SARS-CoV-2 spreads from cell to cell in the lung through specific viral mechanisms
Multiple studies confirm that SARS-CoV-2 spreads from cell to cell in the lung through specific viral mechanisms, notably spike-mediated membrane fusion, syncytia formation, and host cell receptor interactions.
The retrieved papers consistently support the claim by detailing the molecular mechanisms of SARS-CoV-2 transmission and spread within the lungs, including cellular entry receptors, host proteases, and cell-to-cell fusion via syncytia. No papers refute the claim.
C. Muus, M. Luecken, Gökçen Eraslan, Avinash Waghray, Graham Heimberg, L. Sikkema, Yoshihiko Kobayashi, E. D. Vaishnav, Ayshwarya Subramanian, Christopher Smilie, K. Jagadeesh, Elizabeth Thu Duong, Evgenij Fiskin, E. Triglia, M. Ansari, Peiwen Cai, B. Lin, J. Buchanan, Sijia Chen, J. Shu, Adam L. Haber, Hattie Chung, Daniel T. Montoro, T. Adams, H. Aliee, J. Samuel, Allon Zaneta Andrusivova, I. Angelidis, O. Ashenberg, K. Bassler, C. Bécavin, Inbal Benhar, J. Bergenstråhle, L. Bergenstråhle, L. Bolt, Emelie Braun, L. Bui, M. Chaffin, E. Chichelnitskiy, Joshua Chiou, T. Conlon, Michael S. Cuoco, M. Deprez, David S. Fischer, A. Gillich, Joshua Gould, M. Guo, A. Gutierrez, A. C. Habermann, T. Harvey, Peng He, Xiaomeng Hou, Lijuan Hu, Alok Jaiswal, P. Jiang, Theodoros Kapellos, Christin S Kuo, L. Larsson, Michael A. Leney-Greene Kyungtae Lim, Monika Litviňuková, Ji Lu, H. Maatz, E. Madissoon, L. Mamanova, Kasidet Manakongtreecheep, C. Marquette, Ian M Mbano, A. Mcadams, Ross J. Metzger, Ahmad N. Nabhan, Sarah K Nyquist, J. Ordovas-Montañes, L. Penland, Olivier B. Poirion, S. Poli, Cancan Qi, D. Reichart, I. Rosas, J. Schupp, Rahul Sinha, R. Sit, Kamil Slowikowski, M. Slyper, N. Smith, A. Sountoulidis, M. Strunz, Dawei Sun, Carlos Talavera-López, Peng Tan, J. Tantivit, K. Travaglini, N. Tucker, K. Vernon, M. Wadsworth, J. Waldmann, Xiuting Wang, Wenjun Yan, William Zhao, Carly G. K. Ziegler. Integrated analyses of single-cell atlases reveal age, gender, and smoking status associations with cell type-specific expression of mediators of SARS-CoV-2 viral entry and highlights inflammatory programs in putative target cells. 2020. https://doi.org/10.1101/2020.04.19.049254
The paper details how cellular entry and propagation mediators like ACE2, TMPRSS2, and CTSL are expressed in specific lung cell types, influencing viral susceptibility.
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David W. Sanders, Chanelle C. Jumper, Paul J. Ackerman, Dan Bracha, A. Donlic, Hahn Kim, Devin J. Kenney, Ivan Castello-Serrano, Saori Suzuki, Tomokazu Tamura, Alexander H. Tavares, Mohsan Saeed, A. Holehouse, A. Ploss, I. Levental, F. Douam, R. Padera, B. Levy, C. Brangwynne. SARS-CoV-2 requires cholesterol for viral entry and pathological syncytia formation. 2020. https://doi.org/10.7554/eLife.65962
The study elucidates specific viral mechanisms such as spike/ACE2-driven membrane fusion and syncytia formation facilitated by membrane cholesterol.
P. Purwono, V. Vacharathit, S. Manopwisedjaroen, N. Ludowyke, A. Suksatu, A. Thitithanyanont. Infection kinetics, syncytia formation, and inflammatory biomarkers as predictive indicators for the pathogenicity of SARS-CoV-2 Variants of Concern in Calu-3 cells. 2024. https://doi.org/10.1371/journal.pone.0301330
The research demonstrates how viral variants utilize specific phenotypic advantages like early infection kinetics and syncytia formation for cell-to-cell spread in lung epithelial cells.
Kate Chander Chiang, Cheng En Nicole Chiu, Mazharul Altaf, Mark Tsz Kin Cheng, Ravindra K. Gupta. Mechanisms of Cell–Cell Fusion in SARS-CoV-2: An Evolving Strategy for Transmission and Immune Evasion. 2025. https://doi.org/10.3390/v17111405
The review details how SARS-CoV-2 spreads via cell syncytia formation, where infected cells fuse with noninfected cells to bypass humoral immunity.
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