Mast cell activation triggered by SARS-CoV-2 causes inflammation in brain microvascular endothelial cells and

Meng-Li Wu1, Chengzuo Xie1,2, Xin Li1

  • 1Guangzhou Institutes of Biomedicine and Health, Chinese Academy of Sciences, Guangzhou, China.

Insights

SARS-CoV-2 infection activates brain mast cells (MCs), leading to neuroinflammation. This activation damages the blood-brain barrier and affects brain cells, contributing to COVID-19 brain pathology.

Area of Science:

  • Neuroscience
  • Immunology
  • Virology

Background:

  • SARS-CoV-2 causes brain inflammation, blood-brain barrier damage, and neuron degeneration.
  • Brain microvascular endothelial cells and microglia produce inflammatory cytokines linked to COVID-19 brain pathology.
  • Cellular mechanisms of SARS-CoV-2-induced neuroinflammation are not fully understood.

Purpose of the Study:

  • Investigate the role of mast cell (MC) activation in SARS-CoV-2-induced neuroinflammation.
  • Elucidate the cellular mechanisms by which SARS-CoV-2 triggers brain cell activation and neuroinflammation.

Main Methods:

  • Examined SARS-CoV-2 infection in mouse models.
  • Assessed MC accumulation in the cerebrovascular region.
  • Investigated the effects of spike/receptor-binding domain (RBD) protein on human brain microvascular endothelial cells and microglia.
  • Analyzed tight junction proteins and microglial activation.

Main Results:

  • SARS-CoV-2 infection led to MC accumulation in mouse brain vasculature.
  • Spike/RBD protein-induced MC activation released inflammatory factors in brain endothelial cells and microglia.
  • MC activation and degranulation disrupted tight junction proteins in brain microvascular endothelial cells.
  • MC activation promoted microglial activation and proliferation.

Conclusions:

  • Mast cell activation is a key mechanism in SARS-CoV-2-induced neuroinflammation.
  • SARS-CoV-2 spike protein can directly trigger MCs, leading to brain cell damage and inflammatory responses.
  • Findings reveal a cellular pathway contributing to COVID-19-related neurological complications.