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Integrin txv/35 Selectively Promotes Adenovirus Mediated Cell Membrane Permeabilization

Rockefeller University Press
Journal of Cell Biology (JCB)
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Human adenovirus type 2 (Ad2) enters host cells by receptor-mediated endocytosis, an event mediated by the virus penton base binding to cell surface integrins alpha v beta 3 and alpha v beta 5. While both alpha v integrins promote virus internalization, alpha v beta 5 is involved in the subsequent event of membrane permeabilization. Cells transfected with the beta 5 or beta 3 subunit, expressing either alpha v beta 5 and alpha v beta 3, respectively, were capable of supporting Ad2 infection to varying degrees. In this case, cells expressing alpha v beta 5 were significantly more susceptible to Ad2-induced membrane permeabilization, as well as to Ad2 infection, than cells expressing alpha v beta 3. Adenovirus-mediated gene delivery was also more efficient in cells expressing alpha v beta 5. These results suggest that the interaction of alpha v beta 5 with Ad2 penton base facilitates the subsequent step of virus penetration into the cell. These studies provide evidence for the involvement of a cellular receptor in virus-mediated membrane permeabilization and suggest a novel biological role for integrin alpha v beta 5 in the infectious pathway of a human adenovirus.
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... It has been reported that SARS-CoV-2 harbors one of the most common integrin binding motifs known as RGD on the RBD of spike protein [66]. RGD is a small motif that contains the minimal residue Arg-Gly-Asp for binding to integrin and plays an important role in infectivity of human pathogenic viruses including Adenovirus [67] or cytomegalovirus (HHV-5) [65,68]. Viral proteins with RGD motifs can trigger phosphatidylinositol-3 kinase (PI-3 K) and/or mitogen-activated protein kinase (MAPK) pathways and stimulate infection [69]. ...
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... Coxsackieviruses and adenoviruses use the transmembrane proteins decay accelerating factor (DAF) and integrins as co-receptors, respectively [49,50]. Interestingly, recombinant human integrin ανβ5 is cleaved by NE already within five minutes, while cleavage of recombinant human DAF takes overnight incubation in vitro (data not shown). ...
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... In addition to CAR, adenoviruses use a number of proteins and adhesion molecules that act as "co-receptors" and facilitate cell internalization. It has been shown that Ad5 interacts with members of the αV-integrin family -αVβ3 [44] and αVβ5 [45] -via the RGD-motif containing penton base protein [46]. Dual inhibition of αIIbβ3 and αVβ3 by Kistrin, a potent protein inhibitor of platelet aggregation and fibrinogen endocytosis, does not prevent adenovirus platelet coupling or virus internalization in vitro [40] indicating additional receptor binding partners may be able to facilitate internalization [47]. ...
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Vaccine-induced immune thrombotic thrombocytopenia (VITT) has caused global concern. VITT is characterized by thrombosis and thrombocytopenia following COVID-19 vaccinations with the AstraZeneca ChAdOx1 nCov-19 and the Janssen Ad26.COV2.S vaccines. Patients present with thrombosis, severe thrombocytopenia developing 5 to 24 days following first dose of vaccine, with elevated D-dimer, and PF4 antibodies, signifying platelet activation. As of June 1, 2021, over 1.93 billion COVID-19 vaccine doses had been administered worldwide. Currently, 467 VITT cases (0.000024%) have been reported across the UK, Europe, Canada and Australia. Guidance on diagnosis and management of VITT has been reported but the pathogenic mechanism is yet to be fully elucidated. Here, we propose and discuss potential mechanisms in relation to adenovirus induction of VITT. We provide insights and clues into areas warranting investigation into the mechanistic basis of VITT, highlighting the unanswered questions. Further research is required to help solidify a pathogenic model for this condition.
... In addition to CAR, adenoviruses use a number of proteins and adhesion molecules that act as "co-receptors" and facilitate cell internalization. It has been shown that Ad5 interacts with members of the αV-integrin family -αVβ3 [42] and αVβ5 [43] via the RGD-motif containing penton base protein [44]. Dual inhibition of αIIbβ3 and αVβ3 by Kistrin, a potent protein inhibitor of platelet aggregation and fibrinogen endocytosis, does not prevent adenovirus platelet coupling or virus internalization in vitro [38] indicating additional receptor binding partners may be able to facilitate internalization [45]. ...
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Vaccine-induced immune thrombotic thrombocytopenia (VITT), or thrombotic thrombocytopenic syndrome (TTS), has caused global concern. VITT is characterized by thrombosis and thrombocytopenia following COVID-19 vaccinations with the AstraZeneca ChAdOx1 nCov-19 and the Janssen Ad26.COV2.S vaccines. The clinical features of VITT include thrombosis, typically cerebral venous thrombosis, and severe thrombocytopenia developing 5 to 24 days following first dose of vaccine, with elevated D-dimer, and antibodies specific to platelet factor 4 (PF4), signifying platelet activation. As of June 1, 2021, over 1.93 billion COVID-19 vaccine doses had been administered worldwide. Currently, 467 VITT cases (0.000024%) have been reported across the UK, Europe, Canada and Australia. Clinically, VITT presents similarly to a rare autoimmune condition called "spontaneous/autoimmune heparin Induced Thrombocytopenia" (HIT) without prior heparin exposure. Guidance on diagnosis and management of VITT has been reported but the pathogenic mechanism of VITT is not fully elucidated. A definite causal relationship with the vaccine material is yet to be confirmed. To date, it is established that IgG antibodies recognizing PF4 activate platelets through FcγRIIA, however it remains unclear what triggers production of these antibodies. The fact that VITT, has only been described in association with adenoviral vector-based DNA virus vaccines, but not mRNA/lipid-based vaccines, raises the likelihood that the syndrome is somehow linked to the vector or other constituents in the vaccine preparation. Here, we propose and discuss potential mechanisms in relation to adenovirus induction of VITT. We discuss adenovirus immunogenicity and interactions with platelets and other host proteins, the role of PF4 and platelet activation. Whilst confirming a single mechanism underpinning VITT is challenging, we provide insights and clues into areas warranting investigation into the mechanistic basis of VITT, highlighting the unanswered questions. Further research is required to help solidify a pathogenic model for this condition.
... This suggests that α 2 β 1 , which is 346 not an RGD receptor, is unlikely to interact with the motif presented at the surface of 347 the RBD from SARS-CoV-2. The second receptor α V β 5 is well known to be an aden-348 ovirus receptor [56] not expressed on the luminal surface [25] which makes it difficult to 349 be involved in the infection by coronavirus. α V β 6 , an RGD receptor, was described to be 350 implicated in infection by foot and mouth disease virus [32]. ...
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... In the case of Ad serotype 5 (Ad5), the most studied serotype, infection is initiated via binding of the knob region located at the C-terminus of the trimeric fibre protein to the primary receptor, i.e. the coxsackievirus and adenovirus receptor (CAR) [4,5]. Then, the Ads enter cells via endocytosis mediated by the interaction between the integrins on the cell surface and an arginineglycine-aspartate motif located in the penton base, followed by escape to the cytosol [6,7]. After the viral genomes are transported along the microtubules in a dynein-dependent manner, they are translocated to the nucleus [8,9], where viral DNA replication is activated by the early region proteins, such as E1A and E1B [10,11]. ...
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