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Sci Adv . Tunneling nanotubes provide a route for SARS-CoV-2 spreading

tetano

Editor, Senior Moderator
Sci Adv


. 2022 Jul 22;8(29):eabo0171.
doi: 10.1126/sciadv.abo0171. Epub 2022 Jul 20.
Tunneling nanotubes provide a route for SARS-CoV-2 spreading


Anna Pepe[SUP] 1 [/SUP], Stefano Pietropaoli[SUP] 2 3 [/SUP], Matthijn Vos[SUP] 4 [/SUP], Giovanna Barba-Spaeth[SUP] 2 [/SUP], Chiara Zurzolo[SUP] 1 [/SUP]



Affiliations

Abstract

Neurological manifestations of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection represent a major issue in long coronavirus disease. How SARS-CoV-2 gains access to the brain and how infection leads to neurological symptoms are not clear because the principal means of viral entry by endocytosis, the angiotensin-converting enzyme 2 receptor, are barely detectable in the brain. We report that human neuronal cells, nonpermissive to infection through the endocytic pathway, can be infected when cocultured with permissive infected epithelial cells. SARS-CoV-2 induces the formation of tunneling nanotubes (TNTs) and exploits this route to spread to uninfected cells. In cellulo correlative fluorescence and cryo-electron tomography reveal that SARS-CoV-2 is associated with TNTs between permissive cells. Furthermore, multiple vesicular structures such as double-membrane vesicles, sites of viral replication, are observed inside TNTs between permissive and nonpermissive cells. Our data highlight a previously unknown mechanism of SARS-CoV-2 spreading, likely used as a route to invade nonpermissive cells and potentiate infection in permissive cells.
 
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