Poster Presentation 12th Australasian Virology Society Meeting 2024

TMEM106B-mediated SARS-CoV-2 infection allows for robust ACE2-independent infection in vitro but not in vivo (#237)

Kexin Yan 1 , Troy Dumenil 1 , Romal Stewart 1 , Cameron R. Bishop 1 , Bing Tang 1 , Wilson Nguyen 1 , Andreas Suhrbier 1 , Daniel J. Rawle 1
  1. QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia

Angiotensin converting enzyme 2 (ACE2) serves as the primary entry receptor for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).  However, ACE2-independent entry has been observed in vitro for SARS-CoV-2 strains containing the E484D amino acid substitution in the spike protein.  Herein, we conducted a whole genome CRISPR-Cas9 knockout screen using a SARS-CoV-2 strain containing the spike-E484D substitution (SARS-CoV-2MA1) to identify the ACE2-independent entry mechanisms.  Our findings revealed that SARS-CoV-2MA1 infection in HEK293T cells relied on heparan sulfate and endocytic pathways, with TMEM106B, a transmembrane lysosomal protein, emerging as the most significant contributor.  While SARS-CoV-2MA1 productively infected human brain organoids and K18-hACE2 mouse brains, it did not infect C57BL/6J or Ifnar-/- mouse brains.  This suggests that ACE2-independent entry via TMEM106B, which is a protein that is predominantly expressed in the brain, did not overtly increase the risk of SARS-CoV-2 neuroinvasiveness in mice with endogenous Ace2 expression.  Importantly, SARS-CoV-2MA1 did not replicate in Ace2-/- mouse respiratory tracts.  Overall, this suggests that robust ACE2-independent infection by SARS-CoV-2E484D is likely an in vitro phenomenon, with no apparent implications for infections in vivo.  Thus, emergence of a new variant containing the E484D substitution is unlikely to overtly change the pathogenicity of SARS-CoV-2.