SARS-CoV-2 Spike triggers barrier dysfunction and vascular leak via integrins and TGF-β signaling
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Abstract
Severe COVID-19 is associated with epithelial and endothelial barrier dysfunction within the lung as well as in distal organs. While it is appreciated that an exaggerated inflammatory response is associated with barrier dysfunction, the triggers of this pathology are unclear. Here, we report that cell-intrinsic interactions between the Spike (S) glycoprotein of SARS-CoV-2 and epithelial/endothelial cells are sufficient to trigger barrier dysfunction in vitro and vascular leak in vivo , independently of viral replication and the ACE2 receptor. We identify an S-triggered transcriptional response associated with extracellular matrix reorganization and TGF-β signaling. Using genetic knockouts and specific inhibitors, we demonstrate that glycosaminoglycans, integrins, and the TGF-β signaling axis are required for S-mediated barrier dysfunction. Our findings suggest that S interactions with barrier cells are a contributing factor to COVID-19 disease severity and offer mechanistic insight into SARS-CoV-2 triggered vascular leak, providing a starting point for development of therapies targeting COVID-19 pathogenesis.
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SciScore for 10.1101/2021.12.10.472112: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Ethics IACUC: All experiments and procedures were pre-approved by the UC Berkeley Animal Care and Use Committee, Protocol AUP-2014-08-6638-2. Sex as a biological variable EXPERIMENTAL MODELS AND SUBJECT DETAILS: Mice: Six- to eight-week-old wild-type C57BL/6J female mice were purchased from the Jackson Laboratory and housed at the University of California, Berkeley Animal Facility under specific pathogen-free conditions. Randomization For immunofluorescence microscopy experiments, images of random fields were captured. Blinding Researchers were not blinded during experiments. Power Analysis not detected. Cell Line Authentication Authentication: Identified DEGs were analyzed by STRING to identify predicted … SciScore for 10.1101/2021.12.10.472112: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Ethics IACUC: All experiments and procedures were pre-approved by the UC Berkeley Animal Care and Use Committee, Protocol AUP-2014-08-6638-2. Sex as a biological variable EXPERIMENTAL MODELS AND SUBJECT DETAILS: Mice: Six- to eight-week-old wild-type C57BL/6J female mice were purchased from the Jackson Laboratory and housed at the University of California, Berkeley Animal Facility under specific pathogen-free conditions. Randomization For immunofluorescence microscopy experiments, images of random fields were captured. Blinding Researchers were not blinded during experiments. Power Analysis not detected. Cell Line Authentication Authentication: Identified DEGs were analyzed by STRING to identify predicted protein-protein interaction networks as well as enriched pathway analysis (https://string-db.org/). Table 2: Resources
Antibodies Sentences Resources Afterwards, plates were incubated with biotinylated chicken anti-human TGF-β1 detection antibody and then with streptavidin-horseradish peroxidase (HRP) for signal detection with tetramethylbenzidine (TMB) substrate. anti-human TGF-β1suggested: None, heparin (Sigma, H3393), anti-Spike (Genetex, 1A9, GTX632604), anti-Spike (Absolute Antibody, CR3022), rabbit anti-TGFBR1 (Thermo Fisher Scientific, PA5-32631). anti-Spikesuggested: (GeneTex Cat# GTX632604, RRID:AB_2864418)GTX632604suggested: (GeneTex Cat# GTX632604, RRID:AB_2864418)CR3022suggested: (Imported from the IEDB Cat# CR3022, RRID:AB_2848080)anti-TGFBR1suggested: (Thermo Fisher Scientific Cat# PA5-32631, RRID:AB_2550094)PA5-32631suggested: (Thermo Fisher Scientific Cat# PA5-32631, RRID:AB_2550094)The following antibodies were used in this study: goat anti-ACE2 (R&D Systems, AF933) anti-ACE2suggested: NoneExperimental Models: Cell Lines Sentences Resources Vero-E6 cells were used for SARS-CoV-2 titration and maintained in D10 media at 37°C with 5% CO2. Vero-E6suggested: NoneIn brief, 15-cm2 dishes of HEK293T cells were transfected with a plasmid encoding SARS-CoV-2 S (Wuhan-Hu-1, Accession #QHD43416.1) using 45 μg total DNA. HEK293Tsuggested: NoneIn brief, lentivirus vectors were transfected into 293T cells using a lipofectamine 3000 transfection protocol according to the manufacturer’s instructions, along with a packaging vector (psPAX2) and a pseudotyping vector (pMD2.G). 293Tsuggested: NoneIn brief, 6×104 HPMEC or 2×105 Calu-3 were seeded in 300 μL into the apical chambers of 24-well transwell polycarbonate membrane inserts (Transwell permeable support, 0.4 μM, 6.5 mm insert; Corning) and 1.5 mL of medium was added to the basolateral chamber. Calu-3suggested: NoneExperimental Models: Organisms/Strains Sentences Resources EXPERIMENTAL MODELS AND SUBJECT DETAILS: Mice: Six- to eight-week-old wild-type C57BL/6J female mice were purchased from the Jackson Laboratory and housed at the University of California, Berkeley Animal Facility under specific pathogen-free conditions. C57BL/6Jsuggested: RRID:IMSR_JAX:000664)The hACE2 encoding plasmid was a gift from Hyeryun Choe (Addgene plasmid #1786; http://n2t.net/addgene:1786; RRID:Addgene_1786) (66) RRID:Addgene_1786suggested: NoneRecombinant DNA Sentences Resources The hACE2 encoding plasmid was a gift from Hyeryun Choe (Addgene plasmid #1786; http://n2t.net/addgene:1786; RRID:Addgene_1786) (66) detected: RRID:Addgene_1786)At 24 hours post-transfection, VSV-G expressing VSV-ΔG-rLuc pseudotyped virions were used to infect the transfected HEK293T cells. VSV-Gsuggested: RRID:Addgene_138479)In brief, lentivirus vectors were transfected into 293T cells using a lipofectamine 3000 transfection protocol according to the manufacturer’s instructions, along with a packaging vector (psPAX2) and a pseudotyping vector (pMD2.G). psPAX2suggested: RRID:Addgene_12260)pMD2 . Gsuggested: NoneCRISPR-Cas9 Knockout: To produce gene-specific knockout cell lines, we utilized a CRISPR-Cas9 pipeline based on the lentiCRISPR v2 lentivirus construct obtained from Feng Zhang (Addgene plasmid # 52961; http://n2t.net/addgene:52961;RRID:Addgene_52961), as previously described (71). detected: RRID:Addgene_52961)Software and Algorithms Sentences Resources SARS-CoV-2 S stabilized trimers from diverse viral variants were purchased from the Native Antigen Company including B.1.1.7 B.1.1.7suggested: NoneLeakage was quantified around the injection sites using Image Studio software (LI-COR Biosciences). Image Studiosuggested: (Image Studio Lite, RRID:SCR_013715)Following sequencing of sample libraries, quality control was performed on the fastq files to ensure that sequencing reads met preestablished cutoffs for number of reads and quality using FastQC (version 0.11.8) (73) and MultiQC (version 1.8) (74). FastQCsuggested: (FastQC, RRID:SCR_014583)MultiQCsuggested: (MultiQC, RRID:SCR_014982)Quality filtering and adapter trimming were performed using BBduk tools (version 38.76, https://sourceforge.net/projects/bbmap). https://sourceforge.net/projects/bbmapsuggested: (BBmap, RRID:SCR_016965)Remaining reads were aligned to the ENSEMBL GRCh38 human reference genome assembly (release 33) using STAR (version 2.7.0f) (75), and gene frequencies were counted using featureCounts (version 2.0.0) within the Subread package (76). ENSEMBLsuggested: (Ensembl, RRID:SCR_002344)STARsuggested: (STAR, RRID:SCR_004463)featureCountssuggested: (featureCounts, RRID:SCR_012919)Comparative analysis of DEGs was performed using a negative binomial distribution model used by DESeq2 (version 1.28.1) (77) as implemented in R (version 4.0.3). DESeq2suggested: (DESeq, RRID:SCR_000154)Hierarchical clustering of DEGs and visualization were performed using the ComplexHeatmap (version 2.4.2) and pheatmap package (version 1.0.12). ComplexHeatmapsuggested: (ComplexHeatmap, RRID:SCR_017270)pheatmapsuggested: (pheatmap, RRID:SCR_016418)Identified DEGs were analyzed by STRING to identify predicted protein-protein interaction networks as well as enriched pathway analysis (https://string-db.org/). STRINGsuggested: (STRING, RRID:SCR_005223)Statistics: All data were plotted and quantitative analyses performed using GraphPad Prism 8 software. GraphPad Prismsuggested: (GraphPad Prism, RRID:SCR_002798)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: We did not find any issues relating to colormaps.
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.
Results from scite Reference Check: We found no unreliable references.
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