The Binding of the SARS-CoV-2 Spike Protein to Platelet Factor 4: A Proposed Mechanism for the Generation of Pathogenic Antibodies

Pathogenic platelet factor 4 (PF4) antibodies contributed to the abnormal coagulation profiles in COVID-19 and vaccinated patients. However, the mechanism of what triggers the body to produce these antibodies has not yet been clarified. Similar patterns and many comparable features between the COVID...

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Main Authors: Thi-Huong Nguyen, Li-Yu Chen, Nida Zaman Khan, Annerose Lindenbauer, Van-Chien Bui, Peter F. Zipfel, Doris Heinrich
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Biomolecules
Subjects:
Online Access:https://www.mdpi.com/2218-273X/14/3/245
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author Thi-Huong Nguyen
Li-Yu Chen
Nida Zaman Khan
Annerose Lindenbauer
Van-Chien Bui
Peter F. Zipfel
Doris Heinrich
author_facet Thi-Huong Nguyen
Li-Yu Chen
Nida Zaman Khan
Annerose Lindenbauer
Van-Chien Bui
Peter F. Zipfel
Doris Heinrich
author_sort Thi-Huong Nguyen
collection DOAJ
description Pathogenic platelet factor 4 (PF4) antibodies contributed to the abnormal coagulation profiles in COVID-19 and vaccinated patients. However, the mechanism of what triggers the body to produce these antibodies has not yet been clarified. Similar patterns and many comparable features between the COVID-19 virus and heparin-induced thrombocytopenia (HIT) have been reported. Previously, we identified a new mechanism of autoimmunity in HIT in which PF4-antibodies self-clustered PF4 and exposed binding epitopes for other pathogenic PF4/eparin antibodies. Here, we first proved that the SARS-CoV-2 spike protein (SP) also binds to PF4. The binding was evidenced by the increase in mass and optical intensity as observed through quartz crystal microbalance and immunosorbent assay, while the switching of the surface zeta potential caused by protein interactions and binding affinity of PF4-SP were evaluated by dynamic light scattering and isothermal spectral shift analysis. Based on our results, we proposed a mechanism for the generation of PF4 antibodies in COVID-19 patients. We further validated the changes in zeta potential and interaction affinity between PF4 and SP and found that their binding mechanism differs from ACE2–SP binding. Importantly, the PF4/SP complexes facilitate the binding of anti-PF4/Heparin antibodies. Our findings offer a fresh perspective on PF4 engagement with the SARS-CoV-2 SP, illuminating the role of PF4/SP complexes in severe thrombotic events.
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spelling doaj.art-873f051a8c3447da842f270f84ddf12e2024-03-27T13:27:46ZengMDPI AGBiomolecules2218-273X2024-02-0114324510.3390/biom14030245The Binding of the SARS-CoV-2 Spike Protein to Platelet Factor 4: A Proposed Mechanism for the Generation of Pathogenic AntibodiesThi-Huong Nguyen0Li-Yu Chen1Nida Zaman Khan2Annerose Lindenbauer3Van-Chien Bui4Peter F. Zipfel5Doris Heinrich6Institute for Bioprocessing and Analytical Measurement Techniques (iba), 37308 Heilbad Heiligenstadt, GermanyInstitute for Bioprocessing and Analytical Measurement Techniques (iba), 37308 Heilbad Heiligenstadt, GermanyInstitute for Bioprocessing and Analytical Measurement Techniques (iba), 37308 Heilbad Heiligenstadt, GermanyInstitute for Bioprocessing and Analytical Measurement Techniques (iba), 37308 Heilbad Heiligenstadt, GermanyDepartment of Water Supply and Wastewater Treatment, Eichsfeldwerke GmbH, 37308 Heilbad Heiligenstadt, GermanyInstitute of Miccrobiology, Friedrich-Schiller-University, 07745 Jena, GermanyInstitute for Bioprocessing and Analytical Measurement Techniques (iba), 37308 Heilbad Heiligenstadt, GermanyPathogenic platelet factor 4 (PF4) antibodies contributed to the abnormal coagulation profiles in COVID-19 and vaccinated patients. However, the mechanism of what triggers the body to produce these antibodies has not yet been clarified. Similar patterns and many comparable features between the COVID-19 virus and heparin-induced thrombocytopenia (HIT) have been reported. Previously, we identified a new mechanism of autoimmunity in HIT in which PF4-antibodies self-clustered PF4 and exposed binding epitopes for other pathogenic PF4/eparin antibodies. Here, we first proved that the SARS-CoV-2 spike protein (SP) also binds to PF4. The binding was evidenced by the increase in mass and optical intensity as observed through quartz crystal microbalance and immunosorbent assay, while the switching of the surface zeta potential caused by protein interactions and binding affinity of PF4-SP were evaluated by dynamic light scattering and isothermal spectral shift analysis. Based on our results, we proposed a mechanism for the generation of PF4 antibodies in COVID-19 patients. We further validated the changes in zeta potential and interaction affinity between PF4 and SP and found that their binding mechanism differs from ACE2–SP binding. Importantly, the PF4/SP complexes facilitate the binding of anti-PF4/Heparin antibodies. Our findings offer a fresh perspective on PF4 engagement with the SARS-CoV-2 SP, illuminating the role of PF4/SP complexes in severe thrombotic events.https://www.mdpi.com/2218-273X/14/3/245SARS-CoV-2 spike proteinPF4PF4/SP antibodiesgenerationmechanism
spellingShingle Thi-Huong Nguyen
Li-Yu Chen
Nida Zaman Khan
Annerose Lindenbauer
Van-Chien Bui
Peter F. Zipfel
Doris Heinrich
The Binding of the SARS-CoV-2 Spike Protein to Platelet Factor 4: A Proposed Mechanism for the Generation of Pathogenic Antibodies
Biomolecules
SARS-CoV-2 spike protein
PF4
PF4/SP antibodies
generation
mechanism
title The Binding of the SARS-CoV-2 Spike Protein to Platelet Factor 4: A Proposed Mechanism for the Generation of Pathogenic Antibodies
title_full The Binding of the SARS-CoV-2 Spike Protein to Platelet Factor 4: A Proposed Mechanism for the Generation of Pathogenic Antibodies
title_fullStr The Binding of the SARS-CoV-2 Spike Protein to Platelet Factor 4: A Proposed Mechanism for the Generation of Pathogenic Antibodies
title_full_unstemmed The Binding of the SARS-CoV-2 Spike Protein to Platelet Factor 4: A Proposed Mechanism for the Generation of Pathogenic Antibodies
title_short The Binding of the SARS-CoV-2 Spike Protein to Platelet Factor 4: A Proposed Mechanism for the Generation of Pathogenic Antibodies
title_sort binding of the sars cov 2 spike protein to platelet factor 4 a proposed mechanism for the generation of pathogenic antibodies
topic SARS-CoV-2 spike protein
PF4
PF4/SP antibodies
generation
mechanism
url https://www.mdpi.com/2218-273X/14/3/245
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