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Published on: October 18, 2024
SARS-CoV-2 ORF3a expression in brain disrupts the autophagy-lysosomal pathway, impairs sphingolipid homeostasis, and
Hongling Zhu1, Colleen Byrnes1, Y Terry Lee1
1Genetics of Development and Disease Section, Genetics and Biochemistry Branch, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, Maryland, USA.
Abstract:
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection causes injury to multiple organ systems, including the brain. SARS-CoV-2's neuropathological mechanisms may include systemic inflammation and hypoxia, as well as direct cell damage resulting from viral infections of neurons and glia. How the virus directly causes injury to brain cells, acutely and over the long term, is not well understood. In order to gain insight into this process, we studied the neuropathological effects of open reading frame 3a (ORF3a), a SARS-CoV-2 accessory protein that is a key pathological factor of the virus. Forced ORF3a brain expression in mice caused the rapid onset of neurological impairment, neurodegeneration, and neuroinflammation-key neuropathological features found in coronavirus disease (COVID-19, which is caused by SARS-CoV-2 infection). Furthermore, ORF3a expression blocked autophagy progression in the brain and caused the neuronal accumulation of α-synuclein and glycosphingolipids, all of which are linked to neurodegenerative disease. Studies with ORF3-expressing HeLa cells confirmed that ORF3a disrupted the autophagy-lysosomal pathway and blocked glycosphingolipid degradation, resulting in their accumulation. These findings indicate that, in the event of neuroinvasion by SARS-CoV-2, ORF3a expression in brain cells may drive neuropathogenesis and be an important mediator of both short- and long-term neurological manifestations of COVID-19.
Insights
The SARS-CoV-2 accessory protein ORF3a drives brain damage in COVID-19 by disrupting cellular processes. This protein causes neurodegeneration and neuroinflammation, contributing to both short- and long-term neurological issues.
Area of Science:
- Neuroscience
- Virology
- Cell Biology
Background:
- Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection impacts multiple organs, including the brain, but the precise neuropathological mechanisms remain unclear.
- Potential mechanisms include systemic inflammation, hypoxia, and direct viral damage to neurons and glial cells.
Purpose of the Study:
- To investigate the neuropathological effects of SARS-CoV-2 open reading frame 3a (ORF3a), a key viral accessory protein.
- To understand how ORF3a contributes to acute and long-term brain injury in COVID-19.
Main Methods:
- Forced expression of ORF3a in mouse brains to observe neurological and pathological changes.
- Utilized ORF3a-expressing HeLa cells to study its effects on cellular pathways.
Main Results:
- ORF3a brain expression in mice led to rapid neurological impairment, neurodegeneration, and neuroinflammation.
- ORF3a blocked autophagy progression and caused neuronal accumulation of α-synuclein and glycosphingolipids.
- ORF3a disrupted the autophagy-lysosomal pathway and inhibited glycosphingolipid degradation in HeLa cells.
Conclusions:
- SARS-CoV-2 ORF3a expression in brain cells can drive neuropathogenesis.
- ORF3a may be a critical mediator of both short-term and long-term neurological manifestations of COVID-19.
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