Lack of evidence of ACE2 expression and replicative infection by SARS-CoV-2 in human endothelial cells
File(s)2020.12.02.391664v1.pdf (698.57 KB)
Working Paper
Author(s)
Type
Working Paper
Abstract
Abstract: A striking feature of severe COVID-19 is thrombosis in large as well as small vessels of multiple organs. This has led to the assumption that SARS-CoV-2 virus directly infects and damages the vascular endothelium. However, endothelial expression of ACE2, the cellular receptor for SARS-CoV-2, has not been convincingly demonstrated. Interrogating human bulk and single-cell transcriptomic data, we found <jats:italic>ACE2</jats:italic> expression in endothelial cells to be extremely low or absent <jats:italic>in vivo</jats:italic> and not upregulated by exposure to inflammatory agents <jats:italic>in vitro</jats:italic>. Also, the endothelial chromatin landscape at the <jats:italic>ACE2</jats:italic> locus showed presence of repressive and absence of activation marks, suggesting that the gene is inactive in endothelial cells. Finally, we failed to achieve infection and replication of SARS-CoV-2 in cultured human endothelial cells, which were permissive to productive infection by coronavirus 229E that uses CD13 as the receptor. Our data suggest that SARS-Cov-2 is unlikely to infect endothelial cells directly; these findings are consistent with a scenario where endothelial injury is indirectly caused by the infection of neighbouring epithelial cells and/or due to systemic effects mediated by immune cells, platelets, complement activation, and/or proinflammatory cytokines
Date Issued
2022-07-14
Citation
2022
Publisher
Cold Spring Harbor Laboratory
Copyright Statement
©2022 The Author(s)
Sponsor
British Heart Foundation
Identifier
https://www.biorxiv.org/content/10.1101/2020.12.02.391664v1
Grant Number
RG/17/4/32662