Essential role of TMPRSS2 in SARS-CoV-2 infection in murine airways

Naoko Iwata-Yoshikawa1, Masatoshi Kakizaki2, Nozomi Shiwa-Sudo1

  • 1Department of Pathology, National Institute of Infectious Diseases, Tokyo, Japan.

Nature Communications
|October 15, 2022
PubMed

Insights

The Omicron variant inefficiently uses the furin/TMPRSS2 pathway but relies on TMPRSS2 for SARS-CoV-2 infection in mouse airways, including in vivo propagation.

Area of Science:

  • Virology
  • Molecular Biology
  • Infectious Diseases

Background:

  • Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) utilizes various host proteases for cell entry.
  • The role of the furin and Transmembrane Serine Protease 2 (TMPRSS2) pathway in Omicron variant infection is debated.
  • Omicron variant's reliance on specific host proteases for cell entry requires further investigation.

Purpose of the Study:

  • To investigate the cell entry pathways of the SARS-CoV-2 Omicron variant.
  • To determine the role of TMPRSS2 in Omicron variant infection in vitro and in vivo.
  • To evaluate the importance of TMPRSS2-knockout mouse models for SARS-CoV-2 variant analysis.

Main Methods:

  • In vitro cell culture experiments using VeroE6/TMPRSS2 and Calu-3 cells.
  • Analysis of spike protein cleavage efficiency.
  • In vivo infection studies using TMPRSS2-knockout mice.
  • Propagation assessment of SARS-CoV-2 variants (Omicron, mouse-adapted QHmusX, Beta, Gamma).

Main Results:

  • Omicron variant inefficiently uses the furin/TMPRSS2 pathway in cultured cells, favoring cathepsin-dependent endocytosis.
  • Despite efficient spike protein cleavage, Omicron infection is significantly reduced in the airways of TMPRSS2-knockout mice.
  • Propagation of Omicron, Beta, Gamma, and mouse-adapted SARS-CoV-2 strains is reduced in TMPRSS2-knockout mice.

Conclusions:

  • TMPRSS2 is critically important for SARS-CoV-2 infection in murine airways, including the Omicron variant.
  • The Omicron variant, while showing distinct in vitro entry mechanisms, still requires TMPRSS2 for efficient in vivo infection.
  • TMPRSS2-knockout mouse models are essential for evaluating the in vivo infectivity of emerging SARS-CoV-2 variants.