2021
DOI: 10.1016/j.celrep.2021.109364
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Systematic analysis of SARS-CoV-2 infection of an ACE2-negative human airway cell

Abstract: SARS-CoV-2 spike (S) variants govern transmissibility, responsiveness to vaccination and disease severity. In a screen for new models of SARS-CoV-2 infection, we identified human H522 lung adenocarcinoma cells as naturally permissive to SARS-CoV-2 infection despite complete absence of ACE2 expression. Remarkably, H522 infection requires the E484D S variant; viruses expressing wild-type S are not infectious. Anti-S monoclonal antibodies differentially neutralize SARS-CoV-2 E484D S in H522 cells as compared to A… Show more

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Cited by 116 publications
(128 citation statements)
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“…Moreover, SARS-CoV-2 infects the brain, and viral RNA has been detected in immune cells such as neutrophils, macrophages, T/B cells, and NK cells (Grant et al, 2021;Ren et al, 2021), whereas ACE2 is barely detected in these tissues or cells (Figure S1 in Supporting Information). Second, a recent report showed that an ACE2-null lung adenocarcinoma cell is highly permissive to SARS-CoV-2 (Puray- Chavez et al, 2021), indicating that SARS-CoV-2 could leverage an alternative receptor for its entry. Third, a cell surface protein, AXL, has recently been reported to facilitate SARS-CoV-2 entry independently of ACE2 (Wang et al, 2021).…”
Section: Introductionmentioning
confidence: 99%
“…Moreover, SARS-CoV-2 infects the brain, and viral RNA has been detected in immune cells such as neutrophils, macrophages, T/B cells, and NK cells (Grant et al, 2021;Ren et al, 2021), whereas ACE2 is barely detected in these tissues or cells (Figure S1 in Supporting Information). Second, a recent report showed that an ACE2-null lung adenocarcinoma cell is highly permissive to SARS-CoV-2 (Puray- Chavez et al, 2021), indicating that SARS-CoV-2 could leverage an alternative receptor for its entry. Third, a cell surface protein, AXL, has recently been reported to facilitate SARS-CoV-2 entry independently of ACE2 (Wang et al, 2021).…”
Section: Introductionmentioning
confidence: 99%
“…There is evidence to suggest that SARS-CoV-2 uses plasma membrane fusion as the default pathway but can use endosomal fusion if the plasma membrane protease, TMPRSS2, is not available; hence, the micro-environment is important in dictating the entry pathway [14]. However, it has been found that infection of ACE2-deficient lung cells depends on clathrin-mediated endocytosis and endosomal cathepsin L, indicating that endosomal fusion may well be the major entry pathway in a subset of cell types [15]. Endosomal fusion is preceded by receptor-mediated endocytosis and trafficking to an acidic compartment to trigger fusion [5].…”
Section: Introductionmentioning
confidence: 99%
“…Heat-inactivated plasma from vaccinated or control mice were serially diluted in DMEM with 2% FBS, 1% Penicillin-Streptomycin, and 10 mM Non-Essential Amino Acids (Gibco; mixture of glycine, l -alanine, l -asparagine, l -aspartic acid, l -glutamic acid, l -proline, & l -serine)), and subsequently incubated with 400 plaque-forming units of SARS-CoV-2 virus (strain nCov/Washington/1/2020, provided by the National Biocontainment Laboratory, Galveston TX, USA) for 1 h at 37 °C. These mixtures were then applied to Vero-E6 cells, which endogenously express ACE2 at high levels and show ACE-2 dependent SARS-CoV-2 infection [ 6 , 46 ]. These mixtures were maintained with the Vero-E6 cells until >90% cell death occurred in the “no serum" control condition (about 4–5 days).…”
Section: Methodsmentioning
confidence: 99%