Hydrogen Sulfide Inhibits TMPRSS2 in Human Airway Epithelial Cells: Implications for SARS-CoV-2 Infection

Giulia Pozzi1, Elena Masselli1, Giuliana Gobbi1

  • 1Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy.

Biomedicines
|September 28, 2021
PubMed

Insights

Hydrogen sulfide (H2S) inhalation may reduce SARS-CoV-2 entry by lowering TMPRSS2 expression in airway cells. This finding suggests natural H2S sources could be a preventative strategy against COVID-19 spread.

Area of Science:

  • Virology and Respiratory Medicine
  • Gasotransmitter Signaling
  • Cellular and Molecular Biology

Background:

  • The COVID-19 pandemic necessitates novel therapeutic and preventative strategies beyond vaccination.
  • Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) utilizes angiotensin-converting enzyme 2 (ACE2) and transmembrane protease serine 2 (TMPRSS2) for host cell entry, primarily in the respiratory system.
  • Hydrogen sulfide (H2S), a gasotransmitter with known anti-inflammatory and anti-viral properties, is present in natural compounds and can be inhaled.

Purpose of the Study:

  • To investigate the in vitro effects of H2S on TMPRSS2 and ACE2 expression in human airway epithelial cells.
  • To assess the potential of H2S as a preventative measure against SARS-CoV-2 entry into respiratory cells.

Main Methods:

  • Utilized human upper and lower airway epithelial cell lines and primary cells.
  • Administered H2S donors to expose cells to varying concentrations of H2S.
  • Quantified the expression levels of TMPRSS2 and ACE2 proteins using established laboratory techniques.

Main Results:

  • Hydrogen sulfide (H2S) significantly downregulated the expression of TMPRSS2 in both respiratory cell lines and primary human airway epithelial cells.
  • H2S treatment did not alter the expression levels of ACE2.
  • These results were consistent across upper and lower airway epithelial cell models.

Conclusions:

  • Inhalational exposure to H2S can reduce TMPRSS2 expression, a key factor for SARS-CoV-2 entry.
  • Natural H2S sources may offer a protective mechanism by hindering viral entry into airway epithelial cells.
  • This suggests a potential role for H2S in preventing SARS-CoV-2 spread within the respiratory tract.

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