Coagulation factors directly cleave SARS-CoV-2 spike and enhance viral entry.

SARS-CoV-2 anticoagulants biochemistry chemical biology coagulopathy coronavirus factor Xa human infectious disease microbiology nafamostat viruses

Journal

eLife
ISSN: 2050-084X
Titre abrégé: Elife
Pays: England
ID NLM: 101579614

Informations de publication

Date de publication:
23 03 2022
Historique:
received: 08 02 2022
accepted: 22 02 2022
pubmed: 17 3 2022
medline: 5 4 2022
entrez: 16 3 2022
Statut: epublish

Résumé

Coagulopathy is a significant aspect of morbidity in COVID-19 patients. The clotting cascade is propagated by a series of proteases, including factor Xa and thrombin. While certain host proteases, including TMPRSS2 and furin, are known to be important for cleavage activation of SARS-CoV-2 spike to promote viral entry in the respiratory tract, other proteases may also contribute. Using biochemical and cell-based assays, we demonstrate that factor Xa and thrombin can also directly cleave SARS-CoV-2 spike, enhancing infection at the stage of viral entry. Coagulation factors increased SARS-CoV-2 infection in human lung organoids. A drug-repurposing screen identified a subset of protease inhibitors that promiscuously inhibited spike cleavage by both transmembrane serine proteases and coagulation factors. The mechanism of the protease inhibitors nafamostat and camostat may extend beyond inhibition of TMPRSS2 to coagulation-induced spike cleavage. Anticoagulation is critical in the management of COVID-19, and early intervention could provide collateral benefit by suppressing SARS-CoV-2 viral entry. We propose a model of positive feedback whereby infection-induced hypercoagulation exacerbates SARS-CoV-2 infectivity.

Identifiants

pubmed: 35294338
doi: 10.7554/eLife.77444
pii: 77444
pmc: PMC8942469
doi:
pii:

Substances chimiques

Blood Coagulation Factors 0
Spike Glycoprotein, Coronavirus 0
spike protein, SARS-CoV-2 0

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : NCI NIH HHS
ID : R35 CA197588
Pays : United States
Organisme : NIH HHS
ID : R01AI35270
Pays : United States

Commentaires et corrections

Type : UpdateOf

Informations de copyright

© 2022, Kastenhuber et al.

Déclaration de conflit d'intérêts

EK, MM, BN, JJ, JJ, FM, YW, YB, VC, GW, Bt No competing interests declared, RS is on the scientific advisory board for Miromatrix Inc and is a consultant and speaker for Alnylam Inc, LC is a founder and member of the SAB of Agios Pharmaceuticals and a founder and former member of the SAB of Ravenna Pharmaceuticals (previously Petra Pharmaceuticals). These companies are developing novel therapies for cancer. Holds equity in Agios. Lewis Cantley's laboratory also received some financial support from Ravenna Pharmaceuticals

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Auteurs

Edward R Kastenhuber (ER)

Meyer Cancer Center, Department of Medicine, Weill Cornell Medical College, New York, United States.

Marisa Mercadante (M)

Meyer Cancer Center, Department of Medicine, Weill Cornell Medical College, New York, United States.

Benjamin Nilsson-Payant (B)

Department of Microbiology, New York University - Langone Health, New York, United States.

Jared L Johnson (JL)

Meyer Cancer Center, Department of Medicine, Weill Cornell Medical College, New York, United States.

Javier A Jaimes (JA)

Department of Microbiology and Immunology, Cornell University, Ithaca, United States.

Frauke Muecksch (F)

Laboratory of Retrovirology, The Rockefeller University, New York, United States.

Yiska Weisblum (Y)

Laboratory of Retrovirology, The Rockefeller University, New York, United States.

Yaron Bram (Y)

Division of Gastroenterology and Hepatology, Department of Medicine, Weill Cornell Medicine, New York, United States.

Vasuretha Chandar (V)

Division of Gastroenterology and Hepatology, Department of Medicine, Weill Cornell Medicine, New York, United States.

Gary R Whittaker (GR)

Department of Microbiology and Immunology, Cornell University, Ithaca, United States.

Benjamin R tenOever (BR)

Department of Microbiology, New York University - Langone Health, New York, United States.

Robert E Schwartz (RE)

Division of Gastroenterology and Hepatology, Department of Medicine, Weill Cornell Medicine, New York, United States.
Department of Physiology, Biophysics and Systems Biology, Weill Cornell Medicine, New York, United States.

Lewis Cantley (L)

Meyer Cancer Center, Department of Medicine, Weill Cornell Medical College, New York, United States.

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