ABSTRACT
Severe acute respiratory syndrome (SARS) coronavirus2 (SARSCoV2), the causative viral agent for the ongoing COVID19 pandemic, enters its host cells primarily via the binding of the SARSCoV2 spike (S) proteins to the angiotensinconverting enzyme 2 (ACE2). A number of other cell entry mediators have also been identified, including neuropilin1 (NRP1) and transmembrane protease serine 2 (TMPRSS2). More recently, it has been demonstrated that transmembrane protease serine 4 (TMPRSS4) along with TMPRSS2 activate the SARSCoV2 S proteins, and enhance the viral infection of human small intestinal enterocytes. To date, a systematic analysis of TMPRSS4 in health and disease is lacking. In the present study, using in silico tools, the gene expression and genetic alteration of TMPRSS4 were analysed across numerous tumours and compared to controls. The observations were also expanded to the level of the central nervous system (CNS). The findings revealed that TMPRSS4 was overexpressed in 11 types of cancer, including lung adenocarcinoma, lung squamous cell carcinoma, cervical squamous cell carcinoma, thyroid carcinoma, ovarian cancer, cancer of the rectum, pancreatic cancer, colon and stomach adenocarcinoma, uterine carcinosarcoma and uterine corpus endometrial carcinoma, whilst it was significantly downregulated in kidney carcinomas, acute myeloid leukaemia, skin cutaneous melanoma and testicular germ cell tumours. Finally, a high TMPRSS4 expression was documented in the olfactory tubercle, paraolfactory gyrus and frontal operculum, all brain regions which are associated with the sense of smell and taste. Collectively, these data suggest that TMPRSS4 may play a role in COVID19 symptomatology as another SARSCoV2 host cell entry mediator responsible for the tropism of this coronavirus both in the periphery and the CNS.
Subject(s)
COVID-19/enzymology , COVID-19/genetics , Membrane Proteins/genetics , SARS-CoV-2/physiology , SARS-CoV-2/pathogenicity , Serine Endopeptidases/genetics , Virus Internalization , Brain/enzymology , COVID-19/virology , Central Nervous System/enzymology , Computer Simulation , Databases, Genetic , Female , Gastrointestinal Tract/enzymology , Gene Expression Profiling , Host Microbial Interactions/genetics , Host Microbial Interactions/physiology , Humans , Male , Membrane Proteins/physiology , Neoplasms/enzymology , Neoplasms/genetics , Pandemics , Serine Endopeptidases/physiologyABSTRACT
Infection by the severe acute respiratory syndrome (SARS) coronavirus2 (SARSCoV2) is the cause of the new viral infectious disease (coronavirus disease 2019; COVID19). Emerging evidence indicates that COVID19 may be associated with a wide spectrum of neurological symptoms and complications with central nervous system (CNS) involvement. It is now wellestablished that entry of SARSCoV2 into host cells is facilitated by its spike proteins mainly through binding to the angiotensinconverting enzyme 2 (ACE2). Preclinical studies have suggested that neuropilin1 (NRP1), which is a transmembrane receptor that lacks a cytosolic protein kinase domain and exhibits high expression in the respiratory and olfactory epithelium, may also be implicated in COVID19 by enhancing the entry of SARSCoV2 into the brain through the olfactory epithelium. In the present study, we expand on these findings and demonstrate that the NRP1 is also expressed in the CNS, including olfactoryrelated regions such as the olfactory tubercles and paraolfactory gyri. This furthers supports the potential role of NRP1 as an additional SARSCoV2 infection mediator implicated in the neurologic manifestations of COVID19. Accordingly, the neurotropism of SARSCoV2 via NRP1expressing cells in the CNS merits further investigation.
Subject(s)
Central Nervous System/metabolism , Coronavirus Infections/metabolism , Neuropilin-1/metabolism , Pneumonia, Viral/metabolism , Receptors, Virus/metabolism , Betacoronavirus/physiology , Brain/metabolism , Brain/virology , COVID-19 , Central Nervous System/virology , Databases, Genetic , Humans , Pandemics , Receptors, Coronavirus , SARS-CoV-2ABSTRACT
Severe acute respiratory syndrome (SARS) coronavirus2 (SARSCoV2) enters into human host cells via mechanisms facilitated mostly by angiotensinconverting enzyme 2 (ACE2) and transmembrane protease serine 2 (TMPRSS2). New loss of smell (anosmia/hyposmia) is now recognized as a COVID19 related symptom, which may be caused by SARSCoV2 infection and damage of the olfactory receptor (OR) cells in the nasal neuroepithelium and/or central involvement of the olfactory bulb. ORs are also expressed peripherally (e.g., in tissues of the gastrointestinal and respiratory systems) and it is possible that their local functions could also be impaired by SARSCoV2 infection of these tissues. Using Gene Expression Profiling Interactive Analysis, The Cancer Genome Atlas, GenotypeTissue Expression, cBioPortal and Shiny Methylation Analysis Resource Tool, we highlight the expression of peripheral ORs in both healthy and malignant tissues, and describe their coexpression with key mediators of SARSCoV2 infection, such as ACE2 and TMPRSS2, as well as cathepsin L (CTSL; another cellular protease mediating SARSCoV2 infection of host cells). A wide expression profile of peripheral ORs was noted, particularly in tissues such as the prostate, testis, thyroid, brain, liver, kidney and bladder, as well as tissues with known involvement in cardiometabolic disease (e.g., the adipose tissue, pancreas and heart). Among these, OR51E2, in particular, was significantly upregulated in prostate adenocarcinoma (PRAD) and coexpressed primarily with TMPRSS2. Functional networks of this OR were further analysed using the GeneMANIA interactive tool, showing that OR51E2 interacts with a plethora of genes related to the prostate. Further in vitro and clinical studies are clearly required to elucidate the role of ORs, both at the olfactory level and the periphery, in the context of COVID19.