-mouth disease virus Peroxidase-mimic enzymatic reaction 58
Au NPs Colorimetric immunosensor viral detection H1N1 Viral surface deposition of NP–mAb 59
Silica-shelled magnetic nanobeads (Mag NBs) and Au NPs Ultra-sensitive colorimetric assay for viral detection H3N2, H1N1 Mag NB-mediated target signal amplification and separation by the enzyme-like activity of Au NPs 60
Au/iron oxide magnetic NP-decorated CNTs High selectivity and sensitivity detection of viral DNA H1N1, norovirus DNA hybridization 61
Poly(DL-lactide-co-glycolide)-encapsulated superparamagnetic iron oxide NPs Improved viral detection H1N1 Virus isolation and targeting through magnetic extraction 62
Graphene–Au NPs nanohybrid Viral detection via colorimetric immunoassays Norovirus-like particles Intrinsic peroxidase-like activity 63


Preventive application: disinfectant

After detection of the virus, the next approach is stopping transmission of infection using a disinfectant and personal protective equipment (PPE), such as facemasks, gloves, goggles, and respirators. Incorporation of quantum and nanomaterials into the matrix of the polymer of materials can prevent the dissemination of the virus by prevention of the lifecycle of SARS-CoV-2, ROS generation, release of toxic chemicals to the virus, surface oxidation, and degradation of nanoparticles.64 The unique physical and chemical properties and the high surface area-to-volume ratio of nanomaterials can be applied to absorb or eliminate SARS-CoV-2. The incorporation of graphene foam in reusable masks can damage the microorganism by conduction of an electrical charge. The application of titanium oxide and silver nanoparticles in photocatalytic coatings (light-mediated) destroys the virion cell membrane and can therefore be used for developing a durable and self-sterilizing formula. Cellulose nanofibers and nanostructured materials can be integrated into facemasks to increase their inhibitory effect and make them more breathable with a higher filtration capability.65–67 The adverse effect of nanostructured materials on the environment and humans can be inhibited by employing polymeric lipid-based and biodegradable nanomaterials.64 The application of nano-based materials in antiviral therapy, especially against SARS-CoV-2, is restricted due to lengthy and strict regulatory affairs.68

Preventive application: vaccines

Vaccines play a critical role in SARS-CoV-2 infection annihilation. The establishment of a vaccine requires the genome and protein structure of the target virus. Various types of vaccine are in use, including nucleic acid-based vaccines, live-attenuated vaccines, inactivated vaccines, subunit vaccines, nanoparticle-based vaccines, and peptide-based vaccines.69 Nanoparticle-based vaccines are appropriate for the delivery of antigens and as mimics of the viral structure or as adjuvants. Cationic liposomes and polymeric nanoparticles are applied in DNA vaccines as a nanocarrier to cross the cell membrane.70 Nanoparticle-based vaccine designs include: (1) virus-like proteins (antigen encapsidation and antigen expression); and (2) synthetic nanoparticle platforms including RNA, DNA, and subunit vaccines.37Table 2 shows the applications of nanoparticles in vaccines.
Table 2 List of nanomaterials used in vaccination to eradicate viral infection
Nanoparticles Purpose Virus Model organism Biomolecule loaded/conjugated Mechanism of antiviral action Ref.
Iron oxide NPs Antiviral agents and a vaccine SARS-CoV-2 Spike protein receptor binding domain (S1-RBD) Conformational changes to viral proteins, viral inactivation 71
Modified dendrimer NPs mRNA vaccine Zika virus C57BL/6 mice Venezuelan equine encephalitis virus (VEEV) replicon RNAs Activation of both viral E protein-specific IgG responses and CD8+ T-cell 72
Dendrimer NPs mRNA vaccine H1N1, Ebola virus BALB/c mice and wild-type female C57BL/6 mRNA replicons (multiple antigen-expressing replicons) Activation of both antibody responses and CD8+ T-cell 73
Double-layered polypeptide (nucleoprotein epitopes at core coated with matrix protein 2 ectodomain epitopes) NPs NPs vaccine Influenza A virus BALB/c strain CD8+ T cells involved in protection against virus 74
Ammonium-functionalized single-walled carbon nanotubes (SWCNTs) Vaccine GCRV Grass carp pEGFP-vp5vaccine Activation of pro-inflammatory factors (IL-1β, TNF-α) and DNA vaccine-mediated immunity against virus 75
Functionalized SWCNTs Vaccine GCRV Grass carp Recombinant VP7 subunit vaccine VP7 subunit vaccine-mediated immunity against virus 76


Metal nanoparticles such as gold NPs can be used as virucidal agents to enhance mucosal cellular immunity and are used in vaccines and colorimetric-based viral detection assays. Silver NPs have virucidal properties and prevent viruses from entering the host cell. Iron oxide NPs are applied for rapid viral removal and rapid viral detection, possess antiviral properties, and are used in a vaccine against SARS-CoV-2.25,26 Silica NPs are employed as vaccine adjuvants and in immunization to prevent viral entry to the target cell. Silica can also be used in fluorescence-based sandwich immunoassay detection. Among carbon-based NPs, fullerenes have virucidal features and prevent viral binding and viral entry to cells. Single-wall carbon nanotubes possess immunization and viral inhibition properties and graphene has only antiviral potency. Quantum dots have antiviral activity and are used for viral detection while carbon dots can be used for viral inhibition. Inorganic nano-based materials such as nanomicelles and niosomes are used for drug delivery with antiviral efficacy. Polymer nanoparticles act as antiviral agents and are employed in vaccine immunization and efficient antiviral delivery. Dendrimers with antiviral activity inhibit virus encapsidation in the mRNA vaccine.11

Therapeutic applications

The surface modification and functionalization of quantum and nanomaterials in targeted drug delivery and vaccination play a critical role in terminating the viral infection life cycle. Nanocarriers such as micelles, liposomes, dendrimers, and nanocapsules can stop virus replication as a drug carrier by entrapping, encapsulating, dissolving, absorbing, or chemically bonding to the virus and causing it to malfunction. Inorganic drug carriers are metal and metal oxide nanoparticles including titanium oxide, zinc oxide, iron oxide, gold, copper, silver, and zinc. Organic nanocarriers such as liposomes, niosomes, polymeric nanoparticles, nanocapsules, micelles, and dendrimers are used in drug delivery. Table 3 presents the therapeutic application of quantum and nanomaterials.37,68,77–80 Nanodelivery of biological agents needs intelligent nanocarrier designs embracing approaches similar to the prodrug method. A rational development and clinical translation of nanomedicine will require several strategic track developments (fast paced and slower paced ones) tackling the right translational challenge and fostering more nanomedicine research.40 Strategic guidelines proposed for the advancement of antiviral/anticancer nanomedicines are significant, highlighting the right fields and specific tools to develop SARS-CoV-2 nanomedicines.81,82 The emergence of novel coronavirus SARS-CoV-2 varients is increasing at an alarming rate. A comprehensive strategy with complete perception and versatility to solve the expanding distress could be accomplished by the employment of nanoscience and nanotechnology. However, in parallel with the resourceful and accurate implementation of nano-based treatments, there is an eventual requirement for a precise understanding of virus infection. Besides, to increase the efficiency of the nano-based methods in the conquest against SARS-CoV-2, a list of advanced antiviral nanosystems is also a prerequisite. Therefore, several nano-based inhibition and diagnosis studies against viruses have been initiated. The multifunctional approach of viral inhibition is based on the form and type of NPs used. Hence, to realize the antiviral activity of nanomaterials, a complete overview of various forms and types of nano-based structures is required.40,83 Polymeric nanoparticles are in the range of 10 nanometers to one micron that includes colloidal nanosized particles fabricated from biocompatible and biodegradable, synthetic, or natural polymers. Polymeric nanoparticles can encapsulate therapeutic or diagnostic materials within the polymer matrix and inhibit enzymatic degradation and enhance their permeability, stability, toxicity, biocompatibility, biodegradability, transport efficacy, and cargo bioavailability by control/release of vaccine targets or by being chemically conjugated on the surface for targeted delivery and diagnostic applications.84
Table 3 Nanocarriers in therapeutic applications
Nanoparticles Purpose Virus Model organism Biomolecule loaded/conjugated Mechanism of antiviral action Ref.
image file: d1ma00060h-u1.tif Virucidal agent Dengue virus Vero cells Multi-sulfonated complex ligands Inhibiting the virus permanently 41
image file: d1ma00060h-u2.tif Enhanced antiviral activity and bioavailability Hepatitis C Virus APC49 Huh7.5 cells Curcumin Regulation of viral binding and entry 85
image file: d1ma00060h-u3.tif Intravenous drug delivery and release Acyclovir 86
image file: d1ma00060h-u4.tif Drug delivery and antiviral activity HSV-1 HeLa cell line Acyclovir 87
image file: d1ma00060h-u5.tif Hemocompatibility and nontoxicity favorable loading, sustained release HIV MCF-7 and neuro 2a brain cells Zidovudine (AZT) Appreciable cellular internalization 88
image file: d1ma00060h-u6.tif Antiviral agents Hepatitis C virus genotype 4a (HCV-4a) Human hepatoma cell Curcumin Inhibition of viral entry and replication 89
image file: d1ma00060h-u7.tif Adjuvanticity efficacy Rabies virus NMRI mice and J774A.1 cell line Citric acid and polyethylene glycol 600 (PEG-600) 90


Based on the type of nanoformulation, particles will have a positive or negative charge on their surface. Nanoemulsions, carbon nanotubes, cyclodextrin inclusion complexes, polymeric nanoparticles, silver NPs, nanosuspensions, and solid lipid nanoparticles with a positive charge have high penetration rates into the negatively charged surface, high uptake, high loading capacity, high bactericidal activity, high cellular uptake, and enhance immune response. Micelle, liposome, and dendrimer with negative charges possess high entrapment efficiency, do not interact with the biological environment, do not show toxicity. The weakly negative charge is preferred as it undergoes lesser uptake by phagocytes.24

Applications of quantum science in antiviral strategies

Quantum dots are zero-dimensional nanomaterials in the range of 1 to 10 nanometers, including graphene quantum dots, polymer dots, carbon quantum dots, zirconium QDs, and fullerenes. They are an extremely attractive platform in nanomedicine due to their low toxicity.21 Quantum dots possess tunable optical wavelengths while nanoparticle possesses tunable plasmonic properties, which makes quantum dots suitable for conjugation with a highly fluorescent probe for viral detection and continuing fluorescent molecular imaging applications. The importance of quantum dots in antiviral properties is based on a biocompatible carrier for clinical approaches and interdisciplinary study. Quantum dots can be used in antiviral therapy, biosensing, biolabeling, drug delivery, and photodynamic therapy for SARS-CoV-2. The main role of quantum dots is in labeling and as carriers of antiviral therapeutics. The life cycle of the virus can be blocked in different phases, including inhibiting binding of the virus to the target cell, preventing virus translation and eIF4G cleavage, reducing phosphorylated p38 kinase expression, suppressing ROS generation by free radical activity, preventing virus-induced PGE2 production, and inducing downregulation of pro-viral proteins or upregulation of intracellular antiviral proteins.91–94 The sensitivity of zirconium QDs for detection of avian coronavirus is better than that of conventional enzyme-linked immunoassay (ELISA) techniques. The optical properties of QDs could help in the diagnosis of COVID-19 and QDs could play an effective role as imaging probes.21

Quantum and nanoparticle phenomena in antiviral therapy

The antiviral potency of quantum and nanomaterials depends on their size and shape, the structure of the molecular ions on the surface of the particles, and the equilibrium distance. Quantum dots interact with the virus via van der Waals forces, which cause thermal, electrodynamic, and medium fluctuation, which leads to dispersion forces.95,96 The next interaction is based on the local field enhancement effect on the virus receptor that inhibits cell entrance by weakening the chemical bonds or suppressing the active center in the virus, which causes cell destruction or changes the molecular groups on the receptor. Furthermore, the occurrence of the resonance is related to local field enhancement and, very probably, to the occurrence of the “collective” mode leading to a strong narrow absorption line in J-aggregate.91–94,106 There is an electric field fluctuation in this physical system, then the induced dipole moment induces the following electric field. The vacuum field fluctuation between the virus and the nanoparticles inhibits the infectious activity of the virus.95 The mechanism of action for all types of DNA and RNA viruses, enveloped and nonenveloped viruses, is similar for all types of nanoparticles. The quantum and nanoparticles cause alterations to the receptor geometry and prevent the binding of the virus to the target cell.73–75

Lipid envelope antiviral disruption (LEAD) is the most recently introduced strategy to selectively destroy the envelope of a virus (e.g., SARS-COV-2, Zika, Ebola, HIV, influenza, measles virus, herpes viruses), and alter amyloid fibrils, which cause viral infection, and results in the loss of virus particle infectivity, and thus can be used for the development of broad-spectrum antiviral therapy.97–99Fig. 2 illustrates the broad-spectrum antivirals targeting viral membranes.100 There are different types of antiviral agents that impact on the lipid membrane properties of enveloped viruses, including molecular tweezers, photosensitizers, rigid amphipathic fusion inhibitors, and amphipathic peptides.97,98,100 The photosensitizer mechanism is based on oxidizing unsaturated phospholipids. The two proposed mechanisms of action of amphipathic antiviral peptidesis (AVPs) are based on (i) permeabilizing lipid membranes with high partition coefficient and destabilizing lipid membranes independent of membrane curvature, and (ii) lysing of the cell membrane after the critical density of pores is formed, and selectively forming pores in the highly curved membrane. The rigid amphipathic fusion inhibitors prevent virus–host cell fusion by the positive curvature effect and can also oxidize unsaturated phospholipids to alter the fluidity of the membrane.97,98,101


image file: d1ma00060h-f2.tif
Fig. 2 The removal and addition of lipid species to the lipid composition of the membrane are antiviral strategies that can alter the curvature and fluidity of the membrane. For instance, amphiphilic antiviral peptides (AVPs), some cationic, have detergent-like features at a high amount and can generate pores and cause the micellization of the viral membrane. Polyunsaturated endoplasmic reticulum-targeting liposomes have shown potential as broad-spectrum antivirals by depleting cellular and viral membranes of cholesterol; cholesterol depletion decreases the fluidity of the membranes and reduces the negative-curvature transitions that are essential for the fusion between the cellular membrane and the virus. Wedge-like or inverted-cone-shaped molecules and some amphiphilic AVPs can increase the spontaneous positive curvature of the viral membrane lipid bilayer, raising the barrier of energy required to power membrane fusion mediated by viral fusion proteins. Similarly, membrane-targeting type II photosensitizers generate singlet oxygen within the plane of the viral membrane, and this singlet oxygen oxidizes unsaturated phospholipids and induces changes in the nanoarchitecture of the viral membrane that are not conducive to membrane fusion. The clustering of oxidized phospholipids causes differential lipid packing, decreased fluidity, increased positive curvature, increased area per lipid molecule, and reduced membrane thickness. Phospholipid-specific antibodies can target particular phospholipid species that are enriched in some viral membranes (such as phosphatidylserine) and thus block viral attachment and entry.

The shape and size of quantum dots are tunable in the range of 1 to 10 nanometer to effectively target and penetrate SARS-CoV-2.94 The spike protein on the surface of the coronavirus can be disabled or sequestered by the positive surface charge of cationic carbon-based QDs.102 The cationic surface charge of QDs interacts with the genome of SARS-CoV-2 and causes the generation of ROS within the virion, which prevents negative-strand RNA replication.94,103,104 Furthermore, quantum dots activate interferon-α gene production and inhibit viral replication. The cationic charge on the surface of quantum dots causes virus aggregation through electrostatic interaction and decreases viral infection.94,105 Applying radiation with an electromagnetic field of a fixed (resonant) frequency to a virus–quantum dot complex leads to destroying the nucleocapsid.106 However, the precise mechanism of action of quantum dots in antiviral therapy remains unclear.94,107Fig. 3 illustrates the SARS-CoV-2 structure and quantum phenomena in antiviral therapy.


image file: d1ma00060h-f3.tif
Fig. 3 The structure of SARS-CoV-2 and the quantum and nanoparticles mechanism of action in antiviral therapy. (a) Aggregation of viruses due to electrostatic interaction, (b) the local field effect causes alteration in receptors and prevents entry of the virus to the target cell, (c) the physical interaction (van der Waals forces) of the virus and quantum dots leads to thermal and electrodynamic fluctuations that initiate dispersion forces, (d) generation of ROS from quantum and nanostructure materials causes activation of interferon-α gene production and prevents genome replication, and (e) the structure of SARS-CoV-2 including nucleocapsid protein, membrane glycoprotein, spike protein, envelope protein, and RNA.

There are three mechanisms for ROS generation by QDs: (i) excitation of the QDs results in an electron–hole pair, either the hole or the electron may be trapped in the surface defect, causing a metastable charge-separated “dark” state with a long lifetime, (ii) a reductive process that transfers an electron to molecular oxygen, leading to ROS, and (iii) an oxidative process where a hole is transferred to an electron donor. However, the number of trap states is determined by the nature of the QDs surface, which in turn impacts charge transfer among the absorbed molecule, the photoexcited electrons, and the holes. Besides, conduction and valence band redox potential determine which molecules can be reduced or oxidized to generate ROS. The position of the band edges and the width of the bandgap are dictated by QD materials, size, and the solvent.108

In 2019 Huang et al. showed that benzoxazine monomer-derived carbon quantum dots (BZM-CQDs) possess infection-blocking potential against non-envelope viruses (adenovirus-associated viruses and parvoviruses) and flaviviruses. Their in vitro studies confirmed that BZM-CQDs directly binds to the surface of the virus and prevents virion functionality in the first step of virus activity.29 The viral protein expression and viral titers assays confirmed that CQDs at a noncytotoxic concentration possess significant antiviral activity against porcine reproductive and respiratory syndrome (PRRSV) and pseudorabies virus (PRV) as model RNA and DNA viruses, respectively. Mechanism study demonstrated that CQDs activate interferon-α production and the expression of interferon-stimulated genes, which suppress replication and cause viral inhibition.105,109 The interaction of functionalized CQDs groups with HCoV-229E protein-S receptors prevents virus entry, inhibits viral replication and inhibits host cell infection. This could possibly be described by an interaction between the CQDs and a cell surface protein causing signal transduction, disturbing replication of the virus, or by interaction with cytosolic proteins as CQDs are internalized.23 The functionalized CQDs are extremely encouraging for replacing currently used antiviral agents such as IFN and ribavirin, which are known to have major side effects such as short-term memory loss, extrapyramidal effects, deficits in executive functions, and confusion.23

Conclusion and future perspective

The most pandemic-causing viruses are membrane-enveloped viruses and hence targeting viral membranes (viz. enveloped virus disruption) would be advantageous to further understand based on nano and quantum concepts. There are great prospects for impactful research on more effective antiviral agents using quantum science and nanoscience-enabled nanomaterials in vaccines, medical equipment, and consumables, rapidly manufacturing lab-on-a-chip detective nano-sensors, and creating anti-infective surface nano-coatings. The remarkable quantum dots could easily target viruses to prevent entry and replication. Recently, the most important topic in the medical field is surface detection of virus that rapidly responds to the infection or disease. In this review article, nano and quantum materials are proposed to overcome antiviral therapy challenges. From the present investigations, quantum and nanomaterials possess ample applications in detection, prevention, and treatment, which can eliminate SARS-CoV-2. The introduced LEAD strategy establishes a conceptual framework to advance antiviral agents that selectively target virion membranes and prevent infection by enveloped viruses. This review explored the quantum and nano-based phenomena in antiviral therapy. The van der Waals forces between particles and viruses can cause electrodynamic and thermal fluctuations that initiate dispersion forces. Furthermore, the electrostatic charges of quantum and nanoparticles lead to aggregation of the virus and prevent its entrance to the target cell. The local field enhancement effect of quantum and nanoparticles causes a change in the receptors and terminates the virus function. The ROS generation of quantum and nanoparticles inhibits genome replication by the virus. The optimized functionalization of quantum and nanoparticles can be efficiently applied in antiviral therapy and overwhelm the global health threats such as SARS-CoV-2 and other viral infections in coming years. From our point of view, quantum and nanomaterials can be applied in quantum and nano-based antiviral strategies by preventing binding and entrance of the virus to the host cell, trafficking, escaping from the endosome, membrane fusion, and uncoating and viral genome replication. The phospholipid membrane comprising the viral envelope is an opportune target, especially if nanoscience-based strategies can be further optimized to selectively target the viral membrane without impacting other membranes, such as human cell membranes. It will be necessary to extend the analysis and characterize the pharmacokinetic properties of LEAD antiviral agents in order to understand how long they stay in the body and at what concentrations they can be used in the body. Besides, it is critical to assess the toxicokinetic properties of LEAD antiviral agents in animal models for assessing treatment safety and efficacy as part of the next stage of preclinical testing. Quantum and nanomaterials can be used in diagnostic kits, vaccines, targeted drug delivery, and antiviral treatment. Further studies are required to discover the long-term toxicity and side effects of quantum and nanomaterials in antiviral therapy.

Funding

The authors received no specific funding for this work.

Conflicts of interest

The authors declare no competing financial interest.

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