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Proc Natl Acad Sci U S A . SARS-CoV-2 requires acidic pH to infect cells

tetano

Editor, Senior Moderator
Proc Natl Acad Sci U S A


. 2022 Sep 20;119(38):e2209514119.
doi: 10.1073/pnas.2209514119. Epub 2022 Sep 1.
SARS-CoV-2 requires acidic pH to infect cells


Alex J B Kreutzberger[SUP] 1 2 [/SUP], Anwesha Sanyal[SUP] 1 2 [/SUP], Anand Saminathan[SUP] 1 2 [/SUP], Louis-Marie Bloyet[SUP] 3 [/SUP], Spencer Stumpf[SUP] 3 [/SUP], Zhuoming Liu[SUP] 3 [/SUP], Ravi Ojha[SUP] 4 [/SUP], Markku T Patjas[SUP] 5 [/SUP], Ahmed Geneid[SUP] 5 [/SUP], Gustavo Scanavachi[SUP] 1 2 [/SUP], Catherine A Doyle[SUP] 6 [/SUP], Elliott Somerville[SUP] 2 [/SUP], Ricardo Bango Da Cunha Correia[SUP] 1 2 [/SUP], Giuseppe Di Caprio[SUP] 2 7 [/SUP], Sanna Toppila-Salmi[SUP] 8 [/SUP], Antti Mäkitie[SUP] 5 [/SUP], Volker Kiessling[SUP] 9 10 [/SUP], Olli Vapalahti[SUP] 4 11 12 [/SUP], Sean P J Whelan[SUP] 3 [/SUP], Giuseppe Balistreri[SUP] 4 11 13 [/SUP], Tom Kirchhausen[SUP] 1 2 7 [/SUP]



Affiliations

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.

Keywords: 3D imaging; SARS-CoV-2; infection route; live-cell imaging; virus entry.
 
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