CD169-mediated restrictive SARS-CoV-2 infection of macrophages induces pro-inflammatory responses
Exacerbated and persistent innate immune response marked by pro-inflammatory cytokine expression is thought to be a major driver of chronic COVID-19 pathology. Although macrophages are not the primary target cells of SARS-CoV-2 infection in humans, viral RNA and antigens in activated monocytes and m...
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creator | Jalloh, Sallieu Olejnik, Judith Berrigan, Jacob Nisa, Annuurun Suder, Ellen L Akiyama, Hisashi Lei, Maohua Ramaswamy, Sita Tyagi, Sanjay Bushkin, Yuri Mühlberger, Elke Gummuluru, Suryaram |
description | Exacerbated and persistent innate immune response marked by pro-inflammatory cytokine expression is thought to be a major driver of chronic COVID-19 pathology. Although macrophages are not the primary target cells of SARS-CoV-2 infection in humans, viral RNA and antigens in activated monocytes and macrophages have been detected in post-mortem samples, and dysfunctional monocytes and macrophages have been hypothesized to contribute to a protracted hyper-inflammatory state in COVID-19 patients. In this study, we demonstrate that CD169, a myeloid cell specific I-type lectin, facilitated ACE2-independent SARS-CoV-2 fusion and entry in macrophages. CD169-mediated SARS-CoV-2 entry in macrophages resulted in expression of viral genomic and subgenomic RNAs with minimal viral protein expression and no infectious viral particle release, suggesting a post-entry restriction of the SARS-CoV-2 replication cycle. Intriguingly this post-entry replication block was alleviated by exogenous ACE2 expression in macrophages. Restricted expression of viral genomic and subgenomic RNA in CD169+ macrophages elicited a pro-inflammatory cytokine expression (TNFα, IL-6 and IL-1β) in a RIG-I, MDA-5 and MAVS-dependent manner, which was suppressed by remdesivir treatment. These findings suggest that de novo expression of SARS-CoV-2 RNA in macrophages contributes to the pro-inflammatory cytokine signature and that blocking CD169-mediated ACE2 independent infection and subsequent activation of macrophages by viral RNA might alleviate COVID-19-associated hyperinflammatory response. |
doi_str_mv | 10.1371/journal.ppat.1010479 |
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Although macrophages are not the primary target cells of SARS-CoV-2 infection in humans, viral RNA and antigens in activated monocytes and macrophages have been detected in post-mortem samples, and dysfunctional monocytes and macrophages have been hypothesized to contribute to a protracted hyper-inflammatory state in COVID-19 patients. In this study, we demonstrate that CD169, a myeloid cell specific I-type lectin, facilitated ACE2-independent SARS-CoV-2 fusion and entry in macrophages. CD169-mediated SARS-CoV-2 entry in macrophages resulted in expression of viral genomic and subgenomic RNAs with minimal viral protein expression and no infectious viral particle release, suggesting a post-entry restriction of the SARS-CoV-2 replication cycle. Intriguingly this post-entry replication block was alleviated by exogenous ACE2 expression in macrophages. Restricted expression of viral genomic and subgenomic RNA in CD169+ macrophages elicited a pro-inflammatory cytokine expression (TNFα, IL-6 and IL-1β) in a RIG-I, MDA-5 and MAVS-dependent manner, which was suppressed by remdesivir treatment. These findings suggest that de novo expression of SARS-CoV-2 RNA in macrophages contributes to the pro-inflammatory cytokine signature and that blocking CD169-mediated ACE2 independent infection and subsequent activation of macrophages by viral RNA might alleviate COVID-19-associated hyperinflammatory response.</description><identifier>ISSN: 1553-7374</identifier><identifier>ISSN: 1553-7366</identifier><identifier>EISSN: 1553-7374</identifier><identifier>DOI: 10.1371/journal.ppat.1010479</identifier><identifier>PMID: 36279285</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>ACE2 ; Angiotensin-converting enzyme 2 ; Angiotensin-Converting Enzyme 2 - genetics ; Antigens ; Blocking ; Cell activation ; Coronaviruses ; COVID-19 ; Cytokines ; Cytokines - metabolism ; Flow cytometry ; Gene expression ; Genomes ; Genomics ; Humans ; IL-1β ; Immune response ; Infections ; Inflammation ; Innate immunity ; Interleukin 6 ; Long COVID ; Macrophages ; Monocytes ; Physiological aspects ; Proteins ; Replication ; Ribonucleic acid ; RNA ; RNA, Viral - metabolism ; SARS-CoV-2 ; Severe acute respiratory syndrome coronavirus 2 ; Tumor necrosis factor-α ; Viral diseases ; Viral infections</subject><ispartof>PLoS pathogens, 2022-10, Vol.18 (10), p.e1010479</ispartof><rights>COPYRIGHT 2022 Public Library of Science</rights><rights>2022 Jalloh et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 Jalloh et al 2022 Jalloh et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c591t-bebc94a4530682234684b1879f353f36773d0fc94e6267c42f3d0c19ef5ea0a23</citedby><cites>FETCH-LOGICAL-c591t-bebc94a4530682234684b1879f353f36773d0fc94e6267c42f3d0c19ef5ea0a23</cites><orcidid>0000-0002-8606-8481</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9632919/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9632919/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36279285$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jalloh, Sallieu</creatorcontrib><creatorcontrib>Olejnik, Judith</creatorcontrib><creatorcontrib>Berrigan, Jacob</creatorcontrib><creatorcontrib>Nisa, Annuurun</creatorcontrib><creatorcontrib>Suder, Ellen L</creatorcontrib><creatorcontrib>Akiyama, Hisashi</creatorcontrib><creatorcontrib>Lei, Maohua</creatorcontrib><creatorcontrib>Ramaswamy, Sita</creatorcontrib><creatorcontrib>Tyagi, Sanjay</creatorcontrib><creatorcontrib>Bushkin, Yuri</creatorcontrib><creatorcontrib>Mühlberger, Elke</creatorcontrib><creatorcontrib>Gummuluru, Suryaram</creatorcontrib><title>CD169-mediated restrictive SARS-CoV-2 infection of macrophages induces pro-inflammatory responses</title><title>PLoS pathogens</title><addtitle>PLoS Pathog</addtitle><description>Exacerbated and persistent innate immune response marked by pro-inflammatory cytokine expression is thought to be a major driver of chronic COVID-19 pathology. Although macrophages are not the primary target cells of SARS-CoV-2 infection in humans, viral RNA and antigens in activated monocytes and macrophages have been detected in post-mortem samples, and dysfunctional monocytes and macrophages have been hypothesized to contribute to a protracted hyper-inflammatory state in COVID-19 patients. In this study, we demonstrate that CD169, a myeloid cell specific I-type lectin, facilitated ACE2-independent SARS-CoV-2 fusion and entry in macrophages. CD169-mediated SARS-CoV-2 entry in macrophages resulted in expression of viral genomic and subgenomic RNAs with minimal viral protein expression and no infectious viral particle release, suggesting a post-entry restriction of the SARS-CoV-2 replication cycle. Intriguingly this post-entry replication block was alleviated by exogenous ACE2 expression in macrophages. Restricted expression of viral genomic and subgenomic RNA in CD169+ macrophages elicited a pro-inflammatory cytokine expression (TNFα, IL-6 and IL-1β) in a RIG-I, MDA-5 and MAVS-dependent manner, which was suppressed by remdesivir treatment. These findings suggest that de novo expression of SARS-CoV-2 RNA in macrophages contributes to the pro-inflammatory cytokine signature and that blocking CD169-mediated ACE2 independent infection and subsequent activation of macrophages by viral RNA might alleviate COVID-19-associated hyperinflammatory response.</description><subject>ACE2</subject><subject>Angiotensin-converting enzyme 2</subject><subject>Angiotensin-Converting Enzyme 2 - genetics</subject><subject>Antigens</subject><subject>Blocking</subject><subject>Cell activation</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Cytokines</subject><subject>Cytokines - metabolism</subject><subject>Flow cytometry</subject><subject>Gene expression</subject><subject>Genomes</subject><subject>Genomics</subject><subject>Humans</subject><subject>IL-1β</subject><subject>Immune response</subject><subject>Infections</subject><subject>Inflammation</subject><subject>Innate immunity</subject><subject>Interleukin 6</subject><subject>Long COVID</subject><subject>Macrophages</subject><subject>Monocytes</subject><subject>Physiological aspects</subject><subject>Proteins</subject><subject>Replication</subject><subject>Ribonucleic acid</subject><subject>RNA</subject><subject>RNA, Viral - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PLoS pathogens</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jalloh, Sallieu</au><au>Olejnik, Judith</au><au>Berrigan, Jacob</au><au>Nisa, Annuurun</au><au>Suder, Ellen L</au><au>Akiyama, Hisashi</au><au>Lei, Maohua</au><au>Ramaswamy, Sita</au><au>Tyagi, Sanjay</au><au>Bushkin, Yuri</au><au>Mühlberger, Elke</au><au>Gummuluru, Suryaram</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>CD169-mediated restrictive SARS-CoV-2 infection of macrophages induces pro-inflammatory responses</atitle><jtitle>PLoS pathogens</jtitle><addtitle>PLoS Pathog</addtitle><date>2022-10-24</date><risdate>2022</risdate><volume>18</volume><issue>10</issue><spage>e1010479</spage><pages>e1010479-</pages><issn>1553-7374</issn><issn>1553-7366</issn><eissn>1553-7374</eissn><abstract>Exacerbated and persistent innate immune response marked by pro-inflammatory cytokine expression is thought to be a major driver of chronic COVID-19 pathology. Although macrophages are not the primary target cells of SARS-CoV-2 infection in humans, viral RNA and antigens in activated monocytes and macrophages have been detected in post-mortem samples, and dysfunctional monocytes and macrophages have been hypothesized to contribute to a protracted hyper-inflammatory state in COVID-19 patients. In this study, we demonstrate that CD169, a myeloid cell specific I-type lectin, facilitated ACE2-independent SARS-CoV-2 fusion and entry in macrophages. CD169-mediated SARS-CoV-2 entry in macrophages resulted in expression of viral genomic and subgenomic RNAs with minimal viral protein expression and no infectious viral particle release, suggesting a post-entry restriction of the SARS-CoV-2 replication cycle. Intriguingly this post-entry replication block was alleviated by exogenous ACE2 expression in macrophages. Restricted expression of viral genomic and subgenomic RNA in CD169+ macrophages elicited a pro-inflammatory cytokine expression (TNFα, IL-6 and IL-1β) in a RIG-I, MDA-5 and MAVS-dependent manner, which was suppressed by remdesivir treatment. These findings suggest that de novo expression of SARS-CoV-2 RNA in macrophages contributes to the pro-inflammatory cytokine signature and that blocking CD169-mediated ACE2 independent infection and subsequent activation of macrophages by viral RNA might alleviate COVID-19-associated hyperinflammatory response.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>36279285</pmid><doi>10.1371/journal.ppat.1010479</doi><tpages>e1010479</tpages><orcidid>https://orcid.org/0000-0002-8606-8481</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | ACE2 Angiotensin-converting enzyme 2 Angiotensin-Converting Enzyme 2 - genetics Antigens Blocking Cell activation Coronaviruses COVID-19 Cytokines Cytokines - metabolism Flow cytometry Gene expression Genomes Genomics Humans IL-1β Immune response Infections Inflammation Innate immunity Interleukin 6 Long COVID Macrophages Monocytes Physiological aspects Proteins Replication Ribonucleic acid RNA RNA, Viral - metabolism SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 Tumor necrosis factor-α Viral diseases Viral infections |
title | CD169-mediated restrictive SARS-CoV-2 infection of macrophages induces pro-inflammatory responses |
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