Host and viral determinants for efficient SARS-CoV-2 infection of the human lung

Hin Chu, Bingjie Hu, Xiner Huang, Yue Chai, Dongyan Zhou, Yixin Wang, Huiping Shuai, Dong Yang, Yuxin Hou, Xi Zhang, Terrence Tsz Tai Yuen, Jian Piao Cai, Anna Jinxia Zhang, Jie Zhou, Shuofeng Yuan, Kelvin Kai Wang To, Ivy Hau Yee Chan, Ko Yung Sit, Dominic Chi Chung Foo, Ian Yu Hong WongAda Tsui Lin Ng, Tan To Cheung, Simon Ying Kit Law, Wing Kuk Au, Melinda A. Brindley, Zhiwei Chen, Kin Hang Kok, Jasper Fuk Woo Chan, Kwok Yung Yuen

Research output: Contribution to journalArticlepeer-review

122 Citations (Scopus)

Abstract

Understanding the factors that contribute to efficient SARS-CoV-2 infection of human cells may provide insights on SARS-CoV-2 transmissibility and pathogenesis, and reveal targets of intervention. Here, we analyze host and viral determinants essential for efficient SARS-CoV-2 infection in both human lung epithelial cells and ex vivo human lung tissues. We identify heparan sulfate as an important attachment factor for SARS-CoV-2 infection. Next, we show that sialic acids present on ACE2 prevent efficient spike/ACE2-interaction. While SARS-CoV infection is substantially limited by the sialic acid-mediated restriction in both human lung epithelial cells and ex vivo human lung tissues, infection by SARS-CoV-2 is limited to a lesser extent. We further demonstrate that the furin-like cleavage site in SARS-CoV-2 spike is required for efficient virus replication in human lung but not intestinal tissues. These findings provide insights on the efficient SARS-CoV-2 infection of human lungs.

Original languageEnglish
Article number134
JournalNature Communications
Volume12
Issue number1
DOIs
Publication statusPublished - Dec 1 2021
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2021, The Author(s).

ASJC Scopus Subject Areas

  • General Chemistry
  • General Biochemistry,Genetics and Molecular Biology
  • General Physics and Astronomy

Cite this