Tunneling nanotubes provide a route for SARS-CoV-2 spreading

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Abstract

Neurological manifestations of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection represent a major issue in long coronavirus disease. How SARS-CoV-2 gains access to the brain and how infection leads to neurological symptoms are not clear because the principal means of viral entry by endocytosis, the angiotensin-converting enzyme 2 receptor, are barely detectable in the brain. We report that human neuronal cells, nonpermissive to infection through the endocytic pathway, can be infected when cocultured with permissive infected epithelial cells. SARS-CoV-2 induces the formation of tunneling nanotubes (TNTs) and exploits this route to spread to uninfected cells. In cellulo correlative fluorescence and cryo–electron tomography reveal that SARS-CoV-2 is associated with TNTs between permissive cells. Furthermore, multiple vesicular structures such as double-membrane vesicles, sites of viral replication, are observed inside TNTs between permissive and nonpermissive cells. Our data highlight a previously unknown mechanism of SARS-CoV-2 spreading, likely used as a route to invade nonpermissive cells and potentiate infection in permissive cells.

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  1. SciScore for 10.1101/2021.11.15.468633: (What is this?)

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

    Table 1: Rigor

    Ethicsnot detected.
    Sex as a biological variablenot detected.
    Randomizationnot detected.
    BlindingQuantifications were done blind.
    Power Analysisnot detected.
    Cell Line AuthenticationAuthentication: After 48 h, cells expressing mCherry have been validated.

    Table 2: Resources

    Antibodies
    SentencesResources
    After washing, the cells were incubated 2 minutes in 0.05% PBS-tween and then incubated with the primary antibody, a polyclonal SARS-CoV-anti-N IgG, provided by Nicolas Escriou, Institut Pasteur, Paris (or alternatively with a Human SARS-CoV-2 anti-S IgG provided by Cyril Planchais from the group of Hugo Mouquet Institut Pasteur, Paris), overnight at 4 degrees.
    IgG provided by Cyril Planchais from the group of Hugo Mouquet Institut Pasteur , Paris) , overnight at 4 degrees
    suggested: None
    After washing the cells were then incubated with an anti-rabbit (or an anti-human) HRP-conjugated antibody for 1 hour.
    anti-human
    suggested: None
    The primary antibody used were: a rabbit anti-Nucleoprotein (Anti-N, gift from Nicolas Escriou, Institut Pasteur, Paris) (1:500) over night (ON); an anti-human anti-Spike (H2-162, produced by Cyril Planchais from the group of Hugo Mouquet Institut Pasteur, Paris) (1: 100) ON, an anti-mouse J2 (1:50) (Scicons) ON, an anti-sheep nsp3 (1:200) (MRC PPU Reagents).
    anti-Nucleoprotein
    suggested: (Bio X Cell Cat# BE0106, RRID:AB_10949017)
    Anti-N , gift from Nicolas Escriou , Institut Pasteur , Paris
    suggested: None
    anti-human anti-Spike ( H2-162
    suggested: None
    anti-mouse J2
    suggested: None
    anti-sheep nsp3
    suggested: (Novus Cat# NB110-61650, RRID:AB_2291744)
    The day after, cells were thoroughly washed and incubated for 40 min with an anti-rabbit Alexa-Fluor 633-conjugated secondary antibody (Invitrogen), an anti-human Alexa-Fluor 488-conjugated secondary antibody (Invitrogen), goat anti-mouse Alexa-Fluor 633-conjugated secondary antibody (Invitrogen) at 1:500 in 2% BSA (w/v) in PBS 1X respectively.
    anti-rabbit
    suggested: (GenWay Biotech Inc. Cat# GWB-D633F6, RRID:AB_10283907)
    anti-human Alexa-Fluor 488-conjugated secondary antibody ( Invitrogen)
    suggested: None
    anti-mouse
    suggested: (GenWay Biotech Inc. Cat# GWB-F633A0, RRID:AB_10279445)
    For correlative light-and cryo-electron microscopy using the anti-S primary antibody, cells were fixed with PFA 4% for 15 min at 37 °C, quenched with 50 mM NH4Cl for 15 min, and blocked with PBS containing 2% BSA (w/v) for ON at 4 °C.
    anti-S
    suggested: None
    Cells were labeled with an anti-human AlexaFluor 488-conjugated secondary antibody (Invitrogen) at 1:500 and labelled with HCS Cell Mask TM Blue Stain (Invitrogen, 1:300).
    anti-human AlexaFluor 488-conjugated secondary antibody ( Invitrogen )
    suggested: None
    Experimental Models: Cell Lines
    SentencesResources
    The cell-lines used in this assay included Caco-2, CAD, SH-SY5Y and Vero E6.
    Caco-2
    suggested: None
    250 μl of each dilution was used to infect a confluent monolayer of Vero E6 cells, in a 24 wells multiwell plate, for a total of 6 wells per sample.
    Vero E6
    suggested: None
    Lentiviral Transduction: Transduction of SH-SY5Y and Vero E6 cells with a lentiviral vector expressing pCMV-mcherry: 600.000 SH-SY5Y cells 400.000 Vero-E6 were plated in 60 mm plates.
    SH-SY5Y
    suggested: None
    To evaluate the possibility of SARS-CoV-2 transfer from donor to acceptor cells mediated by secretion, the supernatants from SARS-CoV-2 infected Vero-E6 cells were collected centrifuged at 1000 rpm for 10 min to remove floating cells and added on acceptor cells: SH-SY5Y mCherry.
    Vero-E6
    suggested: None
    Recombinant DNA
    SentencesResources
    Lentiviral Transduction: Transduction of SH-SY5Y and Vero E6 cells with a lentiviral vector expressing pCMV-mcherry: 600.000 SH-SY5Y cells 400.000 Vero-E6 were plated in 60 mm plates.
    pCMV-mcherry
    suggested: None
    Transduction of SH-SY5Y cells with a lentiviral vector expressing pCMV-H2B-GFP: 600.000 SH-SY5Y cells were plated in 60 mm plates.
    pCMV-H2B-GFP
    suggested: None
    Software and Algorithms
    SentencesResources
    The whole cellular volume was imaged by acquiring 0.45 µm Z-stacks with an inverted confocal microscope (Zeiss LSM 700) using ZEN software.
    ZEN
    suggested: None
    The 3D rendering of TNTs were performed using IMARIS software.
    IMARIS
    suggested: (Imaris, RRID:SCR_007370)
    Statistical analysis: All column graphs and statistical analysis were performed by using GraphPad Prism version 7 software.
    GraphPad Prism
    suggested: (GraphPad Prism, RRID:SCR_002798)
    PCC was calculated by using JACoP plugins in Fiji.
    Fiji
    suggested: (Fiji, RRID:SCR_002285)

    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 53, 39 and 31. 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.

    Results from scite Reference Check: We found no unreliable references.


    About SciScore

    SciScore is an automated tool that is designed to assist expert reviewers by finding and presenting formulaic information scattered throughout a paper in a standard, easy to digest format. SciScore checks for the presence and correctness of RRIDs (research resource identifiers), and for rigor criteria such as sex and investigator blinding. For details on the theoretical underpinning of rigor criteria and the tools shown here, including references cited, please follow this link.