Inhibition of SARS‐CoV‐2‐mediated thromboinflammation by CLEC2.Fc

Abstract Thromboinflammation is the major cause of morbidity and mortality in COVID‐19 patients, and post‐mortem examination demonstrates the presence of platelet‐rich thrombi and microangiopathy in visceral organs. Moreover, persistent microclots were detected in both acute COVID‐19 and long COVID...

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Main Authors: Pei‐Shan Sung, Cheng‐Pu Sun, Mi‐Hua Tao, Shie‐Liang Hsieh
Format: Article
Language:English
Published: Springer Nature 2023-05-01
Series:EMBO Molecular Medicine
Subjects:
Online Access:https://doi.org/10.15252/emmm.202216351
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author Pei‐Shan Sung
Cheng‐Pu Sun
Mi‐Hua Tao
Shie‐Liang Hsieh
author_facet Pei‐Shan Sung
Cheng‐Pu Sun
Mi‐Hua Tao
Shie‐Liang Hsieh
author_sort Pei‐Shan Sung
collection DOAJ
description Abstract Thromboinflammation is the major cause of morbidity and mortality in COVID‐19 patients, and post‐mortem examination demonstrates the presence of platelet‐rich thrombi and microangiopathy in visceral organs. Moreover, persistent microclots were detected in both acute COVID‐19 and long COVID plasma samples. However, the molecular mechanism of SARS‐CoV‐2‐induced thromboinflammation is still unclear. We found that the spleen tyrosine kinase (Syk)‐coupled C‐type lectin member 2 (CLEC2), which was highly expressed in platelets and alveolar macrophages, interacted with the receptor‐binding domain (RBD) of SARS‐CoV‐2 spike protein (SARS‐CoV‐2 RBD) directly. Unlike the thread‐like NETs, SARS‐CoV‐2‐induced aggregated NET formation in the presence of wild‐type (WT), but not CLEC2‐deficient platelets. Furthermore, SARS‐CoV‐2 spike pseudotyped lentivirus was able to induce NET formation via CLEC2, indicating SARS‐CoV‐2 RBD engaged CLEC2 to activate platelets to enhance NET formation. Administration of CLEC2.Fc inhibited SARS‐CoV‐2‐induced NET formation and thromboinflammation in AAV‐ACE2‐infected mice. Thus, CLEC2 is a novel pattern recognition receptor for SARS‐CoV‐2, and CLEC2.Fc and may become a promising therapeutic agent to inhibit SARS‐CoV‐2‐induced thromboinflammation and reduced the risk of post‐acute sequelae of COVID‐19 (PASC) in the future.
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spelling doaj.art-3904477d13b745f885c6bee143b145142024-11-03T12:37:59ZengSpringer NatureEMBO Molecular Medicine1757-46761757-46842023-05-0115711610.15252/emmm.202216351Inhibition of SARS‐CoV‐2‐mediated thromboinflammation by CLEC2.FcPei‐Shan Sung0Cheng‐Pu Sun1Mi‐Hua Tao2Shie‐Liang Hsieh3Genomics Research Center, Academia SinicaInstitute of Biomedical Sciences, Academia SinicaInstitute of Biomedical Sciences, Academia SinicaGenomics Research Center, Academia SinicaAbstract Thromboinflammation is the major cause of morbidity and mortality in COVID‐19 patients, and post‐mortem examination demonstrates the presence of platelet‐rich thrombi and microangiopathy in visceral organs. Moreover, persistent microclots were detected in both acute COVID‐19 and long COVID plasma samples. However, the molecular mechanism of SARS‐CoV‐2‐induced thromboinflammation is still unclear. We found that the spleen tyrosine kinase (Syk)‐coupled C‐type lectin member 2 (CLEC2), which was highly expressed in platelets and alveolar macrophages, interacted with the receptor‐binding domain (RBD) of SARS‐CoV‐2 spike protein (SARS‐CoV‐2 RBD) directly. Unlike the thread‐like NETs, SARS‐CoV‐2‐induced aggregated NET formation in the presence of wild‐type (WT), but not CLEC2‐deficient platelets. Furthermore, SARS‐CoV‐2 spike pseudotyped lentivirus was able to induce NET formation via CLEC2, indicating SARS‐CoV‐2 RBD engaged CLEC2 to activate platelets to enhance NET formation. Administration of CLEC2.Fc inhibited SARS‐CoV‐2‐induced NET formation and thromboinflammation in AAV‐ACE2‐infected mice. Thus, CLEC2 is a novel pattern recognition receptor for SARS‐CoV‐2, and CLEC2.Fc and may become a promising therapeutic agent to inhibit SARS‐CoV‐2‐induced thromboinflammation and reduced the risk of post‐acute sequelae of COVID‐19 (PASC) in the future.https://doi.org/10.15252/emmm.202216351CLEC2NETplateletSARS‐CoV‐2thromboinflammation
spellingShingle Pei‐Shan Sung
Cheng‐Pu Sun
Mi‐Hua Tao
Shie‐Liang Hsieh
Inhibition of SARS‐CoV‐2‐mediated thromboinflammation by CLEC2.Fc
EMBO Molecular Medicine
CLEC2
NET
platelet
SARS‐CoV‐2
thromboinflammation
title Inhibition of SARS‐CoV‐2‐mediated thromboinflammation by CLEC2.Fc
title_full Inhibition of SARS‐CoV‐2‐mediated thromboinflammation by CLEC2.Fc
title_fullStr Inhibition of SARS‐CoV‐2‐mediated thromboinflammation by CLEC2.Fc
title_full_unstemmed Inhibition of SARS‐CoV‐2‐mediated thromboinflammation by CLEC2.Fc
title_short Inhibition of SARS‐CoV‐2‐mediated thromboinflammation by CLEC2.Fc
title_sort inhibition of sars cov 2 mediated thromboinflammation by clec2 fc
topic CLEC2
NET
platelet
SARS‐CoV‐2
thromboinflammation
url https://doi.org/10.15252/emmm.202216351
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AT shielianghsieh inhibitionofsarscov2mediatedthromboinflammationbyclec2fc