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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.
Abstract:
The COVID-19 pandemic has now affected around 190 million people worldwide, accounting for more than 4 million confirmed deaths. Besides ongoing global vaccination, finding protective and therapeutic strategies is an urgent clinical need. SARS-CoV-2 mostly infects the host organism via the respiratory system, requiring angiotensin-converting enzyme 2 (ACE2) and transmembrane protease serine 2 (TMPRSS2) to enter target cells. Therefore, these surface proteins are considered potential druggable targets. Hydrogen sulfide (H2S) is a gasotransmitter produced by several cell types and is also part of natural compounds, such as sulfurous waters that are often inhaled as low-intensity therapy and prevention in different respiratory conditions. H2S is a potent biological mediator, with anti-oxidant, anti-inflammatory, and, as more recently shown, also anti-viral activities. Considering that respiratory epithelial cells can be directly exposed to H2S by inhalation, here we tested the in vitro effects of H2S-donors on TMPRSS2 and ACE2 expression in human upper and lower airway epithelial cells. We showed that H2S significantly reduces the expression of TMPRSS2 without modifying ACE2 expression both in respiratory cell lines and primary human upper and lower airway epithelial cells. Results suggest that inhalational exposure of respiratory epithelial cells to natural H2S sources may hinder SARS-CoV-2 entry into airway epithelial cells and, consequently, potentially prevent the virus from spreading into the lower respiratory tract and the lung.
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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