KIM-1/TIM-1 is a Receptor for SARS-CoV-2 in Lung and Kidney

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Abstract

SARS-CoV-2 precipitates respiratory distress by infection of airway epithelial cells and is often accompanied by acute kidney injury. We report that Kidney Injury Molecule-1/T cell immunoglobulin mucin domain 1 (KIM-1/TIM-1) is expressed in lung and kidney epithelial cells in COVID-19 patients and is a receptor for SARS-CoV-2. Human and mouse lung and kidney epithelial cells express KIM-1 and endocytose nanoparticles displaying the SARS-CoV-2 spike protein (virosomes). Uptake was inhibited by anti-KIM-1 antibodies and TW-37, a newly discovered inhibitor of KIM-1-mediated endocytosis. Enhanced KIM-1 expression by human kidney tubuloids increased uptake of virosomes. KIM-1 binds to the SARS-CoV-2 Spike protein in vitro . KIM-1 expressing cells, not expressing angiotensin-converting enzyme 2 (ACE2), are permissive to SARS-CoV-2 infection. Thus, KIM-1 is an alternative receptor to ACE2 for SARS-CoV-2. KIM-1 targeted therapeutics may prevent and/or treat COVID-19.

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  1. SciScore for 10.1101/2020.09.16.20190694: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    Institutional Review Board StatementIRB: The protocol was approved by the Institutional Review Board of the Ethics Committee of Partners Healthcare.
    IACUC: All mouse work was performed in accordance with the animal use protocol approved by the Institutional Animal Care and User Committee of the Harvard Medical School.
    Randomizationnot detected.
    Blindingnot detected.
    Power Analysisnot detected.
    Sex as a biological variablenot detected.
    Cell Line Authenticationnot detected.

    Table 2: Resources

    Antibodies
    SentencesResources
    After exposure to liposomes, the cells were washed with PBS and detached with 0.25% Trypsin/0.1% EDTA, fixed with 4% paraformaldehyde/5% FBS in PBS, and then immunostained with anti-KIM-1 and anti-ACE2 antibodies.
    anti-KIM-1
    suggested: None
    In western blotting, primary antibodies against the following proteins were used: ACE2 (1:1000, as used in immunofluorescence staining); human KIM-1 cytoplasmic domain (rabbit, 1:1000, #195, developed in collaboration with BIOGEN Inc.
    ACE2
    suggested: (LSBio (LifeSpan Cat# LS-C347-1000, RRID:AB_1271963)
    KIM-1 cytoplasmic domain
    suggested: None
    As secondary antibodies, HRP-conjugated anti-rabbit IgG and anti-goat IgG (Dako, Denmark) were used.
    anti-rabbit IgG
    suggested: None
    anti-goat IgG
    suggested: None
    For inhibition of KIM-1 by antibodies, purified anti-human KIM-1 IgG (both mouse monoclonal AKG7 and 3F4, developed by our group) or anti-mouse KIM-1 IgG (AF1817) were used.
    anti-human KIM-1 IgG
    suggested: (R and D Systems Cat# AF1750, RRID:AB_2116561)
    3F4
    suggested: None
    anti-mouse KIM-1 IgG
    suggested: (R and D Systems Cat# AF1817, RRID:AB_2116446)
    Experimental Models: Cell Lines
    SentencesResources
    Cells were seeded onto 8-well chamber slide at a density of 1-1.5 × 105 cells/well (LLC-PK1 cells stably expressing human KIM-1 or empty pcDNA, A549 cells or mouse primary lung epithelial cells).
    A549
    suggested: NCI-DTP Cat# A549, RRID:CVCL_0023)
    LLC-PK1 cell lines and A549 cell lines were obtained from the ATCC.
    LLC-PK1
    suggested: None
    Experimental Models: Organisms/Strains
    SentencesResources
    C57BL/6 mice were purchased from Charles River Laboratories.
    C57BL/6
    suggested: None
    Software and Algorithms
    SentencesResources
    The protocol was approved by the Institutional Review Board of the Ethics Committee of Partners Healthcare.
    Partners Healthcare
    suggested: (Partners HealthCare Biobank, RRID:SCR_001316)
    Processing of the raw data was done in Microsoft Excel, data points between 5 s and 10 s were averaged.
    Microsoft Excel
    suggested: (Microsoft Excel, RRID:SCR_016137)
    The results were normalized between 0 and 1 and exported to GraphPad where nonlinear fitting and calculation of the EC50 was done.
    GraphPad
    suggested: (GraphPad Prism, RRID:SCR_002798)
    For quantification of internalization from images taken by confocal microscopy, virosome-positive areas were measured by ImageJ and analyzed statistically.
    ImageJ
    suggested: (ImageJ, RRID:SCR_003070)
    Data were analyzed using FLOWJO (FLOWJO).
    FLOWJO
    suggested: (FlowJo, RRID:SCR_008520)
    Cambridge, MA); mouse KIM-1 (goat, 1:200, AF1817; R&D systems Inc, Minneapolis, MN); SARS Coronavirus Nucleocapsid (rabbit, 1:200, PA1-41098; Invitrogen, Thermo Fisher Scientific, Waltham, MA); ACE2 (rabbit, 1:200, ab15348; Abcam, Cambridge, MA); Prosurfactant Protein C (rabbit, 1:200, ab90716; Abcam, Cambridge, MA); IL-1β (goat, 1:200, AF-201; R&D systems Inc, Minneapolis, MN).
    R&D systems Inc
    suggested: None
    For detection of IL-1β induced by treatment with Spike S1 subunit protein, tubuloids infected by adenovirus for GFP and KIM-1 or for control GFP and β-GAL were treated with biotinylated 2019-nCoV S1 protein, His, Avitag (AcroBiosystems, DE) for 24 hours and immunostained.
    AcroBiosystems
    suggested: (ACRObiosystems, RRID:SCR_012550)

    Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).


    Results from LimitationRecognizer: An explicit section about the limitations of the techniques employed in this study was not found. We encourage authors to address study limitations.

    Results from TrialIdentifier: No clinical trial numbers were referenced.


    Results from Barzooka: We did not find any issues relating to the usage of bar graphs.


    Results from JetFighter: Please consider improving the rainbow (“jet”) colormap(s) used on pages 26, 27 and 28. At least one figure is not accessible to readers with colorblindness and/or is not true to the data, i.e. not perceptually uniform.


    Results from rtransparent:
    • Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
    • Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
    • No protocol registration statement was detected.

    About SciScore

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