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Updated: Oct 9, 2025

Engineering Antiviral Agents via Surface Plasmon Resonance
Published on: June 14, 2022
T-Cell Expression of Angiotensin-Converting Enzyme 2 and Binding of Severe Acute Respiratory Coronavirus 2
Jennifer L Welch1,2,3, Jinhua Xiang1,2, Qing Chang1,2
1Medical Service, Iowa City Veterans Affairs Medical Center, Iowa City, Iowa, USA.
Abstract:
The pathogenesis of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is not completely understood. SARS-CoV-2 infection frequently causes significant immune function consequences including reduced T cell numbers and enhanced T cell exhaustion that contribute to disease severity. The extent to which T cell effects are directly mediated through infection or indirectly result from infection of respiratory-associated cells is unclear. We show that primary human T cells express sufficient levels of angiotensin converting enzyme 2 (ACE-2), the SARS-CoV-2 receptor, to mediate viral binding and entry into T cells. We further show that T cells exposed to SARS-CoV-2 particles demonstrate reduced proliferation and apoptosis compared to uninfected controls, indicating that direct interaction of SARS-CoV-2 with T cells may alter T cell growth, activation, and survival. Regulation of T cell activation and/or turnover by SARS-CoV-2 may contribute to impaired T cell function observed in patients with severe disease.
Insights
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) directly infects human T cells, impairing their function. This viral T cell interaction contributes to immune dysfunction and disease severity in COVID-19 patients.
Area of Science:
- Immunology
- Virology
- Cell Biology
Background:
- Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection impacts immune function, notably T cells.
- Reduced T cell numbers and increased T cell exhaustion are linked to COVID-19 severity.
- The direct role of SARS-CoV-2 in T cell dysfunction versus indirect effects is unclear.
Purpose of the Study:
- To investigate if primary human T cells are directly susceptible to SARS-CoV-2 infection.
- To determine the impact of direct SARS-CoV-2 interaction on T cell proliferation, activation, and survival.
Main Methods:
- Assessed angiotensin converting enzyme 2 (ACE-2) expression in primary human T cells.
- Exposed T cells to SARS-CoV-2 particles.
- Compared proliferation and apoptosis rates between infected and uninfected T cells.
Main Results:
- Primary human T cells express ACE-2, the SARS-CoV-2 receptor, enabling viral entry.
- T cells exposed to SARS-CoV-2 showed reduced proliferation and increased apoptosis.
- Direct SARS-CoV-2 interaction alters T cell growth, activation, and survival.
Conclusions:
- SARS-CoV-2 can directly infect human T cells.
- Direct viral interaction with T cells contributes to immune dysregulation observed in severe COVID-19.
- Understanding direct T cell infection is crucial for addressing SARS-CoV-2 pathogenesis.
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