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Updated: Jun 23, 2025

Primary Human Nasal Epithelial Cells: Biobanking in the Context of Precision Medicine
Published on: April 22, 2022
Loss of CFTR Reverses Senescence Hallmarks in SARS-CoV-2 Infected Bronchial Epithelial Cells
Flavia Merigo1, Anna Lagni2, Federico Boschi3
1Anatomy and Histology Section, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, 37134 Verona, Italy.
Abstract:
SARS-CoV-2 infection has been recently shown to induce cellular senescence in vivo. A senescence-like phenotype has been reported in cystic fibrosis (CF) cellular models. Since the previously published data highlighted a low impact of SARS-CoV-2 on CFTR-defective cells, here we aimed to investigate the senescence hallmarks in SARS-CoV-2 infection in the context of a loss of CFTR expression/function. We infected WT and CFTR KO 16HBE14o-cells with SARS-CoV-2 and analyzed both the p21 and Ki67 expression using immunohistochemistry and viral and p21 gene expression using real-time PCR. Prior to SARS-CoV-2 infection, CFTR KO cells displayed a higher p21 and lower Ki67 expression than WT cells. We detected lipid accumulation in CFTR KO cells, identified as lipolysosomes and residual bodies at the subcellular/ultrastructure level. After SARS-CoV-2 infection, the situation reversed, with low p21 and high Ki67 expression, as well as reduced viral gene expression in CFTR KO cells. Thus, the activation of cellular senescence pathways in CFTR-defective cells was reversed by SARS-CoV-2 infection while they were activated in CFTR WT cells. These data uncover a different response of CF and non-CF bronchial epithelial cell models to SARS-CoV-2 infection and contribute to uncovering the molecular mechanisms behind the reduced clinical impact of COVID-19 in CF patients.
Insights
SARS-CoV-2 infection reversed cellular senescence in cystic fibrosis (CF) cells, unlike in healthy cells. This finding may explain why COVID-19 has a milder impact on CF patients.
Area of Science:
- Cell Biology
- Virology
- Genetics
Background:
- SARS-CoV-2 infection can induce cellular senescence.
- Cystic Fibrosis (CF) models show a senescence-like phenotype.
- Previous studies indicated minimal SARS-CoV-2 impact on CFTR-defective cells.
Purpose of the Study:
- Investigate senescence hallmarks in SARS-CoV-2 infection within CFTR-defective cells.
- Compare cellular responses between CFTR-defective and wild-type (WT) cells upon SARS-CoV-2 infection.
- Elucidate molecular mechanisms behind reduced COVID-19 severity in CF patients.
Main Methods:
- Infection of WT and CFTR knockout (KO) 16HBE14o- cells with SARS-CoV-2.
- Analysis of p21 and Ki67 expression via immunohistochemistry.
- Quantification of viral and p21 gene expression using real-time PCR.
- Subcellular analysis of lipid accumulation in CFTR KO cells.
Main Results:
- CFTR KO cells exhibited higher p21 and lower Ki67 expression pre-infection.
- SARS-CoV-2 infection reversed this trend in CFTR KO cells (low p21, high Ki67) and reduced viral gene expression.
- WT cells showed activation of senescence pathways upon SARS-CoV-2 infection.
- Lipid accumulation (lipolysosomes, residual bodies) was observed in CFTR KO cells.
Conclusions:
- SARS-CoV-2 infection differentially affects senescence pathways in CF and non-CF bronchial epithelial cells.
- Cellular senescence activation in CFTR-defective cells is reversed by SARS-CoV-2 infection.
- Findings suggest a potential molecular basis for the reduced clinical impact of COVID-19 in CF patients.
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