SARS-CoV-2 deregulates the vascular and immune functions of brain pericytes via Spike protein

Coronavirus disease 19 (COVID-19) is a respiratory illness caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). COVID-19 pathogenesis causes vascular-mediated neurological disorders via elusive mechanisms. SARS-CoV-2 infects host cells via the binding of viral Spike (S) protein to...

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Autores principales: Rayan Khaddaj-Mallat, Natija Aldib, Maxime Bernard, Anne-Sophie Paquette, Aymeric Ferreira, Sarah Lecordier, Armen Saghatelyan, Louis Flamand, Ayman ElAli
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Publicado: Elsevier 2021
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spelling oai:doaj.org-article:672bcb1f4966497e9c8ad00e6c3f33c42021-12-04T04:33:14ZSARS-CoV-2 deregulates the vascular and immune functions of brain pericytes via Spike protein1095-953X10.1016/j.nbd.2021.105561https://doaj.org/article/672bcb1f4966497e9c8ad00e6c3f33c42021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S0969996121003107https://doaj.org/toc/1095-953XCoronavirus disease 19 (COVID-19) is a respiratory illness caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). COVID-19 pathogenesis causes vascular-mediated neurological disorders via elusive mechanisms. SARS-CoV-2 infects host cells via the binding of viral Spike (S) protein to transmembrane receptor, angiotensin-converting enzyme 2 (ACE2). Although brain pericytes were recently shown to abundantly express ACE2 at the neurovascular interface, their response to SARS-CoV-2 S protein is still to be elucidated. Using cell-based assays, we found that ACE2 expression in human brain vascular pericytes was increased upon S protein exposure. Pericytes exposed to S protein underwent profound phenotypic changes associated with an elongated and contracted morphology accompanied with an enhanced expression of contractile and myofibrogenic proteins, such as α-smooth muscle actin (α-SMA), fibronectin, collagen I, and neurogenic locus notch homolog protein-3 (NOTCH3). On the functional level, S protein exposure promoted the acquisition of calcium (Ca2+) signature of contractile ensheathing pericytes characterized by highly regular oscillatory Ca2+ fluctuations. Furthermore, S protein induced lipid peroxidation, oxidative and nitrosative stress in pericytes as well as triggered an immune reaction translated by activation of nuclear factor-kappa-B (NF-κB) signaling pathway, which was potentiated by hypoxia, a condition associated with vascular comorbidities that exacerbate COVID-19 pathogenesis. S protein exposure combined to hypoxia enhanced the production of pro-inflammatory cytokines involved in immune cell activation and trafficking, namely macrophage migration inhibitory factor (MIF). Using transgenic mice expressing the human ACE2 that recognizes S protein, we observed that the intranasal infection with SARS-CoV-2 rapidly induced hypoxic/ischemic-like pericyte reactivity in the brain of transgenic mice, accompanied with an increased vascular expression of ACE2. Moreover, we found that SARS-CoV-2 S protein accumulated in the intranasal cavity reached the brain of mice in which the nasal mucosa is deregulated. Collectively, these findings suggest that SARS-CoV-2 S protein impairs the vascular and immune regulatory functions of brain pericytes, which may account for vascular-mediated brain damage. Our study provides a better understanding for the mechanisms underlying cerebrovascular disorders in COVID-19, paving the way to develop new therapeutic interventions.Rayan Khaddaj-MallatNatija AldibMaxime BernardAnne-Sophie PaquetteAymeric FerreiraSarah LecordierArmen SaghatelyanLouis FlamandAyman ElAliElsevierarticleCOVID-19SARS-CoV-2 S proteinPericytesNeurovascular interfaceCerebrovascular disordersInflammationNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENNeurobiology of Disease, Vol 161, Iss , Pp 105561- (2021)
institution DOAJ
collection DOAJ
language EN
topic COVID-19
SARS-CoV-2 S protein
Pericytes
Neurovascular interface
Cerebrovascular disorders
Inflammation
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
spellingShingle COVID-19
SARS-CoV-2 S protein
Pericytes
Neurovascular interface
Cerebrovascular disorders
Inflammation
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Rayan Khaddaj-Mallat
Natija Aldib
Maxime Bernard
Anne-Sophie Paquette
Aymeric Ferreira
Sarah Lecordier
Armen Saghatelyan
Louis Flamand
Ayman ElAli
SARS-CoV-2 deregulates the vascular and immune functions of brain pericytes via Spike protein
description Coronavirus disease 19 (COVID-19) is a respiratory illness caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). COVID-19 pathogenesis causes vascular-mediated neurological disorders via elusive mechanisms. SARS-CoV-2 infects host cells via the binding of viral Spike (S) protein to transmembrane receptor, angiotensin-converting enzyme 2 (ACE2). Although brain pericytes were recently shown to abundantly express ACE2 at the neurovascular interface, their response to SARS-CoV-2 S protein is still to be elucidated. Using cell-based assays, we found that ACE2 expression in human brain vascular pericytes was increased upon S protein exposure. Pericytes exposed to S protein underwent profound phenotypic changes associated with an elongated and contracted morphology accompanied with an enhanced expression of contractile and myofibrogenic proteins, such as α-smooth muscle actin (α-SMA), fibronectin, collagen I, and neurogenic locus notch homolog protein-3 (NOTCH3). On the functional level, S protein exposure promoted the acquisition of calcium (Ca2+) signature of contractile ensheathing pericytes characterized by highly regular oscillatory Ca2+ fluctuations. Furthermore, S protein induced lipid peroxidation, oxidative and nitrosative stress in pericytes as well as triggered an immune reaction translated by activation of nuclear factor-kappa-B (NF-κB) signaling pathway, which was potentiated by hypoxia, a condition associated with vascular comorbidities that exacerbate COVID-19 pathogenesis. S protein exposure combined to hypoxia enhanced the production of pro-inflammatory cytokines involved in immune cell activation and trafficking, namely macrophage migration inhibitory factor (MIF). Using transgenic mice expressing the human ACE2 that recognizes S protein, we observed that the intranasal infection with SARS-CoV-2 rapidly induced hypoxic/ischemic-like pericyte reactivity in the brain of transgenic mice, accompanied with an increased vascular expression of ACE2. Moreover, we found that SARS-CoV-2 S protein accumulated in the intranasal cavity reached the brain of mice in which the nasal mucosa is deregulated. Collectively, these findings suggest that SARS-CoV-2 S protein impairs the vascular and immune regulatory functions of brain pericytes, which may account for vascular-mediated brain damage. Our study provides a better understanding for the mechanisms underlying cerebrovascular disorders in COVID-19, paving the way to develop new therapeutic interventions.
format article
author Rayan Khaddaj-Mallat
Natija Aldib
Maxime Bernard
Anne-Sophie Paquette
Aymeric Ferreira
Sarah Lecordier
Armen Saghatelyan
Louis Flamand
Ayman ElAli
author_facet Rayan Khaddaj-Mallat
Natija Aldib
Maxime Bernard
Anne-Sophie Paquette
Aymeric Ferreira
Sarah Lecordier
Armen Saghatelyan
Louis Flamand
Ayman ElAli
author_sort Rayan Khaddaj-Mallat
title SARS-CoV-2 deregulates the vascular and immune functions of brain pericytes via Spike protein
title_short SARS-CoV-2 deregulates the vascular and immune functions of brain pericytes via Spike protein
title_full SARS-CoV-2 deregulates the vascular and immune functions of brain pericytes via Spike protein
title_fullStr SARS-CoV-2 deregulates the vascular and immune functions of brain pericytes via Spike protein
title_full_unstemmed SARS-CoV-2 deregulates the vascular and immune functions of brain pericytes via Spike protein
title_sort sars-cov-2 deregulates the vascular and immune functions of brain pericytes via spike protein
publisher Elsevier
publishDate 2021
url https://doaj.org/article/672bcb1f4966497e9c8ad00e6c3f33c4
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