SARS-CoV-2 spreads through cell-to-cell transmission
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Abstract
Significance: It is currently unknown if SARS-CoV-2 can spread through cell–cell contacts, and if so, the underlying mechanisms and implications. In this work, we show, by using lentiviral pseudotyped virus, that the spike protein of SARS-CoV-2 mediates the viral cell-to-cell transmission, with an efficiency higher than that of SARS-CoV. We also find that cell–cell fusion contributes to cell-to-cell transmission, yet ACE2 is not absolutely required. While the authentic variants of concern (VOCs) B.1.1.7 (alpha) and B.1.351 (beta) differ in cell-free infectivity from wild type and from each other, these VOCs have similar cell-to-cell transmission capability and exhibit differential sensitivity to neutralization by vaccinee sera. Results from our study will contribute to a better understanding of SARS-CoV-2 spread and pathogenesis.
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Cell contact-mediated infection is resistant to neutralizing antibodies, demonstrated for HIV-1 and SARS-CoV-2.
“The importance of the cell-to-cell transmission mechanism for viral dissemination is evidenced by the resistance of cell contact-mediated infection to neutralizing antibodies, which has been demonstrated for HIV-1 [140] and SARS-CoV-2 [33,141].”
From HIV-1 and HTLV-1 Transmission Modes: Mechanisms and Importance for Virus Spread (2022) · cites this paper as [141]
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Preclinical evaluation of Imatinib does not support its use as an antiviral drug against SARS-CoV-2
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Long COVID as a Tauopathy: Of “Brain Fog” and “Fusogen Storms”
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- Authors
- Zeng, C., Evans, J. P., King, T., Zheng, Y.-M., Oltz, E. M., Whelan, S. P. J., Saif, L. J., Peeples, M. E., & Liu, S.-L.
- Affiliations
- The Ohio State University (US)
- Nationwide Children's Hospital (US)
- Washington University in St. Louis (US)
- Corresponding author
- Liu, Shan-Lu
- ORCID
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2021-12-22
- Volume
- 119
- Issue
- 1
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC8740724
- OpenAlex
- W4206481051
- Cited by
- 246
- References
- 87
- Citations by year
- 2026: 23 · 2025: 23 · 2024: 57 · 2023: 70 · 2022: 62 · 2021: 11
- FWCI
- 15.84
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion, cc-by)
- bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- PubMed Central (submittedVersion, cc-by-nc)
- Digital Commons@Becker (Washington University School of Medicine) (submittedVersion, cc-by)
- ImmPort
- Funders
- HHS | NIH | National Institute of Allergy and Infectious Diseases (AI112381, AI150473)
- HHS | NIH | National Cancer Institute (U54CA260582)
- Topics
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
- Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
- Life Sciences › Agricultural and Biological Sciences › Animal Science and Zoology › Animal Virus Infections Studies
- Keywords
- SARS-CoV-2, cell-to-cell transmission, spike protein, SARS-CoV, cell-cell fusion, endosomal membrane fusion, ACE2, neutralizing antibodies, variants of concern, Alpha variant, Beta variant, virus transmission
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