2020
DOI: 10.1007/s12015-020-10010-z
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SARS-CoV-2 Entry Receptor ACE2 Is Expressed on Very Small CD45− Precursors of Hematopoietic and Endothelial Cells and in Response to Virus Spike Protein Activates the Nlrp3 Inflammasome

Abstract: Angiotensin-converting enzyme 2 (ACE2) plays an important role as a member of the renin-angiotensin-aldosterone system (RAAS) in regulating the conversion of angiotensin II (Ang II) into angiotensin (1-7) (Ang [1-7]). But at the same time, while expressed on the surface of human cells, ACE2 is the entry receptor for SARS-CoV-2. Expression of this receptor has been described in several types of cells, including hematopoietic stem cells (HSCs) and endothelial progenitor cells (EPCs), which raises a concern that … Show more

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Cited by 148 publications
(161 citation statements)
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“…It would be particularly important in cases when the number of HSPCs available for transplantation is limited, as when the cells collected by leukopheresis are poor mobilizers, there is a low number of HSPCs aspirated from BM, or there is a low number of HSPCs present in a single unit of UCB [13][14][15]. Also important to consider, while normal physiological "mild" activation of the Nlrp3 inflammasome is crucial to maintaining the trafficking of HSPCs, its hyperactivation may lead to caspase-1-mediated cell death by pyroptosis, as seen for example during a cytokine storm in COVID19infected patients or in complications of CAR-T cell therapy [48,49]. In such cases, HO-1 activators may ameliorate this unwanted effect and protect HSPCs from pyroptotic damage [50,51].…”
Section: Resultsmentioning
confidence: 99%
“…It would be particularly important in cases when the number of HSPCs available for transplantation is limited, as when the cells collected by leukopheresis are poor mobilizers, there is a low number of HSPCs aspirated from BM, or there is a low number of HSPCs present in a single unit of UCB [13][14][15]. Also important to consider, while normal physiological "mild" activation of the Nlrp3 inflammasome is crucial to maintaining the trafficking of HSPCs, its hyperactivation may lead to caspase-1-mediated cell death by pyroptosis, as seen for example during a cytokine storm in COVID19infected patients or in complications of CAR-T cell therapy [48,49]. In such cases, HO-1 activators may ameliorate this unwanted effect and protect HSPCs from pyroptotic damage [50,51].…”
Section: Resultsmentioning
confidence: 99%
“…Interesting novel data supports the evidence of NLRP3 inflammasome activation in response to SARS-CoV-2-S/Angiotensin-converting enzyme-2 receptor binding in hematopoietic and endothelial cells [ 127 ]. In this regard, the role of pyroptosis has not been investigated in detail yet, but one can speculate that the overactivation of NLRP3 inflammasome and the consequent pyroptotic cell death might be one of the contributing factors in severe cases of COVID-19.…”
Section: Cell Death Pathways In Emerging Coronavirusesmentioning
confidence: 87%
“…This inflammatory response, composed of IL-1β and other cytokines, results from assembly/activation of a multiprotein host machinery known as the inflammasome in both immune and non-immune cells such as airway epithelial cells – the most prominent is the NLRP3 (NOD-, LRR- and pyrin domain-containing protein 3)-inflammasome – and several lines of evidence tie activation of the NLRP3-inflammasome to severe SARS-CoV-2 pathology, including i) individuals with comorbidities such as diabetes, atherosclerosis, and obesity (all pro-inflammatory conditions marked by NLRP3 activation) 38 are at greater risk for severe disease 911 , ii) viroporins expressed by the closely-related SARS-CoV activate the NLRP3 inflammasome 12 , and iii) bats, the asymptomatic reservoir of CoVs that are highly pathogenic in humans, are naturally defective in activating the NLRP3-inflammasome 13 . Although cellular ACE2 engagement by SARS-CoV-2 spike protein can cause expression of pro-inflammatory genes 14 , whether CoV-2 activates the inflammasome remains unexplored.…”
Section: Main Textmentioning
confidence: 99%