SARS-CoV-2 uses CD4 to infect T helper lymphocytes

Author:

Brunetti Natalia S1ORCID,Davanzo Gustavo G2,de Moraes Diogo34,Ferrari Allan JR5ORCID,Souza Gabriela F6,Muraro Stéfanie Primon6ORCID,Knittel Thiago L3,Boldrini Vinicius O1,Monteiro Lauar B2,Virgílio-da-Silva João Victor2,Profeta Gerson S3,Wassano Natália S7,Nunes Santos Luana8ORCID,Carregari Victor C9,Dias Artur HS5,Veras Flavio P101112,Tavares Lucas A13ORCID,Forato Julia6,Castro Icaro MS14,Silva-Costa Lícia C9,Palma André C15,Mansour Eli15ORCID,Ulaf Raisa G15,Bernardes Ana F15,Nunes Thyago A15ORCID,Ribeiro Luciana C15,Agrela Marcus V15,Moretti Maria Luiza15,Buscaratti Lucas I8,Crunfli Fernanda9,Ludwig Raissa G3,Gerhardt Jaqueline A7,Munhoz-Alves Natália1ORCID,Marques Ana Maria1,Sesti-Costa Renata116,Amorim Mariene R6,Toledo-Teixeira Daniel A6ORCID,Parise Pierina Lorencini6,Martini Matheus Cavalheiro6,Bispos-dos-Santos Karina6ORCID,Simeoni Camila L6,Granja Fabiana6,Silvestrini Virgínia C17,de Oliveira Eduardo B17,Faca Vitor M17,Carvalho Murilo1819,Castelucci Bianca G1819,Pereira Alexandre B18,Coimbra Laís D18,Dias Marieli MG18ORCID,Rodrigues Patricia B20,Gomes Arilson Bernardo SP20,Pereira Fabricio B16,Santos Leonilda MB2122,Bloyet Louis-Marie23ORCID,Stumpf Spencer23,Pontelli Marjorie C23,Whelan Sean23,Sposito Andrei C24,Carvalho Robson F4ORCID,Vieira André S25,Vinolo Marco AR202627,Damasio André726,Velloso Licio1527,Figueira Ana Carolina M18,da Silva Luis LP10ORCID,Cunha Thiago Mattar1012ORCID,Nakaya Helder I14ORCID,Marques-Souza Henrique78ORCID,Marques Rafael E18,Martins-de-Souza Daniel9262829,Skaf Munir S5,Proenca-Modena Jose Luiz626ORCID,Moraes-Vieira Pedro MM22627,Mori Marcelo A32627,Farias Alessandro S1232627ORCID

Affiliation:

1. Autoimmune Research Laboratory, Department of Genetics, Microbiology and Immunology, Institute of Biology, University of Campinas (UNICAMP)

2. Laboratory of Immunometabolism, Department of Genetics, Microbiology and Immunology, Institute of Biology, University of Campinas (UNICAMP)

3. Laboratory of Aging Biology, Department of Biochemistry and Tissue Biology, Institute of Biology, University of Campinas (UNICAMP)

4. Department of Structural and Functional Biology, Institute of Biosciences, Sao Paulo State University (UNESP)

5. Institute of Chemistry and Center for Computing in Engineering and Sciences, University of Campinas, Campinas (UNICAMP)

6. Laboratory of Emerging Viruses, Department of Genetics, Microbiology and Immunology, Institute of Biology, University of Campinas (UNICAMP)

7. Department of Biochemistry and Tissue Biology, Institute of Biology, University of Campinas (UNICAMP)

8. Brazilian Laboratory on Silencing Technologies (BLaST), Department of Biochemistry and Tissue Biology, Institute of Biology, University of Campinas (UNICAMP)

9. Laboratory of Neuroproteomics, Department of Biochemistry and Tissue Biology, Institute of Biology, University of Campinas (UNICAMP)

10. Center of Research in Inflammatory Diseases, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto

11. Department of BioMolecular Sciences, School of Pharmaceutical Sciences, University of São Paulo, Ribeirão Preto

12. Department of Pharmacology, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto,

13. Department of Cell and Molecular Biology, Center for Virology Research, Ribeirão Preto Medical School, University of São Paulo

14. Department of Clinical and Toxicological Analyses, School of Pharmaceutical Sciences, University of São Paulo

15. Department of Internal Medicine, School of Medical Sciences, University of Campinas (UNICAMP)

16. Hematology and Hemotherapy Center, University of Campinas (UNICAMP)

17. Department of Biochemistry and Immunology, Ribeirão Preto Medical School, University of São Paulo

18. National Biosciences Laboratory (LNBio), Brazilian Center for Research in Energy and Materials (CNPEM)

19. Brazilian Synchrotron Light Laboratory (LNLS), Brazilian Center for Research in Energy and Materials (CNPEM)

20. Laboratory of Immunoinflammation, Department of Genetics, Microbiology and Immunology, Institute of Biology, University of Campinas (UNICAMP), Campinas, Brazil;

21. Neuroimmunology Unit, Department of Genetics, Microbiology and Immunology, University of Campinas (UNICAMP)

22. National Institute of Science and Technology on Neuroimmunomodulation (INCT-NIM) – Oswaldo Cruz Institute, Oswaldo Cruz Foundation

23. Washington University in St Louis, Department of Molecular Microbiology

24. Laboratory of Vascular Biology and Arteriosclerosis, School of Medical Sciences, University of Campinas (UNICAMP)

25. Laboratory of Electrophysiology, Neurobiology and Behavior, University of Campinas (UNICAMP)

26. Experimental Medicine Research Cluster (EMRC), University of Campinas (UNICAMP)

27. Obesity and Comorbidities Research Center (OCRC), University of Campinas (UNICAMP)

28. D'Or Institute for Research and Education (IDOR)

29. National Institute of Science and Technology in Biomarkers for Neuropsychiatry (INCTINBION)

Abstract

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the agent of a major global outbreak of respiratory tract disease known as Coronavirus Disease 2019 (COVID-19). SARS-CoV-2 infects mainly lungs and may cause several immune-related complications, such as lymphocytopenia and cytokine storm, which are associated with the severity of the disease and predict mortality. The mechanism by which SARS-CoV-2 infection may result in immune system dysfunction is still not fully understood. Here, we show that SARS-CoV-2 infects human CD4+ T helper cells, but not CD8+ T cells, and is present in blood and bronchoalveolar lavage T helper cells of severe COVID-19 patients. We demonstrated that SARS-CoV-2 spike glycoprotein (S) directly binds to the CD4 molecule, which in turn mediates the entry of SARS- CoV-2 in T helper cells. This leads to impaired CD4 T cell function and may cause cell death. SARS-CoV-2-infected T helper cells express higher levels of IL-10, which is associated with viral persistence and disease severity. Thus, CD4-mediated SARS-CoV-2 infection of T helper cells may contribute to a poor immune response in COVID-19 patients.

Funder

Fundo de Apoio ao Ensino, à Pesquisa e Extensão, Universidade Estadual de Campinas

Fundação de Amparo à Pesquisa do Estado de São Paulo

Instituto Nacional de Ciência e Tecnologia em Neuroimunomodulação

Financiadora de Estudos e Projetos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior

Conselho Nacional de Desenvolvimento Científico e Tecnológico

Publisher

eLife Sciences Publications, Ltd

Subject

General Immunology and Microbiology,General Biochemistry, Genetics and Molecular Biology,General Medicine,General Neuroscience

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