Evidence that TMPRSS2 Activates the Severe Acute Respiratory Syndrome Coronavirus Spike Protein for Membrane Fusion and Reduces Viral Control by the Humoral Immune Response

Evidence that TMPRSS2 Activates the Severe Acute Respiratory Syndrome Coronavirus Spike Protein for Membrane Fusion and Reduces Viral Control by the Humoral Immune Response

May 2011 | Ilona Glowacka, Stephanie Bertram, Marcel A. Müller, Paul Allen, Elizabeth Soilleux, Susanne Pfefferle, Imke Steffen, Theodoros Solomon Tsegaye, Yuxian He, Kerstin Gnirss, Daniela Niemeyer, Heike Schneider, Christian Drosten, Stefan Pöhlmann
TMPRSS2 activates the SARS-CoV spike (S) protein for membrane fusion and reduces viral control by the humoral immune response. The S protein of SARS-CoV is proteolytically activated by cathepsins B and L upon viral entry into endosomes. However, the role of host cell proteases in the secretory pathway or on the surface of target cells in cleaving SARS S is unclear. Previous studies showed that TMPRSS2 activates influenza virus hemagglutinin and human metapneumovirus F protein. Here, it is shown that TMPRSS2 cleaves SARS S. Western blot analysis revealed that SARS S is cleaved into fragments upon coexpression of TMPRSS2 (cis-cleavage) and upon contact between SARS S-expressing cells and TMPRSS2-positive cells (trans-cleavage). Cis-cleavage results in release of SARS S fragments into the supernatant and inhibition of antibody-mediated neutralization, likely due to SARS S fragments acting as antibody decoys. Trans-cleavage activates SARS S on effector cells for fusion with target cells and allows efficient SARS S-driven viral entry into targets treated with a lysosomotropic agent or a cathepsin inhibitor. ACE2 and TMPRSS2 are coexpressed by type II pneumocytes, important viral target cells, suggesting that SARS S is cleaved by TMPRSS2 in the lung of SARS-CoV-infected individuals. In summary, TMPRSS2 may promote viral spread and pathogenesis by diminishing viral recognition by neutralizing antibodies and by activating SARS S for cell-cell and virus-cell fusion. SARS-CoV causes SARS, which claimed 800 lives in 2002-2003. SARS-CoV-related viruses were identified in bats and palm civets, and it is believed that human contact with these animals introduced SARS-CoV into the human population. The S protein mediates entry into target cells by engaging ACE2. Changes in the S protein sequence reflect adaptation to efficient usage of the human receptor, likely a prerequisite for high viral pathogenicity. The SARS S protein is an important determinant of viral cell and species tropism. The SARS S protein comprises 1,255 amino acids and contains 23 N-linked glycosylation sites. It is synthesized in the secretory pathway and incorporated into the viral envelope and plasma membrane. The S protein has a domain organization of class I fusion proteins, containing an N-terminal surface unit (S1) and a C-terminal transmembrane unit (S2). Proteolytic activation by host cell enzymes is a key feature of many class I fusion proteins. A study showed that proteolytic activation of SARS S is mediated by cathepsins in target cells, most importantly by cathepsin L. The efficiency and biological relevance of STMPRSS2 activates the SARS-CoV spike (S) protein for membrane fusion and reduces viral control by the humoral immune response. The S protein of SARS-CoV is proteolytically activated by cathepsins B and L upon viral entry into endosomes. However, the role of host cell proteases in the secretory pathway or on the surface of target cells in cleaving SARS S is unclear. Previous studies showed that TMPRSS2 activates influenza virus hemagglutinin and human metapneumovirus F protein. Here, it is shown that TMPRSS2 cleaves SARS S. Western blot analysis revealed that SARS S is cleaved into fragments upon coexpression of TMPRSS2 (cis-cleavage) and upon contact between SARS S-expressing cells and TMPRSS2-positive cells (trans-cleavage). Cis-cleavage results in release of SARS S fragments into the supernatant and inhibition of antibody-mediated neutralization, likely due to SARS S fragments acting as antibody decoys. Trans-cleavage activates SARS S on effector cells for fusion with target cells and allows efficient SARS S-driven viral entry into targets treated with a lysosomotropic agent or a cathepsin inhibitor. ACE2 and TMPRSS2 are coexpressed by type II pneumocytes, important viral target cells, suggesting that SARS S is cleaved by TMPRSS2 in the lung of SARS-CoV-infected individuals. In summary, TMPRSS2 may promote viral spread and pathogenesis by diminishing viral recognition by neutralizing antibodies and by activating SARS S for cell-cell and virus-cell fusion. SARS-CoV causes SARS, which claimed 800 lives in 2002-2003. SARS-CoV-related viruses were identified in bats and palm civets, and it is believed that human contact with these animals introduced SARS-CoV into the human population. The S protein mediates entry into target cells by engaging ACE2. Changes in the S protein sequence reflect adaptation to efficient usage of the human receptor, likely a prerequisite for high viral pathogenicity. The SARS S protein is an important determinant of viral cell and species tropism. The SARS S protein comprises 1,255 amino acids and contains 23 N-linked glycosylation sites. It is synthesized in the secretory pathway and incorporated into the viral envelope and plasma membrane. The S protein has a domain organization of class I fusion proteins, containing an N-terminal surface unit (S1) and a C-terminal transmembrane unit (S2). Proteolytic activation by host cell enzymes is a key feature of many class I fusion proteins. A study showed that proteolytic activation of SARS S is mediated by cathepsins in target cells, most importantly by cathepsin L. The efficiency and biological relevance of S
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