The S1 protein of SARS-CoV-2 crosses the blood-brain barrier in mice

Nat Neurosci. 2021 Mar;24(3):368-378. doi: 10.1038/s41593-020-00771-8. Epub 2020 Dec 16.

Abstract

It is unclear whether severe acute respiratory syndrome coronavirus 2, which causes coronavirus disease 2019, can enter the brain. Severe acute respiratory syndrome coronavirus 2 binds to cells via the S1 subunit of its spike protein. We show that intravenously injected radioiodinated S1 (I-S1) readily crossed the blood-brain barrier in male mice, was taken up by brain regions and entered the parenchymal brain space. I-S1 was also taken up by the lung, spleen, kidney and liver. Intranasally administered I-S1 also entered the brain, although at levels roughly ten times lower than after intravenous administration. APOE genotype and sex did not affect whole-brain I-S1 uptake but had variable effects on uptake by the olfactory bulb, liver, spleen and kidney. I-S1 uptake in the hippocampus and olfactory bulb was reduced by lipopolysaccharide-induced inflammation. Mechanistic studies indicated that I-S1 crosses the blood-brain barrier by adsorptive transcytosis and that murine angiotensin-converting enzyme 2 is involved in brain and lung uptake, but not in kidney, liver or spleen uptake.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Intranasal
  • Administration, Intravenous
  • Angiotensin-Converting Enzyme 2 / metabolism
  • Animals
  • Apolipoproteins E / genetics
  • Blood-Brain Barrier / metabolism*
  • COVID-19
  • Genotype
  • Hippocampus / metabolism
  • Humans
  • Inflammation / chemically induced
  • Inflammation / metabolism
  • Lipopolysaccharides / pharmacology
  • Male
  • Mice
  • Mice, Transgenic
  • Olfactory Bulb / metabolism
  • Sex Characteristics
  • Spike Glycoprotein, Coronavirus / administration & dosage
  • Spike Glycoprotein, Coronavirus / pharmacokinetics*
  • Tissue Distribution
  • Transcytosis

Substances

  • Apolipoproteins E
  • Lipopolysaccharides
  • Spike Glycoprotein, Coronavirus
  • spike protein, SARS-CoV-2
  • Ace2 protein, mouse
  • Angiotensin-Converting Enzyme 2