Peer-Reviewed Journal Details
Mandatory Fields
Harte, JV;Wakerlin, SL;Lindsay, AJ;McCarthy, JV;Coleman-Vaughan, C
2022
October
Viruses
Metalloprotease-Dependent S2 '-Activation Promotes Cell-Cell Fusion and Syncytiation of SARS-CoV-2
Validated
()
Optional Fields
ANGIOTENSIN-CONVERTING ENZYME SPIKE PROTEIN SARS-COV ACE2 TMPRSS2 LUNG
14
SARS-CoV-2 cell-cell fusion and syncytiation is an emerging pathomechanism in COVID-19, but the precise factors contributing to the process remain ill-defined. In this study, we show that metalloproteases promote SARS-CoV-2 spike protein-induced syncytiation in the absence of established serine proteases using in vitro cell-cell fusion assays. We also show that metalloproteases promote S2 '-activation of the SARS-CoV-2 spike protein, and that metalloprotease inhibition significantly reduces the syncytiation of SARS-CoV-2 variants of concern. In the presence of serine proteases, however, metalloprotease inhibition does not reduce spike protein-induced syncytiation and a combination of metalloprotease and serine protease inhibition is necessitated. Moreover, we show that the spike protein induces metalloprotease-dependent ectodomain shedding of the ACE2 receptor and that ACE2 shedding contributes to spike protein-induced syncytiation. These observations suggest a benefit to the incorporation of pharmacological inhibitors of metalloproteases into treatment strategies for patients with COVID-19.
BASEL
1999-4915
10.3390/v14102094
Grant Details