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.

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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