Surendran Harshini, Kumar Saurabh, Narasimhaiah Swathi, Ananthamurthy Anuradha, Varghese P S, D'Souza George A, Medigeshi Guruprasad, Pal Rajarshi
Eyestem Research, Centre for Cellular and Molecular Platforms (C-CAMP), Bengaluru, Karnataka, India.
Clinical and Cellular Virology Laboratory, Translational Health Science and Technology Institute (THSTI), Faridabad, Haryana, India.
J Cell Physiol. 2022 Jul;237(7):2913-2928. doi: 10.1002/jcp.30755. Epub 2022 Apr 23.
The COVID-19 disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) primarily affects the lung, particularly the proximal airway and distal alveolar cells. NKX2.1+ primordial lung progenitors of the foregut (anterior) endoderm are the developmental precursors to all adult lung epithelial lineages and are postulated to play an important role in viral tropism. Here, we show that SARS-CoV-2 readily infected and replicated in human-induced pluripotent stem cell-derived proximal airway cells, distal alveolar cells, and lung progenitors. In addition to the upregulation of antiviral defense and immune responses, transcriptomics data uncovered a robust epithelial cell-specific response, including perturbation of metabolic processes and disruption in the alveolar maturation program. We also identified spatiotemporal dysregulation of mitochondrial heme oxygenase 1 (HMOX1), which is associated with defense against antioxidant-induced lung injury. Cytokines, such as TNF-α, INF-γ, IL-6, and IL-13, were upregulated in infected cells sparking mitochondrial ROS production and change in electron transport chain complexes. Increased mitochondrial ROS then activated additional proinflammatory cytokines leading to an aberrant cell cycle resulting in apoptosis. Notably, we are the first to report a chemosensory response resulting from SARS-CoV-2 infection similar to that seen in COVID-19 patients. Some of our key findings were validated using COVID-19-affected postmortem lung tissue sections. These results suggest that our in vitro system could serve as a suitable model to investigate the pathogenetic mechanisms of SARS-CoV-2 infection and to discover and test therapeutic drugs against COVID-19 or its consequences.
由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的新型冠状病毒肺炎主要影响肺部,尤其是近端气道和远端肺泡细胞。前肠(前部)内胚层的NKX2.1+原始肺祖细胞是所有成年肺上皮谱系的发育前体,据推测在病毒嗜性中起重要作用。在这里,我们表明SARS-CoV-2很容易在人诱导多能干细胞衍生的近端气道细胞、远端肺泡细胞和肺祖细胞中感染和复制。除了抗病毒防御和免疫反应的上调外,转录组学数据还揭示了一种强大的上皮细胞特异性反应,包括代谢过程的扰动和肺泡成熟程序的破坏。我们还确定了线粒体血红素加氧酶1(HMOX1)的时空失调,这与抗氧化剂诱导的肺损伤防御有关。细胞因子,如TNF-α、INF-γ、IL-6和IL-13,在感染细胞中上调,引发线粒体ROS产生和电子传递链复合物的变化。增加的线粒体ROS随后激活额外的促炎细胞因子,导致异常的细胞周期,从而导致细胞凋亡。值得注意的是,我们是第一个报告SARS-CoV-2感染引起的化学感应反应的,类似于在新型冠状病毒肺炎患者中看到的反应。我们的一些关键发现使用受新型冠状病毒肺炎影响的尸检肺组织切片进行了验证。这些结果表明,我们的体外系统可以作为一个合适的模型来研究SARS-CoV-2感染的发病机制,并发现和测试针对新型冠状病毒肺炎或其后果的治疗药物。