SARS-COV-2 viroporins activate the NLRP3-inflammasome by the mitochondrial permeability transition pore

Joseph W Guarnieri1, Alessia Angelin1, Deborah G Murdock1

  • 1Center for Mitochondrial and Epigenomic Medicine, Division of Human Genetics, The Children's Hospital of Philadelphia, Philadelphia, PA, United States.

Abstract

Insights

Severe COVID-19 involves elevated NLRP3-inflammasome (NLRP3-I) and IL-1β. SARS-CoV-2 proteins 2-E+2-3a activate NLRP3-I via mitochondrial calcium, mROS, and mtDNA release through the mtPTP.

Area of Science:

  • Immunology
  • Virology
  • Cell Biology

Background:

  • Severe COVID-19 is associated with increased NLRP3-inflammasome (NLRP3-I) activation and interleukin (IL)-1β levels compared to healthy controls.
  • SARS-CoV-2 viroporin proteins 2-E+2-3a are homologous to SARS-CoV-1 proteins and are known to activate NLRP3-I through an uncharacterized mechanism.

Purpose of the Study:

  • To investigate the mechanism by which SARS-CoV-2 proteins 2-E+2-3a activate the NLRP3-inflammasome.
  • To elucidate the role of mitochondrial dysfunction in COVID-19 pathophysiology.

Main Methods:

  • Co-expression of SARS-CoV-2 proteins 2-E+2-3a using a polycistronic vector.
  • Reconstitution of the NLRP3-inflammasome in 293T cells and use of THP1-derived macrophages to assess IL-1β secretion.
  • Evaluation of mitochondrial physiology, including calcium uptake, reactive oxygen species (mROS) production, and mitochondrial DNA (mtDNA) release.

Main Results:

  • Expression of 2-E+2-3a increased cytosolic and mitochondrial calcium levels, stimulating mROS production and mtDNA release into the cytosol.
  • 2-E+2-3a expression led to increased IL-1β secretion in NLRP3-I reconstituted cells and macrophages.
  • Inhibition of mROS or blocking the mitochondrial-permeability-pore (mtPTP) with NIM811 prevented 2-E+2-3a-induced mtDNA release and IL-1β secretion.

Conclusions:

  • Mitochondrial reactive oxygen species (mROS) activate the release of mitochondrial DNA (mtDNA) through the NIM811-sensitive mitochondrial-permeability-pore (mtPTP), subsequently activating the inflammasome.
  • Targeting mROS and the mtPTP presents a potential therapeutic strategy to mitigate severe COVID-19 and cytokine storms.

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