SARS-CoV-2 uses major endothelial integrin αvβ3 to cause vascular dysregulation in-vitro during COVID-19

PLoS One. 2021 Jun 23;16(6):e0253347. doi: 10.1371/journal.pone.0253347. eCollection 2021.

Abstract

The unprecedented global COVID-19 pandemic has prompted a desperate international effort to accelerate the development of anti-viral candidates. For unknown reasons, COVID-19 infections are associated with adverse cardiovascular complications, implicating that vascular endothelial cells are essential in viral propagation. The etiological pathogen, SARS-CoV-2, has a higher reproductive number and infection rate than its predecessors, indicating it possesses novel characteristics that infers enhanced transmissibility. A unique K403R spike protein substitution encodes an Arg-Gly-Asp (RGD) motif, introducing a potential role for RGD-binding host integrins. Integrin αVβ3 is widely expressed across the host, particularly in the endothelium, which acts as the final barrier before microbial entry into the bloodstream. This mutagenesis creates an additional binding site, which may be sufficient to increase SARS-CoV-2 pathogenicity. Here, we investigate how SARS-CoV-2 passes from the epithelium to endothelium, the effects of αVβ3 antagonist, Cilengitide, on viral adhesion, vasculature permeability and leakage, and also report on a simulated interaction between the viral and host protein in-silico.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antigens, CD / metabolism
  • Binding Sites
  • COVID-19 / metabolism
  • COVID-19 / physiopathology
  • Caco-2 Cells
  • Cadherins / metabolism
  • Computer Simulation
  • Endothelium, Vascular / cytology
  • Endothelium, Vascular / physiopathology
  • Endothelium, Vascular / virology*
  • Host-Pathogen Interactions / drug effects
  • Humans
  • Integrin alphaVbeta3 / chemistry
  • Integrin alphaVbeta3 / metabolism*
  • Models, Molecular
  • Mutation
  • Permeability
  • SARS-CoV-2 / drug effects
  • SARS-CoV-2 / genetics
  • SARS-CoV-2 / metabolism
  • SARS-CoV-2 / pathogenicity*
  • Snake Venoms / pharmacology*
  • Spike Glycoprotein, Coronavirus / chemistry
  • Spike Glycoprotein, Coronavirus / metabolism
  • Virus Internalization

Substances

  • Antigens, CD
  • Cadherins
  • Integrin alphaVbeta3
  • Snake Venoms
  • Spike Glycoprotein, Coronavirus
  • cadherin 5
  • Cilengitide

Grants and funding

This publication has emanated from research conducted with the financial support of Enterprise Ireland (EI) under Grant Number SI/2020/3044 (SWK) and 3M & Global Giving under grant number PT20306A01 (SWK). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.