Abstract

Acute kidney injury is associated with mortality in COVID-19 patients. However, host cell changes underlying infection of renal cells with SARS-CoV-2 remain unknown and prevent understanding of the molecular mechanisms that may contribute to renal pathology. Here, we carried out quantitative translatome and whole-cell proteomics analyses of primary renal proximal and distal tubular epithelial cells derived from human donors infected with SARS-CoV-2 or MERS-CoV to disseminate virus and cell type-specific changes over time. Our findings revealed shared pathways modified upon infection with both viruses, as well as SARS-CoV-2-specific host cell modulation driving key changes in innate immune activation and cellular protein quality control. Notably, MERS-CoV infection-induced specific changes in mitochondrial biology that were not observed in response to SARS-CoV-2 infection. Furthermore, we identified extensive modulation in pathways associated with kidney failure that changed in a virus- and cell type-specific manner. In summary, we provide an overview of the effects of SARS-CoV-2 or MERS-CoV infection on primary renal epithelial cells revealing key pathways that may be essential for viral replication.

Highlights

  • Since the dawn of the 21st century, the pathogenicity of coronaviruses has been affecting the world every few years through highly human-to-human transmissible viruses such as severe acute respiratory syndrome coronavirus (SARS-CoV) and Middle East respiratory syndrome coronavirus (MERS-CoV) [1]

  • To demonstrate susceptibility of primary human renal proximal (PTC) and distal (DTC) tubular epithelial cells for SARS-CoV-2 or MERS-CoV infection, cells were grown in chamber slides and infected at an MOI of 0.01 to limit early onset of cytopathic effects and apoptosis [30]

  • Immunofluorescence staining confirmed the expression of the SARS-CoV-2 and MERS-CoV entry receptors angiotensin-converting enzyme 2 (ACE-2) and dipeptidyl-peptidase 4 (DPP4) [31], respectively, in PTC and DTC (Figs S1A–D and S2A–F)

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Summary

Introduction

Since the dawn of the 21st century, the pathogenicity of coronaviruses has been affecting the world every few years through highly human-to-human transmissible viruses such as severe acute respiratory syndrome coronavirus (SARS-CoV) and Middle East respiratory syndrome coronavirus (MERS-CoV) [1]. In 2019, the novel coronavirus SARS-CoV-2 emerged, resulting in the COVID-19 pandemic that continues to affect millions across the globe, with multiorgan failure being the most frequent cause of severe illness and death [2, 3]. Acute kidney injury (AKI) is reported in up to 78% of critically ill COVID-19 patients [5] and up to 90% in those who require mechanical ventilation [6]. AKI in SARS-CoV-2–infected patients is associated with increased morbidity and mortality, necessitating further research to understand the link between AKI and COVID-19 and the underlying mechanisms [5, 6, 7, 8]. Thought to be a primarily pulmonary disease, in the recent months, extrapulmonary tissues have been shown to be targeted by SARSCoV-2 during the systemic phase of COVID-19 [9]

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