1. Infection and transmission of SARS‐CoV‐2 depend on heparan sulfate proteoglycans.
- Author
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Bermejo‐Jambrina, Marta, Eder, Julia, Kaptein, Tanja M, van Hamme, John L, Helgers, Leanne C, Vlaming, Killian E, Brouwer, Philip J M, van Nuenen, Ad C, Spaargaren, Marcel, de Bree, Godelieve J, Nijmeijer, Bernadien M, Kootstra, Neeltje A, van Gils, Marit J, Sanders, Rogier W, and Geijtenbeek, Teunis B H
- Subjects
HEPARAN sulfate ,COVID-19 ,HEPARAN sulfate proteoglycans ,SARS-CoV-2 ,INFECTIOUS disease transmission ,ANGIOTENSIN converting enzyme ,LANGERHANS cells - Abstract
The current pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) and outbreaks of new variants highlight the need for preventive treatments. Here, we identified heparan sulfate proteoglycans as attachment receptors for SARS‐CoV‐2. Notably, neutralizing antibodies against SARS‐CoV‐2 isolated from COVID‐19 patients interfered with SARS‐CoV‐2 binding to heparan sulfate proteoglycans, which might be an additional mechanism of antibodies to neutralize infection. SARS‐CoV‐2 binding to and infection of epithelial cells was blocked by low molecular weight heparins (LMWH). Although dendritic cells (DCs) and mucosal Langerhans cells (LCs) were not infected by SARS‐CoV‐2, both DC subsets efficiently captured SARS‐CoV‐2 via heparan sulfate proteoglycans and transmitted the virus to ACE2‐positive cells. Notably, human primary nasal cells were infected by SARS‐CoV‐2, and infection was blocked by pre‐treatment with LMWH. These data strongly suggest that heparan sulfate proteoglycans are important attachment receptors facilitating infection and transmission, and support the use of LMWH as prophylaxis against SARS‐CoV‐2 infection. Synopsis: Angiotensin‐Converting Enzyme (ACE) 2 is an essential receptor for SARS‐CoV‐2 to infect cells. However, here we show that SARS‐CoV‐2 also requires heparan sulfate proteoglycans on human epithelial cells and dendritic cells for infection and dissemination. SARS‐CoV‐2 binds to epithelial cells via heparan sulfate proteoglycans, leading to ACE‐2‐dependent infection.Mucosal dendritic cells do not become infected by SARS‐CoV‐2 but dendritic cells capture SARS‐CoV‐2 via heparan sulfate proteoglycans and the virus is efficiently transmitted to epithelial cells.Notably, low molecular weight heparins (LMWH) efficiently block the interaction of SARS‐CoV‐2 with heparan sulfate proteoglycans and therefore LMWH prevent SARS‐CoV‐2 binding and infection of epithelial cell‐lines as well as primary nasal epithelial cells. Moreover, LMWH prevent SARS‐CoV‐2 transmission by dendritic cell subsets.Our data strongly suggest that SARS‐CoV‐2 attaches to heparan sulfate proteoglycans in order to infect epithelial cells and targets this family of receptors on dendritic cells for dissemination. LWMH might be an efficient prophylaxis to prevent infection by SARS‐CoV‐2. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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