SARS-CoV-2 requires acidic pH to infect cells

Author:

Kreutzberger Alex J. B.12,Sanyal Anwesha12,Saminathan Anand12,Bloyet Louis-Marie3ORCID,Stumpf Spencer3,Liu Zhuoming3ORCID,Ojha Ravi4,Patjas Markku T.5ORCID,Geneid Ahmed5,Scanavachi Gustavo12,Doyle Catherine A.6,Somerville Elliott2,Correia Ricardo Bango Da Cunha12,Di Caprio Giuseppe27,Toppila-Salmi Sanna8,Mäkitie Antti5,Kiessling Volker910ORCID,Vapalahti Olli41112ORCID,Whelan Sean P. J.3ORCID,Balistreri Giuseppe41113ORCID,Kirchhausen Tom127

Affiliation:

1. Department of Cell Biology, Harvard Medical School, Boston, MA 02115

2. Program in Cellular and Molecular Medicine, Boston Children’s Hospital, Boston, MA 02115

3. Department of Molecular Microbiology, Washington University in Saint Louis, St. Louis, MO 63110

4. Department of Virology, Faculty of Medicine, University of Helsinki, Helsinki, 00290 Finland

5. Department of Otorhinolaryngology and Phoniatrics - Head and Neck Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, 00290 Finland

6. Department of Pharmacology, University of Virginia, Charlottesville, VA 22903

7. Department of Pediatrics, Harvard Medical School, Boston, MA 02115

8. Department of Allergy, University of Helsinki and Helsinki University Hospital, Helsinki, 00290 Finland

9. Center for Membrane and Cell Physiology, University of Virginia, Charlottesville, VA 22903

10. Department of Molecular Physiology and Biological Physics, University of Virginia, Charlottesville, VA 22903

11. Department of Veterinary Biosciences, University of Helsinki, Helsinki, 00290 Finland

12. Virology and Immunology, Helsinki University Hospital Diagnostic Center, Helsinki, 00290 Finland

13. The Queensland Brain Institute, University of Queensland, Brisbane, 4072 Australia

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) cell entry starts with membrane attachment and ends with spike (S) protein–catalyzed membrane fusion depending on two cleavage steps, namely, one usually by furin in producing cells and the second by TMPRSS2 on target cells. Endosomal cathepsins can carry out both. Using real-time three-dimensional single-virion tracking, we show that fusion and genome penetration require virion exposure to an acidic milieu of pH 6.2 to 6.8, even when furin and TMPRSS2 cleavages have occurred. We detect the sequential steps of S1-fragment dissociation, fusion, and content release from the cell surface in TMPRRS2-overexpressing cells only when exposed to acidic pH. We define a key role of an acidic environment for successful infection, found in endosomal compartments and at the surface of TMPRSS2-expressing cells in the acidic milieu of the nasal cavity.

Funder

HHS | NIH | National Institute of General Medical Sciences

HHS | NIH | NIAID | Division of Microbiology and Infectious Diseases, National Institute of Allergy and Infectious Diseases

HHS | NIH | National Institute of Allergy and Infectious Diseases

Publisher

Proceedings of the National Academy of Sciences

Subject

Multidisciplinary

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