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Updated: Jul 9, 2025

Engineering Antiviral Agents via Surface Plasmon Resonance
Published on: June 14, 2022
Calreticulin Regulates SARS-CoV-2 Spike Protein Turnover and Modulates SARS-CoV-2 Infectivity
Nader Rahimi1, Mitchell R White2,3, Razie Amraei1
1Department of Pathology, School of Medicine, Boston University, Boston, MA 02118, USA.
Insights
Calreticulin (CALR) interacts with the SARS-CoV-2 spike protein, influencing its proteostasis and viral infection. This discovery offers new insights into COVID-19 cardiovascular complications.
Area of Science:
- Molecular Biology
- Virology
- Cell Biology
Background:
- Cardiovascular complications are significant in COVID-19.
- Mechanisms of SARS-CoV-2 endothelial cell infection are not fully understood.
Purpose of the Study:
- To investigate the interaction between SARS-CoV-2 spike protein and endothelial cells.
- To identify host factors involved in SARS-CoV-2 infection and proteostasis.
Main Methods:
- Biochemical analysis to identify S-RBD interacting proteins.
- Cell treatments with proteasomal and lysosomal inhibitors.
- shRNA-mediated knockdown of calreticulin (CALR).
Main Results:
- Calreticulin (CALR) identified as an S-RBD interacting protein via its proline-rich domain.
- CALR modulates spike protein proteostasis, particularly in lysosome-dependent degradation.
- CALR knockdown increased SARS-CoV-2 infection and impaired endothelial cell calcium homeostasis.
Conclusions:
- CALR plays a crucial role in the ER-lysosome-dependent proteolysis of the SARS-CoV-2 spike protein.
- CALR's function in spike protein degradation and calcium homeostasis is vital for endothelial cell integrity.
- Findings suggest a link between CALR, SARS-CoV-2 infection, and COVID-19-associated cardiovascular complications.
Abstract:
Cardiovascular complications are major clinical hallmarks of acute and post-acute coronavirus disease 2019 (COVID-19). However, the mechanistic details of SARS-CoV-2 infectivity of endothelial cells remain largely unknown. Here, we demonstrate that the receptor binding domain (RBD) of the SARS-CoV-2 spike (S) protein shares a similarity with the proline-rich binding ena/VASP homology (EVH1) domain and identified the endoplasmic reticulum (ER) resident calreticulin (CALR) as an S-RBD interacting protein. Our biochemical analysis showed that CALR, via its proline-rich (P) domain, interacts with S-RBD and modulates proteostasis of the S protein. Treatment of cells with the proteasomal inhibitor bortezomib increased the expression of the S protein independent of CALR, whereas the lysosomal/autophagy inhibitor bafilomycin 1A, which interferes with the acidification of lysosome, selectively augmented the S protein levels in a CALR-dependent manner. More importantly, the shRNA-mediated knockdown of CALR increased SARS-CoV-2 infection and impaired calcium homeostasis of human endothelial cells. This study provides new insight into the infectivity of SARS-CoV-2, calcium hemostasis, and the role of CALR in the ER-lysosome-dependent proteolysis of the spike protein, which could be associated with cardiovascular complications in COVID-19 patients.
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