Nature Communications (Dec 2022)

SARS-CoV-2 Spike triggers barrier dysfunction and vascular leak via integrins and TGF-β signaling

  • Scott B. Biering,
  • Francielle Tramontini Gomes de Sousa,
  • Laurentia V. Tjang,
  • Felix Pahmeier,
  • Chi Zhu,
  • Richard Ruan,
  • Sophie F. Blanc,
  • Trishna S. Patel,
  • Caroline M. Worthington,
  • Dustin R. Glasner,
  • Bryan Castillo-Rojas,
  • Venice Servellita,
  • Nicholas T. N. Lo,
  • Marcus P. Wong,
  • Colin M. Warnes,
  • Daniel R. Sandoval,
  • Thomas Mandel Clausen,
  • Yale A. Santos,
  • Douglas M. Fox,
  • Victoria Ortega,
  • Anders M. Näär,
  • Ralph S. Baric,
  • Sarah A. Stanley,
  • Hector C. Aguilar,
  • Jeffrey D. Esko,
  • Charles Y. Chiu,
  • John E. Pak,
  • P. Robert Beatty,
  • Eva Harris

DOI
https://doi.org/10.1038/s41467-022-34910-5
Journal volume & issue
Vol. 13, no. 1
pp. 1 – 19

Abstract

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Severe COVID-19 is associated with epithelial and endothelial barrier dysfunction, however, the molecular pathways resulting in endothelial barrier dysfunction and vascular leakage are only sparsely understood. Here, Biering et al. show that SARS-CoV-2 spike protein is sufficient to induce barrier dysfunction and vascular leak. They show a role for integrins, TGF-beta, ECM remodeling enzymes, and glycosaminoglycans in this S-mediated barrier dysfunction.